Community Outreach Research Articles

Geospatial Analysis of Tsunami Hazards and Mitigation Strategies

Abstract Indonesia has experienced its deadliest disasters named tsunamis, particularly since the devastating earthquakes in Aceh and Yogyakarta. The Sunda Strait region and its surrounding areas, located in the Megathrust zone of western Java, are especially vulnerable to tsunami events. Geospatial technology’s advancement offers disaster mitigation strategies with potential for loss reduction. This research aims to analyze tsunami hazards and its mitigation using geospatial approach. We focused on Pagelaran Sub-District in Pandeglang Regency, Banten, Indonesia. Secondary sources and field checks provide research data on hazards and tsunami evacuation routes. We used several data such as slope, coastlines, elevation, river and road networks, as well as land use. Analysis was carried out employing weighting, scoring, overlay, and network techniques. Tsunami hazard is categorized in three categories ie. low, medium, and high. In Tegalpapak, Margagiri, and Margasana villages, a total residential area of 34.93 hectares places these villages in a high vulnerability category. The fastest evacuation route covers 1 km in 2.41 minutes (Margagiri Village). Efforts to mitigate tsunami risk include identifying and mapping potential threats, community outreach, enhanced spatial planning, and placement of evacuation signs.

Barriers to Follow-Up of an Abnormal Clinical Breast Examination in Uttar Pradesh, India: A Qualitative Study.

To understand key barriers to diagnostic follow-up for women with an abnormal clinical breast examination (CBE) at the primary care level in the Uttar Pradesh state in India. We also explored acceptability of mobile phones to address barriers to CBE follow-up for women. We conducted 28 semistructured in-depth interviews with 12 women with an abnormal CBE at the primary health facility who did not have diagnostic follow-up, four community health workers, nine health care providers from health facilities in rural and urban settings, and three state-level decision makers. Interviews were audiorecorded, transcribed verbatim, and translated from Hindi to English. Thematic analysis was conducted using Dedoose qualitative software. Themes were organized by multilevel barriers to follow-up. Key barriers to CBE follow-up included knowledge, fear, and stigma about breast cancer; women's health not being prioritized in the family; discomfort seeing male providers; and difficulty navigating the diagnostic facility. Despite community education and outreach efforts by community health workers (known as Accredited Social Health Activists), lack of awareness of breast cancer and the importance of follow-up for abnormal CBE remains a barrier to early detection. Despite widespread access to mobile phones, perceived acceptability varied among stakeholders regarding mobile phone use for breast health education and communication with clients. Knowledge, cultural, and health system barriers challenge women's ability to follow recommendations for diagnostic follow-up of an abnormal CBE. Multilevel and gender-responsive strategies are needed to address these barriers. Our results suggest that mobile phones could be used to further improve breast health awareness, patient navigation, and tracking, and further research is needed.

EP.04A.14 Community Outreach for Lung Cancer Awareness: Utilizing the ‘Cancer Challenge' to Educate the Public

EP.04A.14 Community Outreach for Lung Cancer Awareness: Utilizing the ‘Cancer Challenge' to Educate the Public

Tackling Inequalities in Access to Medicines for People Experiencing Homelessness: A Meta-Ethnography and Qualitative Systematic Review.

Despite increased awareness of the detrimental relationship between homelessness and health, people experiencing homelessness remain an underserved population in health and social care research. Due to barriers affecting the accessibility of medicine and healthcare services, as well as reported competing priorities such as food and shelter, evidence has demonstrated that people experiencing homelessness are less likely to undergo routine examinations, receive diagnoses and adhere to prescribed medical treatments. To enhance service design and access for those experiencing homelessness, it is critical to better recognise, understand and address the barriers these individuals face. This meta-ethnography aims to identify barriers, enablers and interventions to begin addressing this inequality gap. A systematic literature search was undertaken in October and re-ran in December 2023 across four databases: MEDLINE, Embase, CINAHL and Scopus. Qualitative studies were included if they addressed barriers, enablers and interventions aimed at tackling medicines and health service inequalities among populations experiencing homelessness. Study quality was assessed using the Joanna Briggs Institute critical appraisal checklist. Data were synthesised using a meta-ethnographic approach, as outlined by Noblit and Hare. The review was registered on PROSPERO (CRD42024511502) and performed according to PRISMA guidelines. This meta-ethnographic systematic review synthesised data from eight studies across multiple countries. Three overarching third-order constructs (termed 'themes') were developed through reciprocal translation and centred around: recognising and acknowledging the discrimination, stigma and barriers experienced when using current services; exploring safe and practical use of medicines and the promotion of general health education and appreciating strategies to tackle inequalities, namely community outreach programmes designed for homeless communities. This work highlighted the barriers, enablers and interventions that sought to address the inequalities affecting people experiencing homelessness in accessing medication and healthcare services. Future research should utilise lived-experience narratives and co-design to further explore ways to tackle wider healthcare accessibility inequalities for this minoritised population. Not applicable, as this is a systematic review. Public contributors (minority research champions and one public health research champion, H.K.G. and T.G.) informed and shaped this project during study design and conceptualisation. They helped to ensure that the study was conducted, and the findings were reported with sensitivity.

