1. Oregon Prevention Research Center Center for Healthy Communities | Cancer Prevention and Control Research Network Collaborating Center

2. 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.

3. Oregon PRC  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. 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

4. 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

5. 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 community- based 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.

7. 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

8. 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

9. 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

10. 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

11. Cancer Risk Skin cancer, lung cancer, and breast cancer risk assessment Blood Pressure and Chemistry Blood pressure. For adults: Fingerstick test for glucose, cholesterol, HDL, LDL, triglycerides, other lipids Diet Computerized assessment with tailored feedback. Bitter taste sensitivity Sleep Computerized assessment of sleep quality, morningness / eveningness, and daytime sleepiness with tailored feedback Genetics Salivary sample for anonymous DNA Body Composition Height, weight, waist circumference, body mass index, body fat percentage Communities Schools Data linked anonymously to each participant by scanning their random wristband barcode Automatically added to database at OHSU Researchers Memory Computerized assessment of short-term visuospatial memory

12. 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

13. Thank you