Outreach Core

2017年9月，飓风伊尔玛和玛丽亚肆虐加勒比地区，尤其是 波多黎各(PR)，造成广泛破坏并造成大量资源损失和 高昂的经济成本。在紧急恢复阶段，研究活动有限， 这导致了正在进行的癌症预防和控制计划的中断 实施该方案的目的是减轻该岛癌症健康差距的负担。 尽管我们对社区参与、外展和培训产生了重大影响，但 2017年9月的飓风玛丽亚及其后果严重影响了我们的招聘， 后续完成，并对我们项目的成本效益进行评估 维达。鉴于我们计划的招募地点(联邦卫生合格诊所 (FQHC)作为紧急行动中心，留学生招募工作被推迟。自.起 2018年12月1日，我们已经完成了47%的招聘。因此，要求 补编项下用于追回飓风哈维、伊尔玛和玛丽亚损失的资金 根据2018年两党预算法(PA-18-936)将支持完成 行为试验。因此，本补编的目的是完成对 随机干预试验小组(377名参与者)，以评估 结直肠癌筛查(CRCs)完成干预措施(目标1)及成本效益评估 和控制资源中心干预对预算的影响(目标2)。如果获得批准，该项目将 提供急需的支持，以增加弱势群体中的社区合作伙伴，并将提供帮助 提高对恢复筛查做法的重要性的认识，就像现在该岛 继续从灾难性的影响中恢复。

On September 2017, Hurricanes Irma and María devastated the Caribbean region, particularly Puerto Rico (PR), causing widespread destruction and resulting in massive resource losses and high economics costs. During the emergency recovery phase, research activities were limited, which lead to a disruption in ongoing cancer prevention and control initiatives that were being implemented with the aim to decrease the burden of cancer health disparities in the island. Despite our significant impact on community engagement, outreach, and training, the impact of Hurricane María in September 2017 and its aftermath affected significantly our recruitment, follow-up completion, and the evaluation of the cost-effectiveness of our project ¡Salud!, Por la Vida. Given that the recruitment venues for our program (Federally Health Qualified Clinics (FQHCs)) served as emergency operation centers, study recruitment has been delayed. As of December 1st, 2018, we have completed 47% of the recruitment. Therefore, the request for funds under the Supplement to Recover Losses Due to Hurricanes Harvey, Irma, and Maria Under the Bipartisan Budget Act of 2018 (PA-18-936) is to support the completion of the behavioral trial. Therefore, the aims for this supplement are to complete the recruitment of the group for the randomized intervention trial (377 participants) to assess the effectiveness of the intervention on Colorectal Cancer Screening (CRCS) completion (aim 1) and to assess the cost-effectiveness and budget impact of the CRCS intervention (aim 2). If granted, this project will provide a much-needed support to increase CRCS among vulnerable populations and will help increase awareness of the importance of resuming screening practices as now the island continues to recover from the catastrophic impact.