Enhancing Accessibility in Archives of Developing Countries: Strategies for Inclusive Information Access in Pakistani Context

ABSTRACTThis study explores these challenges, focusing on language diversity, literacy levels, and technological infrastructure. Sindh's linguistic diversity, with Sindhi, Urdu, and English as primary languages, creates barriers for users not proficient in multiple languages. The need for translation services, limited by financial constraints, further complicates access. Additionally, literacy disparities between urban and rural areas hinder engagement with textual materials, necessitating educational outreach programs that require substantial investment. Technological barriers, including limited internet access and digital devices in rural areas, exacerbate these challenges. This research proposes strategies to enhance accessibility in Sindh Archives, such as multilingual cataloging, audiovisual resources, community outreach programs, mobile libraries, user‐friendly digital interfaces, collaborative partnerships, and capacity‐building initiatives. These strategies aim to promote equitable access to archival resources, enabling broader participation in research and education. By implementing these approaches, the rich cultural heritage of Sindh can be preserved and made accessible for future generations. The Sindh Archives in Karachi, with its extensive collection of historical documents, serves as a case study to illustrate the potential impact of these strategies.

Community Outreach Benefits Dermatology Residents and Their Patients

Community Outreach Benefits Dermatology Residents and Their Patients

Expanding LGBTQ+ Inclusivity: An Ecological Model of School Library Practice in Addition to Collection Development

This research explores the critical need for a holistic approach to LGBTQ+ inclusivity in school library services, moving beyond the traditional focus on collection development to address underexplored areas such as cataloguing practices, purchasing procedures, programming, policies, and community outreach. The school libraries often become a place of social stigma for LGBTQ+ students, and availability of fewer resources and institutional biases typically discourage them from accessing information and support from such libraries. For this purpose, this study will carry out research using a qualitative research design with the help of content analysis and case studies to identify the best practices and policies of selected school libraries in regard to addressing such matters. It sets much importance on cataloguing in such a way so that these LGBTQ+ resources, materials, etc. should be visible and accessible besides discussing budget limitations and community force behind acquiring the LGBTQ+ resources as a part of the library collection. This also emphasizes the requirement of an LGBTQ+ inclusive program with efficient community outreach that builds safe spaces for the student population LGBTQ+. The study further stresses the need for library policies and how librarians can become great advocates of LGBTQ+ rights and representation. A careful consideration of any aspect of library services described in this paper will help guide principles for making school libraries more inclusive and equitable. The implications are considered crucial for future research and practice, toward further development of library services to support the needs of LGBTQ+ students completely, which will enhance their well-being and academic success.

KISWAHILI RADIO BROADCASTING IN KENYA: PERSPECTIVES, CHALLENGES AND OPPORTUNITIES

This research aimed to look into the falling standards of content in radio broadcasts in Kenya and the disengagement of audiences due to commercialization, regulatory pressures, and competition from vernacular and digital platforms. The objectives of this paper were to evaluate the impact of these challenges on Kiswahili radio stations, identify possibilities for enriching their content and expanding their audience bases, and strategies towards media relevance in Kenya’s dynamic landscape. A qualitative approach involving semi-structured interview guides with Kenyan leading radio producers and presenters, key informants, and listeners was employed to provide an analytical perspective on listening habits and key concerns about Kiswahili radio. Findings indicate that Kiswahili radio has played a significant role in promoting public discourse by offering a platform for people to voice their opinions concerning national matters and the cultural significance of indigenous customs and practices while creating a sense of belonging among its listeners. They act as a medium through which important messages relating to healthcare services and governance are passed across to others, including political communication tools that mobilize the masses for elections. Factors such as lack of funds, new technologies, political interference, and linguistic variety can sooner or later bring negative effects, affecting the stations’ programming quality and ability to respond to the constantly changing media environment. However, barriers encountered in this study suggest that growth in Kiswahili radio broadcasting can still be achieved through embracing digitization, diversification of revenue, upholding good journalism practices, inclusiveness of the community, geographical expansion, and regional and international outreach.

