Transcript Kerri Winters-Stone – Oregon Health & Science University

Oregon
Prevention
Research
Center
Center for Healthy
Communities |
Cancer Prevention and
Control Research Network
Collaborating Center
Oregon PRC
Oregon Health & Science University
PI: Thomas Becker, MD
PRC’s Center for Healthy Communities and its primary
partner, the Northwest Portland Area Indian Health
Board, have focused on delivering programs to improve
vision and hearing health in tribal communities in the
Pacific Northwest.
Oregon PRC
Current Funding Cycle Aims
All 43 federally recognized tribes in Oregon,
Washington and Idaho are members, or Delegates,
of the Northwest Portland Area Indian Health Board
who partners with the Oregon PRC to improve the
health of tribal communities

Evaluating the dissemination
and implementation of the
Native STAND program


Health education curriculum
for American Indian youth
that focuses on prevention
and screening for STI/HIV,
reduction of alcohol,
tobacco and drug use, the
prevention of pregnancy,
dating violence, bullying, and
suicide.
Training to healthcare
providers on the delivery of
the Native STAND curriculum
through an annual Summer
Research Training Institute.
OR-CCRC

Our primary mission is to address
prevention, early detection, and
cancer survivorship while
emphasizing dietary and physical
activity interventions for primary and
tertiary prevention.

We will prioritize implementation
and dissemination of cancer
prevention and control interventions
to rural, American Indian/ Alaska
Native (AI/AN), and other
underserved communities
throughout Oregon.

Guiding principle: assure proposed
projects are culturally appropriate
and valuable to tribal and rural
participants
OR-CCRC Aims
To reduce cancer burden by:





Enhancing the capacity of rural, AI/AN, and other underserved
Oregon communities to implement evidence-based, scientifically
rigorous interventions for improving diet and physical activity.
Engaging rural, AI/AN, and other underserved Oregon community
members to participate in community-based research interventions
by expanding upon current joint community-academic initiatives.
Improving the capacity of our institution to conduct communitybased cancer-focused research by building infrastructure, teams and
training opportunities that lead to effective and sustainable
implementation of cancer prevention and control research into
Oregon communities statewide.
Leveraging the commitment of OHSU and the OHSU KCI to improve
community-centered, informed research.
Preventing cancer, detecting cancer early, and promoting health
and wellness among cancer survivors in communities that may be
both culturally and geographically difficult to reach.
Oregon Health & Science University’s Cancer Prevention and Control Research Network
Collaborating Center; Oregon Community Cancer Research Collaborative (OR-CCRC)
Oregon Center for Healthy
Jackilen Shannon, PhD, RD
Communities PRC
Kerri Winters-Stone, PhD
Thomas Becker (Director)
Co-Directors
OR-CCRC
Community
Advisory Committee
Paige Farris, OR-CCRC
Program Administrator
Research Methods:
CBPR, Dissemination &
Implementation
Support Staff &
Program Evaluation
Partnerships
Nancy Findholt
Tosha Zaback (PRC)
Knight Cancer Institute
Cynthia Perry
Mark Derby
Francis Lee-Lin
Kerri Winters-Stone
Jackilen Shannon
Katie Hennis
Northwest Portland Area
Indian Health Board
Central OR Research
Coalition
Training &
Infrastructure
Dissemination &
Implementation Coalition
OHSU Rural Campus
OHSU–PSU School
of Public Health
Knight Cancer Institute
Collaborating Agencies
Oregon Rural Practice Research Network
Oregon State Cancer Registry
OR-CCRC –
Expertise & Resources
Expertise






Becker: health promotion in tribal
communities; provider training
programs
Shannon – diet & cancer prevention;
community research;
Winters-Stone: cancer survivorship:
exercise and long-term/late effects;
RCTs in community settings
Perry: physical activity in rural,
underserved (Latino), CBPR
Findholt: nutrition in rural schools;
school policy; CBPR
Lee-Lin: breast and CRC screening in
Asian communities; CBPR
Resources




Knight Cancer Institute Community
Partnership Program
OHSU School of Rural Health
Oregon Rural Practice-Based
Research Network
Central Oregon Research Coalition
Proposed Project Area:
Exercise for Cancer Survivors
Evidence-based interventions
(Winters-Stone; Perry):
 POWIR – functionally based
strength training to reduce
fractures and frailty in cancer
survivors



Efficacy established in 3 RCTs
Tested in community setting;
Instructor training model
Exercising Together – partnered
strength training for prostate
cancer survivors and
spouse/caregiver


Preliminary efficacy established;
potential model for delivery of
other programs; cancer
survivorship and prevention
(spouse)
Excellent uptake and retention

Other established exercise and/or
dietary interventions


i.e., Strong Women Strong Hearts – EBI
to reduce CV risk in women
Adaptation of programs to address
obesity in cancer survivors
Proposed Project Area:
BC Screening in Asian Women

Targeted Breast Health Education Program
(TBHEP; Lee-Lin, PI)




Community-based project designed to develop
culturally appropriate program to increase
mammography rates in Asian women
TBHEP significantly increased mammogram use
(71.4%) among Chinese American immigrant
women
Additional potential to adapt materials to
other Asian communities and/or rural
CRC screening projects also underway
Proposed Project Area:
Community Cancer Prevention
 Research,
education and
outreach tool designed for
use in communities

Tool can be used to promote awareness, educate
and/or collect data on large #’s of people




Over 15,000 anonymous participants from schools and
communities across five states contribute data to a
queriable population database
3 cohort studies launched; 1 genetic analysis study.
Teacher professional development and integrated lesson
plans for student engagement
Multiple modules, including cancer risk and prevention
Body Composition
Height, weight, waist
circumference, body mass index,
body fat percentage
Cancer Risk
Memory
Computerized assessment
of short-term
visuospatial memory
Skin cancer, lung cancer, and
breast cancer risk assessment
Diet
Genetics
Computerized assessment with tailored
feedback. Bitter taste sensitivity
Salivary sample for
anonymous DNA
Data linked anonymously
to each participant by
scanning their random
wristband barcode
Automatically added to
database at OHSU
Blood Pressure and
Chemistry
Blood pressure. For adults: Fingerstick
test for glucose, cholesterol, HDL, LDL,
triglycerides, other lipids
Sleep
Schools
Communities
Researchers
Computerized assessment of sleep quality,
morningness / eveningness, and daytime
sleepiness with tailored feedback
Project in Development:
School Based Dietary Change

SNACZ: Students Now
Advocating to Create
(Snacking) Zones





USDA funded project (Findholt,
PI)
Intervention for healthy
snacking in rural children.
Community-partnered
environmental change
intervention to fight childhood
obesity in rural populations.
Connected to & distributed by
4H
Efficacy study underway
Thank you