Advertisement

Journal of Cancer Education

, Volume 30, Issue 4, pp 616–622 | Cite as

A Community Coalition to Address Cancer Disparities: Transitions, Successes and Challenges

  • Vetta L. Sanders Thompson
  • Bettina Drake
  • Aimee S. James
  • Monique Norfolk
  • Melody Goodman
  • Leon Ashford
  • Sherrill Jackson
  • Miranda Witherspoon
  • Mikki Brewster
  • Graham Colditz
Article

Abstract

Community-based participatory (CBP) strategies are considered important to efforts to eliminate disparities. This paper outlines how the Program for the Elimination of Cancer Disparities (PECaD) uses CBP strategies as a part of a long-term cancer education, prevention, and control strategy in an urban community. Community partnerships have proved to be vital resources to inform PECaD’s agenda and the research practice of academic partners. We begin with a description of PECaD governance and partnership structures. The paper then describes programmatic activities and successes, including efforts to monitor clinical trials, deployment of mammography resources, anti-smoking, and prostate and colorectal cancer (CRC) screening education. The influence of changes in funding priorities, preventive screening policy, and community partner development on the partnership process over time is discussed. PECaD community partners have grown and expanded beyond the Program’s mission and developed additional partnerships, resulting in a reevaluation of relationships. The impact of these external and internal changes and pressures on the partnerships are noted. The evolution of the evaluation process and what it has revealed about needed improvements in PECaD activities and operations is presented. A summary of the lessons learned and their implications for CBP practice are provided.

Keywords

Community-based participatory research Cancer prevention and control Health education Health disparities 

Notes

Acknowledgments

We gratefully acknowledge the community members and partners who participate in the Program for the Elimination of Cancer Disparities activities and planning. We thank our academic partners and staff for their valuable contributions. Primary support for this program is through the Community Networks Program Center grant U54 CA153460 (PI: Colditz). We gratefully acknowledge supplemental funding through Siteman Cancer Center and the Foundation for Barnes-Jewish Hospital.

Conflict of Interest

The authors have no conflicts of interest to declare.

References

  1. 1.
    Sapienza JN, Corbie-Smith G, Keim S, Fleishman AR (2007) Community engagement I epidemiological research. Ambul Pediatr 7:247–252PubMedCentralCrossRefPubMedGoogle Scholar
  2. 2.
    D’Alonzo KT (2010) Getting started in CBPR: lessons in building community partnerships for new researchers. Nurs Inq 17:282–288. doi: 10.1111/j.1440-1800.2010.00510.x PubMedCentralCrossRefPubMedGoogle Scholar
  3. 3.
    Israel BA, Eng E, Schulz AJ, Parker EA (2005) Methods in community-based participatory research for health. John Wiley & Sons, San FranciscoGoogle Scholar
  4. 4.
    Wallerstein N, Duran B (2010) Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity. Am J Public Health 100:S40–S46PubMedCentralCrossRefPubMedGoogle Scholar
  5. 5.
    Wallerstein NB, Duran B (2006) Using community-based participatory research to address health disparities. Health Promot Pract 7:312–323CrossRefPubMedGoogle Scholar
  6. 6.
    Jones L, Wells K (2007) Strategies for academic and clinician engagement in community-participatory partnered research. J Am Med Assoc 297:407–410CrossRefGoogle Scholar
  7. 7.
    Cargo M, Mercer SL (2008) The value and challenges of participatory research: strengthening its practice. Ann Rev Public Health 29:325–350CrossRefGoogle Scholar
  8. 8.
    Seifer S (2006) Community-based participatory research. Community-Campus Partnerships for Health, Michigan. Available at: http://depts.washington.edu/ccph/pdf_files/p-msu-cbpr.pdf. Accessed 18 Sept 2014
  9. 9.
    Horowitz CR, Robinson M, Seifer S (2009) Community-based participatory research from the margin to the mainstream are researchers prepared? Circulation 119(19):2633–2642PubMedCentralCrossRefPubMedGoogle Scholar
  10. 10.
    Weerts DJ, Sandmann (2008) Building a two-way street: challenges and opportunities for community engagement at research universities. Rev High Educ 32:73–106CrossRefGoogle Scholar
  11. 11.
    De las nueces D, Hacker K, Digirolamo A, Hicks LS (2012) A systematic review of community-based participatory research to enhance clinical trials in racial and ethnic minority groups. Health Serv Res 47:1363–1386. doi: 10.1111/j.1475-6773.2012.01386.x PubMedCentralCrossRefPubMedGoogle Scholar
  12. 12.
    Schulz AJ, Israel BA, Lantz P (2003) Instrument for evaluating dimensions of group dynamics within community-based participatory research partnerships. Eval Program Plan 26:249–262. doi: 10.1016/S0149-7189(03)00029-6 CrossRefGoogle Scholar
  13. 13.
    Khodyakov D, Stockdale S, Jones A, Mango J, Jones F, Lizaola E (2013) On measuring community participation in research. Health Educ Behav 40:346–354. doi: 10.1177/1090198112459050 PubMedCentralCrossRefPubMedGoogle Scholar
  14. 14.
    Program for the Elimination of Cancer Disparities (PECaD) (2010) Report to stakeholders 2005–2010 past, present and future: progress, key accomplishments and challenges toward the elimination of cancer disparities. http://www.siteman.wustl.edu/uploadedFiles/Research_Programs/Program_for_the_Elimination_of_Cancer_Disparities/PECaD. Accessed 18 Sept 2014
  15. 15.
    Scharff DP, Matthews KJ, Jackson P, Hoffsuemmer J, Martin E, Edwards D (2010) More than Tuskegee: understanding mistrust about research participation. J Health Care Poor Underserved 21(3):879–897PubMedCentralCrossRefPubMedGoogle Scholar
  16. 16.
    Dart H, Wolin KY, Colditz GA (2012) Commentary: eight ways to prevent cancer: a framework for effective prevention messages for the public. Cancer Causes Control 23(4):601–608PubMedCentralCrossRefPubMedGoogle Scholar
  17. 17.
    Minkler ME, Wallerstein NE (2003) Community based participatory research for health. Jossey-BassGoogle Scholar
  18. 18.
    Flicker S, Travers R, Guta A, McDonald S, Meagher A (2007) Ethical dilemmas in community-based participatory research: recommendations for institutional review boards. J Urban Health 84:478–493PubMedCentralCrossRefPubMedGoogle Scholar
  19. 19.
    Goodman MS, Dias JJ, Stafford JD (2010) Increasing research literacy in minority communities: CARES fellows training program. J Empir Res Human Res Ethics 5:33–41CrossRefGoogle Scholar
  20. 20.
    Moyer VA (2012) Screening for prostate cancer: US Preventive Services Task Force recommendation statement. Ann Intern Med 157(2):120–134CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Vetta L. Sanders Thompson
    • 1
  • Bettina Drake
    • 2
    • 3
  • Aimee S. James
    • 2
    • 3
  • Monique Norfolk
    • 3
  • Melody Goodman
    • 2
    • 3
  • Leon Ashford
    • 4
  • Sherrill Jackson
    • 4
  • Miranda Witherspoon
    • 4
  • Mikki Brewster
    • 4
  • Graham Colditz
    • 2
    • 3
  1. 1.Public Health Program, Brown SchoolWashington UniversitySt. LouisUSA
  2. 2.Department of SurgeryWashington University School of MedicineSt. LouisUSA
  3. 3.Siteman Cancer CenterWashington University School of MedicineSt. LouisUSA
  4. 4.PECaD Disparities Elimination Advisory BoardSt. LouisUSA

Personalised recommendations