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@msdcenter
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The MD Anderson and CATCH
Partnership to Advance Youth
Cancer Prevention
featuring Dr. Ernest Hawk MD Anderson
Today’s Moderator
Duncan Van Dusen, MPH Executive Director
CATCH Global Foundation
Today’s webinar will be recorded and available online at
www.CATCHusa.org
We are an international leader in conducting research and providing programs that promote healthy living for children, their families and communities. Our work fosters improved health behaviors among youth, influences policy and environmental change to support healthy living, and advances professional education and community service. Our vision: Healthy children in a healthy world
About our Center
www.msdcenter.org
Ernest Hawk, MD, MPH Vice President & Head Division of Cancer Prevention & Population Science
Our Guest
!
!
!
!
The!MD!Anderson!and!CATCH!
Partnership!to!Advance!Youth!
Cancer!Preven8on!Ernest!Hawk,!MD,!MPH,!Vice!President!&!Head,!
Division!of!Cancer!Preven8on!&!Popula8on!Sciences!
!
April!27th,!2015!
!!
!
!
!!
!
!!
“The%f'nction%of%protecting%and%developing%health%must%rank%even%above%that%of%restoring%it%when%it%is%impaired.”%%%Hippocrates!
To!eliminate!cancer!in!Texas,!the!na+on!and!the!world…!
MD!Anderson’s!Mission!
Moonshot!Program!
Established!in!2012!!to!
accelerate!transla8onal!progress!
Cancer!Control!Community!
Educa8on!Future!genera8ons!
Clinical!Care!Individuals!
Research!
Premise!for!Preven8on!
OnePThird!to!OnePHalf!of!Cancer!Deaths!are!!Preventable!in!Western!Popula8ons!
Effec+ve!Cancer!Preven+on!is!Applied!in!Two!Domains!Across!the!Lifespan!
Eliminate tobacco exposure
Eat a healthy diet
Increase physical activity
Public policy
Education – public & professional
Delivery of community-based clinical services
Effective Cancer Prevention
Evidence-Based Personal Actions
Evidence-Based Population
Actions
Reduce UV exposure
Follow a cancer-
screening program
Use preventive meds & vaccines
Obesity/diet/inactivity
Colditz,!et!al.!Sci!Trans!Med.,!2012!AACR!Cancer!Progress!Report,!2014!
Know your family hx / risk assessment
An!Emphasis!on!Youth!is!Cri8cal!
Premise!• Cancer!risk!behaviors!are!developed!early!in!life!
• Ins8gators!of!adult!cancer!are!known!to!operate!during!childhood!
• >!80%!of!adult!smokers!begin!smoking!before!age!18!
!
• 1!blistering!sunburn!in!childhood!or!adolescence!more!than!doubles!
the!risk!of!melanoma!later!in!life!
Preven+ng!Tobacco!Use!Among!Youth!and!Young!Adults:!A!Report!of!the!Surgeon!General.!2012.!U.S.!DHHS!!Dennis,!et!al.!Ann!Epidemiol!!18(8).!2008.!!
MD!Anderson!Cancer!Center/!
CATCH!Global!Founda8on!Partnership!
!=!IMPROVED!EFFECTIVENESS!OF!BOTH!
Cancer!Control!PlaZorm!Mission!&!Deliverables!
Develop!and!deliver!comprehensive!evidencePbased!strategies!(PES)!in!cancer!
preven8on,!screening,!early!detec8on!and!survivorship!to!achieve!a!measurable!
and!las8ng!reduc8on!in!the!cancer!burden,!especially!among!the!underserved.!
!• !!Policies!!!Inform,!impact!&!implement!worksite,!government!&!public!policies!&!related!
ac8vi8es!!
• !!Educa8on!–!public!&!professional!!!Develop!&!deliver!schoolPbased!programs,!media!campaigns!&!counterPmarke8ng!
programs.!Improve!health!professional!knowledge!through!CME!programs!&!
telementoring!ac8vi8es!
