Appalachia Community Cancer Network

描述(由申请人提供)： 一个由来自肯塔基州、西弗吉尼亚州、俄亥俄州、宾夕法尼亚州、纽约、马里兰州和弗吉尼亚州等阿巴拉契亚地区的学术机构和社区的多学科合作者组成的团队提议，在阿巴拉契亚癌症网络(ACN)先前活动的坚实基础上建立基础，ACN是NCI资助的特殊人群网络，并发展阿巴拉契亚社区癌症网络(ACCN)。拟议的ACCN将扩大以前的ACN，并扩大到阿巴拉契亚地区七个地区的癌症健康差距，这些地区包括美国一些医疗服务最差、最贫困和经济最不利的地区。这些地区的癌症死亡率都很高，肺癌、宫颈癌和结直肠癌的发病率也很高，这表明如果要缩小差距，就必须解决诸如晚期诊断和癌症护理障碍等因素。ACCN的长期目标是通过开发、实施和评估以社区为基础的参与性研究和提供培训，为减少阿巴拉契亚地区的癌症健康差距做出贡献。AACN的具体目标是：1)在ACCN建立的基础上发展和保持社区伙伴关系，以促进减少癌症健康差距的研究和行动；2)开展社区参与性研究，从重点需求评估到干预研究再到政策评估；3)开发试验性研究项目，侧重于阿巴拉契亚地区肺癌、宫颈癌和结直肠癌的初级和二级预防；4)培训社区参与性研究的研究人员；以及5)对ACCN进行评估，包括关注过程、短期影响和成果成就。ACCN将在ACN的基础上发展癌症教育、基于社区的参与性研究和培训计划。两个试点项目的建议也包括在内。试点项目针对的是子宫颈癌和结直肠癌，这是ACCN针对的两种癌症

DESCRIPTION (provided by applicant): A multidisciplinary team of collaborators from academic institutions and communities in Appalachian regions of Kentucky, West Virginia, Ohio, Pennsylvania, New York, Maryland and Virginia are proposing to build on a strong foundation of previous activity of the Appalachia Cancer Network (ACN), an NCI-funded Special Populations Network, and develop the Appalachia Community Cancer Network (ACCN). The proposed ACCN will expand the previous ACN and expand to address cancer health disparities in seven areas in Appalachia, areas that include some of the most medically underserved, distressed, and economically disadvantaged areas in the US. Cancer mortality rates are elevated in each of these areas, as are the incidence rates for lung, cervical and colorectal cancers, suggesting that factors such as late stage diagnosis and barriers to cancer care must be addressed if disparities are to be reduced. The long-term goal of the ACCN is to contribute to the reduction of cancer health disparities in Appalachia by developing, implementing and evaluating community-based participatory research and providing training. The specific aims of the AACN are to: 1) Build on a foundation established by the ACCN and develop and maintain community partnerships to facilitate research and action to reduce cancer health disparities; 2) Conduct community based participatory research ranging from focused needs assessments to intervention research to policy assessments; 3) Develop pilot research projects that focus on primary and secondary prevention of lung, cervical and colorectal cancers in Appalachia; 4) Train researchers in community-based participatory research; and 5) Conduct evaluation of the ACCN, including attention to processes, short term impact, and achievement of outcomes. The ACCN will build on the ACN and develop programs in cancer education; community based participatory research, and training. Proposals for two pilot projects are also included. The pilot projects address cervical and colorectal cancer, two cancers targeted by the ACCN