Transcript Infrastructure Services

CPCRN Network Center:
Comprehensive Cancer Control
Collaborative of North Carolina
University of North Carolina at Chapel Hill
Atlanta, GA
October 15, 2009
4CNC at UNC-Chapel Hill
• Center for Health Promotion
Disease Prevention
• Lineberger Comprehensive Cancer
Center is a key partner
Research and
Practice Team
Advisory Group
Alice Ammerman
Marci Campbell
Sally Malek
Deb Mayer
Michael Pignone
Barbara Rimer
Pam Silberman
Principal Investigator
Cathy Melvin
Project Director
Alexis Moore
Program Assistant
Xavier McCutcheon
Training / TA
Monair Hamilton
Laura Linnan
Michael O’Malley
Walter Shepherd
Investigators
Noel Brewer
Bill Carpenter
Jennifer Leeman
Kurt Ribisl
Infrastructure
Services
• Aim 1: Maintain and enhance existing 4CNC
infrastructure:
 Further develop local and CPCRN partnerships
 Identify and rapidly respond to priority areas, emerging
issues
 Initiate and support CPC,
dissemination and
implementation research, and
evidence-informed practice
 Disseminate 4CNC products
and results
Cancer Focus
• Aim 2: Advance the science and practice of
dissemination and implementation across the
cancer continuum with a focus on:
 Promote HPV vaccine use
 Eliminate disparities in breast cancer
screening and treatment
 Prevent initiation and increase cessation of
tobacco use
 Increase CRC screening (proposed crosscenter project)
Cross-Center
Collaboration
• Aim 3. Support and inform implementation
of Community Guide recommendations to
increase CRC screening
 Increase provider use of decision
support for CRC screening
 Special emphasis on increasing use
among minority and uninsured
individuals
Dissemination and Implementation Activities to Improve CRC Screening
Implement process
to create strong
collaboration
Statewide
Summit
Partner meetings
and site visits
Provide education and
support for participatory
program planning
Use promising
dissemination
strategies
CRC Screening
Consortium:
High Point, NC
CRC screening
program for
uninsured
Safety Net
Small
media
NC Community
Health Center
Association
Provider
recommendation
and referral
Multi-state Task
Force to develop
a CRC
communications
campaign for
rural states
Community
engaged to plan
EBI adoption
Provider
education and
academic
detailing
Implementation &
Dissemination Research
Godley. Improving
CRC Screening:
Enhancing Systems
…. NCI
Melvin. Increasing
Early Detection of
CRC: Enhancing …
Access to Care.
LCCC
•Campbell. ACTS of
Wellness. CDC.
Implementing
4CNC’s small media
component
Cross-center
project
Proposed Cross
Center Project
AIMS
1. Assess current use of decision aids in
different settings (including states with
and without programs to support CRC
screening)
2. Explore individual and systems barriers to
provider recommendation and referral
3. Update decision support tools based on
most recent recommendations
Proposed Cross
Center Project
AIMS (cont)
4. Modify decision aids based on patient
preferences and perceptions about CRC
screening
5. Identify approaches to increase screening
referrals in minority and underserved
communities
6. Conduct Dissemination and Implementation
research to promote decision aid use and
achieve changes in CRC practice
Proposed Cross
Center Project
Methods
• Cross-center formative research to develop
instruments for assessing current use of,
and patient response to decision aids for
CRC; and to identify and understand
individual and systems barriers
• Initial work at UNC among FQHCs to
develop and test chart review and focus
group guides
Proposed Cross
Center Project
Cross-Center Collaboration
• Form working group to
– Participate in formative research tool development and
testing
– Conduct formative research in practice settings or
among populations of interest to each center
– Participate in data analysis and reporting
– Interpret findings for studies of how best to influence
provider uptake and use of decision support tools and
materials
Proposed Cross
Center Project
Anticipated Products
• Assessment tools
– Provider
– Patient
• Design and Implementation of Surveys
– Manuscripts‘
– Preliminary findings section for follow-on
proposals
• Updated decision support tools and materials
• Follow-on proposals
CPCRN Grantees Meeting
Atlanta, GA
October 15-16, 2009