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| ID | Type | Description | Link |
|---|---|---|---|
| U19CA291431 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Cancer Institute (NCI) | NIH |
| Caring Health Center | UNKNOWN |
| Massachusetts League of Community Health Centers | OTHER |
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The goal of this study is to evaluate the impact of a multi-level intervention on cancer prevention and social determinants of health outcomes. This partnership between academic and community-based researchers aims to link community health centers and communities in ways that maximize both civic engagement and participation in cancer control care. The system-level intervention consists of two components: (1) provision of community health center systems-level tools for cancer screening (breast, cervical, colorectal) and tobacco cessation treatment gaps; and (2) digital access screening and navigation. These interventions will be delivered via usual care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Multilevel Intervention | Experimental |
| |
| Usual Care | No Intervention | In this stepped wedge design, all sites have a period of being in usual care. Six sites then have periods of providing the intervention and six sites remain comparison sites (i.e. usual care). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tools and Training for Cancer Control | Behavioral | This system level intervention consists of two components: (1) provision of community health center systems-level tools for cancer screening (breast, cervical, colorectal) and tobacco cessation treatment gaps; and (2) digital access screening and navigation. |
| Measure | Description | Time Frame |
|---|---|---|
| Patients Screened for Colorectal Cancer | % patients who are up to date on colorectal cancer screening from EMR | change from baseline to end of intervention period, an average of 1 year |
| Patients Screened for Breast Cancer | % patients who are up to date on breast cancer screening from EMR | change from baseline to end of intervention period, an average of 1 year |
| Patients Screened for Cervical Cancer | % patients who are up to date on cervical cancer screening from EMR | change from baseline to end of intervention period, an average of 1 year |
| Patients Offered Pharmacotherapy for Smoking Cessation | % patients offered pharmacotherapy from EMR | change from baseline to end of intervention period, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability of the intervention | Self reported via staff survey | Post intervention, 1 year follow up |
| Feasibility of the intervention | Self-reported via staff survey |
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Study participants include community health center and community partner staff participating in surveys and interviews about the implementation of the intervention.
Inclusion Criteria:
Exclusion Criteria:
Patients will not be individually recruited for the study because the intervention is being offered as part of routine care.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Harvard TH Chan School of Public Health | Boston | Massachusetts | 02115 | United States | ||
| Caring Health Center |
Data that underlie the results reported here, after de-identification. Individual staff/partner data on implementation will be made publicly available.
Patient data can be made available upon request and appropriate approvals (see below).
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Data will be stored for 7 years.
Outside investigators will need an approved concept proposal to analyze study data and spend the requisite time with study staff to learn about the data elements needed to conduct the proposed analysis. With the assistance from the study's analytic team, s/he will draft a detailed analysis plan and present to the core group of co-investigators. The discussion at this meeting ensures adequate knowledge of the data, and the presenter gains much insight into how the analysis can be most useful and how it relates to previous analyses. Once the plan is approved by this group, it must also be approved by the CHCs that provide the de-identified data. Following approval by the appropriate IRBs and confirmation that it meets HIPAA requirements, s/he may sign a DUA to use a secure, de-identified dataset to complete only the approved analyses and write the manuscript(s) offsite. A formal data analysis plan application and DUA are available. Requests should be directed to jdaly@hsph.harvard.edu.
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| ID | Term |
|---|---|
| D020340 | Tobacco Use Cessation |
| ID | Term |
|---|---|
| D015438 | Health Behavior |
| D001519 | Behavior |
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This study uses a cluster-randomized, stepped-wedge design
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| Enhancing Social Capital and Civic Engagement | Behavioral | This community level intervention consists of a patient referral from a community health center to a community organization focused on building social capital and civic engagement to test the impact of connecting clinical and community resources explicitly for patients. |
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| Post intervention, 1 year follow up |
| Springfield |
| Massachusetts |
| 01103 |
| United States |