Managing End of Life Needs of Frail, Older Adults in the Community: The Role of a Hospital-Based Community Outreach Team

Abstract Background Our current healthcare systems are designed around periods of acute illness and are ill equipped to meet the needs of multimorbid and frail adults with worsening mobility, cognition and function. According to The Irish Longitudinal Study on Aging (TILDA), Ireland has a high proportion of hospital deaths, indicating inadequate community and home care supports. Recognizing patients who are likely to benefit from supportive and palliative approaches with a goal to die at home can be done using a combination of tools and based on advanced care planning discussions. Methods In 2021, our Department for Older Persons Services allocated a team consisting of a Registrar and Advanced Nurse Practitioner in Frailty to form an outreach service. Inpatients who appear nearing end of life who have expressed wishes to avoid further hospitalization and to die at home are identified during their admission. Home visits allow for a holistic assessment and family members are given the opportunity to ask questions. We provide education on end of life, trying to anticipate needs and often see patients and families through periods of deterioration until they stabilize again in a ‘new normal’ or begin the process of active dying. We communicate with Public Health Nurses, General Practitioners and the Community Palliative Care Team. Results Families and carers supporting loved ones who wish to avoid further hospitalization and die at home benefit from combined medical and nursing support & specialist expertise the team brings. Conclusion Addressing end of life for multimorbid patients living with severe frailty is a global challenge. Hospital admission is an ideal time to begin conversations regarding goals of care and initiate advanced care planning. The outreach team work together with hospital and community colleagues to the common goal of following patients’ wishes at end of life.

Young Doctors Program-Colorado: An Elective Elementary School Program to Improve Health Literacy, Utilization of the Healthcare System, and Osteopathic Awareness

AbstractThe Young Doctors Program (YDP) is a “mini medical school” series for fifth-grade elementary children. The YDP was designed and led by medical students in the Academic Medicine and Leadership Track at the Rocky Vista University College of Osteopathic Medicine in Colorado. The curriculum of the program was designed around the State of Colorado Learning Standards with the purpose of educating students about emergencies and common ailments in five body systems (cardiovascular, respiratory, gastrointestinal, musculoskeletal, and renal) while also providing exposure to healthcare as a profession. YDP provides children with insights into the healthcare system, an introduction to osteopathic medicine, and it enhances community outreach. This article provides a framework for the semester-long YDP curriculum as well as our final event which synthesizes learned information using standardized patients. We describe successes including community outreach and healthcare exposure in the elementary school, and challenges initiating connections with local schools and funding. Future goals include expanding outreach to other fifth-grade schools as well as growth to different age levels. Authors plan to pursue IRB approval for research to examine the benefits and efficacy of the YDP.

Police Public Image through the Lens of Community Stakeholders

Police community relation is meant to combat citizen mistrust of the police force. This strategy was developed in the mid-20th century to help officers ​​work more collaboratively with the communities they are assigned to. The hope was that activities such as town hall meetings and “meet and greet” foot patrols would create a partnership between citizens and the police force, increasing trust and ultimately leading to reduced crime. This study explored the views of community stakeholders on the police public image in the province of Southern Leyte through a qualitative research method. The informants of this study were ten individuals from different sectors of society within the province of Southern Leyte. All informants were subjected to an individual in-depth interview. The findings of this study are described in emergent themes. Six (6) emergent themes described the positive and negative views of the informants regarding their current views on the public image. For the positive views, three (3) emergent themes were developed, namely Community Engagement and Cooperation, Trust in Police and Public Safety, and Commitment to Duty and Profession. For the negative views, three (3) emergent themes were also developed: Use of Excessive Force and Violence, Negative Stereotypes and Public Distrust, and Malfeasance and Inconsistent Law Enforcement. Meanwhile, two (2) emergent themes were formulated to explain how the impact of the police public image affects the community stakeholders, namely, Police as Protector and Police as Public Defender. Finally, four (4) emergent themes were formulated to explain how police activities promote community confidence and trust, namely Enhanced Police Visibility, Community Outreach Program, First Responders in Calamities, and Proactive Information Campaigns. Based on the emergent themes identified, it is recommended that the Philippine National Police (PNP) enhance the efficacy of law enforcement officers by developing stronger relationships with the public and addressing the issues pointed out in the study to restore public confidence. Essential measures may include improving community engagement through transparent communication and enhancing officer training in ethics and accountability.

Tracking Community Outreach and Engagement Activities among National Cancer Institute-Designated Cancer Centers.

