community research in cancer: “corica”
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Community Research in Cancer: “CORICA”. CPCRN – Los Angeles. Roshan Bastani, Antronette Yancey, Annette Maxwell, Beth Glenn, William McCarthy, Ritesh Mistry, Barbara Berman, Weng Kee Wong, Leo Morales, Jennifer Tsui University of California, Los Angeles (UCLA). CPCRN. - PowerPoint PPT PresentationTRANSCRIPT
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Community Research in Cancer: CORICA
Roshan Bastani, Antronette Yancey, Annette Maxwell, Beth Glenn, William McCarthy, Ritesh Mistry, Barbara Berman, Weng Kee Wong, Leo Morales, Jennifer Tsui
University of California, Los Angeles (UCLA)
CPCRN Los Angeles
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Build Research Infrastructure in Community
CancerEarly-Detection
Vaccine Preventable Cancers
Tobacco Control
Obesity Prevention
DISCOVERYDISSEMINATIONCPCRN
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Infrastructure
UCLA Center of Excellence in the Elimination of Health Disparities (CDC REACH US, 2007-2012)
Asian American Network for Cancer Awareness Research & Training (AANCART), NCI funded Community Networks Program, 2000-2010.
Lance Armstrong Survivorship Center (2006-2010)
Prevention Research Center, CDC (1999-2009)
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WORKING ProjectWorking Out Regularly Keeps Individuals Nurtured and Going
WORKING I: 2005-08; WORKING II: 2008-13, PI: YanceyNCMHD/NIH R24
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WORKING II Study DesignRecruitment 60 sites, 25 workers/siteBaseline AssessmentIntervention 30 sites, 750 workersControl 30 sites, 750 workers
Follow up6, 12, 18 monthsOrganizational Change Intervention:Policy changesProgram championsPhotovoicePA Competition, etc.Outcomes:Objective biometrics, step testSelf-reported practices, etc.Worksite environmental auditsHealth and Human Services Agencies
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Recent Success StoryNorth East Valley Health Corporation (Debra Rosen et al.) receives HRSA Grant:Patient Navigator Outreach and Chronic Disease Prevention ProgramBreast, Cervix, CRC screening and F/U2 year project, $1 Million (Sept 2008)UCLA CPCRN role: navigator training and project evaluation
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Dissemination Grant Submissions
Community Dissemination of An Evidence-based CRC screening Intervention (Maxwell)Among Filipino Americans, Test 4 dissemination strategies for a CRC screening intervention proven effective in prior randomized trial amongEngaging Filipino American CBOs in Tobacco Control (Maxwell)Test 4 dissemination strategies to increase usage of the California Smokers Helpline, an evidence-based cessation approachDisseminating and Implementing Tobacco Prevention Education or Deaf and Hard of Hearing Youth (Berman)Test 2 dissemination strategies for a first ever evidence-based tobacco prevention curriculum, Hands Off Tobacco! An Anti-Tobacco Program for Deaf Youth
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HPV VaccineInformed Decision-Making Pilot
LA County Office of Womens Health: Prevention Matters! Program 1-800 Health Hotline (est. 2002):Health education and link callers to prevention servicesSeven languages: Spanish, English, Mandarin, Cantonese, Korean, Vietnamese, Armenian10,000 callers/year: low-income, limited English proficiency, 92% uninsuredCapitalize on this infrastructure for HPV Vaccine education, tracking of access & uptake in county, including predictors
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HPV Vaccine Informed Decision-Making Pilot
Survey:Conduct at least 100 interviews per language: English, Spanish, Cantonese, Mandarin, Korean, Armenian
Informed Decision-Making Intervention:Pilot test brief telephone and mail interventionlink callers to services
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Annual Symposia:Cancer Disparities 2005Obesity 2006Vaccine Preventable Cancers 2007Lessons Learned from Tobacco Control 2008Using What Works Trainings:Participants: CBOs, Health Depts., Funding agency (Beach Cities Health Dept), grant applicantsFollow-up technical assistanceCancer 101 (Promotores)CBPR (African American 5-a-day)Using secondary data and GIS for needs assessments (NBCCEDP)Capacity Building
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Center of Excellence for the Elimination ofDisparities (REACH US, 2007-2012, CDC)
Dissemination:evidence- and practice-based strategiesinitial focus on obesity preventionfuture years: tobacco, screeningPromote organizational level changeWorksites, churches, schools, clinics
UCLA:Yancey, Bastani, McCarthy, Maxwell,Glenn, Mistry,Guinyard, Mojica Community Organizations: LA Urban League Worksite Wellness LA CA Black Womens Health Project Asian Pacific Health Care Venture Latino Health Access Esperanza Housing Corp.
LA County Dept. of Public Health: Simon, Gonzalez, Harding, Gunzenhauser, Fielding
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Center of Excellence for the Elimination of Disparities (REACH US, 2007-2012, CDC)Multiple ethnic groupsLow-income Latinos, African Americans and AsiansBuild infrastructure and capacitystrengthen relationships, provide training to primary community partnersCommunity partners train their partners and implement strategies
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Cancer ScreeningLatino 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
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TobaccoSchool-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
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Obesity
Organizational Change for Obesity Prevention: The WORKING (Working Out Regularly Keeps Individuals Nurtured and Growing) Study
Instant Recess in Stadiums and Schools with the Professional Athletes Council
Systematic Observation of Physical Activity in Worksite Stairs (SOPAWS)
Healthy Eating And Active Communities (HEAC) Project
Comparison of Healthy and Unhealthy Weight-related Ads in Communities of Differing Race/Ethnicity and SES
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Publishing Data from CBO Initiated ProjectsPausa para tu salud: Integration of exercise breaks into workplace organizational routine may reduce weight and waistlinesPreventing Chronic Disease, 2008 Jan; 5 (1), A12Lara A, Yancey AK, Tapia-Conyer R, Flores Y, Kuri-Morales P, Mistry R, Subirats E, McCarthy WJ.
Adapting a 1% or Less Milk Campaign for a Hispanic/Latino Population: The Adelante Con Leche Semi-descremada 1% ExperienceAmerican Journal of Health Promotion, In PressHinkell AJ, Mistry R, McCarthy WJ, Yancey AK
Tobacco Use among South Asians: Results of a Community-University CollaborationEthnicity & Health, In PressGlenn B, Surani Z, Chawla N, Bastani R
Rates and sociodemographic predictors of cancer screening among South AsiansJournal of Community Health, In PressGlenn B, Bastani R, Surani Z, Chawla, N
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Community Seed ProjectsLA County Department of Public Health Office of WomensUse Telephone Hotline to collect data about HPV vaccine and pilot test education intervention.Cabrillo Village Housing CooperativeConduct health needs assessment in farm worker housing communities.Clinicas del Camino RealEnhance outreach to promote cancer screenings in Spanish-speaking low-income families.Cabrillo Economic Development CorporationAssess the impact and functioning of a no-smoking policy at affordable housing complexes.H/LATEN: Hispanic/Latino American Tobacco Education Network and NCI/CISDissemination and Evaluation of the 5-As of Tobacco Cessation.Partnered for Progress: Los Angeles County Cancer Detection PartnershipAssess cancer prevention activities within health and social service organization worksites.Tri-County Cancer Detection ProjectExpand cancer prevention and control outreach to Mixteco population. Clinica RomeroDesign a needs assessment tool and conduct data collection in surrounding neighborhoods.South Asian NetworkAdapt and disseminate materials for colorectal cancer screening in South Asians. Los Angeles Community Garden CouncilDesign survey to assess how community gardens impact fruits & vegetablesaccess and consumption.