Community Research in Cancer: CORICA

Roshan Bastani, Antronette Yancey, Annette Maxwell, Beth Glenn, William McCarthy, Ritesh Mistry, Barbara Berman, Weng Kee Wong, Leo Morales, Jennifer Tsui

University of California, Los Angeles (UCLA)

CPCRN Los Angeles

Build Research Infrastructure in Community

CancerEarly-Detection

Vaccine Preventable Cancers

Tobacco Control

Obesity Prevention

DISCOVERYDISSEMINATIONCPCRN

Infrastructure

UCLA Center of Excellence in the Elimination of Health Disparities (CDC REACH US, 2007-2012)

Asian American Network for Cancer Awareness Research & Training (AANCART), NCI funded Community Networks Program, 2000-2010.

Lance Armstrong Survivorship Center (2006-2010)

Prevention Research Center, CDC (1999-2009)

WORKING ProjectWorking Out Regularly Keeps Individuals Nurtured and Going

WORKING I: 2005-08; WORKING II: 2008-13, PI: YanceyNCMHD/NIH R24

WORKING II Study DesignRecruitment 60 sites, 25 workers/siteBaseline AssessmentIntervention 30 sites, 750 workersControl 30 sites, 750 workers

Follow up6, 12, 18 monthsOrganizational Change Intervention:Policy changesProgram championsPhotovoicePA Competition, etc.Outcomes:Objective biometrics, step testSelf-reported practices, etc.Worksite environmental auditsHealth and Human Services Agencies

Recent Success StoryNorth East Valley Health Corporation (Debra Rosen et al.) receives HRSA Grant:Patient Navigator Outreach and Chronic Disease Prevention ProgramBreast, Cervix, CRC screening and F/U2 year project, $1 Million (Sept 2008)UCLA CPCRN role: navigator training and project evaluation

Dissemination Grant Submissions

Community Dissemination of An Evidence-based CRC screening Intervention (Maxwell)Among Filipino Americans, Test 4 dissemination strategies for a CRC screening intervention proven effective in prior randomized trial amongEngaging Filipino American CBOs in Tobacco Control (Maxwell)Test 4 dissemination strategies to increase usage of the California Smokers Helpline, an evidence-based cessation approachDisseminating and Implementing Tobacco Prevention Education or Deaf and Hard of Hearing Youth (Berman)Test 2 dissemination strategies for a first ever evidence-based tobacco prevention curriculum, Hands Off Tobacco! An Anti-Tobacco Program for Deaf Youth

HPV VaccineInformed Decision-Making Pilot

LA County Office of Womens Health: Prevention Matters! Program 1-800 Health Hotline (est. 2002):Health education and link callers to prevention servicesSeven languages: Spanish, English, Mandarin, Cantonese, Korean, Vietnamese, Armenian10,000 callers/year: low-income, limited English proficiency, 92% uninsuredCapitalize on this infrastructure for HPV Vaccine education, tracking of access & uptake in county, including predictors

HPV Vaccine Informed Decision-Making Pilot

Survey:Conduct at least 100 interviews per language: English, Spanish, Cantonese, Mandarin, Korean, Armenian

Informed Decision-Making Intervention:Pilot test brief telephone and mail interventionlink callers to services

Annual Symposia:Cancer Disparities 2005Obesity 2006Vaccine Preventable Cancers 2007Lessons Learned from Tobacco Control 2008Using What Works Trainings:Participants: CBOs, Health Depts., Funding agency (Beach Cities Health Dept), grant applicantsFollow-up technical assistanceCancer 101 (Promotores)CBPR (African American 5-a-day)Using secondary data and GIS for needs assessments (NBCCEDP)Capacity Building

Center of Excellence for the Elimination ofDisparities (REACH US, 2007-2012, CDC)

Dissemination:evidence- and practice-based strategiesinitial focus on obesity preventionfuture years: tobacco, screeningPromote organizational level changeWorksites, churches, schools, clinics

UCLA:Yancey, Bastani, McCarthy, Maxwell,Glenn, Mistry,Guinyard, Mojica Community Organizations: LA Urban League Worksite Wellness LA CA Black Womens Health Project Asian Pacific Health Care Venture Latino Health Access Esperanza Housing Corp.