The National Cancer Institute's (NCI) Cancer Center Support Grant mandates that NCI-Designated Cancer Centers establish a Community Outreach and Engagement (COE) component to help direct efforts at reducing cancer burden within their catchment areas. Despite the critical role of COE offices, little is known about how they track and evaluate outreach activities and outcomes. We gathered information on current practices from representatives of 40 out of 65 COE offices using an online survey. While nearly all responding centers (97.5%) tracked COE activities, no consensus existed on resources used and satisfaction with current solutions was mixed (51.0% not satisfied). Respondents expressed need for a centralized, standardized, and comprehensive tracking solution to capture outreach events and external partnerships, automate report generation, and ensure alignment with COE aims. This study highlights challenges COE offices face with resource limitations and a heterogeneity of activities to track, and the need for a standard evaluation framework.

Abstract B050: Health and faith in the Korean community: Increasing breast and colorectal cancer education and screening in Los Angeles

Abstract Background: Koreatown in Los Angeles is home to over 115 churches within 3 miles. Korean churches are sanctuaries that provide support and nurture social connections, especially among Korean immigrants with limited English proficiency, who face challenges in accessing cancer care, including language barriers, lack of health insurance, and fears associated with cancer screening procedures and treatments. Koreans experience higher incidence and prevalence rates of breast and colorectal cancers compared to non-Hispanic White and other Asian subgroups, respectively. To address this, a Health and Faith Initiative was launched in 2018, utilizing evidence-based strategies recommended by Center for Disease Control and Prevention Community Guide and the use of a Cancer 101 curriculum developed by the Fred Hutchinson Cancer Center. METHODS: A three-stage Partnership Development Framework (networking, education, program and research development) was used to grow deep connections and sustainable cancer screening programs with church pastors and leaders, patient navigators, Federally Qualified Health Centers, State Breast and Cervical Early Detection Program providers, Diagnostic facilities, Hospitals and Community Outreach and Engagement staff. Bi- lingual church leaders was selected by pastors and elders at churches were trained as lay community navigators to conduct cancer education workshops using a Cancer 101 curriculum, as well as to support for church member to navigate across the cancer continuum. Church pastors and community health clinics determine outreach, engagement, and research priorities through active participation in Community Advisory Board and research studies. The initiative is sustained through coordination of 2 outreach staff and financial assistance from community benefit and research grants at Cedars Sinai Cancer Center. RESULTS: From June 2023 to May 2024, Community Outreach and Engagement (COE) have led the coordination of 6 breast cancer health education workshops and screening events with 165 people screened (128 screening mammograms, 37 diagnostic mammograms & ultra sounds) in partnership with Koryo Health Foundation. Two patients were diagnosed with breast cancer and were referred to Cedars Sinai for treatment. For colorectal cancer, 8 health education workshops were conducted, and 122 Fit Kits were distributed with 72 kits returned, a 59% return rate. Cancer education workshops using American Cancer Society cancer screening guidelines for breast, colorectal, prostate, cervical, lung cancer has reached 810 people during 5 tabling events. Those who were not up to date were referred to our partnered health clinics for screening. CONCLUSION: Engaging Korean church leaders and training community navigators is an effective outreach strategy to build long-lasting partnership for successful implementation of cancer screening interventions but also support patients in needed follow up care that help immigrant populations to navigate across the cancer continuum. Citation Format: Dong Hee Kim, Min Jung Sung, Moon Ju Kim, Jeong Yup Lee, Reener Balingit, Zul Surani. Health and faith in the Korean community: Increasing breast and colorectal cancer education and screening in Los Angeles [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B050.

Abstract B088: Decentralizing cancer disparities research: Barbershops as a foundation for community outreach and engagement

