Community Outreach, Engagement, and Equity

社区外展、参与和公平

• 批准号: 10693218
• 负责人: Sandi Leigh Pruitt
• 金额: $ 47.06万
• 依托单位: UT SOUTHWESTERN MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10693218
• 关键词: Address; Adult; Area; Asian; Behavior; Behavioral Risk Factor Surveillance System; Biological Factors; Black race; Cancer Burden; Cancer Control; Cancer Etiology; Caregivers; Catchment Area; Censuses; Childhood; Clinical Trials; Colorectal Cancer; Communication; Communities; Community Healthcare; Community Outreach; Comprehensive Cancer Center; Counseling; County; Data; Data Sources; Diagnostic; Diagnostic Services; Disparity; Dissemination and Implementation; Doctor of Philosophy; Educational workshop; Ensure; Environmental Risk Factor; Equity; Ethnic Origin; Evaluation; Event; Family; Fostering; Funding; Geographic Locations; Goals; Grant; Guidelines; Health; Health Personnel; Health Resources; Healthcare; Healthcare Systems; Hepatitis C; Heterogeneity; High Prevalence; Hispanic; Hospitals; Human Papilloma Virus Vaccination; Improve Access; Incidence; Individual; Infrastructure; Insurance; Interdisciplinary Study; Intervention; Investments; Leadership; Lung; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Malignant neoplasm of lung; Malignant neoplasm of prostate; Mass Media; Medicaid; Medical center; Minority; Minority Groups; Mission; Modeling; Monitor; NCI Center for Cancer Research; Not Hispanic or Latino; Outcome; Patients; Policies; Population; Prevention; Primary carcinoma of the liver cells; Process; Provider; Psychosocial Factor; Public Health; Race; Renal carcinoma; Research; Research Institute; Research Personnel; Research Priority; Rural; Scientist; Screening for cancer; Series; Services; Socioeconomic Status; Strategic Planning; System; Technology; Texas; Tobacco; Tobacco Use Cessation; Training; Translational Research; Uninsured; Vision; Visualization software; Work; anticancer research; cancer care; cancer education; cancer health disparity; cancer prevention; cancer type; community engaged research; community organizations; community partnership; data visualization; design; evidence base; health care availability; health care settings; implementation design; improved; innovation; lung cancer screening; malignant breast neoplasm; member; metropolitan; neoplasm registry; novel; outreach; outreach program; patient navigation; programs; recruit; safety net; screening; screening program; screening services; social media; survivorship; tumor progression

Simmons Comprehensive Cancer Center (SCCC) serves adult and pediatric populations in the Dallas-Fort Worth (DFW) Metropolitan Statistical Area—a 13-county region of 7.5M individuals in North Texas. SCCC covers a large geographic area (~9,300 sq. miles) that is mainly urban, with only 50 of 1,324 census tracts being rural. DFW is a majority-minority population (29% Hispanic, 43% Non-Hispanic [NH] White, 17% NH Black, 7% NH Asian). SCCC’s Office of Community Outreach, Engagement, and Equity (COEE) was established in October 2018 under the leadership of Associate Director Jasmin Tiro, PhD, MPH. Tiro coordinates and cultivates transdisciplinary research and outreach initiatives that facilitate bidirectional communication and promote cancer equity in SCCC’s catchment. Based on review of its catchment area cancer burden, SCCC has prioritized and facilitated research focused on lung, hepatocellular, colorectal, and kidney cancers, as these either have the highest prevalence, increasing incidence, and/or documented disparities in outcomes. The SCCC catchment area also has one of the highest uninsured rates (21% vs. 10%) in the U.S.; thus, the COEE has built their outreach programs around providing access to and patient navigation for evidence-based screening and diagnostic services (breast, cervical, colorectal, and lung cancers) and cancer prevention behaviors (HPV vaccination, tobacco cessation, and hepatitis C screening/treatment). Through bidirectional engagement with stakeholders via a Community Advisory Board and a Patient/Family Advisory Council, the COEE gathers input from patients, caregivers, safety-net healthcare systems, community organizations, and public health agencies on needs and priorities for research and works with SCCC research programs and local partners to design community initiatives. SCCC’s COEE Specific Aims are to: (1) assess cancer burden in the catchment area to prioritize research and outreach with a focus on cancer health disparities, (2) foster novel, catchment area- relevant research via internal and external stakeholder engagement, (3) implement outreach programs guided by stakeholder input and aligned with guidelines for cancer prevention and control, and (4) monitor impact of research and outreach programs. In addition, synergistic Cancer Prevention & Research Institute of Texas (CPRIT)-funded community partnerships have enhanced COEE’s reach beyond the SCCC’s 13-county catchment. Moving forward, COEE has led strategic planning around: (1) enhancing research initiatives in breast and prostate cancer, (2) improving minority accrual to clinical trials via Parkland Health, a safety-net system partner, and (3) expanding the reach of a redesigned tobacco counseling and lung screening program. Through a systematic approach and clear evaluation model, SCCC will ensure that research discoveries address catchment needs and are designed for implementation and dissemination by community providers and healthcare systems, thus creating sustainable positive impact on the SCCC catchment area and beyond.

