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March 2013 Vol. 2 Num. 2
New
sletter
Online Course 2
PRCTRC Activity 3
CRE Updates 4
Seminar by Technologies and Resources for Core Laboratories The Technologies and Resources for Core Laboratories (TRCL) Key Function leaders organized a seminar titled “Manejo, Empaque y Envio de Muestras Clínicas y Agentes Infecciosos que Amenazan la Salud Publica” About the management of Clinical Samples involving infectious and Potentially threatening agents.
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The activity was conducted Friday, January 25, 2013 from 8:00 AM through 3:00 PM at the Medical Sciences Campus. The conference’s lecturer was Yesenia Mangual, MS, MT(ASCP) from the Biological and Chemical Emergencies Laboratory of the Puerto Rico Department of Health. The activity included
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theoretical concepts, practice, printed material, and an examination conducive to certification for participants.
A total of 46 participants attended the seminar, including people representing UPR-‐Medical Sciences Campus, UPR-‐Rio Piedras Campus, Universidad
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Central del Caribe, Ponce School of Medicine and Health Sciences, Veteran’s Administration Caribbean Healthcare Systems, Centro Comprensivo de Cáncer, and the University Pediatric Hospital.
Arte con Salud 5
New Personnel 6
March 2013 Vol. 2 Num. 2
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As collaborative effort by the Multidisciplinary Training and Career Development (MTCD), Hispanic in Research Capability Endowment Program (HiREC) and Clinical Research Education and Career Development Program (CRECD) the Online course Health Disparities: A Translational Research Approach was developed and offered from October to December 2012.
This course was designed with a multidisciplinary and interdisciplinary focus to address translational research in health disparities. The course defined health disparities taking into consideration the historical context, determinants and theoretical frameworks among other topics. It included the different components of translational research and its relevance in health disparities including ethics principles and the role of community engagement as a strategy in translating health research
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to communities in an effort to eliminate health disparities. To offer the online course, the teaching team includes various educational strategies such as lectures, videos, readings and conference video calls (Go-‐To-‐Meeting).
This multi-‐institutional online course was coordinated by Dr. Lourdes E. Soto from UPR-‐Medical Sciences Campus (UPR-‐MSC). The unit coordinators were Dr. Edna Acosta-‐Perez from UPR-‐MSC and Dr. Angel Mauricio Mayor from Universidad Central del Caribe. Prof. Lizbelle De Jesus-‐Ojeda was the Distance Learning Coordinator. The guest speakers were from UPR-‐MSC, Mayo Clinic, Morehouse School of Medicine, Charles Drew and Washington University.
The online course was offered to eight scholars from the Post-‐doctoral Master in Clinical Research (MSc). It
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was the first time that the MSc of the Medical Sciences Campus implemented a course completely online. Also, the course had one participant each from Ponce School of Medicine & Health Sciences and Mayo Clinic.
This effort represented the opportunity to share knowledge to help eliminate health disparities.
Health Disparities Online Course: A Multi-‐institutional Collaborative Effort Dr. Lourdes E. Soto
Course Coordinator and Unit 1 Coordinator
Dr. Edna Acosta-‐Pérez Unit 3 Coordinator
Prof. Lizbelle De Jesús-‐Ojeda Distance Learning Coordinator
Dr. Angel M. Mayor Unit 2 Coordinator
March 2013 Vol. 2 Num. 2
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Members from the Research Design, Biostatistics and Clinical Research Ethics (DBE) from UCC, MSC and PSM&HS share lunch during the activity.
PRCTRC Christmas Activity
The PRCTRC celebrated its Christmas activity December 21, 2012 at the Conrad, San Juan Condado Plaza. During the activity, attendees were able to meet the PRCTRC new personnel who were formally presented. The agenda also included a Team Building Activity that was enjoyed by participants.
March 2013 Vol. 2 Num. 2
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Updates of a Community Academic Partnership: Collaboration in Cancer Screening Studies and Efforts .
KF CRE’s team (U54 RR026139 / 8U54MD 007587-‐03) has been collaborating with the Comprehensive Cancer Control Outreach Program (U54-‐CCCOP, U54 CA 96300) team and Taller Salud Inc., a community based health oriented organization, in the implementation and evaluation of Cultivando la Salud (CLS, Cultivating Health), a breast and cervical cancer education program developed by the National Center for Farmworker Health. CLS is an evidence-‐based intervention that utilizes promotoras (lay health workers) to increase breast and cervical cancer screening among low income, low literacy Hispanic women. CLS was originally conducted with farmworker women in two communities along the US-‐Mexico border. Adapted versions are currently being implemented in Hays County TX and in Houston. The program was minimally adapted for Puerto Rican communities and is currently being implemented in the Canóvanas municipality. The collaborations between the two teams of researchers have expertise in the development of theory-‐ and evidence-‐based interventions to increase screening as well as measurement, development and research design. This study will assess the effectiveness of an intervention that has been only minimally adapted to determine whether more modifications are necessary to adapt the program for Puerto Rican women. Although the program was effective, process evaluation measures indicated challenges with the promotoras delivery of the intervention despite proper training. We have encountered similar challenges because of personnel turn over, but as of the end of February we have successfully recruited 321 participants and are conducting follow up surveys four months following baseline to determine intervention impact on screening behaviors. We expect to complete recruitment by the end of April 2013 (n=484) and follow up by the end of August, 2013.
