Outreach Core

摘要：外联计划的总体目标有两个：1)向U54提供核心支持，以提供基于社区的参与性研究(CBPR)、直接社区外联和教育以及实施和维持循证癌症控制计划的能力建设方面的培训；2)开展外联研究项目，以减轻波多黎各人的结直肠癌负担。该提案介绍了(目标1下的)外展核心活动和所需的外展研究项目(目标2)如下：目标1：扩大现有的CCCOP，在直接社区外展、研究人员和社区能力建设、CBPR培训、参与者招募和保留方面向U54基础设施、临床研究项目和受训者提供核心支持。目的2：开发和评估一项量身定制的干预措施的有效性、成本效率和预算影响，以增加FQHC患者PR中的CRCs。 在PR中减少与癌症相关的发病率和死亡率需要继续努力解决与癌症相关的行为和环境条件，如获得医疗保健的机会。例如，虽然结直肠癌(CRC)是女性癌症相关死亡的第二大原因和男性的第三大原因，^并且基本上可以通过筛查和治疗癌前息肉来预防，但与美国同行相比，结直肠癌筛查(CRC)在符合年龄条件的患者的PR中的利用严重不足。 拟议的外联方案是波多黎各癌症控制社区外联方案(CCCOP)的延续和延伸，该方案始于2006年，是一个试点项目，并在本供资周期扩大到全面的U54外联核心。CCCOP将利用现有的社区伙伴关系、基础设施、数据和计划1)向研究人员、受训人员和社区合作伙伴提供基于社区的参与性研究(CBPR)培训，2)直接进行社区外联和教育，3)在社区和初级保健环境中建设实施和维持循证癌症控制计划的能力，4)利用现有数据、伙伴关系和进展来扩大已确定的优先领域的研究和干预活动，以及5)开展外联研究项目，以减轻波多黎各人结直肠癌的负担。 通过与社区合作伙伴的协作，U54外联核心将继续确定创新的外联战略，以接触到最脆弱和服务不足的人群。这些战略包括使用社区健康教育人员、互动和移动技术，以及与联邦合格的卫生中心(FQHC)合作。我们将就确定癌症控制需求、制定或调整循证干预措施、实施和评估等问题向社区合作伙伴、受训人员和研究人员提供培训和技术援助。我们还将重点增加社区参与临床试验和PR的生物库，以促进癌症的有效预防、诊断和治疗方法 公共关系中的癌症负担在CCCOP中有很好的记录，有必要继续社区外展努力和研究来减少它。CCCOP致力于继续在多个癌症控制主题方面开展工作，作为其外联核心的一部分，并通过优先开展研究来加强这些外联活动。因此，通过外联努力和以社区为基础的参与性干预措施得到发展。 可以严格评估、采用、实施和维持研究(CBPR)方法，以尽可能对波多黎各人的健康产生最大影响。

Abstract: The overarching goals of the Outreach Program are twofold: 1) to provide core support to the U54 for training on community-based participatory research (CBPR), direct community outreach and education, and capacity building for implementation and sustainment of evidence-based cancer control programs, and; 2) to conduct an outreach research project to reduce the burden of colorectal cancer among Puerto Ricans. This proposal describes both outreach core activities (under Aim 1) and the required outreach research project (Aim 2) as follows: AIM 1: Expand the existing CCCOP to provide core support to the U54 infrastructure, clinical research projects, and trainees with respect to direct community outreach, researcher and community capacity building, CBPR training, and participant recruitment and retention. AIM 2: Develop and evaluate the effectiveness, cost effusiveness, and budget impact of a tailored intervention to increase CRCS in PR among patients of FQHCs. Reducing morbidity and mortality associated with cancer in PR requires continuous efforts to address cancer-related behaviors and environmental conditions such as health care access. For example, although colorectal cancer (CRC) is the second leading cause of cancer-related mortality in women and the third in men,^ and is largely preventable through screening and treatment of precancerous polyps, colorectal cancer screening (CRCS) is significantly underutilized in PR among age-eligible patients compared to their U.S. counterparts. The proposed Outreach Program represents a continuation and extension of the Puerto Rico Cancer Control Community Outreach Program (CCCOP) which began as a pilot project in 2006 and expanded to a full U54 Outreach Core in the current funding cycle. The CCCOP will use existing community partnerships, infrastructure, data, and programs to 1) provide training on community-based participatory research (CBPR) to researcher, trainees and community partners, 2) conduct direct community outreach and education, 3) build capacity for implementation and sustainment of evidence-based cancer control programs in communities and primary care settings, 4) leverage existing data, partnerships and progress to expand research and intervention activities in the identified priority areas, and; 5) conduct an outreach research project to reduce the burden of colorectal cancer among Puerto Ricans. Through collaboration with community partners, the U54 Outreach Core will continue to identify innovative outreach strategies to reach the most vulnerable and underserved populations. These strategies include the use of community health educators, interactive and mobile technologies, and collaboration with Federally Qualified Health Centers (FQHCs). We will provide training and technical assistance to community partners, trainees and researchers on issues such as identifying cancer control needs, developing or adapting evidence based interventions, implementation, and evaluation. We will also focus on increasing community participation in clinical trials and biobanking in PR in order to promote effective prevention, diagnostic, and treatment methods for cancer The cancer burden in PR is well documented by the CCCOP, and there is a significant need for continued community outreach efforts and research to reduce it. The CCCOP is committed to continue work in multiple cancer control topics as part of its Outreach Core, and to strengthen these outreach activities by prioritizing research. As a result, interventions developed through outreach efforts and community-based participatory research (CBPR) approaches can be rigorously evaluated, adopted, implemented and maintained to have the greatest possible impact on the health of Puerto Ricans.