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University of Washington Member Center. Alliance for Reducing Cancer, Northwest (ARC NW). - PowerPoint PPT Presentation
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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.
Overview
ARC NW Brief history & partners National projects Proposed pilot projects for 2014-2019
Q&A
ARC NW Overview
CPCRN member since 2002
Principal InvestigatorsJeff Harris 10/02–03/07Vicky Taylor 04/07–09/13Peggy Hannon 10/13–present
Project Director: Thuy Vu
Puget Sound, and other areas of WA, Pacific Northwest
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
Partner Organizations & Investigator Expertise, 2014-2019
Organizations Investigators Expertise
American Cancer Society Audrey Fine Health systems collaborations
Cornerstone Medical Services Suzanne Pak CBPR w/ community health centers
Fred Hutchinson Cancer Research Center
Linda Ko, Vicky Taylor Health communication, health disparities, CBPR w/ Latino + Asian populations
Group Health Research Institute Bev Green Clinic-based interventions, patient-centered medical home
Kaiser Permanente Center for Health Research
Gloria Coronado Health disparities, Latino populations, community-health clinic collaborations
Public Health-Seattle & King County Jodi Olson Cancer screening un/under-insured
University of Washington Laura-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 Sound Steve Zeliadt Health economics, cancer decision-making
WA Association of Community and Migrant Health Centers
Mary Beth Brown Linkages w/ community health centers
WA Department of Health Megan Celedonia, Emily Butler State cancer screening programs
National Activities with CPCRN, 2009-2014
Participated in CPCRN activities in both leadership and supportive roles
Chaired or co-chaired three workgroupsColorectal cancer control program (CRCCP)Federally qualified health centers (FQHCs)HPV vaccination
Actively participated in all other work groups2–1–1Capacity building-technical assistance and trainingCommunity GuideEconomicsSurvivorship
CRCCP Collaborators, 2010-2014
CPCRN SitesEmoryHarvardUCLAU ColoradoUNCU S. CarolinaU TexasWashington U-St. LouisU Washington Thuy Vu, MPH Marlana Kohn, MPH Caitlin Mason, PhD
CDCAmy DeGroffLindsay GressardKetra RiceVicki BenardCRCCP Evaluation Team
NCIRuss GlasgowMike SanchezCynthia Vinson
Colorectal Cancer Control Program (CRCCP)
Goal: Increase CRC
screening to 80% by 2014
Provide screening to
un/underinsured
Promote screening
population-wide
Opportunity for CPCRN
Mission: Accelerate evidence-based intervention (EBI) adoption
Shift in CDC’s approach from NBCCEDP to CRCCP
Grantees urged to use Guide-recommended EBIs
Community Guide Strategies (2009)
5 strategies to promote CRC screening:
Client-orientedSmall mediaClient remindersReducing structural barriers
Provider-orientedProvider remindersProvider assessment and feedback
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
Papers
PapersGrantees’ 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
ARC NW Pilot ProjectsPilot 1: Peggy HannonPilot 2: Linda Ko
Proposed Pilot Projects
Pilot 1: Implementation of Evidence-Based Interventions in WA Breast, Cervical, and Colon Health Program
PRIME CONTRACTORPublic Health-Seattle & King County
Serves 4 Counties
PARTNER Community Health Centers
PARTNER Local Hospitals
PARTNER Small Local Health Departments
PARTNER Community-based Organizations
PRIME CONTRACTORCitrine Health
Serves 6 Counties
PRIME CONTRACTORSpokane Regional Health District
Serves 9 Counties
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
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
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 Activities1. 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.
Thank you!
Questions?