Community Based Prevention Marketing for Systems Change: Reducing Disparities

描述（由申请人提供）：我们提出了一个预防研究中心，使用基于社区的预防营销（CBPM）来适应，实施，评估和传播基于证据的方法，以加强州和地方卫生部门和社区联盟的持续疾病预防和健康促进能力。FPRC的健康优先事项将是减少癌症差异，未来五年的核心研究项目将侧重于促进结直肠癌筛查（CRCS）。FPRC的使命和核心研究响应了社区预防服务指南对多层次干预措施的关注，以增加癌症筛查。核心研究项目将重点关注结直肠癌（CRC），由我们的州合作伙伴-佛罗里达卫生部（FDOH）选择，因为它是美国男性和女性癌症相关死亡的第二大原因。核心研究项目的目标是：1）研究后期的差异 结直肠癌发病率和筛查率，以确定优先人群; 2）为优先人群确定适当和可行的循证干预措施（EBI）; 3）与优先人群和关键利益相关者进行形成性研究，以评估EBI的可接受性，并调整EBI以更好地满足优先人群的偏好和需求;（4）实施和评价多层次干预，并对佛罗里达州未来的项目和政策提出建议。这一建议对预防研究作出了三项重大贡献。首先，中非复兴人民阵线将与FDOH、一个社区委员会和其他利益攸关方（例如，美国癌症协会），以测试CBPM系统变化框架的能力，选择，定制，促进，监测，评估和传播EBI，以减少结直肠癌筛查（CRCS）的健康差距。这一规划框架有可能为预防研究人员、卫生部门和社区合作伙伴提供一个有效的规划框架，加速将研究成果转化为实践。从这一示范项目中吸取的经验教训将用于加强中非复兴人民阵线的培训网站，并向其他州卫生部门和社区伙伴提供技术援助。第二，FPRC及其合作伙伴将创建一个系统的计算机模拟模型，其中包含CRCS的差异，并确定适合于解决该系统中多层次决定因素的循证干预措施。该模型和形成性研究结果将用于设计一种综合的、多层次的干预措施，以减少CRC差异。 将对干预措施进行评估，并评估将其推广到其他社区的可行性。将为有效组件创建传播计划。第三，FPRC将利用从新的和以前的示范项目中吸取的经验教训，加强CBPM培训网站，并指导采用该网站的其他公共卫生机构和社区合作伙伴。

DESCRIPTION (provided by applicant): We propose a Prevention Research Center that uses community-based prevention marketing (CBPM) to adapt, implement, evaluate, and disseminate evidence-based approaches to strengthen state and local health departments' and community coalitions' capacity for sustained disease prevention and health promotion. The FPRC's health priority will be the reduction of cancer disparities, and the core research project for the next five years will focus on the promotion of colorectal cancer screening (CRCS). The FPRC's mission and core research are responsive to the Guide to Community Preventive Services' focus on multilevel interventions to increase screening for cancer. The core research project will focus on colorectal cancer (CRC), selected by our State partner - the Florida Department of Health (FDOH), because it is the second leading cause of cancer-related deaths among men and women in the U.S. While scientific cancer advances are occurring, racial ethnic minorities and the medically underserved have consistently experienced the highest CRC mortality rates. The aims of the core research project are to: 1) examine disparities in late stage colorectal cancer incidence and screening rates to identify priority populations; 2) identify appropriate and feasible evidence-based interventions (EBI) for the priority populations; 3) conduct formative research with priority populations and key stakeholders to assess the EBIs' acceptability and to tailor EBIs to better meet priority population(s)' preferences and needs; and 4) implement and evaluate the multilevel intervention and make recommendations for future programs and policies in the state of Florida. This proposal makes three significant contributions to prevention research. First, the FPRC will work with FDOH, a community committee and other stakeholders (e.g., American Cancer Society) to test the CBPM for Systems Change framework's ability to select, tailor, promote, monitor, evaluate, and disseminate EBIs to reduce colorectal cancer screening (CRCS) health disparities. This planning framework has the potential to equip prevention researchers, health department and community partners with an effective planning framework that accelerates the translation of research to practice. Lessons learned from this demonstration project will be used to enhance the FPRC's training website and provide technical assistance to other State health departments and community partners. Second, the FPRC and its partners will create a computer simulation model of the system in which CRCS disparities are embedded and identify evidence-based interventions appropriate for addressing determinants at multiple levels in that system. This model and formative research results will be used to design an integrated, multilevel intervention for reducing CRC disparities. The intervention will be evaluated and the feasibility of scaling it up to other communities assessed. A dissemination plan will be created for effective components. Third, the FPRC will use lessons learned from the new and previous demonstration projects to enhance the CBPM training website and mentor other public health agencies and community partners that adopt it.