Abstract Introduction Addressing cancer disparities by meeting people where they are is a crucial aspect of community-engaged research. The impact of this has been seen through the community outreach and engagement efforts of cancer centers across the country, with many focusing on churches, community events, and other trusted places. In the past four years, Mayo Clinic’s Cancer Health Equity Program (CHERP) has made a specific effort to decentralize clinical trials and community-engaged research by going to the places our community trusts and frequents. As a result, we partnered with a trusted leader in Jacksonville, Florida to engage with barbershops as sites for health information dissemination. We re-engaged a cohort of barbers who had previously worked with our outreach initiatives as part of the Community Engagement Alliance (CEAL) Against COVID-19 Disparities and recruited new ones for this phase of work. Methods Our community partner completed a training hosted by Florida A&M University on working with barbershops for community outreach and engagement research. The community partner then trained each barber on sharing health information, incorporating feedback from the previous cohort. Barbers were also trained to collect engagement and pre/post-test information to measure outcomes. Health information included COVID-19 prevention/ vaccine information and general cancer prevention information used in other community outreach and engagement initiatives. Results A total of 19 barbers engaged in this initiative; 9 were a part of our previous work with barbers and 10 were recruited for the new year of funding. The barbers all identified as Black and engaged with a total of 497 clients. Of the 497 clients, 91% identified as Black, and less than 5% identified as White, Asian, or Native American. 344 clients identified as male (69%), 147 as female (30%), 1 as transgender (0.2%), and 5 did not disclose their gender. The majority of participants were born between the 1960s and 2000s, with most reporting having a high school degree or GED (55%). Post-test information found evidence of knowledge change, including a 3.4% increase in those who responded understanding how COVID-19 is spread and a 4% increase in those who reported vaccines to be safe. Barbers also expressed their appreciation for being included in this initiative. Conclusion CHERP, in partnership with the community, is addressing disparities at different levels. One of the barriers the barbers had to overcome was hesitancy in sharing health-related topics. However, sustained initiatives, such as this one might overcome this barrier. This study’s engagement with barbershops to reach communities most impacted by cancer disparities points to the impact of barbershops as a site for cancer disparities research. Citation Format: Jessica Otero Machuca, Opeyemi Bolajoko, Jocelyn Turner, Folakemi Odedina. Decentralizing cancer disparities research: Barbershops as a foundation for community outreach and engagement [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B088.

Abstract C132: Building capacity for equitable cervical cancer care in safety-net settings through an FQHC-NCI comprehensive cancer center partnership in Los Angeles

Abstract Introduction: Multilevel barriers to screening and follow-up contribute to persistent disparities in cervical cancer burden, particularly in marginalized communities receiving care in safety-net healthcare settings. While evidence-based interventions (EBIs) exist for improving cancer screening and follow-up, building capacity to identify effective strategies for implementation and alignment of EBIs to the context of safety-net settings and the diverse communities they serve is critical. Methods: Supported by the HRSA Accelerating Cancer Screening Program, Chinatown Service Center, a multi-site Federally Qualified Health Center (FQHC) serving Chinese and Latino/a populations in Los Angeles, and USC Norris Comprehensive Cancer Center established a new partnership to identify multilevel factors that impact cervical cancer screening, follow-up and referral and inform the implementation of EBIs to improve care. We conducted a mixed methods assessment June-December 2023 to understand care processes through surveys and qualitative interviews (20-30 minutes, guided by the Consolidated Framework for Implementation Research) with providers and clinic staff and medical chart reviews of patients with ≥ 1 cervical cancer screening order January 2020-March 2023. Results: Surveys (n=23) showed higher knowledge of screening guidelines (p<0.05) and more confidence discussing cervical cancer with patients (p<0.05) among providers compared to clinic staff, indicating opportunities for staff training. Qualitative interviews (n=23) identified inner setting barriers such as limited system-level implementation of cervical cancer screening guidelines and limited technology supports to track patients requiring follow-up. At the individual level, older patients and those not sexually active often declined testing and requested gender concordant (female) providers. Motivation for building cervical cancer care capacity within the FQHC were noted, with clinic members highlighting FQHC strengths in addressing cultural barriers, social needs, and community outreach. Several outer setting barriers emerged for referral and follow-up care, including long wait times for referrals, trouble finding language concordant specialists, transportation barriers, and difficulty accessing specialists through their managed care network. Medical chart abstractions (n=1,428) identified opportunities to improve closed-loop communication with specialists and limited ease for clinic staff identify high and low risk screening results for further treatment. Discussion: By establishing a new FQHC-NCI cancer center partnership, we advanced our combined capacity to address cervical cancer care equity in marginalized communities. We identified patient-level (cultural, logistic, social determinants), provider/clinic staff-level (training needs, patient tracking), and system-level (access to and communication with specialists) barriers that will require selection of EBIs and implementation strategies via a partnered approach with local specialists, health systems, payers, and policymakers. Citation Format: Jennifer Tsui, Samantha Garcia, Emily Dang, Alejandra Ramos, Allison Oh, Kathy Lui, Angela Ching, Eugene Hui, Chanita Hughes Halbert, Lourdes Baezconde-Garbanati, Jack Cheng. Building capacity for equitable cervical cancer care in safety-net settings through an FQHC-NCI comprehensive cancer center partnership in Los Angeles [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr C132.

