Community Outreach and Engagement

摘要 斯坦福癌症研究所(SCI)是国内和国际癌症研究的领先者。 控制连续不断，并坚定地致力于为居住在我们的10- 旧金山湾区的县集水区通过以患者为中心的尖端癌症护理， 创新研究、以癌症为重点的社区推广和参与，以及有影响力的政策倡导(例如， 黑色素瘤预防、烟草预防)。79%的患者居住在我们的集水区，包括10个 地理上毗邻和高度多样化的县，涉及种族/民族、年龄、移民身份和 人口密度。社区合作伙伴、社区外联和参与(COE)工作人员以及SCI领导层 确定了我们在短期内研究和控制的高度优先的癌症(乳腺癌、肺癌、肝癌、胰腺癌和 淋巴瘤)和长期(前列腺癌、结肠癌和黑色素瘤)以及癌症预防的优先目标， 包括肥胖和烟草控制。在过去3年中取得的重大成就包括 超过13,000名社区成员通过教育和外展活动，发起新的社区 以黑人/非裔美国人、拉丁裔、亚洲/太平洋岛民和LGBTQ+社区为重点的合作伙伴关系， 促进直接响应社区需求的创新研究项目，并提供定制的 加强临床试验招募和保留的解决方案。解决我们集水区未得到满足的需求 与持续的健康不平等以及获得癌症护理服务和临床试验有关，SCI 承诺在未来五年每年拨款100万美元，以建立一个新的SCI癌症健康公平办公室和 社区参与(中国欧洲经委会)。CHECES由一支拥有深厚和互补的专业知识的高管团队领导 卫生公平研究和翻译(中国欧洲经委会主任：Alyce S.Adams，PhD)，临床研究和试验 应计(中国欧洲经委会副主任：Lidia Schapira，MD)和基于社区的参与性研究和 Practice(中国欧洲经委会副主任：Lisa Goldman Rosas，博士，公共卫生硕士)。与我们的 社区咨询委员会，70个社区合作伙伴，SCI领导力，斯坦福医疗保健，斯坦福儿童 健康，以及整个斯坦福大学COE的领导者，CHECA致力于改善COE对 在我们的集水区，癌症负担和健康公平。这将通过四个主要目标来实现：1) 了解和监测集水区的癌症负担、癌症风险因素和社区资产 2)发展和维持双向伙伴关系，以促进符合以下条件的研究和活动 与集水区相关；3)增加未被充分代表的少数民族患者在脊髓损伤临床中的参与度 试验；以及4)将研究转化为实践和政策，以减少总体癌症负担并促进 集水区内外的卫生公平。拟议活动的短期和长期影响 将与社区密切合作，使用理论和经验支持的框架进行评估 合作伙伴和SCI领导层。

SUMMARY The Stanford Cancer Institute (SCI) is a national and international leader in cancer research across the cancer control continuum, with a strong commitment to serving the more than 7.8 million people residing in our 10- county catchment area in the San Francisco Bay Area through cutting-edge patient-centered cancer care, innovative research, cancer-focused community outreach and engagement, and impactful policy advocacy (e.g., melanoma prevention, tobacco prevention). Our catchment area, where 79% of our patients reside, includes 10 geographically adjacent and highly diverse counties with respect to race/ethnicity, age, immigrant status, and population density. Community partners, Community Outreach and Engagement (COE) staff, and SCI leadership defined our high priority cancers for research and control over the short term (breast, lung, liver, pancreas, and lymphoma) and long term (prostate, colon, and melanoma), as well as priority targets for cancer prevention, including obesity and tobacco control. Significant accomplishments over the last 3 years include reaching more than 13,000 community members through education and outreach activities, initiating new community partnerships with a focus on Black/African American, Latinx, Asian/Pacific Islander, and LGBTQ+ communities, facilitating innovative research projects in direct response to community needs, and providing customized solutions to enhance clinical trials recruitment and retention. To address unmet needs in our catchment area related to persistent health inequities and access to cancer care services and clinical trials, the SCI has committed $1 million per year for the next five years to establish a new SCI Office of Cancer Health Equity and Community Engagement (CHECE). CHECE is led by an executive team with deep and complementary expertise in health equity research and translation (CHECE Director: Alyce S. Adams, PhD), clinical research and trials accrual (CHECE Associate Director: Lidia Schapira, MD), and community-based participatory research and practice (CHECE Associate Director: Lisa Goldman Rosas, PhD, MPH). Working collaboratively with our Community Advisory Board, 70 community partners, SCI leadership, Stanford Health Care, Stanford Children’s Health, and leaders in COE across Stanford University, CHECE seeks to improve the impact of COE on the cancer burden and health equity in our catchment area. This will be accomplished through four main aims: 1) Understand and monitor the cancer burden, cancer risk factors, and community assets in the catchment area on an ongoing basis; 2) Develop and sustain bidirectional partnerships to facilitate research and activities that are relevant to the catchment area; 3) Increase participation of underrepresented minority patients in SCI clinical trials; and 4) Translate research into practices and policies that decrease the overall cancer burden and promote health equity within and beyond the catchment area. The short and long-term impact of the proposed activities will be evaluated using theoretically and empirically supported frameworks in close collaboration with community partners and SCI leadership.