The Community & Ambulatory Research & Enrollment (CARE) Shared Resource was created to ensure that cancer research at HICCC represents our entire community. We provide dedicated recruitment and community education as well as additional services throughout the continuum of cancer prevention including etiology, screening and survivorship. These services enhance the quality and impact of cancer prevention research conducted at HICCC and CUMC by helping to ensure diversity in study participation. CARE strives to eliminate barriers to participation in clinical trials such as access, language, culture, literacy and distrust. Our goal is to maximize the likelihood that HICCC scientific findings can be directly translated into public health impact.

Specific objectives are: (1) provision of staff, tools and strategies to Columbia investigators for recruitment and retention of study subjects with a specific emphasis on populations traditionally underrepresented in cancer research; (2) to attract potential study participants to the HICCC by working with community organizations and interested individuals; (3) to respond to community cancer concerns and research needs; and (4) to provide colleagues and users with the benefit of our experience by analyzing and reporting on recruitment.

Services, provided by a multicultural and multilingual staff, include:
• Guidance with IRB application process
• Assisting investigators with study planning and implementation
• Consultation to improve/increase study participation
• Instrument validation and adaptation that is relevant to the diverse populations served, including population relevant Spanish translation of study documents
• Study recruitment including; collection of relevant invasive and non invasive biomarkers and samples, interview-based data collection including administration of complex scales and exposure assessment tools and implementation of retention strategies. Study recruitment can be done both at the medical center and in the community.
• A study database which permits collection of deidentified data that will allow examination of participant pool including demographics of those refusing participation in order to better examine refusal rates