Abstract B069: Designing a Hispanic/Latino community-driven HPV vaccine and HPV-related cancer awareness campaign for young adults and youth in Los Angeles County

Abstract Background: In Los Angeles, HPV vaccination is lowest among Hispanic/Latino (HL) youth, young adults, and HL adolescent girls of immigrant parents, despite HPV vaccination preventing more than 90% of cancers attributed to HPV infection. This study aims to address gaps in the HPV vaccine and HPV-related cancer awareness through community-driven exploration of multimedia sources and cultural tailoring of the Es Tiempo Campaign to HPV vaccine initiation materials. Methods: A mixed-methods design was used, combining quantitative surveys, qualitative listening sessions and focus groups. In May 2024, five youth between 14 and 17 years of age and seven young adults between 18 and 30 years of age who self-identified as HL were recruited through community outreach in Los Angeles. The twelve participants were surveyed and participated in two 90-minute Listening Sessions (grouped by age) to gather formative data. During the LS, participants reviewed culturally tailored designs of media materials (e.g., banners, posters) focused on HPV vaccination initiation. Focus groups with another twelve young adults gathered confirmative data. Descriptive statistics assessed demographics. Coding of transcripts identified themes. Results: Preliminary results from the Listening Sessions found that youth and young adults had similarities and differences in their preferences for receiving health information. Both age groups preferred health materials with visually appealing images and materials that could be easily found and distributed. All relied on health information provided by their providers including informational pamphlets, texts, and emails. Differences were found in whom they sought health advice from. Youths sought health advice from parents or family, while young adults did this too but only after reviewing health information first online. Both age groups identified social media, such as Instagram and TikTok as key sources for health information. However, neither group wanted to receive health information through Facebook or Twitter. Young adults wanted images showing HL patient-provider interactions, while youth preferred images of family or community. Youth liked cartoon-style images, but young adults wanted images of real HL people. For cultural tailoring, youth liked images that reflected a traditional colorful border. Young adults found this border was not representative of diverse HL communities. Conclusion: Community-driven research identified gaps in tailoring and guiding multimedia dissemination efforts for HPV vaccine initiation campaign materials among youth and young adults in the HL community. HL youth and young adults, as community informants, provided advice on multimedia platforms, design appropriateness, and comprehension. Community participation is essential to identify and create culturally competent designs at an appropriate literacy/language and age level and to produce materials for educational campaigns that are not only culturally specific but also visually appealing to the target population. Citation Format: Samantha Verganza, Patricia Escobedo, Rosa Barahona, Lourdes Baezconde-Garbanati. Designing a Hispanic/Latino community-driven HPV vaccine and HPV-related cancer awareness campaign for young adults and youth in Los Angeles County [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B069.

Abstract B024: Be your own fan: Who do you get screened for?: A culturally sensitive and community-vetted colorectal cancer awareness campaign tailored for the Filipino community in Los Angeles County

Abstract Background Colorectal cancer is the second most common cancer among Filipina women and third among Filipino men, especially in Los Angeles County with the second largest concentration of Filipinos and immigrants. Recent trends show that Filipino experience late-stage diagnosis and lower survival rates. Despite the large number of Filipinos working in healthcare industry dedicated to caring for others, many Filipinos neglect to prioritize their own health and well-being. In collaboration with the Art Center College of Design, Cedars Sinai Cancer Center Community Outreach and Engagement (COE) developed a colorectal cancer awareness campaign, "Be Your Own Fan: Who do you get screened for?" aiming to evoke emotion and prompt reflection on the importance of health through storytelling, imagery, and tailored health materials (i.e., traditional hand fan, infographics, t-shirts, tote bags, stickers, photocards). Methods To determine relevance of the health campaign, five 1 hour semi-structured focus groups were conducted both in English or Tagalog via Zoom with n=23 adults ages 18 and over who self-identify as Filipino to provide community input on appropriateness of the messaging, colors, symbols, and community engagement approach. Participants were recruited through snowball sampling at in-person community outreach events, and email distribution. Results Participants represented diverse professions such as nursing, home healthcare/caregiving, public health, and accounting. Majority were 69% middle-aged adults, 57% female, and 4% colorectal cancer survivor. Research findings show that Filipinos take pride in their traditional culture, particularly in the use of Philippine flag colors (red, blue, yellow, and white) in health materials as opposed to other hues or tints. Either English or conversational Tagalog were preferred languages since it may be challenging to represent over 100 different languages spoken by Filipinos. Lastly, featuring stories and images of trusted community figures like healthcare professionals, church and community leaders, and family members are effective in pulling the heartstrings of the Filipinos to empower them to be their own fan/advocate. With this feedback, the campaign has been revised and deployed in the community and preliminary findings with n=77 people reached indicate increased awareness on colorectal cancer and intent to get screened. Conclusion. Developing health campaigns that closely reflect the community they serve can lead to increased awareness, participation, and adherence to health recommendations and behaviors. Citation Format: Reener Balingit, Mark Bondoc, Dong Hee Kim1, Zul Surani. Be your own fan: Who do you get screened for?: A culturally sensitive and community-vetted colorectal cancer awareness campaign tailored for the Filipino community in Los Angeles County [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B024.

