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CPCRN Network Center: Comprehensive Cancer Control Collaborative of North Carolina University of North Carolina at Chapel Hill Atlanta, GA October 15, 2009. Center for Health Promotion Disease Prevention. Lineberger Comprehensive Cancer Center is a key partner. 4CNC at UNC-Chapel Hill.
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CPCRN Network Center: Comprehensive Cancer Control Collaborative of North Carolina University of North Carolina at Chapel Hill Atlanta, GA October 15, 2009
Center for Health Promotion Disease Prevention Lineberger Comprehensive Cancer Center is a key partner 4CNC at UNC-Chapel Hill
Research and Practice Team Advisory Group Alice Ammerman Marci Campbell Laura Linnan Sally Malek Deb Mayer Michael O’Malley Michael Pignone Barbara Rimer Walter Shepherd Pam Silberman Principal Investigator Cathy Melvin Investigators Noel Brewer Bill Carpenter Jennifer Leeman Kurt Ribisl Project Director Alexis Moore Training / TA Monair Hamilton Program Assistant Xavier McCutcheon
Infrastructure Services • Aim 1: Maintain and enhance existing 4CNC infrastructure: • Further develop local and CPCRN partnerships • Identify and rapidly respond to priority areas, emerging issues • Initiate and support CPC, dissemination and implementation research, and evidence-informed practice • Disseminate 4CNC products and results
Cancer Focus • Aim 2: Advance the science and practice of dissemination and implementation across the cancer continuum with a focus on: • Promote HPV vaccine use • Eliminate disparities in breast cancer screening and treatment • Prevent initiation and increase cessation of tobacco use • Increase CRCscreening (proposed cross-center project)
Cross-Center Collaboration • Aim 3.Support and inform implementation of Community Guide recommendations to increase CRC screening • Increase provider use of decision support for CRC screening • Special emphasis on increasing use among minority and uninsured individuals
Dissemination and Implementation Activities to Improve CRC Screening CRC Screening Consortium: High Point, NC Safety Net CRC screening program for uninsured • Godley. Improving CRC Screening: Enhancing Systems …. NCI • Melvin. Increasing Early Detection of CRC: Enhancing … Access to Care. LCCC Statewide Summit Partner meetings and site visits Small media NC Community Health Center Association Provider recommendation and referral Community engaged to plan EBI adoption • Campbell. ACTS of Wellness. CDC. Implementing 4CNC’s small media component Multi-state Task Force to develop a CRC communications campaign for rural states Provider education and academic detailing Cross-center project
AIMS Assess current use of decision aids in different settings (including states with and without programs to support CRC screening) Explore individual and systems barriers to provider recommendation and referral Update decision support tools based on most recent recommendations Proposed Cross Center Project
AIMS (cont) Modify decision aids based on patient preferences and perceptions about CRC screening Identify approaches to increase screening referrals in minority and underserved communities Conduct Dissemination and Implementation research to promote decision aid use and achieve changes in CRC practice Proposed Cross Center Project
Methods Cross-center formative research to develop instruments for assessing current use of, and patient response to decision aids for CRC; and to identify and understand individual and systems barriers Initial work at UNC among FQHCs to develop and test chart review and focus group guides Proposed Cross Center Project
Cross-Center Collaboration Form working group to Participate in formative research tool development and testing Conduct formative research in practice settings or among populations of interest to each center Participate in data analysis and reporting Interpret findings for studies of how best to influence provider uptake and use of decision support tools and materials Proposed Cross Center Project
Anticipated Products Assessment tools Provider Patient Design and Implementation of Surveys Manuscripts‘ Preliminary findings section for follow-on proposals Updated decision support tools and materials Follow-on proposals Proposed Cross Center Project
CPCRN Grantees Meeting Atlanta, GAOctober 15-16, 2009