P.L.A.N.E.T. MassCONECT to Promote Evidence-Based Interventions

描述(由申请者提供)：社区伙伴关系为传播以证据为基础的干预措施促进癌症预防提供了一个关键工具。尽管在发展循证干预措施方面取得了根本性进展，但在这一知识的转化方面仍有很大差距。特别是，人们对社区团体在采用成功的循证干预措施方面面临的障碍以及如何在社区环境中实现传播知之甚少。对于那些为弱势群体工作的群体采取这些干预措施的情况更是知之甚少。我们提议的项目的目标是测试社区参与模式，通过结合国家资源、癌症控制星球的元素，以及我们与社区合作伙伴通过MassCONECT发展的密切合作关系，传播基于证据的癌症预防干预措施。MassCONECT是NCI资助的社区网络计划，旨在干预马萨诸塞州的三个社区：波士顿、劳伦斯和伍斯特，以减少癌症差异。我们将以基于社区的参与性研究(CBPR)原则为核心指导框架，推动采用我们的干预措施，称为PLANET MassCONECT，这是一个根据当地情况利用国家资源的门户网站。这一社区参与模式包括几个关键步骤：(1)寻求社区项目咨询委员会(C-PAC)的社区意见，并通过形成性研究评估影响采用地球的社区具体因素；以及(2)建立一个专门的、定制的门户网站--PLANET MassCONECT，该门户网站提供有用的信息，以防止信息过载。为了测试这一模型，我们将研究提供三种类型的资本}人力资本(社区健康教育者充当技术资源和培训社区成员的工作坊)、社会资本(潜在用户之间的沟通导致社会资本)和金融资本(适度的基础设施支持和试点干预赠款)}是否会增加组织在三个不同规模和结构的社区计划、采用和实施循证癌症控制干预措施的能力。感兴趣的结果是集体疗效、对PLANET CONTECT的使用、PLANET REACH、计划规划和计划采用。如果成功，我们计划利用由NCI和CDC资助的两个国家癌症预防网络，NCI的癌症信息服务和美国癌症协会来传播干预措施。这项研究建立在社区、学术和国家伙伴之间合作的坚实基础之上，以增进我们对通过社区参与式方法传播循证干预措施的理解。公共卫生相关性：PLANT MassCONECT的目标是设计和测试一种基于证据的癌症控制干预措施的传播模式，供服务于马萨诸塞州三个社区--波士顿、劳伦斯和伍斯特--的社区团体采用。从对卫生干预措施的研究中，我们知道应该做些什么来促进健康和预防疾病，但对如何将这些干预措施转化为现实世界环境知之甚少。MassConECT星球研究将遵循社区参与模式，使我们能够解决成功传播的许多障碍，并侧重于建设社区能力，以确保可持续性。

DESCRIPTION (provided by applicant): Community partnerships provide a key vehicle for dissemination of evidence-based interventions to promote cancer prevention. Despite fundamental advances in the development of evidence-based interventions, there are significant gaps in translation of this knowledge. In particular, little is known about the barriers faced by community groups in adopting successful evidence-based interventions and how dissemination can be accomplished in community settings. Even less is known about the adoption of these interventions by groups working with the underserved. The goal of our proposed project is to test a community participatory model for dissemination of evidence- based cancer prevention interventions by combining the elements of a national resource, the Cancer Control PLANET, and our close collaborative relationships with community partners developed through MassCONECT, a NCI-funded Community Network Program intervening to reduce cancer disparities in three Massachusetts communities: Boston, Lawrence & Worcester. Using community-based participatory research (CBPR) principles as the central guiding framework, we will promote the adoption of our intervention called PLANET MassCONECT, a web portal that adopts the national resource to local conditions. This community participatory model includes several key steps: (1) to seek community input from the Community Project Advisory Committee (C-PAC) and through formative research to assess community- specific factors influencing adoption of the PLANET; and (2) establish a dedicated, customized web portal, PLANET MassCONECT, that presents useable information organized to prevent information overload. To test the model, we will examine if the provision of three types of capital } human capital (community health educators serving as technical resources and workshops to train community members), social capital (communications among potential users leading to social capital), and financial capital (modest infrastructure support and pilot intervention grants) } will increase the organizational capacity to plan, adopt and implement evidence-based cancer control interventions in communities of three different sizes and structures. The outcomes of interest are collective efficacy, use of PLANET MassCONECT, PLANET reach, program planning and program adoption. We plan to disseminate the intervention, if successful, using two national cancer prevention networks funded by NCI and CDC, NCI's Cancer Information Service and the American Cancer Society. This study builds from a solid foundation of collaboration among community, academic and national partners to advance our understanding of dissemination of evidence-based interventions through community-based participatory approach. PUBLIC HEALTH RELEVANCE: The goal of PLANET MassCONECT is to design and test a model of dissemination of evidenced-based cancer-control interventions for adoption by community groups who serve the underserved in three Massachusetts communities - Boston, Lawrence, and Worcester. From research on health interventions, we know much about what should be done to promote health and prevent diseases, yet know little about how to translate those interventions into real world settings. The PLANET MassCONECT study will follow a community participatory model, allowing us to address the many barriers to successful dissemination, and is focused on building community capacity to ensure sustainability.