Administrative Supplements for the NCI P30 Cancer Center Support Grants for Multi-Channel Communication Campaigns for Improvements in Cancer Education and Outcomes (MICEO) in Underserved Populations

项目摘要 我们项目的目标是解决人们对癌症预防的常见误解，提高 除其他外，癌症筛查(如乳腺癌、宫颈癌、结直肠癌、肺癌)和烟草使用干预 30岁以上的医疗服务不足的成年人(轨道2)。该项目建立在我们与 密歇根州初级保健协会(我们的州FQHC网络)和帕卡德健康(我们当地的FQHC)。超过了 在过去的三年里，我们在密歇根州立大学罗杰尔癌症中心共同工作，支持赶上癌症 筛查倡议，以应对新冠肺炎大流行对癌症筛查的影响。当我们已经有了 在这些努力取得初步成功的同时，我们还确定了提高人口效力的迫切需要 健康推广，利用和扩大社区健康教育者的贡献，并确定 患者参与的最佳策略。 我们建议通过1)开发一个社区参与的个人定制癌症来满足这些关键需求 筛查和预防数字规划工具(CanPlan)，2)通过多个 渠道外展(直接向患者发送消息、主动的CHE外展、以卫生中心为重点的社交媒体 市场营销、专注于本地社区的社交媒体、点对点的雪球招聘)。量身定做的Canplan 该计划将吸引用户创建个人量身定做的癌症预防行动计划。的创新功能 Canplan计划包括1)用CHS的声音说话(通过定制的视频)，2)合并 当地社区和众包癌症筛查和预防信息，以及3)认识和 回应用户报告的歧视、医疗不信任和未得到满足的社交体验 健康决定因素(SDOH)需求。 我们将评估CanPlan实施情况(例如参与度、参与度效率、用户特征)，以及 患者报告(对癌症预防关键事实、行为激活、计划满意度的了解)， 和利用(例如癌症筛查)结果。评估将涉及CanPlan的整体绩效和 对于每个外展渠道都是分开的。在完成拟议的工作后，我们将处于有利地位 传播Canplan计划并指导与全州和 可能是在全国范围内。

Project Summary The goal of our project is to address common misperceptions about cancer prevention, increase rates of cancer screenings (e.g. breast, cervical, colorectal, lung) and tobacco use intervention among otherwise medically underserved adults age 30+ (Track 2). This project builds on our ongoing collaboration with the Michigan Primary Care Association (our state FQHC network) and Packard Health (our local FQHC). Over the past three years, we have worked together on the UM Rogel Cancer Center supported Catch Up on Cancer Screening initiative to address the impact of COVID-19 pandemic on cancer screening. While we have had initial success in these efforts, we have also identified critical needs to increase the effectiveness of population health outreach, leverage and magnify the contributions of community health educators (CHEs), and identify optimal strategies for patient engagement. We propose to address these critical needs by 1) Developing a community-engaged personally tailored cancer screening and prevention digital planning tool (CanPlan), 2) Promote CanPlan engagement through multi- channel outreach (Direct-to-patient messaging, Proactive CHE outreach, Health center focused social marketing, Local community focused social media, Peer-to-peer snowball recruitment). The tailored CanPlan program will engage users to create a personally tailored cancer prevention action plan. Innovative features of the CanPlan program include 1) Speaking in the voice of CHEs (through tailored video), 2) Incorporation of local community and crowdsourced cancer screening and prevention messages, and 3) Recognizing and responding to user reported everyday experience of discrimination, medical mistrust, and unmet social determinants of health (SDOH) needs. We will evaluate CanPlan implementation (e.g. engagement, engagement efficiency, user characteristics), and patient-reported (understanding of cancer prevention key facts, behavioral activation, program satisfaction), and utilization (e.g. cancer screening) outcomes. Evaluation will address CanPlan performance overall and separately for each outreach channel. Upon completion of the proposed work, we will be in a strong position to disseminate the CanPlan program and guide CanPlan promotion with stakeholders throughout the state and potentially across the country.