{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:47:52Z","timestamp":1782841672124,"version":"3.54.5"},"reference-count":39,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Res Protoc"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n In 2022, nearly 60,000 prostate cancer (CaP) cases were reported among Black men, who face an estimated lifetime risk of approximately 1 in 6, compared with 1 in 8 among White men. The disproportionate burden of CaP in Black men has been attributed to a combination of health-system factors, variations in care processes, and individual- or patient-level determinants. Addressing these multilevel contributors will require innovative strategies to advance prostate health equity.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n In this paper, we discuss the protocol for assessing the feasibility of establishing a Community Living Lab (CoLLab) Learning Health System in Black communities and the impact on facilitating access to prostate health Resources, Education, Amenities, and Community Health (REACH) services for Black men.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The proposed research design for the study is a pragmatic clinical trial. The research setting is Northeast Florida, with the intervention based in 3 American Legion Posts (ALPs) and the control in one ALP. The development of the CoLLab REACH intervention was guided by the Intervention Mapping Framework, focusing on program design, adoption, implementation, and monitoring and evaluation plan. The intervention was cocreated with community members and is being provided by community health workers. The primary outcomes are improvement of Black men\u2019s CaP awareness, knowledge, attitude, health beliefs, perceived control, intentions, cues to action, and clinical trials\u2019 awareness. Generalized linear mixed regression approaches will be used to determine the differences between the study variables for the intervention and control groups.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The CoLLab study was awarded in September 2023 and received institutional ethics committee approval on March 20, 2024. CoLLab REACH intervention includes the following services: (1) Wellness RX program, implemented to address financial health needs and grocery distribution to address food deserts of the communities around the posts; (2) social determinants of health Navigation Services that include food, housing, transportation, employment aid, legal aid, and financial support based on zip code; (3) educational resources and videos on CaP prevention, screening, detection, treatment, and survivorship; (4) The Clinical Trials Matching Services to match participants to Mayo Clinic clinical trials and biomedical research; and (5) CaP Advocacy training program. Baseline recruitment for the intervention arm was completed in June 2025, with 183 Black men enrolled at ALPs. By June 2025, 11 participants were enrolled at the control ALP, and recruitment for the control arm remains ongoing. Data analysis will be conducted upon completion of follow-up assessments at months 4, 8, and 12.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n We successfully co-designed the CoLLab REACH services at 3 ALPs. Using a longitudinal pretest-posttest design, we will assess the intervention\u2019s impact at both the individual and community levels to evaluate the feasibility of this community-based, culturally informed approach. In addition, we will examine the feasibility of replicating the CoLLab Learning Health System in underserved communities nationwide.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/89330","type":"journal-article","created":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T06:09:45Z","timestamp":1779084585000},"page":"e89330-e89330","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of Establishing Community Living Labs (CoLLabs) to Improve Access to Prostate Health Resources, Education, Amenities, and Community Health: Protocol for a Pragmatic Clinical Trial"],"prefix":"10.2196","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3796-1385","authenticated-orcid":false,"given":"Folakemi T","family":"Odedina","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9841-4476","authenticated-orcid":false,"given":"Opeyemi","family":"Bolajoko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2816-701X","authenticated-orcid":false,"given":"Quincy","family":"Wimberly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7698-0447","authenticated-orcid":false,"given":"Daniel","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6321-9590","authenticated-orcid":false,"given":"Floyd","family":"Willis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9825-6097","authenticated-orcid":false,"given":"Toshiko","family":"Moutlrie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0919-0181","authenticated-orcid":false,"given":"Wayne","family":"Ford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4117-9965","authenticated-orcid":false,"given":"Derry","family":"Green","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2913-0837","authenticated-orcid":false,"given":"Arnold","family":"Merriweather","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1737-4551","authenticated-orcid":false,"given":"Jocelyn","family":"Turner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4402-5168","authenticated-orcid":false,"given":"Michelle","family":"Fudge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"issue":"7","key":"R1","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1158\/1055-9965.EPI-24-0658","article-title":"AACR cancer disparities progress report 2024: achieving the bold vision of health equity","volume":"33","author":"Williams","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"issue":"2","key":"R2","doi-asserted-by":"publisher","first-page":"111","DOI":"10.3322\/caac.21874","article-title":"Cancer statistics for African American and Black people, 2025","volume":"75","author":"Saka","journal-title":"CA Cancer J Clin"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Smedley B Stith A Nelson A , editors. Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. National Academies Press (US); 2003. [doi: 10.17226\/12875] [Medline: 25032386]","DOI":"10.17226\/12875"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Pallot M Trousse B Senach B Scapin D . Living lab research landscape: from user centred design and user experience towards user cocreation. In: First European Summer School \u201cLiving Labs\u201d Inria (ICT Usage Lab), Userlab, EsoceNet, Universcienc; 2010 Paris, France. 2011. URL: https:\/\/inria.hal.science\/inria-00612632v1\/document [Accessed 02-12-2025]","DOI":"10.1109\/ICE.2012.6297648"},{"issue":"1","key":"R5","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1093\/eurpub\/ckz105","article-title":"Living labs for health: an integrative literature review","volume":"30","author":"Kim","journal-title":"Eur J Public Health"},{"key":"R6","unstructured":"About learning health systems. Agency for Healthcare Research and Quality. URL: https:\/\/www.ahrq.gov\/learning-health-systems\/index.html [Accessed 03-12-2025]"},{"issue":"3","key":"R7","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1007\/s10900-019-00776-w","article-title":"Helping men find their way: improving prostate cancer clinic attendance via patient navigation","volume":"45","author":"Dobbs","journal-title":"J Community Health"},{"issue":"9","key":"R8","doi-asserted-by":"publisher","first-page":"1433","DOI":"10.2105\/AJPH.2017.303885","article-title":"Community-based, preclinical patient navigation for colorectal cancer screening among older black men recruited from barbershops: the MISTER B trial","volume":"107","author":"Cole","journal-title":"Am J Public Health"},{"issue":"4","key":"R9","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1007\/s10552-021-01544-9","article-title":"Promoting informed prostate cancer screening decision-making for African American men in a community-based setting","volume":"33","author":"Wray","journal-title":"Cancer Causes Control"},{"issue":"6","key":"R10","doi-asserted-by":"publisher","first-page":"859","DOI":"10.1097\/JXX.0000000000000725","article-title":"BarberED then screened: disrupting the colorectal cancer disparity in urban black men","volume":"34","author":"Sizer","journal-title":"J Am Assoc Nurse Pract"},{"issue":"7","key":"R11","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-030000","article-title":"Study protocol for developing #CuttingCRC: a barbershop-based trial on masculinity barriers to care and colorectal cancer screening uptake among African-American men using an exploratory sequential mixed-methods design","volume":"9","author":"Rogers","journal-title":"BMJ Open"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.5888\/pcd16.190135","article-title":"Promoting cancer screening in partnership with health ministries in 9 African American churches in south Los Angeles: an implementation pilot study","volume":"16","author":"Maxwell","journal-title":"Prev Chronic Dis"},{"issue":"3","key":"R13","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1007\/s13187-015-0955-4","article-title":"Prostate cancer ambassadors: enhancing a theory-informed training program for informed decision-making","volume":"32","author":"Vines","journal-title":"J Cancer Educ"},{"issue":"5","key":"R14","doi-asserted-by":"publisher","DOI":"10.1177\/1557988320958934","article-title":"The SHARED project: a novel approach to engaging African American men to address lung cancer disparities","volume":"14","author":"Watson","journal-title":"Am J Mens Health"},{"issue":"1","key":"R15","doi-asserted-by":"publisher","DOI":"10.2196\/34616","article-title":"Telehealth availability and use of related technologies among medicare-enrolled cancer survivors: cross-sectional findings from the onset of the COVID-19 pandemic","volume":"24","author":"Lama","journal-title":"J Med Internet Res"},{"issue":"3","key":"R16","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1177\/1557988314564178","article-title":"Digital solutions for informed decision making: an academic-community partnership for the development of a prostate cancer decision aid for African American men","volume":"10","author":"Owens","journal-title":"Am J Mens Health"},{"issue":"6","key":"R17","doi-asserted-by":"publisher","DOI":"10.2196\/24947","article-title":"Association of smartphone ownership and internet use with markers of health literacy and access: cross-sectional survey study of perspectives from project PLACE (population level approaches to cancer elimination)","volume":"23","author":"Oshima","journal-title":"J Med Internet Res"},{"issue":"12","key":"R18","doi-asserted-by":"publisher","DOI":"10.2196\/28709","article-title":"Development of a credible virtual clinician promoting colorectal cancer screening via telehealth apps for and by black men: qualitative study","volume":"5","author":"Wilson-Howard","journal-title":"JMIR Form Res"},{"issue":"5","key":"R19","doi-asserted-by":"publisher","DOI":"10.2196\/15502","article-title":"Preparing African American men to make informed prostate cancer screening decisions: development and pilot testing of an interactive online decision aid","volume":"8","author":"Allen","journal-title":"JMIR Mhealth Uhealth"},{"key":"R20","unstructured":"Bechara C . Precision community health: four innovations for well-being. Library Journal. 