This application will allow for a continued dynamic and unique partnership between the Access DuPage project, an award-winning/nationally renowned model of community-based safety net provision for health care to the medically underserved in a suburban area and the Chicago Cancer Navigation Project (CCNP), a $3.2 million funded site for the national U01 NCI, Patient Navigation Research Program. The CCNP is currently studying specific ways to build and improve safety nets for low income men and women in Chicago, with an established team of health services researchers in public health policy, women's health and oncology, and with Northwestern University's Robert H. Lurie Comprehensive Cancer Center (the only National Cancer Institute designated comprehensive cancer center in Illinois). The main goal of this partnership is to reduce health disparities among low income women in DuPage County with regards to breast and cervical disease and cancer. With the current efflux of the urban poor and new immigrants into the suburbs, our focus on a suburban County currently facing these healthcare issues provides a critical new approach to community- based safety net research. This application proposes an integrated partnership and plan to build a women's cancer navigation intervention in DuPage County. This intervention aims to navigate approximately 600 women with abnormal cervical or breast cancer screening tests through a diagnostic resolution. Our intervention is based on community empowerment, self-help, and collaboration in order to establish a long-term plan to forge a strong safety net with patient navigation as one of the linking bridges. The proposed intervention can be a model for other suburban areas confronting the same issues.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Resource-Related Research Projects (R24)
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Study Section
Special Emphasis Panel (ZMD1-RN (01))
Program Officer
Goodwin, Paula
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Northwestern University at Chicago
Internal Medicine/Medicine
Schools of Medicine
United States
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Simon, Melissa A; Samaras, Athena T; Nonzee, Narissa J et al. (2016) Patient Navigators: Agents of Creating Community-Nested Patient-Centered Medical Homes for Cancer Care. Clin Med Insights Womens Health 9:27-33
Phillips, Sara S; Ragas, Daiva M; Tom, Laura S et al. (2016) Voices of Informal Caregivers and Community Stakeholders: Whether and How to Develop an Informal Caregiver Training Program. J Community Health 41:550-6
Dong, XinQi; Zhang, Manrui (2016) The Association between Filial Piety and Perceived Stress among Chinese Older Adults in Greater Chicago Area. J Geriatr Palliat Care 4:
Roepke-Buehler, Susan K; Simon, Melissa; Dong, XinQi (2015) Association Between Depressive Symptoms, Multiple Dimensions of Depression, and Elder Abuse: A Cross-Sectional, Population-Based Analysis of Older Adults in Urban Chicago. J Aging Health 27:1003-25
Simon, Melissa A; Tom, Laura S; Nonzee, Narissa J et al. (2015) Evaluating a bilingual patient navigation program for uninsured women with abnormal screening tests for breast and cervical cancer: implications for future navigator research. Am J Public Health 105:e87-94
Dong, XinQi; Simon, Melissa (2015) Association between Elder Abuse and Metabolic Syndromes: Findings from the Chicago Health and Aging Project. Gerontology 61:389-98
Nonzee, Narissa J; Ragas, Daiva M; Ha Luu, Thanh et al. (2015) Delays in Cancer Care Among Low-Income Minorities Despite Access. J Womens Health (Larchmt) 24:506-14
Dong, XinQi; Li, Yu; Simon, Melissa A (2014) Social engagement among U.S. Chinese older adults--findings from the PINE Study. J Gerontol A Biol Sci Med Sci 69 Suppl 2:S82-9
Feinglass, Joe; Nonzee, Narissa J; Murphy, Kara R et al. (2014) Access to care outcomes: a telephone interview study of a suburban safety net program for the uninsured. J Community Health 39:108-17
Chang, E-Shien; Beck, Todd; Simon, Melissa A et al. (2014) A psychometric assessment of the psychological and social well-being indicators in the PINE study. J Aging Health 26:1116-36

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