Community Outreach and Engagement

项目摘要/摘要：社区外展和参与 达特茅斯-希区柯克诺里斯棉花癌症中心（NCCC）是唯一的NCI指定的癌症 中心作为唯一一个在北方新英格兰（VT，NH，ME），一个位于最小的城镇，并作为 它是少数几个集水区几乎一半人口（48%）是农村人口的地区之一，不包含主要的 城市核心，根据农村城市分类，24个县中有9个县被归类为7、8或9（偏远农村） 连续统编码（RUCC）。虽然我们集水区的人口在种族/民族上 在我们的大部分农村社区，社会决定因素--特别是年龄、收入和 教育在癌症相关的健康行为、风险、早期发现、治疗和 生存。我们的农村和非农村人口之间在癌症控制连续性方面的沿着 被记录在案，刺激不同的研究和干预需求。我们的集水区 癌症发病率的不成比例的负担，导致癌症相关死亡率和人口增长 癌症幸存者。NCCC在我们的社区中发挥着独特和实质性的作用-使民众参与进来 在我们的集水区，并专注于当地相关问题的研究，以将证据转化为有影响力的 研究成果往往可以推广到其他人群。而 NCCC几十年来一直致力于这一总体使命，最近正式的社区外展 CCSG的COE部分将促进NCCC确定和解决我们的需求， 在我们与以下各方合作的同时，以更全面、更有凝聚力、更灵活、更及时的方式， NCCC的研究计划，以实现三个目标。这些是：1）识别，测量和监测 癌症控制需求和癌症健康公平问题，通过参与整个集水区， 社区咨询委员会，对卫生系统、州和国家数据进行观察研究和监测; 2)通过以下方式解决我们服务区的癌症控制需求和癌症健康公平问题： 社区参与的干预措施，增加对临床试验的参与，以及区域合作， 强调农村和服务不足的人口;和3）促进癌症研究的发现，从四个 NCCC跨癌症控制连续体的科学计划，以转化为可持续的政策，计划， 和卫生系统的改进。我们将应用指标来跟踪相关研究的相关性和影响， 癌症生物学、临床研究、癌症相关健康公平性、预防和控制 领域（监控和社区指标）以及我们正在做什么（参与、协作和 研究指标）。特遣队所属装备倡议将建立在现有的社区和区域强大基础之上， 伙伴关系。通过实现COE目标，我们将确保我们对以下方面产生最有意义的影响： 癌症如何影响我们地区人们的生活，我们将发展坚实的基础设施， 这些积极的影响和加强翻译NCCC的研究。

Project Summary/Abstract: Community Outreach and Engagement The Dartmouth-Hitchcock Norris Cotton Cancer Center (NCCC) is unique among NCI-designated Cancer Centers as the only one in Northern New England (VT, NH, ME), the one located in the smallest town, and as one of the few whose catchment area has a population that is almost half rural (48%), does not contain a major urban core, and has nine of 24 counties classified as 7, 8, or 9 (isolated rural) according to the Rural Urban Continuum Codes (RUCCs). While the population within our catchment area is not as racially/ethnically heterogeneous as some, social determinants in our largely rural communities – particularly age, income, and education play an important role in cancer-related health behaviors, risk, early detection, treatment, and survivorship. Disparities along the cancer control continuum between our rural and non-rural populations have been documented, spurring distinct research and intervention needs. Our catchment area carries a disproportionate burden in cancer incidence, leading to both cancer-related mortality, and a growing population of cancer survivors. NCCC plays a unique and substantive role in our communities—engaging the populations within our catchment area and focusing research on locally-relevant issues to translate evidence into impactful benefits for individuals and communities, with research that is often generalizable to other populations. While NCCC has served this overarching mission for decades, the recent formalization of the Community Outreach and Engagement (COE) component of the CCSG will catalyze NCCC to identify and address the needs of our catchment area in a more comprehensive, cohesive, nimble and timely way as we work in concert with NCCC’s Research Programs to accomplish three aims. These are: 1) To identify, measure, and monitor the cancer control needs and cancer health equity issues throughout the catchment area through engagement of a Community Advisory Board, observational studies and surveillance of health system, state, and national data; 2) To address the cancer control needs and cancer health equity issues of our catchment area through community-engaged interventions, increased participation in clinical trials, and regional collaborations, with an emphasis on rural and underserved populations; and 3) To promote cancer research findings from the four NCCC scientific programs across the cancer control continuum for translation into sustainable policy, program, and health system enhancements. We will apply metrics to track relevance and impact of research related to cancer biology, clinical research, cancer-related health equity, prevention, and control within our catchment area (surveillance and community metrics) and what are we doing about it (engagement, collaboration, and research metrics). The COE initiative will build upon a strong existing base of community and regional partnerships. By achieving the COE aims, we will ensure that we are having the most meaningful impact on how cancer affects the lives of those in our region, and we will develop a solid infrastructure for sustaining those positive impacts and strengthening translation of NCCC research.