Hello from the South Carolina Cancer Prevention and Control Research

Network (SC-CPCRN II)!

“Multi-Level, Community-Clinical Cancer Prevention and Control Interventions”

Daniela B. Friedman, MSc, PhD

October 29, 2014

This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Totally Terrific Team

• See separate PDF with table of investigators and roles/expertise• We represent 3 university colleges/units

• Public Health• Nursing• Psychology

• We represent 2 departments within Arnold School of Public Health• Health Promotion, Education, and Behavior• Epidemiology & Biostatistics

• Subcontracts/Consultants• South Carolina Primary Health Care Association• Medical University of South Carolina• Insights Consulting, Inc.This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions

in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Our Partners

This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

(1) South Carolina Primary Health Care Association(2) Federally Qualified Health Centers(3) National Association of Community Health Centers(4) African-American faith-based communities(5) South Carolina Cancer Alliance(6) Department of Health and Environmental Control(7) Office of Research Statistics(8) South Atlantic Division of the American Cancer

Society(9) South Carolina 2-1-1 (new partner)

Cancer Research Continuum

This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Our Focus Areas & Strengths

This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

(1) Use CBPR or community-engaged approaches to guide all D&I work;

(2) Focused on partnership building to increase the capacity of health programs; and

(3) Utilize creative communication strategies in our dissemination efforts.

SC-CPCRN II Aims

(1) Disseminate, implement, and evaluate the impact of efficacious, multi-level, and multi-site public health interventions to address cancer-related health disparities;

(2) Engage community partners and stakeholders locally, regionally, and nationally in research, training, and technical assistance to broaden the evidence base and increase the impact of the cancer prevention and control D&I research in SC and translate effective interventions into practice both here and nationally; and

(3) Increase participation in cancer prevention and control behaviors, such as cancer screening, physical activity, and access to and consumption of healthful foods among high-risk and disparate populations.

This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Our Previous / Current Initiatives

This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

#1: Practice Enhancement Opportunity Assessment (14 FQHCs)

• Assessed FQHCs’ interest in and capacity for participation in research• 39 web-based survey items assessed:

General research experience and interest Partnership and funding for research Staffing and ethical review Barriers and benefits to participation in research Training and technical assistance needs Capacity for conducting research

• Resulted in Training Series: “Using Quality Improvement Data to Inform Evidence-Based Programs and Services”

This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

#2: Geospatial Analyses: FQHC Access and Mortality-to-Incidence

Ratios

• Integrated geospatial information with clinical practice and cancer screening and health outcomes to inform strategies for the dissemination and implementation of evidence-based cancer interventions.

• Both state and national initiatives (USC led FQHC workgroup’s data subgroup)

This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

#3: Integrating a Farmers’ Market within an FQHC

• Data on fruit and veggie consumption increases, sales receipts, etc. informed policy passed in SC in 2013 to allocate $1.892 million to provide monetary incentives for SNAP recipients shopping at farmers’ markets (SC Department of Social Services)

• One of our papers is listed as key evidence for implementing farmers’ markets in low income neighborhoods in the County Health Rankings system (Freedman et al. 2013 Prev Med)This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions

in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Market Dissemination: Manual & Documentary

Planting Healthy Roots(documentary funded by USC

Science and Health Communication Research Group)

#4. Community Health Intervention Program (CHIP) Mini-Grants Program

Refuge Community Outreach: Witness Project

Chester Literacy Council: Eat for Life

Jones Chapel Baptist Church: Walking Trails

Scaling Up for SC-CPCRN II

Extending training program based on results of the Practice Enhancement Opportunity Assessment

Modifying community-based mini-grants program Community-clinical linkages and multi-level

interventions will be required Technical assistance and trainings will be offered

Collaborating across CPCRN sites on MIR and geospatial analyses - examining by stage of diagnosis?

This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Potential Cross-Site Initiative

Given our strong partnership with FQHCs, experience with farmers’ market at an FQHC, and proposed work …. we are interested in a cross-site CPCRN project that will aim to:

• Increase cancer screenings at FQHCs and• Target multiple levels: local community environment,

organization/practice setting, and individual patient, and• Provide preliminary data for a cross-site R01 or other grant proposal

We could potentially focus on:• HPV & cervical cancer or colorectal cancer given some other sites’ interests

and national priorities• In SC we could approach FQHCs that expressed > readiness for research 

This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Potential Cross-Site Initiative cont’d.

Additional thoughts on intervention:

• Local community environment – community-clinical linkage via our community mini-grants process to increase education and screening of never screened/newly insured populations.

• Organization/practice setting –office systems changes implemented through quality improvement approaches.

• Individual patient level – appropriate adaptation of EBIs (primarily client directed interventions) for minority, ethnic, and/or LEP populations (depending on CPCRN site)

• Given our research/interests in communication -- guided by plain language and social marketing principles, etc.

This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Looking forward to our collaborations!

“It Takes a Network!”

--- Rebecca H. Hunter, MEd (UNC Chapel Hill colleague and friend)

This presentation was supported by Cooperative Agreement Number U48/DP005000-01S2 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.