PCORE (Partnership Community Outreach, Research, and Education Core)

PCORE（合作伙伴社区外展、研究和教育核心）

• 批准号: 10021564
• 负责人: ERICA I LUBETKIN
• 金额: $ 16.99万
• 依托单位: CITY COLLEGE OF NEW YORK
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-26 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10021564
• 关键词: Address; American Cancer Society; Area; Behavior; Cancer Center Support Grant; Cardiovascular Diseases; Centers for Disease Control and Prevention (U.S.); Chinese People; Chronic Disease; Clinical; Communities; Community Health; Community Health Education; Community Outreach; Diagnosis; Diet; Doctor of Philosophy; Early Diagnosis; Education; Education and Outreach; Face; Faculty; Funding; Galanin; Health; Health Information System; Health Services Accessibility; Home environment; Human Papilloma Virus-Related Malignant Neoplasm; Human Papillomavirus; Immigrant; Incidence; Infrastructure; Latino; Lead; Life Style; Linguistics; Malignant Neoplasms; Medical; Memorial Sloan-Kettering Cancer Center; Methodology; Mexican; Minority; Modeling; Needs Assessment; New York City; Obesity; Occupational Groups; Occupations; Outcome; Outreach Research; Patients; Physical activity; Play; Policies; Policy Research; Population; Population Heterogeneity; Poverty; Prevention; Primary Prevention; Provider; Quality of Care; Recommendation; Research; Research Activity; Research Personnel; Resource Sharing; Risk; Risk Factors; Role; Screening for Prostate Cancer; Secondary Prevention; Services; Social Medicine; South Asian; Students; Tobacco; Translational Research; Translations; Treatment outcome; Underrepresented Minority; Work; anticancer research; cancer health disparity; cancer prevention; cancer risk; clinical trial enrollment; colorectal cancer screening; community partnership; disparity reduction; education research; evidence base; health care availability; health disparity; high school; improved; improved outcome; individualized prevention; medical schools; medically underserved; member; outreach; personalized immunotherapy; physical conditioning; precision medicine; precision oncology; professor; program dissemination; programs; ranpirnase; recruit; screening; socioeconomics; stem; working group

One in three U.S. residents, over 100 million people, are minorities. Over 39 million are foreign-born. New York City (NYC) is home to 3 million foreign-born. Among foreign-born New Yorkers, 48.8% are limited English proficient (LEP), 27.8% did not graduate from high school, and 19.8% are living in poverty. This large and diverse population faces significant disparities in cancer incidence, diagnosis, treatment, and outcomes. These disparities are fueled by health information and systems access barriers, and by an inadequate evidence-base, which stems from insufficient representation in research and program implementation. These factors limit the bi-directional translation of discoveries between bench, patient, community, and policy levels. Over the past 10 years, the PCORE (Partnership Community Outreach-Research-Education) Core has implemented trailblazing community-engaged outreach and research, and addressed socioeconomic determinants of health and gaps in cancer outcomes and quality of care for large underserved communities, including the CCNY community, the Harlem community in which CCNY is embedded, and the broader NYC community. Through partnerships and model program dissemination, PCORE has also extended its activities across the U.S., and is a vital member of several NCI and American Cancer Society Committees addressing the inclusion of diverse populations in research. Over the next 5 years, PCORE will further grow the robust community-academic U54 partnership and infrastructure for community-engaged outreach and translational research. PCORE has the following two Specific Aims: AIM 1. To build upon and strengthen PCORE's community-academic partnership assets to further develop, implement, systematically disseminate and sustain effective community-engaged cancer disparities reduction outreach, community and provider education, service, policy, and research activities to address socioeconomic determinants (centering on health care access) of cancer outcomes and decrease disparities in five priority areas (determined by community-engaged needs assessments and guided by the NCI Blue Ribbon Panel): a) Clinical trials enrollment, including in precision medicine/precision prevention and immunotherapy activities; b) Colorectal cancer screening, and treatment access and completion; c) HPV prevention, and screening for HPV-associated cancers; d) Prostate cancer screening, treatment access and completion; and e) Cancer risk factors including tobacco, obesity, diet, physical activity, and occupation. AIM 2. To build the capacity of researchers and community members to engage the community in the conduct of translational research to reduce cancer disparities, working in concert with the Linguistic and Cultural Responsiveness Shared Resource Core: a) To facilitate community engagement to further enhance and sustain community capacity building, utilizing the extensive network developed by PCORE; b) To support the U54 Partnership Cores, working groups, and projects and to collaborate with the MSK P30 CCSG to engage limited English proficient (LEP) and other diverse populations in their programs and studies.

三分之一的美国居民，超过1亿人，是少数族裔。超过3900万人是在外国出生的。纽约 纽约市是300万外国出生的人的家园。在外国出生的纽约人中，48.8%的人英语水平有限 精通(LEP)，27.8%没有高中毕业，19.8%生活在贫困中。这个大的和 不同人群在癌症发病率、诊断、治疗和结果方面存在显著差异。这些 卫生信息和系统获取障碍以及证据基础不足加剧了差距， 这是由于研究和项目实施中代表性不足造成的。这些因素限制了 在工作台、患者、社区和政策级别之间双向转换发现。在过去10年中 多年来，PCORE(伙伴关系社区推广-研究-教育)核心实施了创新 社区参与的外联和研究，并解决了健康的社会经济决定因素和 包括CCNY社区在内的大型服务不足社区的癌症结局和护理质量 CCNY所在的哈莱姆社区，以及更广泛的纽约市社区。通过合作伙伴关系和 作为计划传播的典范，PCORE也将其活动扩展到美国各地，是重要的成员 NCI和美国癌症协会的几个委员会处理不同人群在 研究。在接下来的5年里，PCORE将进一步发展强大的社区和学术U54合作伙伴关系 以及社区参与外展和转化性研究的基础设施。PCORE有以下两个 具体目标：目标1.建立和加强PCORE的社区-学术合作伙伴关系资产，以 进一步发展、实施、系统传播和维持有效的社区参与癌症 缩小差距外展、社区和提供者教育、服务、政策和研究活动 解决癌症结果的社会经济决定因素(以获得医疗保健为中心)并减少 五个优先领域的差距(由社区参与的需求评估确定，并由NCI指导 蓝丝带小组)：a)临床试验登记，包括精确医学/精确预防和 免疫治疗活动；b)结直肠癌筛查、获得和完成治疗；c)人乳头瘤病毒 预防和筛查HPV相关癌症；d)前列腺癌筛查、治疗机会和 (E)癌症危险因素，包括吸烟、肥胖、饮食、体力活动和职业。目标2. 建设研究人员和社区成员的能力，使社区参与到 减少癌症差异的翻译研究，与语言和文化部门合作 响应能力共享资源核心：a)促进社区参与，以进一步增强和 支持社区能力建设，利用PCORE开发的广泛网络；b)支持 U54合作伙伴核心、工作组和项目，并与MSK P30 CCSG协作，以参与 有限的英语水平(LEP)和其他不同的人群在他们的计划和学习中。