UPenn Prevention Research Center’s
CPCRN Collaborating Center
University of Pennsylvania (UPenn) Prevention
Research Center is a new PRC, 2014-2019
Principal Investigator:
Karen Glanz, PhD, MPH
This presentation was supported by Cooperative Agreement Number U48 DP005053 from the Centers for Disease Control and Prevention. The findings and
conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Background
Purpose of the CPCRN:
to work with partners to accelerate the implementation of
evidence-based cancer prevention and control in communities
Context of our CPCRN Collaborating Center:
• UPenn PRC focus: community-based chronic disease
prevention and reducing health disparities in Southeastern
Pennsylvania
• Deeply involved with the Abramson Cancer Center (ACC) at
the University of Pennsylvania
• We have worked on & are involved with relevant community
organizations including state and local health departments
and federally qualified health centers.
Specific Aims
1. Establish and maintain the infrastructure within the UPenn PRC to
lead and manage a program of community-based intervention
research in cancer prevention and control.
2. Form and expand partnerships to advance community-based
intervention research in cancer prevention and control in Southeastern
Pennsylvania (SEPa) and the surrounding region.
3. Expand community-based dissemination and implementation
research on cancer prevention and control in SEPa and the region,
including the state of Pennsylvania, through the use of:
a) Evidence Academies and
b) A Community-Engaged Scholars program of collaborative pilot
grant funding.
Planned Research Aim
Address critical gaps in the uptake
of evidence-based strategies to
increase colorectal cancer
screening
- by conducting implementation
research to increase
systematic and opportunistic
screening for colorectal
cancer in primary care
settings
- especially for disadvantaged
and minority adults
Our Team
Karen Glanz, PhD, MPH (PI)
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PI of the Emory University PRC and CPCRN Network Center from
2004 to 2009
Director, Community Engagement & Research Core, UPenn CTSA
Director, Recruitment – Outcomes Core (ROAR), Abramson Cancer
Center
Co-Chair, Implementation Sciences Working Group, 2012-2013
Member, Community Guide Task Force
Chyke A. Doubeni, MD, FRCS, MPH
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Presidential Associate Professor of Family Medicine and
Community Health, and Associate Professor of Epidemiology
(Multiple) PI, PROSPR Network (CRC screening improvement)
HMO Research Network
CRC Screening, quality of screening, health disparities
Our Team (cont’d)
David T. Grande, MD, MPA
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Internist, health policy researcher
Making improvements to the health care safety net in Philadelphia
FQHC’s, emerging healthcare delivery/technology, reimbursement,
access to care
Carmen E. Guerra, MD, MSCE
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Associate Director of Diversity and Outreach, ACC
Cancer screening research, vulnerable populations, navigators
Active in regional & state cancer organizations and public health
John R. Kimberly, PhD (Wharton School)
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Organizational behavior, health care management, implementation
science
Chair, Implementation Sciences Working Group, 2011-2013
Cathy Melvin, PhD, MPH
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Consultant (MUSC)
Ideas/Projects
Access to care and cancer screening in FQHC's under the
Affordable Care Act
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Multiple costs and influx of new patients
Lines between free screenings and deductibles
Affect on screening utilization and use of evidence-based
interventions to promote screening
Collaboration to study and identify ways to improve screening in
lower-income populations
Why a Network Project?
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Healthcare markets are heterogeneous, states have varied policies,
and hard to do a strong study in a single institution or geographic
area
Results would be more impactful with cross-center network
collaboration
Ideas: Cross-Center Projects
Cervical cancer screening: Implementation of new guidelines
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New Cervical Cancer screening guidelines were released by the
USPSTF and other professional groups in 2012
Potential for de-escalation of intensity and frequency of screening,
do-it-yourself home testing, HPV testing combined with Pap tests,
and changing clinical practices
Study of the implementation of new guidelines could be timely and
important
Why a Network Project?
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CPCRN collaborating centers have relationships with different types
of healthcare institutions and clinics
A multi-center study on this topic would be stronger than one
conducted in a single institution or geographic area
Results of a "starter" cross-center network collaboration on this topic
could rapidly lead to a larger implementation science study
Questions, Comments