142nd APHA Annual Meeting and Exposition

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How a CBPR partnership developed capacity to implement systems-interventions within medical centers: Organizing co-learning and trust among partners while addressing racial equity in cancer outcomes

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 11:30 AM - 11:50 AM

Christina Hardy, MPH , Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC
Beth Smith, RN, MSN, NE-BC , Cone Health Systems Regional Cancer Center
Nora Jones, MEd , 501(C)3 agency which sponsors anti-racism workshops, The Partnership Project, Greensboro, NC
Brian Cass , Cecil G. Sheps Center for Health Services Research, UNC-CH, Chapel Hill, NC
Kristin Z. Black, MPH , Gillings School of Global Public Health / Department of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, NC
Samuel Cykert, MD , Division of General Medicine and Clinical Epidemiology and NC Area Health Education Centers Program, University of North Carolina Chapel Hill, Chapel Hill, NC
Karen Foley, RN , University of Pittsburgh Medical Center, Pittsburgh, PA
Keon L. Gilbert, DrPH, MPA, MA , Department of Behavioral Sciences and Health Education, Saint Louis University, School of Public Health, St. Louis, MO
Ziya Gizlice, PhD , Center for Health Promotion and Disease Prevention, University of North Carolina Chapel Hill, Chapel Hill, NC
Skip Hislop , Cone Health Regional Cancer Center, Greensboro, NC
Janet Jeon
Alexandra Lightfoot, EdD , Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill, Chapel Hill, NC
Jeannette McCall , Sisters Network, Greensboro, NC
Mary S. Mouw, MD , Gillings School of Global Public Health, Department of Health Behavior, Chapel Hill, NC
Linda Barry Robertson, DrPH, RN, MSN , Dept of Medicine/Hem Onc, University of Pittsburgh, Pittsburgh, PA
Jennifer Schaal, MD , The Partnership Project, Greensboro, NC
Jamie Steed, BA , Department of Public Health Education, North Carolina Central University, Duham, NC
Youland Williams, RN, MSN, NEA-BC , Cone Health Cancer Center, Greensboro, NC
Background:

Community-Based Participatory Research partnerships are powerful mechanisms needed to address race-based health disparities while utilizing systems science methodologies.  The Greensboro Health Disparities Collaborative (GHDC), an 11-year community-academic partnership, created the foundation for the interdisciplinary steering committee of the Accountability for Cancer Care through Undoing Racism and Equity (ACCURE) study.   ACCURE is an NCI-funded 5-year systems-intervention project, using CBPR and principles of Undoing Racism™ to optimize transparency and accountability for racial equity in health outcomes for African American and Caucasian early stage breast and lung cancer patients. 

Methods:

The ACCURE Steering Committee includes the co-principal investigators from each partnership organization and leadership representatives from: (1) two medical centers, (2) an anti-racism non-profit, (3) a university prevention research center, (4) and stakeholders from the Greensboro, NC community.  The GHDC strengthened the capacity of the ACCURE Steering Committee through co-learning using principles of anti-racism and research ethics.  The Steering Committee developed trust and methods of bi-directional learning through weekly facilitated communications, shared work files, and consistent organization.

Results:

Using capacity-building methods, the ACCURE Steering Committee organized the planning and management of research participant recruitment, and development of multiple systems-interventions; including an electronic medical record analysis tool for nurse navigators and anti-racism professional development training for medical staff. 

Conclusion:

The Steering Committee of the ACCURE research study is a model partnership that emerged from the foundation and methods used by the GHDC.  Communication channels and sub-committee structures expanded opportunities for continued collaborative work to facilitate community-medical-academic partnerships in addressing cancer disparities through innovative research activities.

Learning Areas:

Administration, management, leadership
Communication and informatics
Public health administration or related administration
Public health or related research
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the importance of the partnership’s Steering Committee structure and capacity development which expands opportunities for addressing racial disparities in healthcare settings. Identify the foundation and opportunities created for co-learning among community, academic, and medical partners through systems-intervention research.

Keyword(s): Community-Based Partnership & Collaboration, Community-Based Research (CBPR)

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Project Manager of this research study, which is the focus of this abstract submission. I was also the Project Coordinator of the previous research which led to this current study. I facilitate our Steering Committee, and have presented at previous professional development conferences, trainings, and other venues, about Community-Based Participatory Research and solutions for eliminating health disparities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4115.0: Mapping the landscape of equity and system change in cancer care: The ACCURE project