The Library-Based Health Partnership Project

减少癌症发病率、表现阶段和结果方面的种族和民族差异需要 有弹性的战略，将医疗服务不足的社区与护理的连续性联系起来。社区- 以参与性为基础的研究有可能通过以下过程产生这样的战略 合作规划、试验和发现。拟议的皇后区图书馆健康链接计划 旨在测试综合参与式研究方法的有效性，通过以下方式减少差距 改进癌症预防、筛查和治疗干预措施的使用。在这个项目中，公共图书馆 分支机构为邻里组织、教育、数据收集、规划和 在当地开展健康促进试验并推广成果。我们将与42个 皇后区的63个分馆，每个分馆都为皇后区社区的不同群体提供服务。 虽然我们将遵循相同的过程协商协议，但每个社区都将进行独特的 最适合当地优先事项、文化、偏好和机会的健康促进活动。这 该项目旨在解决以下目标：(1)确定基于社区的参与性 行动研究(PAR)在服务不足的社区导致更有效的癌症预防和控制 与标准的“自上而下”的计划相比；(2)检查社区如何建立和维持 当地制定的癌症预防和控制举措；(3)比较癌症预防和控制 通过PAR开发的控制策略比通过PAR开发的控制策略更广泛、更有效 当他们转移到新的社区时，他们的标准战略。这个项目将分两个阶段进行。 阶段。在第一阶段，我们比较社区定制策略的健康行为结果，以解决 癌症需要自上而下的替代方案。在第二阶段中，我们将研究可持续发展和传播 量身定制的战略。皇后区社区将被随机化，作为项目开发的环境 或传播。将从多个来源收集数据，以审查参与性进程。 作为个人、图书馆和社区层面的行为结果。与此相关的核心组织 该项目包括一个四方伙伴关系，包括皇后区公共图书馆系统、皇后区 癌症中心、美国皇后区癌症协会和纪念斯隆-凯特琳癌症中心。

Reduction of racial and ethnic disparities in cancer incidence, stage of presentation and outcome requires resilient strategies that link medically underserved communities into the continuum of care. Community- based participatory research has the potential to generate such strategies, through processes of collaborative planning, experimentation and discovery. The proposed Queens Library Health Link program is designed to test the efficacy of a comprehensive participatory research approach to reduce disparities by improving use of cancer prevention, screening and treatments interventions. In this project, public library branches provide a base for neighborhood organizing, education, data gathering, planning and implementation of local health promotion experiments and dissemination of results. We will work with 42 of the 63 branch libraries in Queens, each serving its own large, diverse segment of the Queens community. Although we will follow the same process consultation protocol, every community will undertake unique health promotion activities most suited to local priorities, cultures, preferences and opportunities. This project is designed to address the following aims: (1) To determine whether community-based participatory action research (PAR) leads to more effective cancer prevention and control in underserved communities compared to standard, "top-down" programs; (2) To examine how communities build upon and sustain locally-developed initiatives for cancer prevention and control; (3) To compare whether cancer prevention and control strategies developed through PAR are more widely accepted and more efficacious than standard strategies when they are transferred to new communities. This project will be carried out in two phases. In phase 1, we compare health behavioral outcomes of community-tailored strategies to address cancer needs with top-down alternatives. In phase 2, we examine the sustainability and dissemination of tailored strategies. Queens neighborhoods will be randomized to serve as settings for program development or dissemination. Data will be gathered from multiple sources to examine the participatory processes as well as behavioral outcomes at the individual, library and community levels. Core organizations involved in this project comprise a four-way partnership including the Queens Borough Public Library System, the Queens Cancer Center, the American Cancer Society of Queens, and Memorial Sloan-Kettering Cancer Center.