Transcript No Slide Title

CPCRN and NCI Priorities
Jon F. Kerner, Ph.D.
Deputy Director
DCCPS
What Makes the CPCRN Different?
A research network with no funding
for research projects?
A more focused approach on Guide
related research?
A network focused on linking CBPR
issues to national discovery to
delivery priorities?
THE CANCER CONTROL CONTINUUM
Cancer
Continuum
Prevention
Focus
Cross
Cutting
Issues
Detection
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Diagnosis
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Tobacco Control
Diet
Physical Activity
Sun Exposure
Virus Exposure
Alcohol Use
Pap Test
• Informed
Mammography Decision
FOBT
Making
Sigmoidoscopy
PSA
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Communications
Surveillance
Social Determinants and Health Disparities
Genetic Testing
Decision Making
Dissemination of Evidence-based Interventions
Quality of Cancer Care
Epidemiology
Measurement
Treatment
Survivorship
• Health Services • Coping
and Outcomes
• Health Promotion
Research
THE DISCOVERY-DELIVERY CONTINUUM
Discovery
Diffusion
Development
Delivery
Policy
Knowledge Replication Diffusion
Synthesis Research & Dissem. Dissemination Implementation
Research
Baseline Research & New Options
NCI FY03 Portfolio Analysis
CPCRN Centers
New Options for Network
Research
DCCPS funding FY 2003
UCLA
Two Screening & Two Epidemiology Grants
Emory
One Dietary Change & One Tobacco Grant
Harvard (excl. Dana
Farber)
27 Grants across the continuum
St. Louis University
Two Communication Grants
UNC
16 Grants across the continuum
UT- Houston (excl. MD
Anderson
One Tobacco & Two Screening Grants
UW (excl. Fred
Hutchinson)
15 Grants across the continuum
Morehouse
Three NCI but 0 DCCPS Grants
What Changes to Measure?
More grant funding?
More collaborative CPCRN funding?
More CBPR funding?
More replication and/or dissemination
research funding?
Qualitative evidence of network impact:
 Guide-related research projects;
 CPCRN intervention program postings
RTIPs;
 Program evaluation tools developed &
disseminated to field (e.g., NBCCEDP)
on
New Funding Opportunities
Trans-NIH CBPR PAR
http://grants2.nih.gov/grants/guid
e/pa-files/PAR-05-026.html
NCI R25E PAR (6/1/05
submission)
Trans-NIH Dissemination
Research PAR (look for in
September 2005)
National Cancer Institute
DHHS recently announced a trans-HHS report entitled: “Making Cancer Health Disparities
History” (http://www.chdprg.omhrc.gov/). In this report, a broad coalition of scientists,
practitioners, community and patient advocates organized by the NCI, http://www.nci.nih.gov/,
identified several research themes that would best be addressed through a CBPR model. These
include but are not limited to:
•The need for more cancer prevention and health promotion (e.g., tobacco control, diet/physical
activity to reduce obesity) research in medically underserved populations such as racial/ethnic
minorities, and low SES populations (e.g., rural poor).
•Cancer prevention and health promotion research should integrate scientific questions related to
intergenerational differences, lifespan, mental health and emotional well-being.
•Studies that develop standards and test models for ensuring cultural competence in the delivery
of prevention, early detection, treatment and cancer survivorship services.
•Studies that identify and test strategies for overcoming the barriers (e.g., unequal service
resource allocation, cost-effectiveness) to the adoption of evidence-based interventions in
medically underserved communities.
•Developing and testing models in medically underserved communities (e.g., patient navigation)
to enhance access to and utilization of high quality cancer screening, diagnostic, treatment, and
survivor support services.
Cancer Education (R25E) Grants
Program
 Educational and research dissemination
activities are essential components of NCI’s
efforts to reduce morbidity and mortality due to
cancer.
 This PAR provides support: for innovative
educational programs….
 The PAR also supports grants to develop
effective approaches to dissemination of
research knowledge related to cancer prevention
and control. In this PAR, research dissemination
refers to innovative education approaches
designed to translate knowledge gained from
science (discovery) into public health and
community applications (delivery).
Process Measures of Change
Network communication (meetings,
conference calls, web activity, newsletter)
New investigators and community
partners coordinate with/involved in
network over time
Quality and quantity of community &
service delivery program cooperation
Collaborative publications and
presentations
Support for state comprehensive cancer
control plan implementation
Community vs. Network Priorities
How much time and effort to expend
on local community priorities?
How much time and effort to expend
on national network priorities?
Can national network collaborative
priorities be coordinated with local
community cooperative priorities?
Local Community - National Network Priorities
“Be the change
you wish to see
in the world.”
--Mahatma Gandhi