accelerating clinical and translational research the cooperative extension system a valuable...
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ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
www.indianactsi.org
The Cooperative Extension System
A valuable partner for CTSAs
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
www.indianactsi.org
“Yesterday, I met with officials at NIH. I told them about the relationship the Indiana State Department of Health has with Purdue Extension and they have been discussing the need to get the Extension offices across the nation involved … I told them that I thought Purdue might be interested in being the
model for the nation on this one as well.”Judy Monroe, 2007
Indiana Health Commissioner
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
www.indianactsi.org
Cooperative Extension Mission The mission of the Extension Service is to provide
citizens access to research-based education and learning opportunities that are relevant to important community issues and which will contribute to the quality of life for all citizens.
Development of the Land-grant System Timeline
1860 1870 1880 1890 1990 1910 1920. . . . . . . . . . .
2000
1862First
Morrill Act
Establish Land-grant Colleges
•Prepare industrial classes•Practical realities of an agricultural and industrial society•Professions of life
1887Hatch
Act
Establish Agriculture Experiment Station
•Recognition of research as a basis of agricultural and industrial development
1890Second
Morrill Act
Establish Land-grant Colleges for Blacks
1914Smith-
Lever Act
Establish Cooperative Extension Service
•Disseminate information to the population from the college’s research•Share benefits of current developments
“Land Grant Universities have long embraced a three part mission of Learning, Discovery, andEngagement.”
“Vic” LechtenbergVice Provost for EngagementPurdue University2006
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
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• Prior to 1862, most universities catered to the “elite”
• The Morrill Act of 1862 authorized a public university in every state and territory of the United States. Instead of money, the federal government gave land to be sold and the interest made available for “at least one college”
• Land Grant Mission: “…teach …agriculture and the mechanical arts … to promote liberal and practical education of (ordinary people)….”
The Land Grant University System
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
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• The Hatch Act (1887) provided for the establishment of Agricultural Experiment Stations which provided for research.
• Teaching methodology was “demonstrations”• Second Morrill Act (1890). States had to show
that race or color not a criterion for admission or designate a separate land-grant college. Most in the southern states due to segregation at that time.
• In 1994, Congress created Tribal Colleges to educate Native Americans.
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
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• The Smith Lever Act (1914) established a Cooperative Extension Service with each Land Grant university.
• “instruction and practical demonstration in agriculture and home economics to persons not attending said colleges”
• Federal, state, and county governments work together to provide public education services.
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
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The Structure of the Land Grant University
LEARNING DISCOVERY
EXTENSION (ENGAGEMENT)
Morrill Act -1862 Hatch Act - 1887
Smith – Lever Act - 1914
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
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The county Extension office is a branch office of the Land Grant university in each state. Extension educators in each county are university staff or faculty and report to the main campus of the Land Grant university.
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
www.indianactsi.org
Cooperative ExtensionContribution to Research
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
www.indianactsi.org
Research involving indigenous community based paraprofessionals
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
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Translating from bench to product
Translating from variations in health to research strategy
Biochemical mechanisms
Nutritional genomics
Nutritional adviceDietary guidelines
New foodsBiomarker
Clinical Validation
Risk / Benefit
T r a n s l a t i o n
Individual variationsGenotyping
Metabotyping
Consumer Responses
