Advancing Health Equity through Implementation Science: Assessing the Outer Context in the ISC3 Network and its Impact on Cancer Prevention and Control

项目总结 背景：外部环境的影响，即宏观层面的历史、文化、经济和 影响执行的政治力量，在制定和实施时需要考虑 预防和控制癌症的循证方案和政策。而外部上下文已经接收到 与实施组织、会计的内部背景相比，对实施科学的关注较少 因为它可以改善专注于促进卫生公平的工作。 目标：本竞争性补充的目标是对每个公司的外部环境进行环境扫描 在ISC3中心中，将外部背景因素汇编到数据库中，并使用收集的信息 发展新的、跨中心的试点项目。此外，我们建议开发和评估特定于以下方面的结果 位于圣路易斯的华盛顿大学癌症控制科学中心 以与我们的社区利益相关者相关的方式创建实施实验室。 方法：目标1：描述ISC3网络的外部环境并评估其与癌症的关系 防控指标。我们将与ISC3网络中的其他中心合作，最终敲定 代表外部环境的关键特征的措施，以表征与 在癌症预防和控制方面的公平。我们将与HealthLandscape签订合同，从 将现有的国家数据资源汇编成一个共同的数据库，供网络使用。另外，我们 将考察外部环境与癌症患病率、癌症相关行为以及 ISC3网络中的策略。目标2：传播关于WU-ISC3外部环境的信息，以 我们的社区合作伙伴。我们将开发社区快照来总结关于外部的调查结果 WU-ISC3社区的具体背景(即Siteman癌症服务的82个县集水区 居中)。我们将评估我们的利益相关者(例如，社区组织的代表、临床医生、 社区成员)通过调查和深入了解这些快照的有用性 采访。我们将利用利益相关者的反馈来完善传播材料，并确保其 与我们中心的利益相关者相关。 创新和影响：拟议的工作将导致汇编第一组共同数据 所有ISC3中心收集的元素，并将促进未来的跨中心协作，以改善 实施以证据为基础的癌症预防和控制计划和政策，促进健康公平。

PROJECT SUMMARY Background: The influence of the outer context, i.e., the macro-level historical, cultural, economic, and political forces that shape implementation, is important to consider when developing and implementing evidence-based programs and policies to prevent and control cancer. While the outer context has received less attention within implementation science than the inner context of implementing organizations, accounting for it can improve work focused on advancing health equity. Goal: The goal of this competitive supplement is to conduct an environmental scan of the outer context of each of the ISC3 centers, compile outer contextual factors into a database, and use the information gathered to develop new, cross-center pilot projects. Additionally, we propose to develop and evaluate findings specific to the Washington University in St. Louis Implementation Science Center for Cancer Control to our Implementation Laboratory in a manner that is relevant to our community stakeholders. Methods: Aim 1: Characterize the outer context of the ISC3 network and assess its relationship with cancer prevention and control indicators. We will work alongside the other centers in the ISC3 network to finalize measures representing key features of the outer context, in order to characterize the outer context related to equity in cancer prevention and control. We will contract with HealthLandscape to collect these data from existing national data sources and compile them into a common database for use across the network. Also, we will examine the relationship between outer context and cancer prevalence, cancer-related behaviors, and policies across the ISC3 network. Aim 2: Disseminate information about the outer context of the WU-ISC3 to our community partners. We will develop community snapshots to summarize the findings about the outer context specific to the WU-ISC3 community (i.e., 82-county catchment area served by the Siteman Cancer Center). We will evaluate our stakeholders’ (e.g., representatives from community organizations, clinicians, community members) opinions about the usefulness of these snapshots through a survey and in-depth interviews. Feedback from our stakeholders will be used to refine dissemination materials and ensure their relevance to our Center’s stakeholders. Innovations and impact: The proposed work will result in the compilation of the first set of common data elements collected across all ISC3 centers and will facilitate future cross-center collaborations to improve the implementation of evidence-based programs and policies for cancer prevention and control and health equity.