Next steps after recruitment is completed: § All participants in the control (delayed
intervention) group will receive the education session by September 2013.
§ Conduct focus groups to determine acceptability of the program.
§ Provide evidence about whether or not an adapted intervention initially developed for a US Hispanic population is effective in increasing breast and cervical cancer screening Puerto Rico.
§ Write and NCI R01 application for full adaptation/dissemination in several areas around the island.
Author: Community-‐Academic Partnership of Cultivando La Salud Team: University of Puerto Rico Medical Science Campus (Comprehensive Cancer Center and Puerto Rico Clinical and Translational Research Consortium), University of Texas-‐Health School of Public Health, Houston, Texas; and Taller Salud, Inc.
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New community-‐academic partnership: Arte con Salud research project
Arte con Salud is an innovative sexual-‐health tailored intervention developed by Taller Salud, Inc. This intervention is for adult heterosexual women and incorporates art and intergenerational communication as part of the program delivery strategies to promote sexual negotiation skills and safer sexual practices. The goal of this project is to pilot test the effectiveness of Arte con Salud to prevent HIV/STI in a sample of adult women (21 to 40 years old) who have sex with men.
This project is a collaborative effort of the OCRE, Universidad Central del Caribe (UCC) and UPR-‐Cayey and Taller Salud, Inc. Recently, the PRCTRC approved this research endeavor, which has made possible a connection between the academia and the community to reduce HIV/STI incidence. Team members have met several times to delineate work plan, initiate contracts, submit IRB applications, develop or modify study forms including instruments, facilitator manual for the comparison and intervention groups, and designing strategies to improve recruitment and retention. Several training activities are planned to develop research skills among community partners and facilitation of Arte con Salud intervention among research partners. The first short training entitled “Introduction to Research: What exactly is an experimental study?” was offered by Dr. Edna Acosta from OCRE. Next activity will be offered by Taller Salud, Inc. during March, 2013.
Authors: Community Academic Partnership of Arte con Salud
Members: Wanda I. Figueroa-‐Cosme, MD; Patricia Noboa Ortega, PhD; Christine Miranda-‐Díaz, MPHE, PhDc; Office of Community Research Engagement (OCRE); Taller Salud
March 2013 Vol. 2 Num. 2
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Community Research and Engagement is growing strong in PRCTRC. After an intense stage consisting of site visits, a needs assessment, focus groups and participatory program design, we have implemented a comprehensive training program called Collaborative Research Capacity Building for Community-‐Academic Partnerships with a diverse group of ten Community-‐Based Organizations (CBO’s). The process has been a growth and learning experience for everyone involved. Over the past three-‐months, we have conducted three workshops with these CBOs (four additional ones are plan for April-‐June). Attendance and engagement has been excellent. Diverse areas of research-‐to-‐service interests and expertise among participating CBOs have brought a unique perspective to the training process and have strengthened knowledge. Some areas of focus include asthma treatment with youth, HIV prevention, cancer screening in rural areas, and increasing quality of life for youth living with Down’s Syndrome. Upon
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completion of the program, CBOs will have built capacity to engage in productive partnerships with academic researchers.
The most important gain for PRCTRC will be a group of CBOs with capacity to engage in community-‐academic partnerships (CAPs). CBOs represent a significant anchor point in communities for advancing the translational research process. Building trust with participating CBOs has been a priority and has assisted with retention. Follow-‐up efforts (email and site visits) and obtaining ongoing inputs in the workshop design have helped to keep CBOs engaged and ensures that the training program is meeting their needs. We expect to recruit new cohorts of CBOs in subsequent years of the renewal and also implement a complementary training program for academic researchers in collaboration with the Multidisciplinary Training and Career Development key function.
Community Partners are Getting Ready for Research!!
Research Design Biostatistics and Clinical Research Ethics Lorena González, MS – DBE Coordinator
Meet the new personnel
Pilot Project Program Dr. Ricardo González – Pilot Project Key Function Leader
Community Research and Engagement Frances Hernández Rodríguez – OCRE Dissemination Coordinator