HealthscapeNutritional epidemiology
Behavioral insights
SCIENCE REALIZATION
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
www.indianactsi.org
Translating from bench to product
Translating from variations in health to research strategy
Biochemical mechanismsNutritional genomics Biomarker
Clinical Validation
Risk / Benefit
T r a n s l a t i o n
Individual variationsGenotyping
Metabotyping
Consumer Responses
Healthscape
SCIENCE REALIZATION
Dining with DiabetesProfessor Popcorn
Health CoalitionsBehavior metrics
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
www.indianactsi.org
National Programs• Expanded Food and Nutrition
Education Program (EFNEP)– Households with pregnant
women and pre-teen children– Lessons delivered by trained
paraprofessionals– National evaluation– Every $1.00 in EFNEP can
potentially reduce health care costs by about $8.00
• Family Nutrition Program (FNP)– Food stamp eligible– Lessons delivered in homes
and community settings– Meal planning, budgeting,
preparation, food safety– Randomized controlled trial
• Intervention and delayed intervention
– Statistically significant reduction in food insecurity
Eicher-Miller et al J Nutr Educ Behav 2009
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
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Purdue ExtensionMaking a Difference
• College of Health and Human Sciences
• Purdue Agriculture– Agriculture and Natural
Resources– 4H Youth Development– Economic and Community
Development• Purdue Agricultural Research
Programs• School of Veterinary Medicine
• Four critical issues of HHS Extension Program– Foods and nutrition– Personal and family finances– Human development
throughout the lifespan– Health– Over 100 programs are
offered by Purdue Extension-HHS
www.extension.purdue.edu
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
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Healthy People, Healthy Communities
• Extension Educators partner with community groups– Create coalitions– Identify and address local
issues– Started in 2005 as a
response to childhood obesity
• Walk Across Indiana– Multiple partners including
INShape Indiana– Held throughout the year– Brings attention to physical
activity and nutrition
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
www.indianactsi.org
Engaging Community PopulationExtension Involvement
• Indiana CHEP unique with statewide involvement
• Purdue Extension– Health and Human Sciences
Extension Educators– Health Coalitions
Lawrence
Elkhart
Newton
Jasper
Noble
Allen Whitley
Wells
Huntington Wabash
Fulton
Miami
Cass White
Benton
Warren Tippecanoe
Howard Jay
Randolph Madison Tipton
Hamilton
Marion
Boone
Clinton
Fountain
Putnam Hendricks Parke
Vigo
Ver-mil-lion
Clay
Owen
Johnson Shelby
Monroe Brown Bartholomew
Jackson
Orange Washington
Posey
Gibson
Pike
Knox
Vander-burgh
Warrick
Dubois
Daviess Martin
Spencer
Perry
Crawford Harrison
Clark
Jennings
Jefferson
Decatur
Ripley Dearborn
Wayne
Switzerland
Rush
Franklin
Steuben
De Kalb
Lake Porter La Porte St. Joseph
Marshall
Kosciusko
La Grange
Starke
Carroll
Pulaski
Morgan
Floyd
Greene
Scott
Delaware
Union Fayette
Hancock
Sullivan
Adams
Ohio
Montgomery
Henry
Elkhart
Noble
Steuben
De Kalb
Lake Porter La Porte St. Joseph
Kosciusko
La Grange
Newton
Elkhart Steuben Lake Porter
La Porte St. Joseph La Grange
Jasper
Fulton
White
Benton
Pulaski Newton
Elkhart Steuben Lake Porter
La Porte St. Joseph La Grange
Marshall Starke
Kosciusko
Jasper
Fulton
White
Benton
Pulaski Newton
Elkhart Steuben Lake Porter
La Porte St. Joseph La Grange
Marshall Starke
Kosciusko
Jasper
Fulton
White
Benton
Pulaski Newton
Elkhart Steuben Lake Porter
La Porte St. Joseph La Grange
Allen Whitley
WabashMiami
Cass
Noble De Kalb Marshall
Starke Kosciusko
Jasper
Fulton
White
Benton
Pulaski Newton
Elkhart Steuben Lake Porter
La Porte St. Joseph La Grange
Wells
Huntington Adams
Allen Whitley
WabashMiami
Cass
Noble De Kalb Marshall
Starke Kosciusko
Jasper
Fulton
White
Benton
Pulaski Newton
Elkhart Steuben Lake Porter
La Porte St. Joseph La Grange
Blackford
Grant
Jay
Tippecanoe Warren
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
www.indianactsi.org
• How can you do this in your state……………….
1. Determine where the Cooperative Extension office is located in your state
2. Meet with your Extension Director/Program Leader• Brainstorm possibilities
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
www.indianactsi.org
http://www.csrees.usda.gov/Extension/
ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH
www.indianactsi.org
For more information:
Dr. Carol Bousheyboushey@purdue.edu
Donna Vandergraffvandergraff@purdue.edu
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