Keeler Heidi J, Idoate Regina, Fitzpatrick Brooke J, Hymel Emma, Kabayundo Josiane, Napit Krishtee, Schmidt Cynthia M, Watanabe-Galloway Shinobu
College of Nursing, University of Nebraska Medical Center, 985330 Nebraska Medical Center, Omaha, NE, 68198-5330, USA.
Office of Community Engagement, University of Nebraska Medical Center, 987110 Nebraska Medical Center, Omaha, NE, 68198-7110, USA.
Cancer Causes Control. 2025 Jul 2. doi: 10.1007/s10552-025-02026-y.
The objective of this research is to determine how community-engaged activities, and their resulting impact, are currently being measured by cancer centers. To accomplish this, the various definitions of community engagement as used by cancer center community outreach and engagement programs are identified and analyzed, and the frameworks and metrics employed in assessing community outreach and engagement programming are explored. This work can help to inform how to better determine community engagement impact and its overall return on investment, as well as compare impact across cancer centers.
Between August 29 and September 1, 2022, MEDLINE, CINAHL, PsycINFO, EMBASE, and Google Scholar were searched for articles including the "community engagement" and "cancer" search concepts. After removal of duplicate records, a title abstract screen was conducted to identify those articles that (1) were conducted within the USA, (2) focused on cancer, (3) undertaken by a cancer center, (4) pertained to community engagement, and (5) published in the English language. The review excluded conference abstracts, editorials, and book chapters.
Analysis of definitions identified within the included literature revealed the following four overarching core components of community engagement specific to cancer centers: defined stakeholders, resource exchange, collaborative relationships, and mutually beneficial outcomes. The most common frameworks/models were community-based research models, followed by social and behavioral focused. Measures to assess all essential aspects of community engagement were infrequently included in community projects.
The results of this scoping review and analysis propose a common definition and model of community engagement for cancer-related activities conducted by cancer centers. These are important as common measures can be incorporated into all aspects of community engagement work. This can assist cancer centers in determining collective impact using both project and process outcomes. Common measures can help cancer centers include time and resources needed for community engagement within budgets and impact reporting.
本研究的目的是确定癌症中心目前如何衡量社区参与活动及其产生的影响。为实现这一目标，对癌症中心社区外展和参与计划所使用的社区参与的各种定义进行了识别和分析，并探讨了评估社区外展和参与计划所采用的框架和指标。这项工作有助于了解如何更好地确定社区参与的影响及其总体投资回报率，以及比较各癌症中心之间的影响。
在2022年8月29日至9月1日期间，对MEDLINE、CINAHL、PsycINFO、EMBASE和谷歌学术进行检索，查找包含“社区参与”和“癌症”搜索概念的文章。在去除重复记录后，进行标题摘要筛选，以确定那些（1）在美国境内进行的、（2）专注于癌症的、（3）由癌症中心开展的、（4）与社区参与相关的、以及（5）以英语发表的文章。该综述排除了会议摘要、社论和书籍章节。
对纳入文献中确定的定义进行分析后发现，癌症中心社区参与有以下四个总体核心组成部分：明确的利益相关者、资源交换、合作关系和互利成果。最常见的框架/模型是基于社区的研究模型，其次是侧重于社会和行为方面的模型。评估社区参与所有重要方面的措施很少被纳入社区项目中。
这项范围综述和分析的结果提出了癌症中心开展的癌症相关活动社区参与的通用定义和模型。这些很重要，因为通用措施可以纳入社区参与工作的各个方面。这可以帮助癌症中心利用项目和过程成果来确定集体影响。通用措施有助于癌症中心在预算和影响报告中纳入社区参与所需的时间和资源。
