Community Networks to Reduce Cancer Health Disparities through Education, Research and Training

1. Community Networks to Reduce Cancer Health DisparitiesPre-Application ConferenceMay 26, 2004Bethesda, MDKenneth C. Chu, PhDChief, Disparities Research Branch,Center to Reduce Cancer Health Disparities, NCI

2. Community Networks to Reduce Cancer Health Disparities through Education, Research and Training (Community Networks Program) CNP

3. Community NetworksProgram Goals • Reducing cancer disparities in racial/ethnic minority and underserved communities • By significantly improving access to and utilization of beneficial cancer interventions in communities with disparities • And providing a cadre of well-trained researchers who will continue to reduce disparities in these communities • Through conducting community-based participatory education, research and training

4. Community Networks • Program Phases • Capacity Building – Phase I • Disparities Research and TrainingProgram – Phase II • Establish Credibility and Sustainability of Program – Phase III

5. Phase I Objectives • Increase capacity building to reduce cancer disparities • Core infrastructure within first year • Partnerships • Local communities, primary and secondary prevention facilities, diagnosis and treatment facilities, gov’t and non- gov’t programs • Collaborations with NCI’s Centers/Divisions/Offices • 4 projects on disparities – CIS and three others • Increase participation in community-based 1st and 2nd prevention activities • Increase community participation in smoking cessation and early detection activities

6. Phase II Objectives • Develop Disparities research and training program • Address spectrum of research issues necessary to reduce disparities in the community • Efficacious community-based interventions • Assessing policies on reducing disparities • Train researchers from minority/underserved populations in disparities research • Develop pilot projects to reduce cancer disparities, including assessment of health policy

7. Phase III Objectives • Establish credibility and sustainability of Program • Reduce cancer disparities in the community • Obtain non-CRCHD funding for Community Network activities • Inform policymakers of community-based research that reduces cancer disparities

8. Organization and Partnerships • Community Networks Staff • Project PI • Multidisciplinary professionals • Policy Analyst • Program Evaluator • Clinical Coordinator NCI Collaborations * Project Steering Committee CommunityAdvisory Group * Partnerships Community Partnerships Local Community-based organizations, government and non-government organizations Clinical Partnerships * Primary and Secondary Prevention Facilities Diagnosis and Treatment Facilities Research/Training Partnerships University(s) and other cancer research organizations/foundations

9. Funding Estimates for Community Networks Program • 1st year Cost $24.2M = $18M* + $6.2M • National ($1.75M) 5 Programs • Multi-state ($1.0) 6 Programs • Local ($0.5) 11 Programs • Total number 22 • Program’s goal is to increase the number of Local Community Network Projects

10. Defining Local, Regional and Large Scale Projects • Local Project (up to $500K/year) has a Headquarters area and up to one other area for a total of up to two areas • Regional Project (up to $1 million/year) has a Headquarters area and two to three other geographic areas for a total of three to four areas. • Large Scale Project (up to $1.75 million/year) has a Headquarters area and at least four other geographic areas for a total of at least five areas. • There needs to be partnerships (with community, early detection and treatment facilities) for each area.

11. Proposed Research Projects • Proposed research projects are required to assess the ability of the applicant to perform community-based participatory research in cancer health disparities • Scope: 1 Year in duration with total cost of $75,000 • 10-Page proposal with abstract, background, hypotheses, study design, discussion • Review criteria - Significance, Approach, Innovation, Investigator, Environment • Proposals requesting $1,000,000 or more are required to submit two proposed research projects • No additional funding - must be implemented by awardees

12. Clarification of “Form at least four collaborations with other NCI Programs • To demonstrate your ability to form collaborations, you can describe your previous experience in forming collaborations with NCI funded activities, NIH funded activities or other experiences that demonstrate your collaborative experience. • Extramural NCI Program Directors cannot provide letters of endorsement or support for grant applications • Other Programs at NCI will initiate possible collaborative activities, e.g., recruitment to a specific clinical trial. The CNP awardee should form at least four collaborations with these other NCI programs.

13. Can low income and other non-minority communities be qualifying groups? • Non racial/ethnic minority communities need to qualify as underserved populations • It is the responsibility of the applicant to demonstrate the proposed group is underserved and the nature of its disparities.