西蒙斯综合癌症中心（SCCC）为达拉斯-沃斯堡的成人和儿科人群提供服务 (DFW)大都会统计区-一个13个县的750万人在北德克萨斯州的地区。SCCC涵盖了 大面积的地理区域（约9，300平方米）1，324个人口普查区中只有50个是农村。 DFW是一个少数民族占多数的人口（29%西班牙裔，43%非西班牙裔[NH]白色，17% NH黑人，7% NH 亚洲人）。SCCC的社区外展，参与和公平办公室（COEE）于10月成立 2018年在副主任Jasmin Tiro博士，MPH的领导下。泰罗负责协调和培养 促进双向交流和促进癌症的跨学科研究和外展活动 在SCCC的集水区的股权。根据其集水区癌症负担的审查，SCCC优先考虑， 促进研究的重点是肺癌，肝细胞癌，结肠直肠癌和肾癌，因为这些癌症要么有 患病率最高、发病率增加和/或记录的结局差异。SCCC流域 该地区也是美国未投保率最高的地区之一（21%对10%）;因此，COEE已经建立了他们的 围绕为循证筛查提供访问和患者导航的外展计划， 诊断服务（乳腺癌、宫颈癌、结肠直肠癌和肺癌）和癌症预防行为（HPV 疫苗接种、戒烟和丙型肝炎筛查/治疗）。通过双向参与， COEE通过社区咨询委员会和患者/家庭咨询理事会收集意见， 来自患者、护理人员、安全网医疗保健系统、社区组织和公共卫生机构 研究的需求和优先事项，并与SCCC研究计划和当地合作伙伴合作， 社区倡议。SCCC的COEE具体目标是：（1）评估集水区的癌症负担， 优先研究和推广，重点关注癌症健康差异，（2）促进新的，集水区- 通过内部和外部利益相关者的参与进行相关研究，（3）实施指导下的外联方案 通过利益相关者的投入，并与癌症预防和控制指南保持一致，以及（4）监测 研究和推广计划。此外，德克萨斯州协同癌症预防研究所（Synergistic Cancer Prevention & Research Institute of Texas） （CPRIT）资助的社区伙伴关系已将COEE的影响范围扩大到SCCC的13个县之外 集水区展望未来，COEE围绕以下方面领导战略规划：（1）加强乳腺癌的研究举措 和前列腺癌，（2）通过帕克兰健康（一个安全网系统）提高少数人参加临床试验的比例 合作伙伴，以及（3）扩大重新设计的烟草咨询和肺部筛查计划的范围。通过 一个系统的方法和明确的评估模型，SCCC将确保研究发现解决 满足社区需求，并由社区提供者实施和传播， 卫生保健系统，从而创造可持续的积极影响SCCC集水区和超越。