This community-based participatory research outreach proposal represents a significant shift in focus, from intervention delivery on an individual level, to a focus on enhancing the capacity of community organizations to activate collective resources to translate available evidence to address their priorities and needs.
Our aim i s to develop an organizational-level intervention to enable communities to adopt, adapt, implement and sustain evidence-based interventions (EBls) to address cancer disparities among Latinos. We target faith-based organizations, since they play a highly prominent role in Latino community life, provide a trusted resource for spiritual guidance, communication, social support, and provide access to a large segment of the Latino population. This three-phase study will: (1) improve understanding of the organizational infrastructure, skills and resources required by Latino churches to implement EBls for cancer control, (2) develop a capacity-building intervention;and (3) test the intervention's effectiveness in a randomized trial with churches as the unit of intervention and analysis, in which churches will be assigned to either a """"""""Capacity Enhancement"""""""" (CE) intervention ora """"""""Standard Dissemination"""""""" (SD) condition. This study will greatiy accelerate the research productivity of Dr. Jennifer Allen, co-PI, Assistant Professor at the Dana-Farber and Harvard Medical school. Co-PI Dr. Maria Idali Torres, Director of the Gaston Institute for Latino Community Development and Public Policy and senior faculty member at UMB, has an established track record of leading large-scale community-based research, and can provide excellent mentorship for Dr. Allen. Dr. Allen's aims to become a leading researcher in the field of dissemination science to eliminate cancer disparities. Both the Survey and Statistical Methods Core and Training Core will significantiy contribute to this project.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Specialized Center--Cooperative Agreements (U54)
Project #
5U54CA156732-03
Application #
8378214
Study Section
Special Emphasis Panel (ZCA1-SRLB-3)
Project Start
Project End
Budget Start
2012-09-01
Budget End
2013-08-31
Support Year
3
Fiscal Year
2012
Total Cost
$136,431
Indirect Cost
Name
Dana-Farber Cancer Institute
Department
Type
DUNS #
076580745
City
Boston
State
MA
Country
United States
Zip Code
02215
Trevino, Kelly M; Zhang, Baohui; Shen, Megan J et al. (2016) Accuracy of advanced cancer patients' life expectancy estimates: The role of race and source of life expectancy information. Cancer 122:1905-12
Allen, Jennifer D; Torres, Maria Idalí; Tom, Laura S et al. (2016) Dissemination of evidence-based cancer control interventions among Catholic faith-based organizations: results from the CRUZA randomized trial. Implement Sci 11:74
Abel, Gregory A; Albelda, Randy; Khera, Nandita et al. (2016) Financial Hardship and Patient-Reported Outcomes after Hematopoietic Cell Transplantation. Biol Blood Marrow Transplant 22:1504-10
Shen, Megan Johnson; Prigerson, Holly G; Paulk, Elizabeth et al. (2016) Impact of end-of-life discussions on the reduction of Latino/non-Latino disparities in do-not-resuscitate order completion. Cancer 122:1749-56
Garrido, Melissa M; Prigerson, Holly G; Bao, Yuhua et al. (2016) Chemotherapy Use in the Months Before Death and Estimated Costs of Care in the Last Week of Life. J Pain Symptom Manage 51:875-881.e2
LeBaron, Virginia T; Smith, Patrick T; Quiñones, Rebecca et al. (2016) How Community Clergy Provide Spiritual Care: Toward a Conceptual Framework for Clergy End-of-Life Education. J Pain Symptom Manage 51:673-81
Allen, Jennifer D; Tom, Laura S; Leyva, Bryan et al. (2015) Recruiting and Surveying Catholic Parishes for Cancer Control Initiatives: Lessons Learned From the CRUZA Implementation Study. Health Promot Pract 16:667-76
Allen, Jennifer D; Torres, Maria Idali; Tom, Laura S et al. (2015) Enhancing organizational capacity to provide cancer control programs among Latino churches: design and baseline findings of the CRUZA Study. BMC Health Serv Res 15:147
McCauley, M P; Ramanadhan, S; Viswanath, K (2015) Assessing opinions in community leadership networks to address health inequalities: a case study from Project IMPACT. Health Educ Res 30:866-81
LeBaron, Virginia T; Blonquist, Traci M; Hong, Fangxin et al. (2015) Screening for Pain in the Ambulatory Cancer Setting: Is 0-10 Enough? J Oncol Pract 11:435-41

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