• !!Services!beyond!MD!Anderson’s!walls!!!Improve!professional!prac8ce!&!delivery!of!communityPbased!screening!&!early!
detec8on,!counseling,!immuniza8on,!&!preven8on!services!
EvidencePBase!for!Cancer!Control!
11!
Key!Parameters!of!an!!
Implementa8on!Strategy!for!Cancer!Control!
Excessive alcohol
Cancer-causing infections (e.g., HPV, H. pylori
hep C, hep B)
Excessive UV exposure
Obesity (excess calories &/or physical inactivity)
Provide service
Facilitate service delivery
Public education
Implement policy
• Dominant risk factors
Individual
Community
Region
State
Nation
Family
• Control actions/intensity (PES) • Passive • Active
• Levels of intervention/cohort • Geopolitical
Tobacco
World
Low
Moderate
High
• Neoplastic risk • Education level • Socioeconomic status • Access to services • Receipt of services • Literacy • Language skills • Pop’n cancer rates
• Risk-based cohort subsets
Professional education
Enforce policy
• Moonshot-oriented cancer sites/organ systems
Improper evidence-based
screening
Integra8on!with!External!Community!
MD!Anderson!partners!with!diverse!government!agencies,!NGOs!&!
corpora8ons!to!facilitate!planning,!implementa8on!&!evalua8on!
!
Government)Agency)and)NGO)Engagement!• Center!for!Disease!Control!&!Preven8on!
• Associa8on!of!American!Cancer!Ins8tutes!
• American!Associa8on!for!Cancer!Research!
• American!Cancer!Society!
• American!Cancer!SocietyPCancer!Ac8on!Network!
• TobaccoPFree!Kids!
• Episcopal!Health!Founda8on!
• American!Society!of!Preven8ve!Oncology!
)Boards)of)Visitors)&)Community)Advisory)Groups))• Health!Policy!Advisory!Panel!
• BOV!Cancer!Control!Advisory!Group!
• BOV!Governmental!Rela8ons!Commibee!
!
Corporate)Engagement)• Jason’s!Deli!
• Halliburton!
• LyondellBasell!
• ExxonMobil!
• Shell!Oil!Co.!
• CVS!Health!
• Blue!Cross!Blue!Shield!
• Linn!Energy!
Academic)Advisors)• John!Groopman!(Johns!Hopkins)!
• Elizabeth!Platz!(Johns!Hopkins)!
• Tim!Byers!(University!of!Colorado)!
• James!Marks!(RWJF)!
Execu8ve!Leadership!&!Exper8se!!Leveraging!&!Extending!MD!Anderson’s!Control!Infrastructure!
Control!(PES)!
PlaZorm!Div of Cancer Prev & Population Sciences
Hawk & Wetter
Community Relations & Education
Kim
Professional Education
Woods
Governmental Relations Moreno
Health Policy
Foxhall Dissemination & Implementation Expertise
Youth Prevention & Education Expertise
Public Health Practitioners
Existing To Be Incorporated Human
Resources Varghese
PlaVorm!Opera+ons!Tek+ridis,!Salas,!Bello! Opera+ons!Staff!
Community Health Advocates
Public Health Partners
PorZolio!Management!Process!
Assessment!Evidence!!
Appraisal!Product!Concepts!
Go/No8Go!!
Decision!
Product!!
Prototype!
Pilot!Implementa<on!
Product!!!!!!!!!!!Implementa<on!&!
Scale8up!
Maintenance!&!Dissemina<on! Evalua<on!
PRODUCTS!DEVELOPED!&!IMPLEMENTED!IN!A!STRUCTURED,!!
MILESTONEPDRIVEN!PROCESS!
Priori8za8on!Criteria!
• Rela8onship!to!Moon!Shot!programs!
• Resources,!exper8se!&!capacity!
• Poten8al!for!popula8on!impact!
