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

通过学术界与当地公共卫生部门的合作改善癌症预防和控制

• 批准号: 10623220
• 负责人: Stephanie Mazzucca-Ragan
• 金额: $ 59.76万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-17 至 2027-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10623220
• 关键词: Academic support; Address; Adopted; Adoption; Cancer Burden; Cancer Control; Characteristics; Chronic Disease; Collaborations; Communities; Data Collection; Decision Making; Diet; Dissemination and Implementation; Early Diagnosis; Education; Evidence based program; Exploration, Preparation, Implementation, and Sustainment; Funding; Goals; Health; Health education; Individual; Interview; Joints; Link; Localized Disease; Malignant Neoplasms; Methods; Modeling; Phase; Physical activity; Policies; Population; Positioning Attribute; Process; Public Health; Public Health Practice; Randomized; Research; Research Personnel; Research Project Grants; Resources; Risk Factors; Structure; Students; Surveys; Testing; Tobacco use; Training; Translating; Translational Research; United States; Work; arm; cancer prevention; contextual factors; design; effectiveness testing; evidence base; implementation evaluation; implementation facilitation; implementation research; improved; innovation; modifiable risk; organizational climate; prevent; programs; randomized trial; research to practice; skills

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.

项目摘要 背景：美国2,800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水平的癌症负担。我们的团队已被 制定了有效的策略，以支持LHD及其工作人员实施EBPP，包括引导促进 这些战略的覆盖面和可持续性目前有限。一个有前途的战略是， LHD参与学术-公共卫生部门（AHD）伙伴关系，其中LHD从业者和 学术界通过联合研究项目合作改善公共卫生实践和教育， 学生的教育机会。然而，关于防排伙伴关系应如何构建的研究， 改进癌症相关EBPP的实施是稀疏的。 目标：本提案力求了解如何利用排雷行动伙伴关系促进执行 EBPP预防和控制癌症。 方法：目标1：我们将调查现有的全国性AHD伙伴关系网络，以确定4个高水平和4个低水平的AHD伙伴关系。 基于癌症相关EBPP实施情况的低绩效伙伴关系。我们将使用定性 访谈和文件审查，以完善我们现有的一套战略，这可以改善EBPP的使用 (e.g.,需要提供便利，确定一个有针对性的排雷行动伙伴关系“一揽子计划”）， 以及成功的伙伴关系之间的背景影响。目标2：在目标1的基础上，我们将测试 这些旨在改善EBPP用于癌症预防的改进策略的有效性， 通过加强排雷行动伙伴关系进行控制。我们将进行一项随机分组研究（总N=28 AHD 伙伴关系），以评估改善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。将采用混合方法评估防排的变化 伙伴关系，并了解环境因素如何影响AHD伙伴关系的能力， 支持EBPP实施。我们将把第一阶段和第二阶段的调查结果翻译并传播给LHD 医生和学术合作伙伴，以支持癌症预防和控制在LHD。 创新和影响：拟议的研究具有创新性和影响力，因为它将是第一项重点关注 地方层面的合作，利用LHD和学者的专业知识，以改善公共卫生实践。 此外，它的桥接因素的应用，探索，准备，实施， 可持续发展（EPIS）框架最近得到了更大的关注，将有助于应用新兴的 传播和实施研究的理论框架的组成部分。最后，本研究 探讨公共实践和学术公共卫生如何共同努力，以满足共同的新模式 可持续发展目标，即，没有外部研究人员的持续支持。