fRAP 2.0:a community engagement method applied to cervical cancer disparities among Hispanic women  

作　　者：Autumn M Kieber-Emmons Susan E Hansen Michael Topmiller Jaskaran Grewal Carlos Roberto Jaen Benjamin F Crabtree William L Miller 

机构地区：[1]Department of Family Medicine,Lehigh Valley Health Network,Allentown,Pennsylvania,USA [2]College of Medicine,USF,Tampa,Florida,USA [3]Lehigh Valley Health Network,Allentown,Pennsylvania,USA [4]American Academy of Family Physicians-Health Landscape,Cincinatti,OH,USA [5]Lafayette College,Easton,Pennsylvania,USA [6]UT Health San Antonio,San Antonio,Texas,USA [7]Rutgers Robert Wood Johnson Medical School,Piscataway,New Jersey,USA [8]Cancer Institute of New Jersey,New Brunswick,New Jersey,USA

出　　处：《Family Medicine and Community Health》2024年第S02期44-57,共14页家庭医学与社区卫生（英文）

基　　金：American Cancer Society,CCCDA-17-100-01.

摘　　要：focused Rapid Assessment Process(fRAP)2.0 is a community engagement approach combining geospatial mapping with rapid qualitative assessment in cyclical fashion within communities to capture multifactorial and multilevel features impacting primary care problems.fRAP 2.0 offers primary care researchers a methodology framework for exploring complex community features that impact primary healthcare delivery and outcomes.The fRAP 2.0 study design expands the fRAP from a sequential design to a cyclical process of geospatial mapping and rapid qualitative assessment in search of modifiable contextual factors.Research participants are stakeholders from various socioecological levels whose perspectives inform study outcomes that they may use to then become the agents of change for the very problems they helped explore.Here,we present a proof-of-concept study for fRAP 2.0 examining disparities in cervical cancer mortality rates among Hispanic women in Texas.The primary outcomes of interest are features at the community level,medical health system level and regional government policy levels that offer opportunities for collaborative interventions to improve cervical cancer outcomes.In this study,geospatial mapping of county and ZIP code-level variables impacting postdiagnosis cervical cancer care at community,medical and policy levels were created using publicly available data and then overlaid with maps created with Texas Cancer Registry data for cervical cancer cases in three of the largest population counties.Geographically disparate areas were then qualitatively explored using participant observation and ethnographic field work,alongside 39 key informant interviews.Roundtable discussion groups and stakeholder engagement existed at every phase of the study.Applying the fRAP 2.0 method,we created an action-oriented roadmap of next steps to improve cervical cancer care disparities in the three Texas counties with emphasis on the high disparity county.We identified local change targets for advocacy and the results helped con

关 键 词：CERVICAL qualitative policy 

分 类 号：R737.33[医药卫生—肿瘤]