Thomas G. Coon MSU Extension Director May 2008

1. Model for a National Infrastructure to Translate Evidence-Based Knowledge into Practice: Lessons Learned from a Cooperative Extension Program Thomas G. Coon MSU Extension Director May 2008

2. Disclosures Accelerating the Dissemination and Translation of Clinical Research into Practice The Following Faculty have No Relevant Financial Relationships with Commercial Interests: Thomas CoonKeynote Session I: Model for a National Infrastructure to Translate Evidence-Based Knowledge into Practice: Lessons Learned from a Cooperative Extension Program

3. Structure of Presentation • Overview of Cooperative Extension System • CES programs that relate to health education and research • Examples of current and future partnerships for translation of health science research into practice

4. MSU Extension’s Mission: Michigan State University Extension helps people improve their lives through an educational process that applies knowledge to critical issues, needs, and opportunities.

5. Extension Programs • Community-centered • Needs-focused • Research-based • Inclusive, accessible • Collaborative

6. County-based educators • On campus faculty • Every county served • Programming foci: • agriculture and natural resources; • children, youth and families; • community and economic development.

7. MSUE’s Budget

8. Addressing Community Member Needs via the Extension Model Engaged Partners Communities Researchers Educators Private Sector Public Sector

9. Addressing Community Member Needs via the Extension Model Community Based Issues Engaged Partners Communities Researchers Educators Private Sector Public Sector

10. Addressing Community Member Needs via the Extension Model Community Based Issues Issue Focused Research Engaged Partners Communities Researchers Educators Private Sector Public Sector

11. Addressing Community Member Needs via the Extension Model CES Program Development Community Based Issues Issue Focused Research Engaged Partners Communities Researchers Educators Private Sector Public Sector

12. Addressing Community Member Needs via the Extension Model CES Program Development CES Program Delivery Community Based Issues Issue Focused Research Engaged Partners Communities Researchers Educators Private Sector Public Sector

13. Addressing Community Member Needs via the Extension Model CES Program Development CES Program Delivery Community Based Issues Issue Focused Research Community Based Problem Solving Engaged Partners Communities Researchers Educators Private Sector Public Sector

14. Addressing Community Member Needs via the Extension Model CES Program Development CES Program Delivery Community Based Issues Evaluate and Adapt Issue Focused Research Community Based Problem Solving Engaged Partners Communities Researchers Educators Private Sector Public Sector

15. Statewide Issue Identification Process, 2006 • 10,000 people participated • Focus groups • Statewide random survey • Collaborator interviews • Staff and client on-line surveys

16. MSU Extension works to Strengthen Michigan’s Economy • Five Strategic Priorities • Developing entrepreneurs. • Promoting healthy lifestyles. • Preparing for the expanding bioeconomy. • Educating and supporting decision makers. • Building leaders for today and tomorrow.

17. Cooperative Extension Programs in Health Education • Nutrition, food preparation, food safety • Limited resource populations – Food Stamp Nutrition Education • Broader public • Breast feeding moms – peer counselors • Institutional food service staff

18. Cooperative Extension Programs in Health Education • Chronic disease management • Diabetes management – patients, caregivers • Cancer prevention and monitoring • Alzheimers caregivers - Bailey and Paul, Montana State University: • Community needs-based project • Delivered at community level • Evaluated and available for replication • Efficiently funded

19. Cooperative Extension Programs in Health Education • Early Childhood Development • Home based education delivery • Community workshops with partners • Day care providers training • Better Kid Care – started in Saginaw County, 1996, now statewide with $2 million funding • Face-to-face and on-line delivery

20. Cooperative Extension Programs in Health Education • Public Health • Community based health needs studies • Community driven epidemiologic studies • Rural Health Center planning • Community design and planning – elder-friendly communities

21. Cases that illustrate the potential for collaboration with Cooperative Extension in translating health science research

22. Case 1: Intervention Research • Cho, et al.: • Using quick assessment techniques to evaluate interventions in food safety • Could be applied to institutional clients for HACCP training • Could be applied to day care provider settings

23. Case 2: Large Community-based Studies • Michigan Alliance for the National Children’s Study: • MSU, UM, WSU, Henry Ford Health Systems, Michigan Dept. Community Health-Wayne County • MSUE – assist in recruiting community partners, participants, quickly transmitting interim findings

24. Case 3: Prevention Research & Application • PROSPER – PROmoting School-university-community Partnerships to Enhance Resilience • Penn State – Iowa State collaboration • Schools – County Extension – University/state agency linkages

25. Questions? MSU is an affirmative-action, equal-opportunity employer. Michigan State University Extension programs and materials are open to all without regard to race, color, national origin, gender, gender identity, religion, age, height, weight, disability, political beliefs, sexual orientation, marital status, family status or veteran status.