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和 促进我们的服务区域 (CA) 及其他地区的健康公平。 COE办公室有16名工作人员 与社区和科学家建立伙伴关系，开展外展活动，并促进证据的实施 基于癌症风险的降低和筛查，以满足 CA 的需求和差异。 COE 的目标是： 1) 评估 并利用相关的临床、健康社会决定因素和社区来监测 CA 癌症负担和差异 会员报告数据； 2) 让社区作为合作伙伴采用基于证据的癌症策略 通过外展和教育进行预防、筛查、治疗和生存； 3）增强影响力 UFHCC 通过让社区参与研究议程的制定、使研究与 CA 保持一致来对 CA 进行研究 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； 4) 让教师、学员和社区参与其中 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，其中大约一半的人长期处于贫困状态。因此，COE 通过人口普查区社会经济脆弱性 (SEV) 进一步表征 CA，为规划提供信息 优先顺序。加利福尼亚州的癌症总体发病率和死亡率高于该州或美国。 在这些地区，与烟草相关的癌症、结直肠癌和 HPV 相关的癌症的死亡率负担最大 居住在高 SEV 和持续贫困人口普查地区。 CA 的个人比例很高 没有保险、当前吸烟者和 ≥65 岁的成年人，教育程度和癌症筛查水平较低 率，相对于佛罗里达州和美国 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（例如烟草相关癌症、HPV 相关癌症、结直肠癌），重点是增加 接受宫颈癌和结直肠癌筛查并降低癌症风险（例如吸烟、日晒 暴露、缺乏 HPV 疫苗接种）。自 2020 年以来，超过 1,000 名女性接受了宫颈和结直肠方面的教育 癌症筛查，281 人被引导到流动外展诊所进行巴氏涂片和 HPV 自检。超过350种皮肤 癌症预防工具包已分发给佛罗里达州的农场工人。因 COVID-19 造成延误后，COE 开始 将癌症患者与 Money Matters 计划联系起来，该计划提供财务咨询和联系 社区资源。 COE 与每个 UFHCC 项目的联络人合作，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； 3) 社区团体，例如 Project CONTINUITY Steering 委员会。 COE 未来的计划是： 将连续性项目扩展到另外 10 个社区，并提供 更加关注肺癌筛查，提高代表性不足的个体对治疗的参与度 试验，并让老年人参与癌症生存教育和研究。