Hello from the South Carolina Cancer Prevention and Control Research Network (SC-CPCRN II)! “Multi-Level, Community-Clinical Cancer Prevention and Control Interventions” Daniela B. Friedman, MSc, PhD October 29, 2014 This presentation was supported by Cooperative Agreement Number U48/DP S2 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.

Totally Terrific Team See separate PDF with table of investigators and roles/expertise We represent 3 university colleges/units Public Health Nursing Psychology We represent 2 departments within Arnold School of Public Health Health Promotion, Education, and Behavior Epidemiology & Biostatistics Subcontracts/Consultants South Carolina Primary Health Care Association Medical University of South Carolina Insights Consulting, Inc. This presentation was supported by Cooperative Agreement Number U48/DP S2 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.

Our Partners This presentation was supported by Cooperative Agreement Number U48/DP S2 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. (1)South Carolina Primary Health Care Association (2)Federally Qualified Health Centers (3)National Association of Community Health Centers (4)African-American faith-based communities (5)South Carolina Cancer Alliance (6)Department of Health and Environmental Control (7)Office of Research Statistics (8)South Atlantic Division of the American Cancer Society (9)South Carolina (new partner)

Cancer Research Continuum This presentation was supported by Cooperative Agreement Number U48/DP S2 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.

Our Focus Areas & Strengths This presentation was supported by Cooperative Agreement Number U48/DP S2 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. (1)Use CBPR or community-engaged approaches to guide all D&I work; (2)Focused on partnership building to increase the capacity of health programs; and (3)Utilize creative communication strategies in our dissemination efforts.

SC-CPCRN II Aims (1)Disseminate, implement, and evaluate the impact of efficacious, multi-level, and multi-site public health interventions to address cancer-related health disparities; (2)Engage community partners and stakeholders locally, regionally, and nationally in research, training, and technical assistance to broaden the evidence base and increase the impact of the cancer prevention and control D&I research in SC and translate effective interventions into practice both here and nationally; and (3)Increase participation in cancer prevention and control behaviors, such as cancer screening, physical activity, and access to and consumption of healthful foods among high-risk and disparate populations. This presentation was supported by Cooperative Agreement Number U48/DP S2 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.

Our Previous / Current Initiatives This presentation was supported by Cooperative Agreement Number U48/DP S2 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.

#1: Practice Enhancement Opportunity Assessment (14 FQHCs) Assessed FQHCs’ interest in and capacity for participation in research 39 web-based survey items assessed:  General research experience and interest  Partnership and funding for research  Staffing and ethical review  Barriers and benefits to participation in research  Training and technical assistance needs  Capacity for conducting research Resulted in Training Series: “Using Quality Improvement Data to Inform Evidence-Based Programs and Services” This presentation was supported by Cooperative Agreement Number U48/DP S2 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.

#2: Geospatial Analyses: FQHC Access and Mortality-to-Incidence Ratios Integrated geospatial information with clinical practice and cancer screening and health outcomes to inform strategies for the dissemination and implementation of evidence-based cancer interventions. Both state and national initiatives (USC led FQHC workgroup’s data subgroup) This presentation was supported by Cooperative Agreement Number U48/DP S2 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.

#3: Integrating a Farmers’ Market within an FQHC Data on fruit and veggie consumption increases, sales receipts, etc. informed policy passed in SC in 2013 to allocate $1.892 million to provide monetary incentives for SNAP recipients shopping at farmers’ markets (SC Department of Social Services) One of our papers is listed as key evidence for implementing farmers’ markets in low income neighborhoods in the County Health Rankings system (Freedman et al Prev Med) This presentation was supported by Cooperative Agreement Number U48/DP S2 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.

Market Dissemination: Manual & Documentary Planting Healthy Roots (documentary funded by USC Science and Health Communication Research Group)

#4. Community Health Intervention Program (CHIP) Mini-Grants Program Refuge Community Outreach: Witness Project Chester Literacy Council: Eat for Life Jones Chapel Baptist Church: Walking Trails

Scaling Up for SC-CPCRN II  Extending training program based on results of the Practice Enhancement Opportunity Assessment  Modifying community-based mini-grants program  Community-clinical linkages and multi-level interventions will be required  Technical assistance and trainings will be offered  Collaborating across CPCRN sites on MIR and geospatial analyses - examining by stage of diagnosis? This presentation was supported by Cooperative Agreement Number U48/DP S2 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.

Potential Cross-Site Initiative Given our strong partnership with FQHCs, experience with farmers’ market at an FQHC, and proposed work …. we are interested in a cross- site CPCRN project that will aim to: Increase cancer screenings at FQHCs and Target multiple levels: local community environment, organization/practice setting, and individual patient, and Provide preliminary data for a cross-site R01 or other grant proposal We could potentially focus on: HPV & cervical cancer or colorectal cancer given some other sites’ interests and national priorities In SC we could approach FQHCs that expressed > readiness for research This presentation was supported by Cooperative Agreement Number U48/DP S2 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.

Potential Cross-Site Initiative cont’d. Additional thoughts on intervention: Local community environment – community-clinical linkage via our community mini-grants process to increase education and screening of never screened/newly insured populations. Organization/practice setting –office systems changes implemented through quality improvement approaches. Individual patient level – appropriate adaptation of EBIs (primarily client directed interventions) for minority, ethnic, and/or LEP populations (depending on CPCRN site) Given our research/interests in communication -- guided by plain language and social marketing principles, etc. This presentation was supported by Cooperative Agreement Number U48/DP S2 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.

Looking forward to our collaborations! “It Takes a Network!” --- Rebecca H. Hunter, MEd (UNC Chapel Hill colleague and friend) This presentation was supported by Cooperative Agreement Number U48/DP S2 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.