Research Practice Partnership: Supporting Nevada's Cancer Coalitions Priorities

项目总结 拟议的项目涉及内华达州癌症计划和内华达州癌症联盟(NCC)的优先事项 烟草领域-由全州多个利益攸关方共享的优先领域，他们包括在 项目--同时也为NCC提供机会，以扩大其传播循证干预措施的工作 (EBI)和支持医疗保健系统实施EBI。我们现在有全州范围的资金 犹他州解决戒烟(PCORI)、结直肠癌筛查(CDC)、HPV疫苗接种的项目 、阿片类药物使用(NIH)和新冠肺炎(NIH)有一组类似的合作伙伴(如癌症联盟、州 卫生部、初级保健协会(CHCs)。我们的愿景是，拟议的项目将建造 扩大亨斯迈癌症研究所(HCI)和HCI癌症控制与人口基金会 以同样的方式将科学研究带到内华达州。 拟议的项目是围绕EPIS框架和研究实践伙伴关系模式而建立的。会的 吸引多个合作伙伴和项目团队成员，以及流程和程序，以提高 通过实施EBI Ask-Adviser-Connect In与内华达烟草专线(NTQ)接洽 社区卫生中心(CHC)。初级保健是提供保健和保健的最大平台 为解决戒烟问题提供了理想的环境，因为已经建立了关系， 协调护理。此外，全国范围内和内华达州的烟草使用也越来越多 主要集中在受教育程度低、生活贫困、未参保和失业的人群中。为 例如，在内华达州，收入水平在50,000美元或以上的个人吸烟率为12.6% 相比之下，收入为24,999.4美元的个人的患病率为22.2%，而为患者服务的CHC 无论他们的支付能力如何，都是接触到服务不足的人群的非凡场所- 为戒烟提供基础治疗。NTQ为烟草使用提供了循证治疗，但 利用率严重不足，内华达州是Quitline利用率最低的州之一，呼叫者为1.4 每1000名烟草使用者接受药物/咨询。5 该项目将包括收集合作伙伴/参与者的持续反馈的系统评价， 同时还使用可从以下网站获得的数据评估AAC适应和实施的有效性 CHC、NTQ和HRSA的统一数据系统(UDS)。

PROJECT SUMMARY The proposed project addresses a Nevada State Cancer Plan and Nevada Cancer Coalition (NCC) priority area of tobacco—a priority area shared by multiple stakeholders across the state and who are included in the project—while also affording NCC opportunities to grow its work disseminating evidence-based interventions (EBI) and supporting healthcare systems in the implementation of EBIs. We now have state-wide funded projects in Utah to address tobacco cessation (PCORI), colorectal cancer screening (CDC), HPV vaccination (ACS), opioid use (NIH), and COVID-19 (NIH) with a similar set of partners (e.g., cancer coalition, state department of health, primary care association, CHCs). Our vision is that the proposed project will build the foundation for expanding Huntsman Cancer Institute (HCI) and HCI’s Cancer Control and Population Science’s research to Nevada in the same way. The proposed project is built around the EPIS framework and Research Practice Partnership model. It will engage multiple partners and project team members, along with processes and procedures to increase engagement with the Nevada Tobacco Quitline (NTQ) by implementing the EBI Ask-Advise-Connect in Community Health Centers (CHC). Primary care is the largest platform for the delivery of health care and provides an ideal setting to address tobacco cessation because there is an established relationship and coordination of care. Moreover, tobacco use both nationwide and within Nevada has become increasingly concentrated among individuals with low education, living in poverty, and the uninsured and unemployed. For example, in Nevada individuals with an income level of $50,000 or more had a smoking prevalence of 12.6% compared to a 22.2% prevalence among individuals making <$24,999.4 As such, CHCs, which serve patients regardless of their ability to pay, are extraordinary venues for reaching underserved populations with evidence- based treatment for tobacco cessation. The NTQ provides evidence-based treatment for tobacco use, but is grossly underutilized with Nevada ranking among the lowest states in Quitline utilization at 1.4 callers receiving medication/counseling for every 1000 tobacco users.5 The project will include a systematic evaluation that gathers on-going feedback from partners/participants, while also evaluating the effectiveness of the AAC adaptation and implementation using data available from the CHCs, NTQ, and HRSA’s Uniform Data System (UDS).