2020. URL: https:\/\/www.libraryjournal.com\/review\/precision-community-health-four-innovations-for-wellbeing [Accessed 15-09-2025]"},{"issue":"9","key":"R21","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-030279","article-title":"Reconceptualising precision public health","volume":"9","author":"Olstad","journal-title":"BMJ Open"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Odedina F Young ME Perira D et al. Prostate cancer care and survivorship ( capcas ) model for black men: an ethnographical study of prostate cancer survivors. Res Sq. Preprint posted online on 2020. [doi: 10.21203\/rs.3.rs-60444\/v1]","DOI":"10.21203\/rs.3.rs-60444\/v1"},{"issue":"1","key":"R23","doi-asserted-by":"publisher","first-page":"10","DOI":"10.12788\/jcso.0323","article-title":"Point of prostate cancer diagnosis experiences and needs of black men: the Florida CaPCaS study","volume":"15","author":"Odedina","journal-title":"J Community Support Oncol"},{"key":"R24","unstructured":"Odedina F Yates C Kaninjing E . Prostate cancer among african american men. In: Coughlin SS Williams LB Henry AT , editors. Black Health in the South. Johns Hopkins University Press; 2023. URL: https:\/\/www.press.jhu.edu\/books\/title\/12840\/black-health-south?srsltid=AfmBOorZ_dGgm087rrwnMOE96wXeIsFuRUvOO366umWbY0fhRfpptjhc [Accessed 25-11-2025]"},{"key":"R25","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2019.00209","article-title":"Intervention mapping: theory- and evidence-based health promotion program planning: perspective and examples","volume":"7","author":"Fernandez","journal-title":"Front Public Health"},{"issue":"5","key":"R26","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1177\/109019819802500502","article-title":"Intervention mapping: a process for developing theory- and evidence-based health education programs","volume":"25","author":"Bartholomew","journal-title":"Health Educ Behav"},{"issue":"5","key":"R27","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1007\/s10903-009-9231-1","article-title":"Comparing dietary and other lifestyle factors among immigrant Nigerian men living in the US and indigenous men from Nigeria: potential implications for prostate cancer risk reduction","volume":"11","author":"Kumar","journal-title":"J Immigr Minor Health"},{"issue":"6","key":"R28","first-page":"780","volume":"96","author":"Odedina","journal-title":"J Natl Med Assoc"},{"issue":"6","key":"R29","doi-asserted-by":"publisher","first-page":"724","DOI":"10.1016\/s0027-9684(15)31350-x","article-title":"Personal factors affecting African-American men\u2019s prostate cancer screening behavior","volume":"100","author":"Odedina","journal-title":"J Natl Med Assoc"},{"issue":"4","key":"R30","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1007\/s10903-008-9212-9","article-title":"Prostate cancer cognitive-behavioral factors in a West African population","volume":"11","author":"Odedina","journal-title":"J Immigr Minor Health"},{"issue":"7","key":"R31","doi-asserted-by":"publisher","first-page":"1601","DOI":"10.1038\/s41591-023-02422-4","article-title":"Building healthy populations one community at a time","volume":"29","author":"Odedina","journal-title":"Nat Med"},{"issue":"CSCW2 Article No 356","key":"R32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1145\/3555081","article-title":"A social-ecological approach to modeling sense of virtual community (SOVC) in livestreaming communities","volume":"6","author":"Kairam","journal-title":"Proc ACM Hum Comput Interact"},{"key":"R33","doi-asserted-by":"publisher","DOI":"10.3332\/ecancer.2014.460","article-title":"Development and assessment of an evidence-based prostate cancer intervention programme for black men: the W.O.R.D. on prostate cancer video","volume":"8","author":"Odedina","journal-title":"Ecancermedicalscience"},{"key":"R34","unstructured":"Odedina FT . Development of a model of prostate cancer care and survivorship for black men: a grounded theory study of ethnically diverse black men. Final Report; 2018."},{"key":"R35","unstructured":"ViRA: the iccare virtual reality assistant. Youtube. URL: https:\/\/www.youtube.com\/watch?v=1mI-HS5R6sk [Accessed 09-12-2025]"},{"key":"R36","unstructured":"Odedina F Ragin C Martin D et al. Standardized global behavioral and epidemiological measures for prostate cancer studies in black men. Cancer Health Disparities. Preprint posted online on 2020. URL: https:\/\/companyofscientists.com\/index.php\/chd\/article\/view\/140 [Accessed 02-12-2025]"},{"issue":"5","key":"R37","doi-asserted-by":"publisher","first-page":"1463","DOI":"10.1177\/1557988318768596","article-title":"Prostate cancer screening perception, beliefs, and practices among men in Bamenda, Cameroon","volume":"12","author":"Kaninjing","journal-title":"Am J Mens Health"},{"key":"R38","unstructured":"Men\u2019s health matters: facing the future, health, healing, and hope. Youtube. URL: https:\/\/www.youtube.com\/watch?v=NxsQY-Tw9XQ [Accessed 05-01-2026]"},{"key":"R39","unstructured":"ICCaRE consortium. Youtube. URL: https:\/\/www.youtube.com\/@iCCaREConsortium [Accessed 09-12-2025]"}],"container-title":["JMIR Research Protocols"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.researchprotocols.org\/2026\/1\/e89330","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:15:21Z","timestamp":1782839721000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.researchprotocols.org\/2026\/1\/e89330"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,15]]},"references-count":39,"URL":"https:\/\/doi.org\/10.2196\/89330","relation":{},"ISSN":["1929-0748"],"issn-type":[{"value":"1929-0748","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,15]]},"article-number":"v15i7e89330"}}