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.
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|Allen, Jennifer D; Torres, Maria IdalÃ; 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|
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|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; QuiÃ±ones, 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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