Community Outreach and Engagement

社区外展和参与

• 批准号: 10650413
• 负责人: OTIS W. BRAWLEY
• 金额: $ 43.24万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-05-07 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10650413
• 关键词: 10 year old; Acceleration; Address; Adoption; Advocacy; Advocate; Age; Ambulatory Care; Area; Authorization documentation; Baltimore; Basic Science; Black race; Cancer Burden; Cancer Center; Cancer Control; Cancer Death Rates; Cancer Patient; Caring; Catchment Area; Cigarette; Cities; Clinical; Clinical Research; Communication; Communities; Community Outreach; Comprehensive Cancer Center; Consult; County; Databases; Death Rate; Diagnosis; Disparity; Disparity population; Doctor of Medicine; Doctor of Philosophy; Epidemiologist; Epidemiology; Ethnic Origin; Evidence based intervention; Extramural Activities; Family; Fostering; Funding; Goals; Government; Government Officials; Health; Health behavior; Health education; Hospitals; Human Papilloma Virus Vaccination; Improve Access; Incidence; Income; Infrastructure; Intervention; Intervention Trial; Investments; Leadership; Malignant Neoplasms; Managed Care; Maryland; Medicaid; Medical Faculty; Medicine; Monitor; NCI Center for Cancer Research; Newly Diagnosed; Oncology; Participant; Philosophy; Policies; Policy Developments; Policy Maker; Population; Population Characteristics; Population Research; Population Sciences; Poverty; Process; Quality of Care; Recommendation; Research; Research Personnel; Research Support; Resources; Rural; Rural Community; Second Opinions; Site; Strategic Planning; System; Taxes; Time; Tobacco Industry; Underserved Population; Urban Community; Vaccination; Vulnerable Populations; Washington; Work; authority; cancer diagnosis; cancer health disparity; cancer prevention; cancer research center director; cancer risk; care delivery; care outcomes; college; colon cancer screening; community center; community engagement; community involvement; demographics; design; diet and exercise; disparity reduction; distinguished professor; evidence base; health care delivery; health inequalities; learning community; meetings; member; mortality; outreach; programs; public education; racial diversity; recruit; screening; social influence; socioeconomics; suburb; suburban communities; tobacco control

PROJECT SUMMARY/ABSTRACT The Sidney Kimmel Comprehensive Cancer Center (SKCCC) defines the state of Maryland as its catchment area. Marylanders accounted for 4,625 out of 6,722 (69%) of the SKCCC's newly diagnosed cancer cases in 2020. Maryland is quite diverse racially, ethnically and socioeconomically, with substantial urban, rural and suburban communities. Of the 50 states, Maryland has the highest median family income and has among the highest proportion of college graduates. The state also has substantial poverty that fosters cancer disparities. The Maryland Department of Health divides the state into five regions. Community Outreach and Engagement (COE) staff maintain a database of cancer demographics, health behaviors and availability of care by region. Certain areas of the state have cancer death rates that are lower than the national average. Certain areas have death rates far higher than the national average. Epidemiologists in the SKCCC Office of COE work to define the areas of need and apply the interventions that can reduce disparities. The SKCCC recruited Otis Brawley, M.D., as a Bloomberg Distinguished Professor and Associate Director for COE. He worked with community and staff to author a COE strategic plan, to build the Office of COE, restructured to increase community input and direction, and launched high-impact signature initiatives in outreach and cancer control. Infrastructure was built to facilitate communication within the Cancer Center and communication to and involvement of the community the SKCCC serves. The infrastructure is designed to encourage bidirectional communication with the community. The SKCCC COE's philosophy is to serve the community, be good listeners and understand the community. There are three Community Advisory Groups (CAGs) in specific regions of the state that provide input and help implement cancer control activities (two are more than ten years old). COE has convened a 17-member Community Advisory Board (CAB) representing the state. Each CAG has representation in the CAB. The CAB confirmed SKCCC priorities and provides strategic direction to SKCCC leadership. Each Research Program also appoints a member as COE Liaison, funded at 5% time commitment. These Liaisons meet with the CAGs and CAB regularly to discuss SKCCC research and learn of community needs and concerns. This process catalyzes research pertinent to the community. COE staff, the Community Liaisons and SKCCC leadership work with SKCCC researchers to assure community need is kept in mind. COE staff consult one on one with SKCCC investigators on a regular basis and routinely participate in leadership meetings held in the Center. Currently, 62% of the SKCCC's extramurally funded research portfolio is catchment area relevant, addressing a locally prevalent cancer and/or a disparate population. COE also administers approximately $2 million per year as seed funding to stimulate research pertinent to the catchment area. This is done with CAB oversight. Discussion with CAGs/CAB Members and SKCCC Members has led to several high-impact interventions to foster health education, HPV vaccination and colon cancer screening.

项目摘要/摘要 西德尼·金梅尔综合癌症中心（SKCCC）将马里兰州定义为其服务范围 区年，在SKCCC新诊断的6，722例癌症病例中，马里兰人占4，625例（69%）。 2020.马里兰州在种族、民族和社会经济方面相当多样化， 郊区社区。在50个州中，马里兰州的家庭收入中位数最高， 大学毕业生比例最高。该州也有大量的贫困，助长了癌症的差距。 马里兰州卫生部将该州分为五个地区。社区外展和参与 (COE)工作人员维护一个数据库，按地区列出癌症人口统计、健康行为和护理可用性。 该州某些地区的癌症死亡率低于全国平均水平。一些地方 死亡率远高于全国平均水平。SKCCC COE办公室的流行病学家致力于定义 需要的领域，并采取干预措施，可以减少差距。SKCCC招募了医学博士奥蒂斯布劳利， 作为彭博社杰出教授和副主任COE。他与社区和工作人员合作， 起草COE战略计划，建立COE办公室，重组以增加社区投入和指导， 并在外联和癌症控制方面发起了影响力大的签名倡议。基础设施的建设， 癌症中心内部的沟通以及与社区的沟通和参与 服务。该基础设施旨在鼓励与社区的双向沟通。的 我们的理念是服务社区，做一个好的倾听者，了解社区。那里 是三个社区咨询小组（CAG）在该州的特定地区，提供投入和帮助 开展癌症控制活动（两个超过十年）。欧洲委员会召集了一个由17名成员组成的 社区咨询委员会（CAB）代表国家。每个CAG在CAB中都有代表。驾驶室 确定SKCCC的优先事项，并为SKCCC领导层提供战略方向。每个研究项目还 任命一名成员作为COE联络员，以5%的时间承诺提供资金。这些联络员与空军指挥官会面， CAB定期讨论SKCCC的研究，了解社区的需求和关注。这个过程催化了 与社区相关的研究。COE工作人员、社区联络员和SKCCC领导层与 SKCCC的研究人员，以确保社区的需要是牢记在心。COE工作人员与SKCCC进行一对一咨询 调查员定期参加在中心举行的领导会议。目前， 62%的SKCCC的校外资助的研究组合是集水区相关，解决当地 流行的癌症和/或不同的人群。COE每年还管理大约200万美元的种子资金 提供资金以促进与集水区有关的研究。这是在CAB监督下完成的。这个讨论的 CAG/CAB成员和SKCCC成员已经导致了几个高影响力的干预措施，以促进健康 教育、HPV疫苗接种和结肠癌筛查。