State of the Center: SIRC Annual Report

1. State of the Center: SIRC Annual Report Flavio F. Marsiglia, Ph.D. Distinguished Foundation Professor of Cultural Diversity and Health & SIRC Director SIRC 7th Annual Research Conference March 20th , 2009

2. Acknowledgment SIRC is funded by: • The National Center on Minority Health and Health Disparities (NCMHD) /National Institutes of Health (NIH) - P20MD002316 • The Centers for Medicare and Medicaid Services – 1H0CMS03207 • Arizona State University • Community Research Partners

3. Health Disparities Research Focus Health Disparities Populations Influences Priority Health Outcomes Substance Use Ethnic, racial, underserved, poor and immigrant groups in the US-Mexico Border region Sociocultural processes as fundamental causes and protective factors against disease HIV/AIDS Mental Health

4. Administrative Core Int. Scientific Advisory Board Community Advisory Board Executive Council Training Core Community Engage. & Outreach Core Research Core -Research Studies- SIRC Exploratory Center of Excellence in health disparities research & training Organizational Chart

5. Community Engagement & Outreach CorePI: Davis • Collaborate with community partners to promote and improve health among minority populations of the U.S.-Mexico border region • Health information website has been designed and launched: sirc-ceoc@asu.edu • Community needs assessment data are slated for collection in year 3 via computer kiosks located at partner agencies • Community Advisory Board is providing guidance and input on prioritization of community needs

6. Research Education &Training CorePI: Gillmore; Assc. Director: Vargas • Increase the number of health disparities researchers from under-represented minority populations and train health disparities researchers in culturally competent research • First cohort of Early Career Faculty Fellows, Postdoctoral and Ph.D. Student Interns are completing first year of training • First semester evaluations of trainees and mentors completed

7. Research Core Since its inception SIRC researchers have… • 65 published refereed articles • 9 articles in press • 18 articles under review • 86 refereed papers or posters presented at professional conferences, including three at the NIH Health Disparities Summit (December 2008)

8. Research Dissemination

9. Families in Action/Familias en AcciónPI: González-Castro; Co-PI: Marsiglia; Project Director: Parsai • Create, implement, and test the efficacy of a culturally appropriate supplemental parent education intervention to increase the effectiveness of keepin’ it REAL for middle school youth. • Examine the effects of Families in Action on family functioning. • Study design: A three group (one control) pretest-posttest and follow-up design will be employed (N=1800) • Curriculum has been adapted; pilot phase is underway; full randomized controlled trial to begin Fall 2009.

10. Living in Two WorldsPI: Brown; Co-PI: Kulis; Project Director: Dustman • Create, implement, and test a cultural adaptation of keepin’ it REAL for urban American Indian 7th graders. • American Indian implementers deliver the program to AI youth in 10 middle school sites (N=256). • Assess the AI youth’s substance use outcomes prior to implementation and twice post-implementation. • Initial curriculum adaptation has been completed. Pilot under way; full randomized controlled trial begins Fall 2009.

11. Familias Sanas/Healthy FamiliesPI: Marsiglia; Co-PI: Coonrod; Project Director: Parsai • This intervention research study aims at increasing Latina mothers’ access to interconception care as a means of enhancing the overall well-being of the mothers and their children • Uses an adapted Promotora model • Sample of N=440, randomized trial ongoing

12. ADD Health PilotPI: Chen; Co-PI: Gillmore • Comparing Chinese and Mexican youth • How does acculturation influence trajectories of risky sexual behavior, substance use and depressive symptoms? • Do changes in family factors—linked to acculturation—predict changes in risky sexual behavior, substance use and depressive symptoms? • Method: Secondary data analysis of ADD Health, a national sample of youth from 9th grade to early adulthood (N=2204). • Latent growth curve analysis of depressive symptoms completed.

13. Second Generation Pilots • Illness Representations Among Mexican Mothers of Children with Asthma: A Factor in Health Disparities? PI: Sidora-Arcoleo; Co-PI: Zayas • Risk and Protective Factors Associated with Sexual Risk Behavior in Juvenile Female Offenders PI: Robillard; Co-PIs: Lopez, Gillmore • Community-Based Participatory Research to Improve Health and Quality of Life of Latino Youth: Every Little Step Counts PI: Shaibi; Co-PIs: Castro, Keller

14. Evaluation & Partner Contracts The Office was established in May 2008. Performs evaluations in partnership with local, community, state and national agency partners. Examples of partner contracts: • AHCCCS • American Heart Association • City of Phoenix, Housing, Hope VI • Ellis Center for Educational Excellence and Cross & Joftus, for the WestEd Districts Moving Up initiative in the Creighton School District • Gila River Indian Community, Health Care - Life Center • St. Luke’s Health Initiatives • TERROS Behavioral Health Services, Inc.

15. Taking innovation to scale: keepin’ it REAL is SIRC’s signature substance abuse prevention intervention. This Model Program was identified in the journal Pediatrics (Spoth et al, 2008) as one of the most promising interventions on alcohol outcomes for youth. Licensed by ASU and distributed by ETR, it is being used across the US and Canada and in Mexico, Spain and Australia. 1,197 teachers guides; 47,612 student workbooks; 4,775 student Spanish workbooks

16. SIRC International Initiatives 4 Research Studies 2 Training Programs Scholars Exchange

17. Applications Under Review • T36: Interdisciplinary Multiethnic Mentorship Program in Health Disparities Research (PI: Marsiglia) • R01: COPE/Healthy Lifestyles for Teens (PI: Melnyk) • R01: Asthma Disparities in Latino Children: Acculturation, Illness Representations & CAM (PI: Arcoleo) • R21: Adaptation as Prevention: An Indicated Intervention with Substance-Using Youth (PI: Holleran) • The Harold Amos Medical Faculty Development Program (PI: Johnson) • Maricopa Diabetes Interconception Care Project (PI: Coonrod)

18. Short Term Priorities • Integrate knowledge acquired from pilots studies into the two new interventions and prepare for the upcoming RCTs • Incorporate a social determinants perspective into all areas of work • Consolidate the clinical (medical) faculty research affiliates program • Respond (strategically) to opportunities related to the Economic Stimulus package • Identify and hire additional personnel and senior scientists

19. Long Term Strategies • Recruit and retain next generation of health disparities researchers (faculty, predoctoral, doctoral and postdoctoral) • Reconcile requests for new areas of health disparities research with P20 priority areas • Connect with sister Centers • Start planning for renewal of P20 Center grant • Diversify funding portfolio

20. QUESTIONS AND ANSWERS Dr. Eddie Brown – Living in two Worlds Dr. Felipe Castro – Families in Action Dr. Angela Chen – ADD Health Pilot Dr. Olga Davis - Community Eng. & Outreach Dr. Patricia Dustman – Implement. & Dev. Dr. Stephen Kulis – Research Dr. Monica Parsai – Familias Sanas Dr. Perla Vargas – Training & Education Dr. Wendy Wolfersteig – Evaluation & Contracts Ms. Migs Woodside – Strategic Planning

21. THANK YOU! Please contact me at: marsiglia@asu.edu Or visit us at http://sirc.asu.edu