University of IowaCancer Prevention and Control Research NetworkSue Curry, Ph.D., Principal Investigator

This presentation was supported by Cooperative Agreement Number 1U48DP005021-01REV 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.

AIMS

• Accelerate implementation of E-B CPC strategies

• Reduce cancer risk

• Improve participation in e-b strategies

• Enhance efforts to reach underserved populations

– Multi-level engagement with individuals,

community organizations & health systems

Resources

• Outstanding faculty with broad expertise and

experience

• Institutional support & infrastructure

• Surveillance

• Robust and varied community partnerships

FacultyName ExpertiseSue Curry Health behavior & health services research

Edith Parker CBPR, program evaluation, translation and dissemination research

Barbara Baquero CBPR with Latino populations

Faryle Nothwehr Evaluation & dissemination research, rural community collaborations for healthy eating

Jason Daniel-Ulloa Health disparities, qualitative research in ethnic minority populations

Elizabeth Chrischilles Cancer prevention/population sciences leadership; core population data resources, multi-center trials

Barcey Levy Iowa Research Network, colorectal cancer screening

Natoshia Askelson Health communications, colorectal cancer screening, HPV vaccination

Brad McDowell Population data resources, Iowa Cancer Consortium (co-chair of Data & Evaluation Committee; development of Iowa Cancer Plan)

Tina Devery Executive director of Iowa Cancer Consortium

Chuck Lynch Cancer surveillance, cancer epidemiology, environmental epidemiology; PI and Medical Director of Iowa’s SEER registry

Institutional Support/Infrastructure

• Collaborative culture across UI colleges

• Institute for Clinical & Translational Research

• Holden Comprehensive Cancer Center

• CPH Communications & External Relations

• Institute for Public Health Practice

• Iowa Institute for Public Health Research & Policy

• Center for Public Health Statistics

• Business Leadership Network

Surveillance Data

• State Health Registry of Iowa

– NCI SEER Registry

• Cohort Studies

– Agricultural Health Study

• Data linkages

– SEER-Medicare, SEER-MHOS, Medicare, Medicaid Data,

SEER-Breast & Cervical Cancer Screening Program,

SEER-Colorectal Cancer Screening Program

• Iowa Health Fact Book

Community Partnerships

• Iowa Cancer Consortium• Iowa Primary Care Association (14 FQHC’s)• Iowa Department of Public Health• Local Health Departments• UI Health Alliance• Iowa Hospital Association• Iowa Research Network (IRENE)• Partnerships in racial/ethnic diverse communities • Advisory boards

– PRC-RH Advisory Boards (local and state)– CPH Board of Advisors

Strategies for Studying Dissemination• Identify grand challenges

– Surveillance• Identify evidence-based approaches for

intervention– USPSTF, CPSTF

• Apply state of the art research methods to evaluate dissemination strategies

• Determine metrics and timeline for assessing dissemination

Pilot Project – HPV Vaccination• Surveillance

– HP2020 goal = 80%; Iowa = 36% (lower among African Americans)

• Evidence-based interventions– CDC Advisory Committee on Immunization

Practices (ACIP) recommendations– CPSTF strategies to

• Enhance access to vaccination services (4)• Increase community demand (4)• Provider/system interventions (5)

Pilot Project – HPV Vaccination• Faculty and collaborations

– Drs. Askelson & Daniel-Ulloa have ongoing work– Existing collaborations with 5 counties in Iowa

with highest African American population– Priority of Iowa Cancer Consortium– Partnerships with FQHC’s through Iowa Primary

Care Association– Partnerships with state & local health

departments

Pilot Project – HPV Vaccination• Research design idea

– Multiple baseline study to evaluate demand and system interventions – alone & in combination• Designed in collaboration with local

community partners– 4 groups of 5 communities (e.g., 2 per network

member)– Outcomes include vaccination rates, key

informant data from health systems, organizational interviews in adjacent communities

Multiple Baseline Design

Community Groups (n=20)

Time Periods & Intervention Activities

  T1 -6 month observationfor baseline assessment

Intervention  T2-6 month follow-up

Intervention T3-12 month follow-up

Intervention T4-18 month follow-up

Group 1 x None x None x Combined XGroup 2 X Demand X +System 

(combined)X Combined X

Group 3 X System X +Demand (combined)

X Combined X

Group 4 X Combined X Combined X Combined X

Dummy Data….

• Questions, comments?