LA County Dept. of Public Health: Simon, Gonzalez, Harding, Gunzenhauser, Fielding

Center of Excellence for the Elimination of Disparities (REACH US, 2007-2012, CDC)Multiple ethnic groupsLow-income Latinos, African Americans and AsiansBuild infrastructure and capacitystrengthen relationships, provide training to primary community partnersCommunity partners train their partners and implement strategies

Cancer ScreeningLatino Prostate Cancer screening: informed decision-making

Hepatitis B screening among Korean Church Attendees (UW)

Follow-up of Breast Abnormalities in Low-Income Korean American Women

Colorectal Cancer Screening among Filipino Americans

Breast Cancer Educational Programs in Deaf Women

Decision Making About Genetic Testing for Breast Cancer Risk among minority women

TobaccoSchool-based Anti-Tobacco Programs for Deaf/HH Youth

Secondary Analysis of California Tobacco Use Prevention Education Data

California Tobacco Use Prevention Education

Pathways of How Socioeconomic Context Affects Teen Smoking

Obesity

Organizational Change for Obesity Prevention: The WORKING (Working Out Regularly Keeps Individuals Nurtured and Growing) Study

Instant Recess in Stadiums and Schools with the Professional Athletes Council

Systematic Observation of Physical Activity in Worksite Stairs (SOPAWS)

Healthy Eating And Active Communities (HEAC) Project

Comparison of Healthy and Unhealthy Weight-related Ads in Communities of Differing Race/Ethnicity and SES

Publishing Data from CBO Initiated ProjectsPausa para tu salud: Integration of exercise breaks into workplace organizational routine may reduce weight and waistlinesPreventing Chronic Disease, 2008 Jan; 5 (1), A12Lara A, Yancey AK, Tapia-Conyer R, Flores Y, Kuri-Morales P, Mistry R, Subirats E, McCarthy WJ.

Adapting a 1% or Less Milk Campaign for a Hispanic/Latino Population: The Adelante Con Leche Semi-descremada 1% ExperienceAmerican Journal of Health Promotion, In PressHinkell AJ, Mistry R, McCarthy WJ, Yancey AK

Tobacco Use among South Asians: Results of a Community-University CollaborationEthnicity & Health, In PressGlenn B, Surani Z, Chawla N, Bastani R

Rates and sociodemographic predictors of cancer screening among South AsiansJournal of Community Health, In PressGlenn B, Bastani R, Surani Z, Chawla, N

Community Seed ProjectsLA County Department of Public Health Office of WomensUse Telephone Hotline to collect data about HPV vaccine and pilot test education intervention.Cabrillo Village Housing CooperativeConduct health needs assessment in farm worker housing communities.Clinicas del Camino RealEnhance outreach to promote cancer screenings in Spanish-speaking low-income families.Cabrillo Economic Development CorporationAssess the impact and functioning of a no-smoking policy at affordable housing complexes.H/LATEN: Hispanic/Latino American Tobacco Education Network and NCI/CISDissemination and Evaluation of the 5-As of Tobacco Cessation.Partnered for Progress: Los Angeles County Cancer Detection PartnershipAssess cancer prevention activities within health and social service organization worksites.Tri-County Cancer Detection ProjectExpand cancer prevention and control outreach to Mixteco population. Clinica RomeroDesign a needs assessment tool and conduct data collection in surrounding neighborhoods.South Asian NetworkAdapt and disseminate materials for colorectal cancer screening in South Asians. Los Angeles Community Garden CouncilDesign survey to assess how community gardens impact fruits & vegetablesaccess and consumption.