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