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Using Community Feedback to Improve Community Interventions Results From the Deep South Network for Cancer Control Project

机译:利用社区反馈改善来自癌症控制项目的深南网络的社区干预结果

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摘要

The Deep South Network for Cancer Control (DSNCC), initiated in 2000, is a dual-state, community-based participatory research infrastructure composed of academic and community partners committed to reducing cancer disparities among underserved African Americans in 12 designated counties of the Alabama Black Belt and the Mississippi Delta, 2 historically underserved areas of the country. Local residents trained as Community Health Advisors as Research Partners implemented a 3-tier community action plan (CAP) focused on promoting cancer screening, physical activity, and nutrition. Breast, cervical and colorectal cancer screening, healthy eating habits, and physical activity levels increased among many, but not all, African American women in the 12-county DSNCC coverage area. Seeking to improve our reach to include participants who reported they had never heard of the DSNCC or participated in the CAP, we conducted in-depth conversations with community residents about reasons for selective nonparticipation and ways to improve participation in the DSNCC community health interventions. Three patterns and their associated themes described ways to improve the penetration of CAP strategies and tailor them to effectively reach underserved African Americans in the intervention counties. We conclude with lessons learned for future interventions.
机译:深南癌症控制网络(DSNCC)始建于2000年,是一个基于州和州的基于社区的参与性研究基础设施,由学术界和社区合作伙伴组成,致力于减少阿拉巴马州黑人指定县中服务不足的非洲裔美国人之间的癌症差异贝尔特和密西西比三角洲,该国2个历史欠佳地区。作为研究合作伙伴接受了社区健康顾问培训的当地居民实施了3层社区行动计划(CAP),旨在促进癌症筛查,体育锻炼和营养。在12县DSNCC覆盖地区中的许多(但不是全部)非洲裔美国妇女中,乳腺癌,子宫颈癌和结肠直肠癌的筛查,健康的饮食习惯和体育锻炼水平有所提高。为了扩大报道他们从未听说过DSNCC或参加CAP的参与者的影响力,我们与社区居民进行了深入的对话,讨论了选择性不参与的原因以及如何增加对DSNCC社区健康干预措施的参与。三种模式及其相关主题描述了提高CAP策略渗透率并对其进行调整以有效覆盖干预县中服务欠佳的非洲裔美国人的方式。最后,我们将总结经验教训,以供将来进行干预。

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