Abstract A107: Be Part of the Cure Clinical Trials Campaign: Koreans, Hispanic/Latino/a/e/x, and Black/African Americans living in Los Angeles County

Abstract Background. There is negative perception and lack of participation in clinical trials among Koreans, Hispanic/Latino/a/e/x, and Black/African Americans living in Los Angeles County, which may be attributed to cultural beliefs, language barriers, historical mistrust of medical research, and lack of awareness about the benefits of participation. Without representation from diverse groups, there may be missed opportunities to develop personalized treatment approaches tailored to specific genetic, cultural, and lifestyle factors. Methods. Cedars Sinai Cancer Community Outreach and Engagment (COE) developed a multi-level approach to increase representation of minority populations in clinical trials. With active Community Advisory Board involvement in the development and implementation, a culturally sensitive clinical trials awareness campaign, “Be Part of the Cure”, was developed to offer in-language cancer information, education on clinical trials, and navigation through the cancer care continuum. To support patients and facilitate access to trials, COE has developed bi-directional engagement between CCSC physicians, nurses and Clinical Trials Office representatives, FQHCs, and community and faith-based organizations to ensure a seamless navigation process to care. Additionally, our multicultural and multilingual COE staff have trained Community Health Workers and navigators to expand our outreach efforts and effectively engage our target communities. Results. In total, COE has facilitated 7 health education workshops and attended 3 community outreach events with 501 people educated (37% or 184 Black/African American; 25% or 123 Asians; 17% or 87 Hispanic/Latinx; and 21% or 107 White). Pre/post-tests administered to 73 Koreans during health education workshops showed significant increase in positive perception on clinical trials from 57% to 95%. Korean (n=9) cancer patients have expressed interest in clinical trials, and 1 have been enrolled in Neoadjuvant HER2-Targeted Therapy and Immunotherapy with Pembrolizumab clinical trial. Among Hispanic/Latinx/a/o community, 1 clinical trials health awareness workshop was convened with clinicians who presented to promotores, patients, caregivers, survivors and community members. There were 25 people who completed the pre/post test. There was an increase in positive perception on clinical trials from 52% to 100%, willingness to participate from 60% to 96%, and likelihood of encouraging others to participate from 60% to 96%. In the Black/African American community, 1 clinical trials health awareness workshop was also convened. Among attendees, 21 people completed Pre/Post Test and positive perception on clincal trials increased from 47% to 85%, willingness to participate from 43% to 81%, and likehood on encouraging others to participate from 52% to 81%. Conclusion. Efforts to increase diversity and inclusion in clinical trials should focus on culturally sensitive recruitment strategies, language accessibility, community engagement, and building trust between researchers and communities. Citation Format: Ghecemy Lopez, Dong Hee Kim, Zul Surani, Lourdes Barajas. Be Part of the Cure Clinical Trials Campaign: Koreans, Hispanic/Latino/a/e/x, and Black/African Americans living in Los Angeles County [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr A107.

Abstract B098: Engagement of community advisory board in cancer biology, cancer therapeutics, cancer prevention and control and clinical research for decision making and priority setting

