Abstract

Given the lack of progress in breast cancer prevention, the California Breast Cancer Research Program (CBCRP) plans to apply current scientific knowledge about breast cancer to primary prevention at the population level. This paper describes the first phase of Californians Linking Action with Science for Prevention of Breast Cancer (CLASP-BC). The foci of Phase 1 are building coalitions and coalition capacity building through community engagement in community-based participatory research (CBPR) and dissemination and implementation (D&I) research training. Based on the successful implementation and evaluation of Phase 1, the foci of Phase 2 (presented separately in this special issue) will be to translate the California Breast Cancer Prevention Plan overarching goal and specific intervention goals for 23 breast cancer risk and protective factors strategies into evidence-informed interventions (EIIs) that are disseminated and implemented across California. CLASP-BC is designed to identify, disseminate and implement high-impact, population-based prevention approaches by funding large scale EIIs, through multi-jurisdictional actions, with the intent to decrease the risk of breast cancer and other chronic diseases (sharing common risk factors), particularly among racial/ethnic minorities and medically underserved populations in California.

Highlights

  • Breast cancer is the most common cancer in women and the largest cause of cancer deaths among women worldwide: there were an estimated 2.1 million new cases and 626,679 deaths in 2018 [1].A woman in the USA has a 13% chance of being diagnosed with breast cancer at some point in herInt

  • As detailed in the future directions for research section of this paper, Phase 1 will focus on: (1) understanding the breast cancer concerns and prevention priorities of community leaders, researchers, practitioners, and policy experts across California; (2) engaging community and opinion leaders, research, practice, and policy specialists in regional California meetings to identify opportunities for working together in breast cancer prevention coalitions based on shared concerns and priorities; and (3) supporting building, strengthening, and enhancing community-based participatory research (CBPR) and dissemination and implementation (D&I) research capacity, as well as research engagement within these coalitions

  • Coalitions Linking Action and Science for Prevention (CLASP)-BC is designed to disseminate and implement high-impact, population-based prevention approaches by funding large scale evidence-informed interventions (EIIs), through multi-jurisdictional actions, with the intent to decrease the risk of breast cancer and other chronic diseases, among racial/ethnic minorities and medically underserved populations in California

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Summary

Introduction

Breast cancer is the most common cancer in women and the largest cause of cancer deaths among women worldwide: there were an estimated 2.1 million new cases and 626,679 deaths in 2018 [1]. CLASP-BC is designed to support the dissemination, implementation, and evaluation of evidence-informed intervention (EII) strategies from the BCPPP by leveraging existing community cancer and chronic disease prevention efforts and focusing on identified risk factors for breast cancer. CLASP-BC is designed to disseminate and implement high-impact, population-based prevention approaches by funding large scale EIIs, through multi-jurisdictional actions, with the intent to decrease the risk of breast cancer and other chronic diseases (sharing common risk factors), among racial/ethnic minorities and medically underserved populations in California. A separate paper in this special issue describes the Phase 2 elements of CLASP-BC predicated on the successful implementation and evaluation of Phase 1

Making the Case for Community-Based Partnerships
Community-Based Partnerships and Academia
Creating Meaningful and Culturally Appropriate Partnerships
Community Engagement
Lessons Learned from the Canadian CLASP Experience
Indigenous Engagement
Future Directions for Research
Conclusion
Application to Breast Cancer Prevention
Findings
Conclusions
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