• Benefit!to!underserved!&!dispropor8onatelyPimpacted!communi8es!
• Targets!children!&!adolescents!to!promote!healthy!lifestyles!
The!CATCHPMD!Anderson!Rela8onship!
FourPyear!agreement!will!fund:!• ! Infrastructure!&!opera8ons!
• ! Curriculum!development!&!dissemina8on!
• ! Program!&!technology!support!
!
!
An8cipated!projects!include:!• ! Developing!&!dissemina8ng!new!program!content,!including!UV!protec8on,!tobacco!use!preven8on!
• !!!!Transforming!CATCH!curriculum!into!a!digital!format!
CONFIDENTIAL © 2015 CATCH Global Foundation
Health!Educa8on!Modules!
Pre-school
Elementary (K-5)
Middle (6-8)
High (9-12)
After-School
Physical Activity
Nutrition
Tobacco Use Prevention
*to be developed (Lung Moon Shot Prevention)
UVR Protection “Ray & the Sunbeatables”
*to be developed or adopted/adapted from existing
evidence-based programs
HPV Vaccination *vaccine education
materials to be developed
TOBACCO!USE!CONTENT!
ASPIRE:!A!Smoking!Preven8on!Interac8ve!Experience!
• Started!in!2000!as!research!project!for!smoking!preven<on!&!cessa<on!aimed!at!high!school!students!
• Internet8based!with!various!media!elements,!including!flash!anima<on,!quizzes,!games,!videos!
• Can!be!culturally!tailored!
• School8Based!Dissemina<on:!
– 12,745!students!have!used!ASPIRE!
– !4,474!students!completed!the!program!
– 24!states!&!1!interna8onal!loca8on!enrolled!
– Add’l!states!&!interna8onal!loca8ons!have!expressed!interest!
• Accomplishments:!!
– Website!has!averaged!up!to!800!visitors!/!month,!more!than!40,000!
visits!from!at!least!66!countries!
– Spanish!version!launched!in!2011!
19!Prokhorov!et!al,!Nico+ne!Tob!Res!2008!Prokhorov!AV!et!al,!Subst!Use!Misuse!2010! Funded!by!NCI!
Prokhorov!AV,!Kelder!SH,!et!al.!Nico+ne!&!Tobacco!Research,!10!(9),!1477`1485.!2008!
Smoking!Ini8a8on!Rates!Among!
Nonsmoking!10th!Grade!Students!!
at!18!mo.!FollowPup!
P!<!0.05!
Learned New Facts
Yes
No
Maybe
Don't Know
Influenced Not To Use Tobacco
Yes
No
Maybe
Don't Know
Better Understand Tobacco Effects
Yes
No
Maybe
Don't Know
Would Recommend ASPIRE
Yes
No
Maybe
Don't Know
Student!Feedback!on!ASPIPRE!
Slide!courtesy!of!A.!Prokhorov!
SUN!PROTECTION!CONTENT!
Purpose:!To!teach!children!about!sun!protec8on!and!promote!these!behaviors!to!reduce!skin!cancer!risk.!
Theme:!Ray!&!the!Sunbeatables!are!superheros,!with!each!having!a!unique!superpower!to!protect!against!the!sun!P!
clothing,!hats,!sunglasses,!sunscreen,!shade,!and!knowing!
when!it’s!safe!to!be!outside.!!
Sample!Curriculum!Ac<vity:!!“Are!Our!Shadows!Long?”!
Children!learn!about!the!Shadow!Rule:!During!early!morning!and!late!anernoon,!shadows!are!longer!
and!it!is!safer!to!be!outside.!During!midday!(10:00!AM!to!4:00!PM),!the!sun!is!directly!overhead,!UV!rays!
are!most!intense,!and!shadows!are!shorter!(or!there!is!no!shadow).!
Sun!Protec8on!Interven8on!Works!
• Teachers:!– Teachers!became!more!knowledgeable!about!sun!protec8on!&!more!
confident!in!ability!to!protect!children!