Abstract Background. Community involvement in decision-making ensures that the research addresses the real-world needs and concerns of the populations it aims to serve. Engaging community members helps researchers understand cultural nuances and barriers that might affect health behaviors and access to care. This awareness can guide the development of culturally competent strategies and communication; however, little is known how community voices are incorporated in cancer research. Methods. The Community Outreach and Engagement (COE) at Cedars Sinai Cancer Center (CSCC) developed a Community Advisory Board (CAB) with 24 community members from Korean, Filipino, Black, H/L, and LGBTQ+ communities and patients, survivors, and family members from the entire geographic of Los Angeles County (LAC), as well as 3 CAB sub-committees: 1) Community Scientists Committee; 2) Data Dissemination Committee; and 3) Trans and Non-Binary Research Advisory Committee (T-RAC), each of which meets 4-5 times a year. The CAB member selection strategy entailed inviting leaders, long-time organizers, cancer advocates, and policy experts in LAC. CAB and each sub-committees meet four times a year, and collaborates with CSCC leaders to jointly set priorities for research and outreach initiatives through discussions, follow-up surveys, and written reports. Results. Through CAB engagement, CSCC expanded priority cancers to include cervical and gastric cancers. CAB members are integrated into CSCC and collaborate on research initiatives—an engagement that has been transformative. For example, there has been system-wide impact on inclusive collection of LGBTQ+ data in outreach, research, clinical trials, and patient care, including a new LGBTQ+ focused clinic initially proposed by COE. The clinic is now in operation and serving members of the LGBTQ+ community. CAB volunteers are also engaged in scoring proposals for CSCC pilot developmental funds. They review clinical trial protocols, provide recommendations that inform approval or revocation to the Protocol Review and Monitoring Committee (PRMC), and meets regularly with Clinical Research, Cancer Clinical Trials Office (CCTO), and Principal Investigators who develop trials. To date, there have been 5 IIT protocols and 113 protocol reviews with COE and community input. Lastly, the Data Dissemination Committee ensures catchment data are disaggregated and provided back to marginalized communities through town halls (e.g., Filipino Town Hall, Out Against Tobacco Town Hall), training (e.g., Learning Collaborative: LGBTQ+ Communities and Tobacco Use), and reports to inform media and elected officials. Conclusion. The active engagement of community members in decision making in cancer research has led to more inclusive, culturally competent, and impactful research and outreach initiatives, enhancing the relevance and impact of cancer research across diverse populations. Citation Format: Zul Surani, Alexandra Caro, Richard Zaldivar, Ghecemy Lopez, Lourdes Barajas, Reener Balingit. Engagement of community advisory board in cancer biology, cancer therapeutics, cancer prevention and control and clinical research for decision making and priority setting [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B098.

Abstract B035: Mayo Clinic Cancer Comprehensive Center Community Outreach and Engagement Internal Medicine Residents Rotations

Abstract Introduction: The Community Engagement Internal Medicine Residents Rotation (IMRR) connects Mayo Clinic Florida (MCF) medical professionals to partners in the Florida catchment area to better understand administrative operations, the referral processes of these organizations and how best they fit the needs of the communities they serve. The goal is to give residents exposure to a more diverse population including rural, Black and Hispanic/Latin as well as connecting them with partners where community- based research is conducted. This IMRR is also designed to encourage cancer-focused community based research (CBR). We learned that the lack of patient diversity at MCF was a drawback to resident recruitment and developing an interest in cancer focused health disparities research. We agreed to assist in this potential solution to the diversity deficit. Methods: The goal for the elective is to provide senior residents with an introduction to community engagement and cancer focused community engaged research. The elective consists of one week of didactics and one of experiential learning. The first week includes an introduction to cancer health disparities in our catchment areas and how to conduct cancer focused CBR. During the second week, residents interact with community partners focused on providing care and cancer education to those who otherwise may not have access to resources. Strategically, these partners are those with whom we are engaged in cancer research initiatives. Internal Medicine Residents (IMR) complete visitation paperwork that included Background Screenings and Sovereign Immunity Contracts. We limit the number of IMR to two in order to accommodate some of the smaller community clinic spaces. IMR visit community partners for no less than a half day each and at the end of the rotation they debrief and complete rotation evaluations. Data: Rotation evaluations aggregated to date indicate 91.67% of IMR feel the rotation meets the goals and objectives. In addition, evaluation comments indicate an improved understanding of population health as well as community resources for improved health and wellness in underserved populations. Anecdotal comments also show evidence of increased understanding of cancer focused CBR and cancer related health disparities. Conclusion: IMMR through community outreach and engagement visits have increased understanding of how partners address varying cancer burden needs. The IMRR has increased residents’ awareness of how environment impacts access to healthcare and improved cost-conscious ordering and treatment plans (medications). IMR better understand the significance of how social determinants of health (SDOH) resources impact community. IMR are better equipped to help patients and their families navigate to additional SDOH solutions and are familiar with the referral process for community safety net resources. The offer of this type of IMRR has enhanced recruitment to MCF training programs and significantly increased IM and fellow participation in cancer focused CBR initiatives and studies. Citation Format: Monica Albertie, Chelsea Reeves, Noreen Stephenson, Folakemi Odedina. Mayo Clinic Cancer Comprehensive Center Community Outreach and Engagement Internal Medicine Residents Rotations [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B035.