In pursuit of equity: partnering to improve breast and prostate cancer outcomes among African Americans

Enard, Kimberly R.; Nicks, Shannon E.; Campbell, Bettina; McClure, Stephanie M.

doi:10.1007/s10552-021-01412-6

Cited by 5 publications

(7 citation statements)

References 32 publications

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“…Medical mistrust, negative experiences, and fear were commonly identified as issues and are key to addressing health equity overall. Although existing literature supports leveraging social and spiritual support networks as a solution to overcoming these barriers, 18,20,27 it is important to address systems and policy changes focused on cultural humility training for staff as well as a implementing a culturally tailored patient navigation across the cancer care continuum.…”

Section: Discussionmentioning

confidence: 99%

“…The CBPR conceptual model highlights four cross‐cutting constructs: trust development, capacity, mutual learning, and power dynamics 17 . Previous studies have demonstrated the successful use of CBPR to address cancer disparities by building capacity and having shared goals while understanding the challenges of power‐sharing and participatory decision making 18 . Using such a collaborative process helps everyone understand important system‐level changes that address racial disparities and inequity in breast cancer and cancer care 19 .…”

Section: Introductionmentioning

confidence: 99%

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Advancing community–academic partnerships to achieve breast health equity: Applying the community‐based participatory model to build capacity for sustained impact

Glaser,

Dauphin,

Johnson

et al. 2023

Cancer

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BackgroundThis formative study leveraged a community–academic partnership to identify barriers to care that are potential sources of breast cancer disparities in Black women. Through this partnership and using a community‐based participatory research approach, the objective was to develop a community task force to inform future interventions aimed at addressing breast cancer disparities and increasing health equity.MethodsThe authors assessed gaps in care related to breast cancer in Buffalo, New York, by collecting and analyzing qualitative data from focus groups and interviews with breast cancer survivors and breast navigation groups assessing barriers and facilitators across the cancer care continuum. Then, community‐based participatory research approaches were used to build a task force to develop an action plan addressing gaps in care.ResultsThe authors conducted a thematic analysis of qualitative findings to understand barriers and facilitators to cancer care. Three main domains of themes emerged, including medical mistrust, fear, and stigma; the importance of patient navigation as a form of social support; and the importance of faith and faith‐based community. Finally, the findings were presented to a newly formed community task force to validate the data collected and set future priorities to address breast cancer disparities and increase breast health equity in the region.ConclusionsThe authors observed that health equity is a critically important issue in cancer care and that developing culturally tailored interventions has the potential to improve care delivery and reduce breast cancer disparities. Learning from and working with community members helps set the future agenda related to health equity.Plain Language Summary Our overall goal was to assess gaps in breast cancer care in Buffalo, New York, and to use community‐based participatory approaches to build a task force to work toward breast health equity. Recent and historical data indicate that the Western New York community is facing a continued wide gap in breast cancer mortality trends between Black and White patients. We collected qualitative data to understand potential sources of inequity related to breast cancer and presented findings to a community task force to set future priorities for addressing breast cancer disparities and increasing breast health equity in our region.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Advancing community–academic partnerships to achieve breast health equity: Applying the community‐based participatory model to build capacity for sustained impact

Glaser,

Dauphin,

Johnson

et al. 2023

Cancer

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“…Shared vision was found to expand and deepen over time in positive, collaborative working relationships(Cicognani et al, 2018;Crooks et al, 2018). Furthermore, interprofessional education provided an avenue to facilitate increased awareness of services, inner workings of health systems, and cultural relevance if all parties were present(Enard et al, 2021;Purcell & Kearns, 2012;Shan et al, 2012). When interprofessional education narrowly addressed access to services, rather than cultural community-based teachings, project scope and reach were limited(Enard et al, 2021, Purcell & Kearns, 2021).…”

mentioning

confidence: 99%

“…Three studies addressed continuity of care as an objective of uid care delivery. Two of these studies aim to do this through CHW's(Enard et al, 2021;Skivington et al, 2018), and through cross-sector collaboration (Connaughton-Espino & Reese, 2021). Centrality of client needs was a notable guiding feature in six studies, that sought to integrate and scale client care at micro, meso and macro levels, which was particularly successful when diversi ed across organizations(Crooks et al., 2018; Lee et al, 2021; Provan et al, 2003; Shan et al, 2012; Van Dijk et al, 2016; Zhu et al, 2019).…”

mentioning

confidence: 99%

“…Herein, a bene cial outcome for the organization is sought after verses overarching population health features. This demonstrated paralysation of community social capital and health equity, as well as disabling trust, at the hand of academic, health and municipal partners(Enard et al, 2021;Purcell & Kearns, 2012;Schulz et al, 2001).System Integration (macro-level) context in which programs are created directly sets them up for success or failure. Those designed to respond to gaps in care were often seen as bridging rather than building sustainable solutions.…”

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confidence: 99%

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The influence of community engagement on stakeholder perspectives in cross-sector integrated care: an integrative review

Wright

Metcalf

Berta

2023

Preprint

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Background Community engagement represents a highly relevant way to integrate care across sectors and address social and structural determinants of health with populations. Yet, advancement of integrated care remains a challenge, particularly across health and social service organizations. Situating social cognition as a key element of integrated care, this paper explores the act community engagement within cross-sector integrated care. Methods An integrative review was conducted to determine what is known about the influence of community engagement on stakeholder perspectives in cross-sector integrated care, and to contribute to a more comprehensive evidence base for building and operationalizing equitable integrated care. In March 2022, four data bases were systematically searched, applying no date limits, for English language articles that described community engagement in relation to integrated care and resulting stakeholder perspectives. Using matrices, numerous variables were extracted and synthesized using thematic analysis derived from the Rainbow Model of Integrated Care and a continuum of community engagement. Results In total, 13 studies were included in this analysis. Two studies included the hospital as a partner, and the rest were a mix of public, private health and social service sectors. Positive stakeholder perspectives (N = 6) were found in studies that were consultative or collaborative, and led with social capital, shared reciprocity, and trust. Moderate and negative perspectives (N = 7) were found in studies that led with a utilitarian stance and lacked collective leadership, governance, longitudinal planning, and joint evaluations. Conclusions This review makes a singular contribution to cross-sector integrated care literature, utilizing perspectives from health and social service organizations to map what is known about the influence of community engagement on cross-sector integrative care. Perspectives from this review support calls for additional integrative care research exploring community-hospital relationships, and how power dynamics influence proximal and distal relationships, capabilities, motivations, and opportunities for collaboration.

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Adapting a Research and Community Capacity-Building Program to Address Rural Cancer Burden and Facilitate Partnership Development Between Rural Community Stakeholders and an Urban Comprehensive Cancer Center

et al. 2023

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In pursuit of equity: partnering to improve breast and prostate cancer outcomes among African Americans

Cited by 5 publications

References 32 publications

Advancing community–academic partnerships to achieve breast health equity: Applying the community‐based participatory model to build capacity for sustained impact

Advancing community–academic partnerships to achieve breast health equity: Applying the community‐based participatory model to build capacity for sustained impact

The influence of community engagement on stakeholder perspectives in cross-sector integrated care: an integrative review

Adapting a Research and Community Capacity-Building Program to Address Rural Cancer Burden and Facilitate Partnership Development Between Rural Community Stakeholders and an Urban Comprehensive Cancer Center

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