University of Washington Member Center Alliance for Reducing Cancer, Northwest (ARC NW) This...
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- Slide 1
- University of Washington Member Center Alliance for Reducing
Cancer, Northwest (ARC NW) This presentation is a product of the
University of Washington Health Promotion Research Center, a
Centers for Disease Control and Prevention (CDC) Prevention
Research Center (PRC), and was supported by Cooperative Agreement
(CA) number U48-DP005013 from the CDC. The CA includes funding from
the National Cancer Institute (NCI) through the PRC Program's
Cancer Prevention and Control Research Network (CPCRN). The
findings presented are those of the authors and do not necessarily
represent CDC's or NCI's official positions.
- Slide 2
- Overview ARC NW Brief history & partners National projects
Proposed pilot projects for 2014-2019 Q&A
- Slide 3
- ARC NW Overview CPCRN member since 2002 Principal Investigators
Jeff Harris10/0203/07 Vicky Taylor04/0709/13 Peggy
Hannon10/13present Project Director: Thuy Vu Puget Sound, and other
areas of WA, Pacific Northwest
- Slide 4
- ARC NW Goals Conduct and disseminate community-based cancer
research that will: Build upon existing knowledge of cancer
prevention and control Address critical gaps in the Guide to
Community Preventive Services Lead to the adoption, implementation,
and dissemination of successful programs
- Slide 5
- Partner Organizations & Investigator Expertise, 2014-2019
OrganizationsInvestigatorsExpertise American Cancer SocietyAudrey
FineHealth systems collaborations Cornerstone Medical
ServicesSuzanne PakCBPR w/ community health centers Fred Hutchinson
Cancer Research Center Linda Ko, Vicky TaylorHealth communication,
health disparities, CBPR w/ Latino + Asian populations Group Health
Research InstituteBev GreenClinic-based interventions,
patient-centered medical home Kaiser Permanente Center for Health
Research Gloria CoronadoHealth disparities, Latino populations,
community-health clinic collaborations Public Health-Seattle &
King CountyJodi OlsonCancer screening un/under-insured University
of WashingtonLaura-Mae Baldwin, Peggy Hannon, Jeff Harris, Mei-Po
Yip D&I research, rural populations, workplace health
promotion, state and local DOH collaborations, Asian populations
Veterans Affairs Puget SoundSteve ZeliadtHealth economics, cancer
decision-making WA Association of Community and Migrant Health
Centers Mary Beth BrownLinkages w/ community health centers WA
Department of HealthMegan Celedonia, Emily ButlerState cancer
screening programs
- Slide 6
- National Activities with CPCRN, 2009-2014 Participated in CPCRN
activities in both leadership and supportive roles Chaired or
co-chaired three workgroups Colorectal cancer control program
(CRCCP) Federally qualified health centers (FQHCs) HPV vaccination
Actively participated in all other work groups 211 Capacity
building-technical assistance and training Community Guide
Economics Survivorship
- Slide 7
- CRCCP Collaborators, 2010-2014 CPCRN Sites Emory Harvard UCLA U
Colorado UNC U S. Carolina U Texas Washington U-St. Louis U
Washington Thuy Vu, MPH Marlana Kohn, MPH Caitlin Mason, PhD CDC
Amy DeGroff Lindsay Gressard Ketra Rice Vicki Benard CRCCP
Evaluation Team NCI Russ Glasgow Mike Sanchez Cynthia Vinson
- Slide 8
- Colorectal Cancer Control Program (CRCCP) Goal: Increase CRC
screening to 80% by 2014 Provide screening to un/underinsured
Promote screening population-wide
- Slide 9
- Opportunity for CPCRN Mission: Accelerate evidence-based
intervention (EBI) adoption Shift in CDCs approach from NBCCEDP to
CRCCP Grantees urged to use Guide-recommended EBIs
- Slide 10
- Community Guide Strategies (2009) 5 strategies to promote CRC
screening: Client-oriented Small media Client reminders Reducing
structural barriers Provider-oriented Provider reminders Provider
assessment and feedback
- Slide 11
- CRCCP Workgroup Goals Study EBI adoption, implementation,
maintenance Implement Annual Grantee Survey 2011-2014 Develop
additional studies Comparison of grantees and unfunded sites, 2012
In-depth interviews, 2013-2014
- Slide 12
- Papers Grantees use of EBIs, AJPM, 2013 Patient navigation,
JPHMP, 2014 Comparison of grantees and unfunded sites, Prev Chronic
Dis 2014 Training and technical assistance, under review
- Slide 13
- ARC NW Pilot Projects Pilot 1: Peggy Hannon Pilot 2: Linda Ko
Proposed Pilot Projects
- Slide 14
- Pilot 1: Implementation of Evidence-Based Interventions in WA
Breast, Cervical, and Colon Health Program GRANTEE Washington State
Health Department PRIME CONTRACTOR Public Health-Seattle & King
County Serves 4 Counties PARTNER Community Health Centers PARTNER
Local Hospitals PARTNER Small Local Health Departments PARTNER
Community-based Organizations PRIME CONTRACTOR Citrine Health
Serves 6 Counties PRIME CONTRACTOR Spokane Regional Health District
Serves 9 Counties
- Slide 15
- Pilot 1 Aims & Activities Aim: Increase BCCHP partners use
of evidence-based interventions Activities 1.Identify all BCCHP
partners 2.Conduct mixed-methods needs assessment with partners EBI
use, barriers and facilitators Impact of Affordable Care Act on
program implementation, EBI needs Satisfaction with reach to
eligible clients, newly insured, and population served by the
partner organization
- Slide 16
- Pilot 2: Building Community Health Center Capacity to Promote
CRC screening to Limited English Proficient Patients US LEP
population increasing, particularly Hispanics and Asians ~79% of
Spanish, Chinese, Korean, Vietnamese speakers report LEP LEPs have
low CRC screening rates (LEP: 33% vs. overall US: 59%) Our approach
with a community health center can be adopted/ adapted by other
CPCRN member centers
- Slide 17
- Pilot 2 Aims and Activities Aims: to increase CRC screening
among LEPs by building capacity of CHCs to select, adapt, and
implement evidence-based interventions Partner CHC serves a large
LEP patient population Two Activities 1.Collaborate with a CHC to
build capacity to select and adapt EBIs to promote CRC screening
using the Cultural and Linguistic Adaptation Framework (CLAF)
2.Assist a CHC to select, adapt, and implement 2 EBIs and conduct
an evaluation of the impact of the selected EBIs on CRC
screening.
- Slide 18
- Thank you! Questions?