Translating catchment area cancer burden into metrics using the logic model: Insights from the Population Science Working Group of the Big 10 Cancer Research Consortium.

Preventive oncology & epidemiology Pub Date : 2023-01-01 Epub Date: 2024-01-17 DOI:10.1080/28322134.2023.2298086
Sharon L Manne, Victoria Champion, Marian Fitzgibbon, Anita Y Kinney, Cheryl Knott, Eugene J Lengerich, Sarah Nash, Melissa Simon, Marquita W Lewis-Thames, Amy Trentham-Dietz, Chasity Washington, Shinobu Watanabe-Galloway, Electra D Paskett, Margaret Wright Geise
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Abstract

Background: In 2021, the National Cancer Institute issued updated guidelines clarifying the mandated mission and organizational structure for describing Community Outreach and Engagement (COE) within the Cancer Center Support Grant. These guidelines documented ways that cancer centers should address the needs of the catchment area and how COE teams engage their catchment population in cancer research and its application for their benefit. The logic model has been adopted by COE leaders to provide a schematic for presenting, implementing, and evaluating, and translating catchment area needs into aims, activities, and outcomes that reduce cancer burden.

Methods: Ten Big 10 Cancer Center leaders completed a survey describing the origins and components of their center's logic model, identified challenges, and provided recommendations for improving the consistency of the evaluation process.

Results: Limitations included lack of inclusion of short-and intermediate-term outcomes, missing performance metrics, low correspondence between aims, activities, and outcomes, and limited information about resources, activities, and outcomes of COE.

Discussion: As catchment area needs evolve, cancer centers will need to re-prioritize the deployment of their resources. Addressing additional needs while maintaining progress on existing long-term goals will require attention to resource allocation and strategic planning.

使用逻辑模型将流域癌症负担转化为指标:来自十大癌症研究联盟人口科学工作组的见解。
背景:2021年,美国国家癌症研究所发布了更新的指导方针,明确了在癌症中心支持拨款范围内描述社区外展和参与(COE)的授权使命和组织结构。这些指导方针记录了癌症中心应满足集水区需求的方法,以及COE团队如何使其集水区人口参与癌症研究及其应用以造福他们。COE领导已采用该逻辑模型来提供一个示意图,用于表示、实现和评估集水区需求,并将其转化为减少癌症负担的目标、活动和结果。方法:十大癌症中心的十位领导完成了一项调查,描述了他们中心逻辑模型的起源和组成部分,确定了挑战,并提供了改进评估过程一致性的建议。结果:局限性包括缺乏短期和中期结果的纳入,缺少绩效指标,目标、活动和结果之间的一致性较低,以及关于COE的资源、活动和结果的信息有限。讨论:随着集水区需求的发展,癌症中心需要重新安排资源的优先级。在满足额外需求的同时保持现有长期目标的进展将需要注意资源分配和战略规划。
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