Kansas Community Cancer Health Disparities Network

美国印第安人和拉丁裔人口患有明显的癌症差异。农村Al人和拉丁裔人 在堪萨斯州等地理面积较大的州，社区患癌症的机会更大 由于专家和设施分散，筛查和治疗方面的不利因素。堪萨斯社区 总部设在堪萨斯大学医学中心的癌症差异网络(KCCDN)将 专注于通过创新的方案接触农村的Al和拉丁裔人，以改善知识、机会和 利用有益的生物医学和行为癌症程序。使用基于社区的参与式 研究方法(CBPR)和链接我们的初级保健研究网络(堪萨斯州医生参与 在预防研究方面)到我们新成立的中西部癌症联盟(MCA)医院网络，我们 将改善两个农村县的癌症差异的外展、研究和培训；芬尼县(西南 堪萨斯州(拉丁裔)和布朗县(堪萨斯州东北部；阿勒颇)。我们的CNP网络将利用蓬勃发展的研究 我们的AHECS、远程医疗中心和安全网诊所系统(堪萨斯协会)提供的计划 医疗服务不足，KAMU)，它将利用我们在 在区域Al和拉丁裔社区提供服务和收集需求评估数据。 每个社区的有效、常设的社区咨询委员会(CAB)在 本提案的设计和规划，我们已经构建了CNP网络治理，以确保 社区利益是第一位的。我们的外展核心活动将建立在 MCA、KPEPR和远程医疗办公室，并通过以下方式扩大和改善教育 促销、IT资源和理论驱动的战略沟通和社会营销活动。 在农村合作伙伴的直接投入下，我们将进行严格的受控临床试验，测试疗效 以“实施意向”为基础的促进乳腺癌的新型干预措施 对拉丁裔和阿族妇女进行筛查(Pi，Engelman)。我们的试点教育项目将利用促销和 与MCA网络建立联系，以提高对癌症临床试验的知识、意识和兴趣 目标是Al和拉丁裔社区(PI、库比蒂诺)。我们的培训核心计划将建立在强大的 由我们的K30临床研究课程计划和跨学科T-32奖学金组成的基金会 项目(PI，Greiner)专门为培训健康差距研究人员而设计，通过以社区为基础 研究活动。我们的KCCDN将成功地减少堪萨斯州农村拉丁裔和 美国印第安人，因为它创造了一个愿景，在文化上无缝地融合获得加强护理的机会 量身定做的教育宣传、严谨的研究和初级调查员CBPR培训。使用这座建筑 封锁已经到位，我们的示范计划将覆盖脆弱的少数群体，并产生可传播的 国家CNP财团的知识。

American Indian and Latino populations suffer from significant cancer disparities. Rural Al and Latino communities, in geographically large states, such as Kansas, experience even greater access to cancer screening and treatment disadvantage due to dispersion of specialists and facilities. The Kansas Community Cancer Disparities Network (KCCDN) headquartered at the University of Kansas Medical Center will concentrate on reaching rural Al and Latinos with innovative programs to improve knowledge, access and utilization of beneficial biomedical and behavioral cancer procedures. Using community based participatory research methods (CBPR) and linking our primary care research network (the Kansas Physicians Engaged in Prevention Research, KPEPR) to our newly formed Midwest Cancer Alliance (MCA) hospital network, we will improve outreach, research, and training on cancer disparities in two rural counties; Finney County (SW Kansas; Latino) and Brown County (NE Kansas; Al). Our CNP Network will capitalize on thriving research programs offered in our AHECS, Telemedicine Center and safety-net clinic system (Kansas Association for the Medically Underserved, KAMU), and it will leverage strong and trusting relationships we have built while providing service and collecting needs assessment data in both the regional Al and Latino communities. Effective, standing community advisory boards (CABs) in each community were consulted directly during the design and planning of this proposal and we have structured a CNP Network governance that assures community interests come first. Our Outreach Core activities will build on the strengths available within the MCA, KPEPR, and the Telemedicine Office and allow for expanded and improved education through promotores, IT resources, and theory-driven strategic communications and a social marketing campaigns. With direct input from rural partners we will conduct a rigorous and controlled clinical trial, testing the efficacy of a novel intervention based on the "implementation intentions" construct to promote breast cancer screening in Latina and Al women (PI, Engelman). Our Pilot Educational Project will utilize promotores and ties to the MCA network to enhance knowledge, awareness and interest in cancer clinical trials among targeted Al and Latino communities (PI, Cupertino). Our Training Core program will rest on a strong foundation formed by our K30 clinical research curriculum program and an interdisciplinary T-32 fellowship program (PI, Greiner) specifically designed to train health disparities researchers through community-based research activities. Our KCCDN will succeed in reducing cancer disparities for Kansas' rural Latinos and American Indians because it creates a vision for seamless blending access to care enhancements, culturally tailored educational outreach, rigorous research, and junior investigator CBPR training. Using the building blocks already in place, our model program will reach vulnerable minorities and generate disseminable knowledge for the national CNP consortium.