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