CPCRN Network Center: Comprehensive Cancer Control Collaborative of North Carolina University of North Carolina at Chapel Hill Atlanta, GA October 15, 2009

4CNC at UNC-Chapel Hill Center for Health Promotion Disease Prevention Lineberger Comprehensive Cancer Center is a key partner

Advisory Group Alice AmmermanMarci CampbellLaura Linnan Sally MalekDeb MayerMichael O’Malley Michael PignoneBarbara RimerWalter Shepherd Pam Silberman Investigators Noel Brewer Bill Carpenter Jennifer Leeman Kurt Ribisl Research and Practice Team Principal Investigator Cathy Melvin Training / TA Monair Hamilton Project Director Alexis Moore Program Assistant Xavier McCutcheon

Aim 1: Maintain and enhance existing 4CNC infrastructure:  Further develop local and CPCRN partnerships  Identify and rapidly respond to priority areas, emerging issues  Initiate and support CPC, dissemination and implementation research, and evidence-informed practice  Disseminate 4CNC products and results Infrastructure Services

Aim 2: Advance the science and practice of dissemination and implementation across the cancer continuum with a focus on:  Promote HPV vaccine use  Eliminate disparities in breast cancer screening and treatment  Prevent initiation and increase cessation of tobacco use  Increase CRC screening (proposed cross- center project) Cancer Focus

Aim 3. Support and inform implementation of Community Guide recommendations to increase CRC screening  Increase provider use of decision support for CRC screening  Special emphasis on increasing use among minority and uninsured individuals Cross-Center Collaboration

Statewide Summit Partner meetings and site visits CRC Screening Consortium: High Point, NC Safety Net NC Community Health Center Association Provider recommendation and referral Multi-state Task Force to develop a CRC communications campaign for rural states CRC screening program for uninsured Community engaged to plan EBI adoption Provider education and academic detailing  Godley. Improving CRC Screening: Enhancing Systems …. NCI  Melvin. Increasing Early Detection of CRC: Enhancing … Access to Care. LCCC Campbell. ACTS of Wellness. CDC. Implementing 4CNC’s small media component Cross-center project Implement process to create strong collaboration Provide education and support for participatory program planning Use promising dissemination strategies Implementation & Dissemination Research Small media Dissemination and Implementation Activities to Improve CRC Screening

AIMS 1.Assess current use of decision aids in different settings (including states with and without programs to support CRC screening) 2.Explore individual and systems barriers to provider recommendation and referral 3.Update decision support tools based on most recent recommendations Proposed Cross Center Project

AIMS (cont) 4.Modify decision aids based on patient preferences and perceptions about CRC screening 5.Identify approaches to increase screening referrals in minority and underserved communities 6.Conduct Dissemination and Implementation research to promote decision aid use and achieve changes in CRC practice Proposed Cross Center Project

Methods Cross-center formative research to develop instruments for assessing current use of, and patient response to decision aids for CRC; and to identify and understand individual and systems barriers Initial work at UNC among FQHCs to develop and test chart review and focus group guides Proposed Cross Center Project

Cross-Center Collaboration Form working group to –Participate in formative research tool development and testing –Conduct formative research in practice settings or among populations of interest to each center –Participate in data analysis and reporting –Interpret findings for studies of how best to influence provider uptake and use of decision support tools and materials Proposed Cross Center Project

Anticipated Products Assessment tools –Provider –Patient Design and Implementation of Surveys –Manuscripts‘ –Preliminary findings section for follow-on proposals Updated decision support tools and materials Follow-on proposals Proposed Cross Center Project

CPCRN Grantees Meeting Atlanta, GA October 15-16, 2009