– Significant!behavioral!effects!on!teacher’s!use!of!sunscreen,!protec8ve!clothing!&!shade!to!protect!children!
• Parents:!– Parents!became!more!knowledgeable!about!sun!protec8on!
– Posi8vely!impacted!their!sun!protec8on!behaviors!for!children!
The!Sunbeatables™!program!con8nues!MD!Anderson’s!dedica8on!
to!preschool!sun!protec8on.!!
Results!of!MD!Anderson’s!Sun!Protec8on!is!Fun!!(S.P.F.)!preschool!
program:!
!!
Gritz,!Tripp,!et!al.,!Health!Educ!Behav,!2007!Gritz,!Tripp,!et!al.,!Prev!Med,!2005!
Future!Content!Development!
• HPV!vaccina8on!
!
• Hierarchy!of!scien8fic!evidence!!!!!(advanced!grade!levels)!
DISSEMINATION!
Transla8on…!
• Into!digital!format!
!
!
• Across!cultures!&!languages!
National Reach
Interna8onal!Reach!Global!Academic!Programs!(GAP)!
GAP!supports!our!mission!via!the!Sister!Ins8tu8on!Network:!• 29!Sister!Ins8tu8ons!in!22!countries!incl.!3!consor8a!
– list!at!www.mdanderson.org/gap!!
• the!largest!global!network!of!cancer!centers!working!collabora8vely!to!accelerate!the!mission!of!Making!Cancer!History!
– Network!is!a!plaZorm!to!support!work!in!pa8ent!care,!research,!
preven+on,!control,!and!educa+on!
Our!Aspira8on!
…Everywhere!• Texas!
• U.S.!• World!
…In!!Every!Regard!
• Tobacco!control!• Skin!cancer!screening!
• HPV!vaccina8on!
EvidencePbased!Cancer!Preven8on!&!Control!=!“Plan!A”!
…By!All!Means!
• Educa8on!• Service!
• Policy!
Thank!You!!
THANKS!to!CATCH!and!exis8ng!partners!for!permiung!us!the!
honor!of!working!with!you!to!advance!our!shared!mission!of!
educa8ng!youth!in!healthy!behaviors!!
!Special!thanks!to:!Steven!Kelder,!PhD,!MPH!
Deanna!Hoelscher,!PhD,!RD,!LD,!CNS!
Duncan!Van!Dusen,!MPH!!
“Effec8ve!cancer!preven8on!will!play!a!powerful!role!in!the!
future!health!of!our!country…It’s!important!that!we!deploy!
MD!Anderson’s!programs!for!op8mum!impact.!With!CATCH,!
we’re!fortunate!to!combine!our!exper8se!with!a!successful,!
longstanding!program!providing!a!prac8cal,!researchPbased!
approach!to!child!health!that’s!already!na8onal!in!scope.”!
! ! !Ronald!DePinho,!MD!! ! !President,!MD!Anderson!Caner!Center!
Acknowledgements!
Cancer!Preven<on!&!Control!PlaWorm!Leadership!Team!Mark!Moreno!(coPleader)!
Jennifer!Tek8ridis,!PhD!
Lewis!Foxhall,!MD!
David!Weber,!PhD!
Kendra!Woods,!PhD!
Shibu!Varghese!
Stephanie!Kim!
Rosalind!Bello,!MA!
Martha!Salas,!MSW,!MBA!
!
CATCH!Collabora<on!Steven!Kelder,!PhD,!MPH!
Deanna!Hoelscher,!PhD,!RD,!LD,!CNS!
Duncan!Van!Dusen,!MPH!
!
!
!
!
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Thank You!
Peter Cribb, MEd National CATCH Director CATCH Global Foundation [email protected]
Today’s webinar was recorded and will be available online at
www.CATCHusa.org
Duncan Van Dusen, MPH Executive Director CATCH Global Foundation [email protected]