Community Outreach and Engagement

社区外展和参与

• 批准号: 10625758
• 负责人: Elizabeth A. Shenkman
• 金额: $ 19.44万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-06-01 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10625758
• 关键词: Address; Adopted; Adult; Advocacy; Area; COVID-19; Cancer Burden; Cancer Center Support Grant; Cancer Control; Cancer Patient; Cancer Survivorship; Caring; Catchment Area; Censuses; Cervical; Cervical Cancer Screening; Child; Clinical; Clinical Research; Clinical Trials; Collaborations; Colorectal; Communities; Community Outreach; Counseling; County; Data; Data Reporting; Dedications; Disparity; Education; Education and Outreach; Elderly; Enrollment; Ethnic Origin; Event; Evidence based intervention; Faculty; Florida; Funding; Future; Goals; Health; Hispanic Populations; Home; Human Papilloma Virus Vaccination; Human Papilloma Virus-Related Malignant Neoplasm; Human Papillomavirus; Incidence; Individual; Intervention Trial; Leadership; Link; Logic; Longevity; Low income; Malignant Neoplasms; Malignant neoplasm of lung; Malignant neoplasm of prostate; Medically Underserved Area; Minority; Modeling; Monitor; Multiple Myeloma; Patients; Persons; Policies; Policy Developments; Policy Maker; Population; Poverty; Prevention; Race; Recommendation; Research; Research Personnel; Resources; Retirement; Risk Factors; Risk Reduction; Rural; Scientist; Screening for cancer; Smoker; Stomach; Strategic Planning; Sun Exposure; Terminology; Tobacco; Tobacco Use Cessation; Tobacco use; Tobacco-Related Carcinoma; Training; Translating; Underserved Population; Unemployment; Uninsured; Universities; Uterine Cancer; Woman; Work; anticancer research; cancer health disparity; cancer prevention; cancer risk; citizen science; clinical trial enrollment; colorectal cancer screening; community engagement; community involvement; empowerment; evidence base; farm worker; health equity; health equity promotion; implementation facilitation; improved; lung cancer screening; malignant breast neoplasm; member; mortality; mortality disparity; outreach; outreach clinics; programs; rural area; rural counties; screening; self testing; skin cancer prevention; social health determinants; socioeconomics; survivorship; tobacco prevention; treatment trial; uptake

COMMUNITY OUTREACH AND ENGAGEMENT: ABSTRACT The goal of the UFHCC of Community Outreach and Engagement (COE) is to reduce the cancer burden and promote health equity in our catchment area (CA) and beyond. The COE office has 16 staff who form partnerships with the community and scientists, conduct outreach, and facilitate implementation of evidence- based cancer risk reduction and screening to address CA needs and disparities. The COE aims are to: 1) assess and monitor CA cancer burden and disparities using linked clinical, social determinants of health, and community member reported data; 2) engage the community as partners in adopting evidence-based strategies for cancer prevention, screening, treatment, and survivorship through outreach and education; 3) enhance the impact of UFHCC research on the CA by involving the community in research agenda setting, aligning research with the CA cancer burden, linking UFHCC scientists to the community, and facilitating access to interventional trials, particularly for those traditionally underrepresented; and, 4) engage faculty, trainees, and the community in advocacy and policy development. The CA of 23 counties accounts for 77% of UFHCC cases. Every county is a medically underserved area and/or population, and roughly half have persistent poverty. Therefore, COE further characterized the CA by census tract socioeconomic vulnerability (SEV) to inform programmatic prioritization. The CA has higher cancer overall incidence and mortality rates than the state or the U.S. The greatest mortality burden is observed for tobacco-related cancers, colorectal, and HPV-related cancers in those residing in high SEV and persistent poverty census tracts. The CA has high rates of individuals who are uninsured, current smokers, and adults ≥65 years along with low educational attainment and cancer screening rates, relative to Florida and the U.S. Using these data and Community Advisory Board recommendations, COE focused on high priority cancers, (e.g., tobacco-related, HPV-related, colorectal), with an emphasis on increasing the uptake of cervical and colorectal cancer screening and reducing cancer risks (e.g., tobacco use, sun exposure, lack of HPV vaccination). Since 2020, >1,000 women received education about cervical and colorectal cancer screening and 281 were navigated to mobile outreach clinics for Pap and HPV self-tests. Over 350 skin cancer prevention kits were distributed to Florida farmworkers. After a delay due to COVID-19, COE began linking cancer patients to the Money Matters Program, which provides financial counseling and linkage to community resources. COE works with liaisons from each UFHCC program to engage researchers in addressing the cancer burden of the CA and links members to the community through the 1) UFHCC Citizen Scientists; 2) OneFlorida Clinical Research Consortium; and 3) community groups, such as the Project CONTINUITY Steering Committee. COE future plans are to: expand Project CONTINUITY to 10 additional communities with an increased focus on lung cancer screening, enhance participation of underrepresented individuals in treatment trials, and engage older adults in cancer survivorship education and research.

社区外展和参与：摘要 UFHCC社区外展和参与（COE）的目标是减少癌症负担， 在我们的集水区（CA）和其他地区促进健康公平。COE办公室有16名工作人员， 与社区和科学家建立伙伴关系，开展外联活动，并促进实施证据- 基于癌症风险降低和筛查，以解决CA需求和差异。COE的目标是：1）评估 并使用相关的临床、健康的社会决定因素和社区监测CA癌症负担和差异 成员报告的数据; 2）让社区作为合作伙伴参与采用基于证据的癌症战略 通过宣传和教育进行预防、筛查、治疗和生存; 3）加强 UFHCC通过让社区参与研究议程的制定，使研究与 CA癌症负担，将UFHCC科学家与社区联系起来，并促进介入试验的获得， 特别是对于那些传统上代表性不足的人;以及，4）让教师，学员和社区参与 宣传和政策制定。23个县的CA占UFHCC病例的77%。每个县都是 医疗服务不足的地区和/或人口，大约一半的人持续贫困。因此，COE 通过人口普查区域的社会经济脆弱性（SEV）进一步描述了CA， 优先化。加州的癌症总发病率和死亡率高于该州或美国。 最大的死亡负担是烟草相关的癌症，结直肠癌，和HPV相关的癌症， 居住在高SEV和持续贫困的人口普查区域。CA有高比率的个人谁是 无保险、当前吸烟者和沿着年龄≥65岁且受教育程度和癌症筛查水平较低的成年人 使用这些数据和社区咨询委员会的建议，COE 重点关注高优先级癌症，（例如，烟草相关、HPV相关、结肠直肠），重点是增加 接受宫颈癌和结肠直肠癌筛查并降低癌症风险（例如，烟草使用，阳光 HPV疫苗接种不足）。自2020年以来，超过1，000名妇女接受了宫颈和结直肠相关教育 癌症筛查，281人被引导到移动的外展诊所进行巴氏涂片和人乳头瘤病毒自检。超过350个皮肤 向佛罗里达农场工人分发了癌症预防包。COE因COVID-19而延迟后， 将癌症患者与金钱问题计划联系起来，该计划提供财务咨询， 社区资源。COE与每个UFHCC计划的联络员合作，让研究人员参与解决 CA的癌症负担，并通过1）UFHCC公民科学家将成员与社区联系起来; 2） OneFlorida临床研究联盟;以及3）社区团体，如项目连续性指导 以马克思COE未来的计划是：将项目连续性扩展到10个额外的社区， 增加对肺癌筛查的关注，提高代表性不足的个人在治疗中的参与 试验，并让老年人参与癌症生存教育和研究。