Cancer Research Education Program

癌症研究教育计划

• 批准号: 10268474
• 负责人: Kayce D. Solari Williams
• 金额: $ 5.1万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-22 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10268474
• 关键词: Achievement; Acute; Address; Adherence; Administrative Supplement; Admission activity; Adoption; Affect; Algorithms; Biological; Breast Cancer Patient; Breast Cancer Treatment; COVID-19; COVID-19 pandemic; Cancer Center; Cancer Model; Cancer Patient; Caring; Cessation of life; Characteristics; Clinical; Communities; Continuity of Patient Care; Data; Development; Diagnosis; Disease; Disease Outbreaks; Distal; Early treatment; Emergency Situation; Environment; Ethnic group; Family Caregiver; Fostering; Future; General Population; Goals; Grant; Hand; Health; Health Professional; Hispanics; Hurricane; Immunocompromised Host; Incidence; Individual; Infection; Insurance; Intensive Care Units; Interruption; Intervention; Literature; Local Therapy; Maintenance; Malignant Neoplasms; Measures; Medical; Medical Care Costs; Mentors; Minority; Minority Groups; Mission; Modification; Natural Disasters; Not Hispanic or Latino; Operative Surgical Procedures; Outcome; Participant; Pathway interactions; Patient Care; Patient-Focused Outcomes; Patients; Play; Policies; Protocols documentation; Quality of Care; Quality of life; Radiation therapy; Recommendation; Recurrence; Reporting; Research; Resources; Risk; Risk Behaviors; Role; Screening for cancer; Service delivery model; Severe Acute Respiratory Syndrome; Social Network; Socioeconomic Factors; Time; Training Activity; Treatment Protocols; Triage; Unemployment; Universities; University of Texas M D Anderson Cancer Center; Viral; Vulnerable Populations; Woman; adjuvant endocrine therapy; adverse outcome; anticancer research; behavioral/social science; burden of illness; cancer care; cancer health disparity; cancer therapy; care delivery; care outcomes; career; education research; ethnic minority population; experience; health care availability; health care service utilization; health care settings; health equity; health related quality of life; high risk; improved; innovation; malignant breast neoplasm; member; mortality; novel; pandemic disease; prevent; programs; psychosocial; racial and ethnic; racial minority; screening; skills; social; social health determinants; sociodemographic variables; survivorship; tumor

PROJECT SUMMARY/ABSTRACT The unprecedented burden of the COVID-19 pandemic has critical consequences for the delivery of cancer care: patients present greater vulnerability to the disease and newly implemented treatment pathways and protocols may affect long-term survival because of suboptimal or delayed care. For racial and ethnic minority women receiving treatment for breast cancer, institutional measures implemented to regulate access of patients to medical settings and modifications in therapy sequence may exacerbate the existing disproportionate burden of the disease. Therefore, understanding the impact of COVID-19 on the cancer care received by minority groups and identifying potentially modifiable factors to inform future models of care delivery is critical. The U-HAND (University of Houston/MD Anderson) Program to Reduce Cancer Disparities (P20CA221697; 9/22/17-8/31/21) is a collaborative partnership between the University of Houston and The University of Texas MD Anderson Cancer Center that supports excellence in educational programming and innovation in research that affects health equity among racial/ethnic groups disproportionately affected by cancer disparities. The proposed Administrative Supplement application is a natural extension of the aims of the UHAND partnership and it is reflective of its overarching mission to execute innovative social/behavioral science aimed at mitigating cancer inequities for Black and Hispanic groups. Specifically, the proposed Supplement will be an extension of this goal by investigating the impact that the COVID-19 pandemic has on the receipt of optimal breast cancer care among women from racial and ethnic communities disproportionately affected by the illness and its psychosocial sequelae. This proposal is a logical next step building upon the Administrative Applicant’s expertise on the intermediate determinants of cancer-related outcomes. Pilot data collected will assess differential rates of cancer care disruption and health-related quality of life among Black and Hispanic women diagnosed with early-stage breast cancer (as compared with non-Hispanic white women), and examine how proximal, intermediate, and distal determinants of disparities contribute to these outcomes. It is envisioned that the study will yield information about “at-risk” patients and ways to leverage existing social resources. Finally, these findings will be used to inform future multilevel interventions able to sustain effective models of care delivery in a post-acute COVID-19 environment. During the one-year Administrative Supplement grant period, research and mentored training activities will help the applicant complete the research aims of the proposed project, and develop skills that will support her understanding of mechanisms that contribute to disparities in both health care utilization and outcomes among diverse groups to foster a successful career in reducing and eliminating cancer disparities.

项目摘要/摘要 COVID-19大流行的前所未有的烧伤对癌症的递送有关键的后果 护理：患者对疾病和新实施的治疗途径的脆弱性更大， 由于次优或延迟护理，方案可能会影响长期生存。对于种族和少数民族 接受治疗乳腺癌治疗的妇女，采取了机构措施，以规范进入 患者进行医疗环境和治疗序列的修改可能会加剧现有的 疾病的灼伤不成比例。因此，了解Covid-19对癌症护理的影响 由少数群体收到并确定潜在的可修改因素以告知未来的护理模型 交货至关重要。 U型（休斯顿大学/MD Anderson大学）计划降低癌症差异 （P20CA221697; 9/22/17-8/31/21）是休斯顿大学与 德克萨斯大学医学博士安德森癌症中心，该中心支持卓越的教育计划和 研究影响种族/族裔群体之间健康平等的研究创新，受到不成比例的影响 癌症分布。拟议的行政补充申请是对目标的自然扩展 Uhand合作伙伴关系，它反映了其执行创新社会/行为的总体使命 科学旨在减轻黑人和西班牙裔群体的癌症不平等。具体而言，提议 补充剂将通过研究COVID-19的影响来扩展该目标 来自种族和族裔社区的女性中最佳乳腺癌护理的收到不成比例的 受疾病及其社会心理后遗症的影响。该建议是在 行政申请人在中级方面的专业知识决定了与癌症相关的结果。试点数据 收集的将评估黑人癌症护理中断和与健康相关的生活质量的差异率 西班牙裔妇女被诊断出患有早期乳腺癌（与非西班牙裔白人妇女相比） 并研究差异的近端，中间和独特的决定者如何促进这些结果。 预见，该研究将产生有关“处于危险”患者的信息，以及利用现有社会的方法 资源。最后，这些发现将用于告知未来的多层次干预措施，以维持有效 在急性后的Covid-19环境中提供的护理模型。在一年的管理中 补充赠款期，研究和修补培训活动将帮助申请人完成 拟议项目的研究目的，并发展技能，以支持她对机制的理解 这导致了卫生保健利用的差异和潜水员群体之间的差异，以促进 在减少和消除癌症差异方面的成功事业。