Improving cancer prevention and control through academic-local public health department partnerships

项目总结 背景：美国2800个地方公共卫生部门(LHD)越来越多地 负责实施循证计划和政策(EBPP)，以预防和控制癌症 他们的当地社区，这有巨大的潜力影响人口层面的癌症负担。我们队有 制定有效战略，支持土地开发和发展机构及其工作人员实施EBPP，包括指导促进 这些战略的影响范围和可持续性目前是有限的。一个很有希望的战略是 LHD参与学术和公共卫生部门(AHD)的合作伙伴关系，LHD从业者和 学术界通过联合研究项目和联合研究项目合作改善公共卫生实践和教育 为学生提供教育机会。然而，关于AHD伙伴关系应该如何构建的研究 改善与癌症相关的EBPP的执行情况很少。 目标：本提案旨在了解如何利用AHD伙伴关系来促进实施 预防和控制癌症的EBPP。 方法：目标1：我们将调查现有的、全国性的AHD伙伴关系网络，以确定4个HIGH和4个 基于执行与癌症相关的EBPP的伙伴关系表现不佳。我们将使用定性的 访谈和文件审查，以完善我们现有的一套战略，这些战略可以改善EBPP的使用 (例如，所需的便利，定义一个量身定制的AHD伙伴关系“一揽子计划”)，基于结构、流程、 以及在成功的伙伴关系中的背景影响。目标2：在目标1的基础上，我们将测试 这些旨在改善EBPP用于癌症预防和治疗的改进策略的有效性 通过加强AHD伙伴关系进行控制。我们将进行一项分组随机研究(总N=28个AHD 伙伴关系)评估改进癌症控制和预防的战略的效果 通过支持AHD伙伴关系实现EBPP。将使用混合方法来评估AHD的变化 并了解背景因素可能如何影响AHD伙伴关系的能力 支持EBPP的实施。我们将把第一阶段和第二阶段的调查结果翻译和传播到土木工程 从业者和学术合作伙伴支持LHD的癌症预防和控制。 创新和影响：拟议的研究具有创新性和影响力，因为它将是第一个重点研究 关于地方一级的合作，利用土地发展机构和学者的专业知识来改进公共卫生实践。 此外，它的桥接因素的应用，探索、准备、实施和 可持续发展(EPIS)框架最近受到了更多的关注，将有助于新兴的应用 传播和实施研究中的理论框架的组成部分。最后，这项研究 研究公共实践和学术公共卫生如何合作的新模式，以满足共同 可持续的目标，即在没有外部研究人员持续支持的情况下。

PROJECT SUMMARY Background: The 2,800 local public health departments (LHDs) in the United States have been increasingly responsible for implementing evidence-based programs and policies (EBPPs) to prevent and control cancer in their local communities, which has immense potential to impact population-level cancer burden. Our team has developed effective strategies to support LHDs and their staff to implement EBPPs, including guided facilitation and training, but the reach and sustainability of these strategies is currently limited. A promising strategy is for LHDs to engage in an academic-public health department (AHD) partnership, in which LHD practitioners and academics collaborate to improve public health practice and education through joint research projects and education opportunities for students. However, research on how AHD partnerships should be structured to improve implementation of cancer-related EBPPs is sparse. Goal: This proposal seeks to understand how to leverage AHD partnerships to facilitate implementation of EBPPs to prevent and control cancer. Methods: Aim 1: We will survey an existing, nationwide network of AHD partnerships to identify 4 high- and 4 low-performing partnerships based on their implementation of cancer-related EBPPs. We will use qualitative interviews and document reviews to refine our existing set of strategies, which can improve the use of EBPPs (e.g., facilitation needed, defining a tailored AHD partnership “package”), based on the structures, processes, and contextual influences among successful partnerships. Aim 2: Building on Aim 1, we will test the effectiveness of these refined strategies designed to improve the adoption of EBPPs for cancer prevention and control by strengthening AHD partnerships. We will conduct a group-randomized study (total N=28 AHD partnerships) to evaluate the effect of strategies to improve the adoption of cancer control and prevention EBPPs by supporting AHD partnerships. A mixed-methods approach will be used to evaluate changes in AHD partnerships and understand how contextual factors may have impacted the AHD partnership’s ability to support EBPP implementation. We will translate and disseminate findings from Phases 1 and 2 to LHD practitioners and academic partners to support cancer prevention and control in LHDs. Innovations and impact: The proposed study is innovative and impactful because it will be first study to focus on local-level collaborations that leverage expertise of LHDs and academics to improve public health practice. Also, its application of bridging factors, a component of the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework receiving a greater focus recently, will contribute to the application of emerging components of theoretical frameworks in dissemination and implementation research. Last, this study examines new models for how public practice and academic public health can work together to meet common goals sustainably, i.e., without ongoing support from outside researchers.