CPCRN Mission
description
Transcript of CPCRN Mission
1
CPCRN Mission
To accelerate the adoption of evidence-based
cancer prevention and control in
communities.
2
CDC/NCI Interagency Collaboration
• Dissemination– Joint interest
• CDC/NCI (Application/Research)
– Complimentary strengths• Shared interest in cancer• Shared vision of CDC and NCI
– Cancer care in the United States needs to improve.
– Our investment in research needs to affect practice
3
Changes at NCI
• Welcome a new team leader– Russ Glasgow PhD
• Continue the same team– Cynthia Vinson– Michael Sanchez
• Continue the same emphasis– Turning your vision 900 to your work
• Measuring & understanding the dissemination process
4
What we expect of you
• Short term products– At least one all site project
• Progress in your own projects
– Active working groups to achieve the goals– Consider the SIP announcement
• FQHC, connection to Comprehensive Cancer• Use of existing cancer control resources (Planet)
• Intellectual power– Synthesis/integration/evaluation
• Progress in the measurement of dissemination• Expanded collaboration
– I’ll welcome you at NCI
5
I’m on to Other work
• Two big initiatives on the horizon– Multilevel interventions– Population Registries Opitmizing Screening
through Personalized Regimens (PROSPR)
Multilevel Interventions in Health Care: Building the Foundation for
Future Research
NCI Team
Stephen Taplin, MD MPH, Steve Clauser PhD
Rebecca Anhang Price PhD, Erica Breslau PhD, Veronica Chollette MS RN, Heather Edwards PhD, Irene Prabhu Das PhD
External ConsultantsArny Kaluzny PhDMartin Charns PhD, Maria Fernandez Phd, Mary Fennel PhD, Ernie Hawk MD, Tom Vogt MD, Jane Zapka ScD
Health care is a process affected by multiple contextual influences
We need to conduct research that evaluates these effects
• Traditional focus– Individual/family– Individual/physician– Effects of context on individual behavior
• Little examination of interactions among contextual influences
• Little examination of interventions that affect multiple levels (e.g. 3 or more)
Conference on the Horizon
• Multilevel Interventions in Health Care: Building the Foundation for Future Research– March 4-5, 2011, in Las Vegas, NV– Guided by an external consulting committee
• JNCI supplement– 11 Papers that grew out a June 2009 meeting
• Focus on factors affecting implementation– Contextual influences
Focus on Research Translation and Implementation
Discoveries(e.g. geneticrisk factor)
CandidateApplication(e.g. test)
Practice &Control
Programs in Communities
Reducing the Burden of Disease in
Communities
T1: Epi, Cohorts, Biobanks
Evidence basedGuideline/
Policy
T2: Clinical studies, RCTs
T3: Implementation Research
T4: OutcomesResearch
Adapted from Khoury et al; Gen Med 2007
Trials• Phase I• Phase II
• Phase III
• Phase IV
PROSPR
PROSPR Objectives
Primary Study the comparative effectiveness and outcomes of
existing and emerging cancer screening processes Breast Colon Cervical cancer.
Study the balance of benefits and harms of cancer screening across recognized cancer risk levels
Secondary Share data and conduct preliminary studies relevant
to future innovative research to optimize the screening process.
75 million over 5 years 9-12 sites, 1 statistical coordinating center
Natio
nal C
ance
r Ins
titut
e
U.S. DEPARTMENTOF HEALTH AND HUMAN SERVICES
National Institutesof Health
Thanks
• It has been my pleasure and my privilege to work with you
• You are in good hands