University of Washington Member Center
Alliance for Reducing Cancer, Northwest (ARC NW)
This presentation is a product of the University of Washington Health Promotion Research Center, a Centers for Disease Control and Prevention
(CDC) Prevention Research Center (PRC), and was supported by Cooperative Agreement (CA) number U48-DP005013 from the CDC. The CA
includes funding from the National Cancer Institute (NCI) through the PRC Program's Cancer Prevention and Control Research Network
(CPCRN). The findings presented are those of the authors and do not necessarily represent CDC's or NCI's official positions.
Overview
ARC NW
Brief history & partners
National projects
Proposed pilot projects for 2014-2019
Q&A
ARC NW Overview
CPCRN member since 2002
Principal Investigators
Jeff Harris
10/02–03/07
Vicky Taylor
04/07–09/13
Peggy Hannon
10/13–present
Project Director: Thuy Vu
Puget Sound, and other areas of WA, Pacific
Northwest
ARC NW Goals
Conduct and disseminate community-based cancer research that will:
Build upon existing knowledge of cancer prevention and control
Address critical gaps in the Guide to Community Preventive Services
Lead to the adoption, implementation, and dissemination of successful programs
Partner Organizations & Investigator Expertise, 2014-2019
Organizations
Investigators
Expertise
American Cancer Society
Audrey Fine
Health systems collaborations
Cornerstone Medical Services
Suzanne Pak
CBPR w/ community health centers
Fred Hutchinson Cancer Research
Center
Linda Ko, Vicky Taylor
Health communication, health disparities,
CBPR w/ Latino + Asian populations
Group Health Research Institute
Bev Green
Clinic-based interventions, patient-centered
medical home
Kaiser Permanente Center for Health
Research
Gloria Coronado
Health disparities, Latino populations,
community-health clinic collaborations
Public Health-Seattle & King County
Jodi Olson
Cancer screening un/under-insured
University of Washington
Laura-Mae Baldwin, Peggy Hannon,
Jeff Harris, Mei-Po Yip
D&I research, rural populations, workplace
health promotion, state and local DOH
collaborations, Asian populations
Veterans Affairs Puget Sound
Steve Zeliadt
Health economics, cancer decision-making
WA Association of Community and
Migrant Health Centers
Mary Beth Brown
Linkages w/ community health centers
WA Department of Health
Megan Celedonia, Emily Butler
State cancer screening programs
National Activities with CPCRN, 2009-2014
Participated in CPCRN activities in both leadership and supportive roles
Chaired or co-chaired three workgroups
Colorectal cancer control program (CRCCP)
Federally qualified health centers (FQHCs)
HPV vaccination
Actively participated in all other work groups
2–1–1
Capacity building-technical assistance and training
Community Guide
Economics
Survivorship
CRCCP Collaborators, 2010-2014
CPCRN Sites
Emory
Harvard
UCLA
U Colorado
UNC
U S. Carolina
U Texas
Washington U-St. Louis
U Washington
Thuy Vu, MPH
Marlana Kohn, MPH
Caitlin Mason, PhD
CDC
Amy DeGroff
Lindsay Gressard
Ketra Rice
Vicki Benard
CRCCP Evaluation Team
NCI
Russ Glasgow
Mike Sanchez
Cynthia Vinson
Colorectal Cancer Control Program (CRCCP)
Goal: Increase CRC
screening to 80% by 2014
Provide screening to
un/underinsured
Promote screening
population-wide
Opportunity for CPCRN
Mission: Accelerate evidence-based intervention (EBI) adoption
Shift in CDC’s approach from NBCCEDP to CRCCP
Grantees urged to use Guide-recommended EBIs
Community Guide Strategies (2009)
5 strategies to promote CRC screening:
Client-oriented
Small media
Client reminders
Reducing structural barriers
Provider-oriented
Provider reminders
Provider assessment and feedback
CRCCP Workgroup Goals
Study EBI adoption, implementation, maintenance
Implement Annual Grantee Survey 2011-2014
Develop additional studies
Comparison of grantees and unfunded sites, 2012
In-depth interviews, 2013-2014
Papers
Papers
Grantees’ use of EBIs, AJPM, 2013
Patient navigation, JPHMP, 2014
Comparison of grantees and unfunded sites, Prev Chronic Dis 2014
Training and technical assistance, under review
Proposed Pilot Projects
ARC NW Pilot Projects
Pilot 1: Peggy Hannon
Pilot 2: Linda Ko
Pilot 1: Implementation of Evidence-Based Interventions
in WA Breast, Cervical, and Colon Health Program
PARTNER
Community Health
Centers
PRIME CONTRACTOR
Public Health-Seattle &
King County
Serves 4 Counties
GRANTEE
Washington State
Health Department
PRIME CONTRACTOR
Citrine Health
Serves 6 Counties
PRIME CONTRACTOR
Spokane Regional
Health District
Serves 9 Counties
PARTNER
Local Hospitals
PARTNER
Small Local Health
Departments
PARTNER
Community-based
Organizations
Pilot 1 Aims & Activities
Aim: Increase BCCHP partners’ use of evidence-based interventions
Activities
1. Identify all BCCHP partners
2. Conduct mixed-methods needs assessment with partners
EBI use, barriers and facilitators
Impact of Affordable Care Act on program implementation, EBI
needs
Satisfaction with reach to eligible clients, newly insured, and
population served by the partner organization
Pilot 2: Building Community Health Center Capacity to Promote
CRC screening to Limited English Proficient Patients
US LEP population increasing, particularly Hispanics and Asians
~79% of Spanish, Chinese, Korean, Vietnamese speakers report LEP
LEPs have low CRC screening rates (LEP: 33% vs. overall US: 59%)
Our approach with a community health center can be adopted/ adapted
by other CPCRN member centers
Pilot 2 Aims and Activities
Aims: to increase CRC screening among LEPs by building capacity of
CHCs to select, adapt, and implement evidence-based interventions
Partner CHC serves a large LEP patient population
Two Activities
1. Collaborate with a CHC to build capacity to select and adapt
EBIs to promote CRC screening using the Cultural and Linguistic
Adaptation Framework (CLAF)
2. Assist a CHC to select, adapt, and implement 2 EBIs and
conduct an evaluation of the impact of the selected EBIs on CRC
screening.
Thank you!
Questions?