{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:03:52Z","timestamp":1790960632382,"version":"4.1.0"},"reference-count":54,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cancer Causes Control"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>The purpose of this study was to identify the barriers, facilitators, and priority needs related to cancer prevention, control, and research in persistent poverty areas.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We conducted three focus groups with 17 providers and staff of primary care clinics serving persistent poverty areas throughout the state of Arkansas.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We identified multiple barriers, facilitators, and priority needs related to cancer prevention and control at primary care clinics serving persistent poverty areas. Barriers included transportation, medical costs, limited providers and service availability, and patient fear\/discomfort with cancer topics. Facilitators identified were cancer navigators and community health events\/services, and priority needs included patient education, comprehensive workflows, improved communication, and integration of cancer navigators into healthcare teams. Barriers to cancer-related research were lack of provider\/staff time, patient uncertainty\/skepticism, patient health literacy, and provider skepticism\/concerns regarding patient burden. Research facilitators included better informing providers\/staff about research studies and leveraging navigators as a bridge between clinic and patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Our results inform opportunities to adapt and implement evidence-based interventions to improve cancer prevention, control, and research in persistent poverty areas. To improve cancer prevention and control, we recommend locally-informed strategies to mitigate patient barriers, improved patient education efforts, standardized patient navigation workflows, improved integration of cancer navigators into care teams, and leveraging community health events. Dedicated staff time for research, coordination of research and clinical activities, and educating providers\/staff about research studies could improve cancer-related research activities in persistent poverty areas.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10552-023-01756-1","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T08:02:29Z","timestamp":1690876949000},"page":"1145-1155","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Barriers, facilitators, and priority needs related to cancer prevention, control, and research in rural, persistent poverty areas"],"prefix":"10.1007","volume":"34","author":[{"given":"Emily","family":"Hallgren","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen H. 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Consent information was provided to study participants on paper or electronically in Research Electronic Data Capture (REDCap) Suite via a study information sheet prior to taking the survey or conducting the focus group interviews. The study information sheet provided participants a detailed description of the study including key information such as: requirements for participation, the voluntary nature of participation, rights for refusal of participation, incentives for participation, risks of participation (minimal risk of loss of confidentiality), and the process to withdraw. Participants were given time to ask questions and were provided contact information for the Principal Investigator should they have questions later.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}},{"value":"The University of Arkansas for Medical Sciences (UAMS) Institutional Review Board (IRB) oversees research that involves human participants with the goal of protecting participant rights, safety, and welfare by ensuring compliance with laws and regulations that pertain to research as well as with the ethical standards described in IRB and institutional policies. The IRB includes four diverse committees of reviewers and a professional office staff, who collaboratively review and approve human subject research. The IRB oversees approximately 1450 open protocols and serves as the IRB of record for UAMS and Arkansas Childrens. The IRB also collaborates with multiple institutions and independent review boards across the country. The UAMS IRB has been fully accredited by the Association for the Accreditation of Human Research Protection Programs since 2005. All study materials and procedures were approved under expedited review by the UAMS IRB (IRB#273509).","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}