Emory Cancer Prevention and Control Research Network (CPCRN)

1. EmoryCancer Prevention and Control Research Network (CPCRN) Emory Prevention Research Center Emory Prevention Research Center

2. Partnerships

3. Primary Community Partner:Southwest Georgia Cancer Coalition (SWGCC)Rural Southwest Georgia

4. Southwest Georgia Demographics • 33-county region (served by SW GA Cancer Coalition) • Population approx 713,000 • Range: 2,390 Webster County - 96,065 Dougherty County • Most counties < 20,000 • Almost 40% African American (US Census, 2000)

5. 22.1% live below poverty level, compared to: • 14.1% statewide in Georgia • 13.3% nationally • Per capita income (1999) $21,000, compared to: • $27,324 in Georgia • $28,542 nationally (US Census, 2000)

6. Southwest Georgia Partners Primary Community Partner: • Southwest Georgia Cancer Coalition (SWGCC) Other Partners: • SW Georgia Area Health Education Center (AHEC) • Local American Cancer Society • Phoebe Health Systems • The Albany Herald • Albany State University, Darton College, Georgia Southwestern University • District Health Departments • Decatur County Commissioner • Local churches • Core Liaisons

7. University and Statewide Partners Emory University: • Schools of Public Health, Medicine, Nursing, Law… Interfaith Health Program, TTAC, Ethics Center, Emory College, Winship Cancer Institute, and more Other Partners: • Georgia Division of Public Health • American Cancer Society • Georgia Cancer Coalition • Grady Health Systems • Emory Healthcare

8. CPCRN-Affiliated Faculty Julie Gazmararian David Howard Kyle Steenland Cam Escoffery

9. New Partnership Development • Local & state • Health departments • Tour de Georgia • Tour of Hope – Clifton Corridor • CIS and Team Up collaboration • GCC Cancer Summit (November 2-3) • Collaborations w/ Behavioral Research Center of ACS (National Home Office)

10. Progress Staffing: • Hired Anna Ehlerding, MEd - part-time local CPCRN coordinator in Albany, GA • SWGCC new leadership: • Diane Fletcher, MA, RN – CEO of SWGCC • Denise Ballard, MEd – EPRC Coordinator

11. Progress • SWGCC Coordinator compiled County Profiles • Scientific Advisory Committee meeting (for EPRC and CPCRN) - June • SW Georgia Cancer Symposium with Area Health Education Center (Oct 14)

12. Progress • American Society of Clinical Oncology (ASCO) Prevention Curriculum • Community Intervention Chapter • Arrangement to use 40-chapter curriculum regionally & statewide

13. CPCRN ResearchActivities Pilot Studies • Ideas solicited from Emory researchers and Community Advisory Committee (CAC) • 6 proposals submitted • Review committee - CAC & researchers • Rated and scored proposals in 6 criteria areas on a 1-5 scale (5=highest). • Selected 3 top priority pilot studies by consensus (written reviews and meeting)

14. Selection Criteria • Meets community needs • Can be completed within 6 months • Consistent with current cancer control guidelines (e.g. NCI, CDC, ACS, USPSTF) • Potential to contribute to scientific literature • Potential for larger funding • Appropriate research expertise available

15. Decision making for “healthy lifestyle changes” in rural communities • Led By:Darrell Sabbs – Community Benefits Coordinator, Phoebe Putney Memorial Hospital • Research Questions: • When do people want to make a decision? • What has been the point of decision for others? • How do family and community impact decisions? • What factors contribute to the difficulties of (healthy) decision making?

16. Rural Mexican-American women’s perceptions of cultural & environmental influences on physical activity & healthy dietary practices • Led by:Maria R. Warda, RN, PhD - Dean, School of Nursing, Georgia Southwestern State University • Research Questions: • Perceptions of enablers & barriers to physical activity and healthy dietary practices? • How cultural factors, e.g.: family, spirituality, health beliefs, & communication influence PA & healthy diet? • Role of environmental factors (living environment, work environment)?

17. Training needs assessment re: knowledge and practices … cancer control guidelines in health care professionals in SW GA • Led By:Cam Escoffery, PhD, MPH, CHES – Assistant Professor, RSPH, Emory University • Research Questions: • Current knowledge & needs of providers related to clinical and evidence-based guidelines for breast and cervical cancer detection, & smoking cessation? • Adherence to USPSTF guidelines and the Community Guide recommendations for education, recruitment, screening and treatment? • Preferred training content and formats?

18. Partially funded pilot:Rapid cancer case ascertainment in SW Georgia • Led by: Kyle Steenland, PhD - Professor, RSPH, Emory University • Aims: • Develop rapid case ascertainment system for cancer in SW Georgia, in collaboration with the Georgia Cancer Registry • Support work of ongoing (#25-04) and new SIPs (#7-05) in SW Ga treatment centers

19. Phoebe Putney Memorial Hospital (Albany) Tift General Hospital (Tifton) South Georgia Medical Center (Valdosta) John D. Archbold Memorial Hospital (Thomasville)

20. Other Affiliated Research: Cancer SIP’s

21. SIP 25-04:Population-based study of quality of life of 300 prostate cancer patients SW GAPI: Kyle Steenland, PhD • Focus of interviews: • Treatment choice • Physiologic quality of life (e.g., incontinence, sexual dysfunction) • Perception of quality of life

22. SIP 07-05: Determinants of patient dropout from Cancer Treatment & Follow-up PI: Joe Lipscomb, PhD • Examine treatment dropout for breast, colorectal, lung, and prostate cancers within 1st year • Investigate associated disease, patient, provider, & system factors • Assess data sources & identify potential interventions to improve tx completion

23. Plans for Year 2 • Complete pilot studies • Develop larger applications for most promising • Leverage partnerships to disseminate & replicated evidence-based CP&C programs • Contribute to &/or lead selected, priority Network research efforts

24. Thank you very much!