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1. COmmunity Research In CAncer: “CORICA”
Roshan Bastani, Antronette Yancey, Beth Glenn, Ritesh Mistry,
Annette Maxwell, William McCarthy, Barbara Berman,
Weng Kee Wong, Jennifer Tsui, Roena Vega
University of California, Los Angeles (UCLA)
2. UCLA CPCRN
3. UCLA CPCRN
4. Center of Excellence for the Elimination of Disparities (REACH US, 2007-2012, CDC)
Dissemination:
Evidence and practice-based strategies
Initial focus on obesity prevention
Future years: tobacco, cancer screening
Promote organizational level change within: Worksites, churches, schools, clinics
6. Recent Success Story North East Valley Health Corporation (Debra Rosen et al.) receives HRSA Grant:
Patient Navigator Outreach and Chronic Disease Prevention Program
Breast, Cervix, CRC screening and F/U
2 year project, $1 Million
UCLA CPCRN role: navigator training and project evaluation
7. Cancer Screening Latino Prostate Cancer screening: informed decision-making
Hepatitis B screening among Korean Church Attendees (UW)
Follow-up of Breast Abnormalities in Low-Income Korean American Women
Colorectal Cancer Screening among Filipino Americans
Breast Cancer Educational Programs in Deaf Women
Decision Making About Genetic Testing for Breast Cancer Risk among minority women
8. Tobacco School-based Anti-Tobacco Programs for Deaf/HH Youth
Secondary Analysis of California Tobacco Use Prevention Education Data
California Tobacco Use Prevention Education
Pathways of How Socioeconomic Context Affects Teen Smoking
9. CPCRN Cross-Center ProjectHPV Vaccine Background
1) CPCRN Cross-Center HPV Vaccine Latino Survey
Mothers of girls, 11-17 years
24 Core Items (knowledge, barriers, receipt, etc.)
Spanish and English
325 Surveys completed (LA: 202, Houston: 44, Seattle:80)
2) LA-CPCRN – Office of Women’s Health (OWH) HPV
Project (200% of poverty, uninsured)
Survey: N=500 Telephone Interviews
Spanish, Korean, Mandarin, Cantonese, Armenian and English
Brief Pilot IDM Intervention: Telephone education, link to services
10. 1: Cross Center HPV Survey
Expand to other CPCRN Centers and groups (African-American, Asian, rural, low income, etc.)
Expand to other settings (community clinics, schools, 211)
UT Houston currently implementing survey in local 211 (N=~200)
Adapt existing core items
Mode of administration:
telephone, face-to-face, self-admin CPCRN Cross-Center ProjectHPV Vaccine
11. 2: Pilot Informed Decision-Making (IDM) Intervention
Adaptation of LA-CPCRN IDM intervention currently implemented in 6 languages (Spanish, Korean, Mandarin, Cantonese, Armenian, English) CPCRN Cross-Center ProjectHPV Vaccine
12. Adapt LA-CPCRN OWH Project intervention
Compile inventory of existing interventions
Develop brief IDM intervention (5-8 mins)
Address major concerns (e.g. side effects, daughter being too young, don’t know where to get vaccine, etc.)
Referral & appointments for free/low cost HPV vaccination
Potential intervention settings: 211, clinics, churches, schools, etc.
CPCRN Cross-Center ProjectHPV Vaccine
13. Design of Cross-Center Pilot StudyIDM Intervention
14. Pilot will provide data on feasibility, effect size, for full implementation trial
Cross-Center grant proposal to conduct trial Design of Cross-Center Pilot StudyIDM Intervention
15. Cross-Center Products Inventory of available interventions and materials, surveys in multiple languages
Cross-center publications
HPV Vaccine Survey
Pilot interventions (feasibility, effectiveness)
Full research project/s to test intervention efficacy
Research-tested intervention ready for dissemination (dissemination trial?)
16. Timeline
18. Pausa Para Tu Salud: Integration of exercise breaks into workplace organizational routine may reduce wight and waistlines:
Lara A, Yancey AK, Tapi-Conyer R, Flores y, Kuri Morales P, Mistry R, Subirats E, McCarthy WJ. Preventing Chronic Disease, 2008 Jan; 5(1):A12.
Mexican Ministry of Health
Cancer Screening of Korean-Americans in Los Angeles County: Adding Pieces to the Puzzle
Maxwell AE and Song H. Korean-American Studies Bulletin 13:59-70, 2003
Korean Health, Education, Information & Research Center
Adapting a 1% or Less Milk Campaign for a Hispanic/Latino Population: The Adelante Con Leche Semi-descremada 1% Experience
Hinkell AJ, Mistry R, McCarthy WJ, Yancey, AK. American Journal of Health Promotion, 2008 Nov-Dec; 23(2):108-111.
CANFit
Tobacco Use among South Asians: Results of a Community-University Collaboration
Glenn B, Surani Z, Chawla N, Bastani R. Ethnicity & Health 14(2): 131-145
South Asian Network Published Data from CBO-Initiated Projects
19. Community Projects Program LA County Department of Public Health Office of Women’s Health
Use Telephone Hotline to collect data about HPV vaccine and pilot test education intervention.
Cabrillo Village Housing Cooperative
Conduct health needs assessment in farm worker housing communities.
Clinicas del Camino Real
Enhance outreach to promote cancer screenings in Spanish-speaking low-income families.
Cabrillo Economic Development Corporation
Assess the impact and functioning of a no-smoking policy at affordable housing complexes.
H/LATEN: Hispanic/Latino American Tobacco Education Network and NCI/CIS
Dissemination and Evaluation of the 5-A’s of Tobacco Cessation.
Partnered for Progress: Los Angeles County Cancer Detection Partnership
Assess cancer prevention activities within health and social service organization worksites.
Tri-County Cancer Detection Project
Expand cancer prevention and control outreach to Mixteco population.
Clinica Romero
Design a needs assessment tool and conduct data collection in surrounding neighborhoods.
South Asian Network
Adapt and disseminate materials for colorectal cancer screening in South Asians.
Los Angeles Community Garden Council
Design survey to assess how community gardens impact fruits & vegetables
access and consumption.
ADD NATIVE AMERICAN DVD
20. LA-CPCRN Specific Aims Strengthen network relations with diverse organization that address cancer disparities.
Develop capacity building activities to increase use of evidence-based approaches to reduce cancer risk; evaluate programs where gaps in evidence base exist.
Conduct community-based participatory research in cancer screenings, vaccine preventable cancers, nutrition and physical activity, and tobacco use, emphasizing implementation and dissemination.
Lead a cross-center project to develop interventions that accelerate population adoption of HPV vaccine.
Serve as active member of the national CPCRN collaboration on multi-site research projects, scientific publications, training and capacity-building activities
21. Community Partners