Evidence map›Paper›PMID 34158127›Full record

ArticleResearch involvement and engagement2021

Advancing engagement and capacity for rural cancer control: a mixed-methods case study of a Community-Academic Advisory Board in the Appalachia region of Southwest Virginia.

Jamie M Zoellner, Kathleen J Porter, Donna-Jean P Brock, Emma Mc Kim Mitchell, Howard Chapman, Deborah Clarkston, Wendy Cohn, Lindsay Hauser, Dianne W Morris, Sarah Y Ramey and 4 more

Open access · goldAbstract read
In one paragraph

Article in Research involvement and engagement, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Jamie M ZoellnerDepartment of Public Health Sciences, School of Medicine, University of Virginia, 16 E. Main St, Christiansburg, VA, 24073, USA. jz9q@virginia.edu.ORCID http://orcid.org/0000-0001-5445-5594
Kathleen J PorterDepartment of Public Health Sciences, School of Medicine, University of Virginia, 16 E. Main St, Christiansburg, VA, 24073, USA.ORCID https://orcid.org/0000-0002-6416-4261
Donna-Jean P BrockDepartment of Public Health Sciences, School of Medicine, University of Virginia, 16 E. Main St, Christiansburg, VA, 24073, USA.
Emma Mc Kim MitchellSchool of Nursing, University of Virginia, PO Box 800782, Charlottesville, VA, 22908, USA.ORCID https://orcid.org/0000-0002-3996-518X
Howard ChapmanTri-Area Community Health, P.O. Box 9, Laurel Fork, VA, 24352, USA.
Deborah ClarkstonMountain Empire Community College Nursing Program, Phillips-Taylor Hall Rm 136, 3441 Mountain Empire Rd, Big Stone Gap, VA, 24219, USA.
Wendy CohnDepartment of Public Health Sciences, University of Virginia, School of Medicine, P.O. Box 800717, Charlottesville, VA, 22908, USA.ORCID https://orcid.org/0000-0002-4351-8497
Lindsay HauserOffice of Outreach and Engagement, University of Virginia Cancer Center, Box 800334, Charlottesville, VA, 22908, USA.
Dianne W MorrisMountain Laurel Cancer Support and Resource Center, Mountain Empire Older Citizens, Inc., P.O. Box 888, Big Stone Gap, VA, 24219, USA.
Sarah Y RameyClinch Valley Medical Center, 6801 Gov. G. C. Peery Hwy., Richlands, Virginia, 24641, USA.
Brenna RobinsonOffice of Outreach and Engagement, University of Virginia Cancer Center, Box 800334, Charlottesville, VA, 22908, USA.
Scott Schriefer, Kingsport, TN, USA.
Noelle VogesOffice of Community Outreach & Engagement, University of Virginia Cancer Center, P.O. Box 800334, Charlottesville, VA, 22903, USA.
Kara P WisemanDepartment of Public Health Sciences, University of Virginia, School of Medicine, P.O. Box 800717, Charlottesville, VA, 22908, USA.ORCID https://orcid.org/0000-0001-6956-0899
University of Virginia · USMountain Empire Community College · USThe King's College · USValley Medical Center · US

Funding

Women's Oncology Program - WONP30CA044579 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Jay William FOX · 1987 to 2026
$72.1M
NCI NIH HHS CA044579NCI NIH HHS P30 CA044579Patient-Centered Outcomes Research Institute #10254
6 · The paper itself

Abstract

backgroundThe objectives are to: 1) describe engagement processes used to prioritize and address regional comprehensive cancer control needs among a Community-Academic Advisory Board (CAB) in the medically-underserved, rural Appalachian region, and 2) detail longitudinal CAB evaluation findings.

methodsThis three-year case study (2017-2020) used a convergent parallel, mixed-methods design. The approach was guided by community-based participatory research (CBPR) principles, the Comprehensive Participatory Planning and Evaluation process, and Nine Habits of Successful Comprehensive Cancer Control Coalitions. Meeting artifacts were tracked and evaluated. CAB members completed quantitative surveys at three time points and semi-structured interviews at two time points. Quantitative data were analyzed using analysis of variance tests. Interviews were audio recorded, transcribed, and analyzed via an inductive-deductive process.

resultsThrough 13 meetings, Prevention and Early Detection Action Teams created causal models and prioritized four cancer control needs: human papillomavirus vaccination, tobacco control, colorectal cancer screening, and lung cancer screening. These sub-groups also began advancing into planning and intervention proposal development phases. As rated by 49 involved CAB members, all habits significantly improved from Time 1 to Time 2 (i.e., communication, priority work plans, roles/accountability, shared decision making, value-added collaboration, empowered leadership, diversified funding, trust, satisfaction; all p < .05), and most remained significantly higher at Time 3. CAB members also identified specific challenges (e.g., fully utilizing member expertise), strengths (e.g., diverse membership), and recommendations across habits.

conclusionThis project's equity-based CBPR approach used a CPPE process in conjunction with internal evaluation of cancer coalition best practices to advance CAB efforts to address cancer disparities in rural Appalachia. This approach encouraged CAB buy-in and identified key strengths, weaknesses, and opportunities that will lay the foundation for continued involvement in cancer control projects. These engagement processes may serve as a template for similar coalitions in rural, underserved areas.

Indexed as

CancerCommunity-based participatory researchCommunity capacityHealthcare coalitionsMedically underserved areaMixed-methods

Identifiers

PMID34158127
PMCPMC8218281
OpenAlexW3175040964

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.