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BACKGROUND In 2009, the NCI Center to Reduce Cancer Health Disparities (CRCHD) - PowerPoint PPT Presentation


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Education Intervention Analysis (GT, GW, HW, JH, MR, UDC, UVA, WHC). Health Education Training (GT, GW, HA, HW, JH, MR, UDC, VCU, WHC). Improving Clinical Trial and Biospecimen Bank Accrual and Cancer Risk Study Enrollment (GT, GW, HW, JH, UMD, UVA, WHC). Health Literacy / Education.

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Education Intervention Analysis

(GT, GW, HW, JH, MR, UDC, UVA, WHC)

Health Education Training (GT, GW, HA, HW, JH, MR, UDC, VCU, WHC)

Improving Clinical Trial and

Biospecimen Bank Accrual and Cancer Risk Study Enrollment

(GT, GW, HW, JH, UMD, UVA, WHC)

Health Literacy/ Education

Community- based Participatory Research

(GT, GW, HW, JS, MR, UDC, UVA, WHC)

Health Info. Communication (GT, GW, HA, HW, JH, MR, UDC, WHC)

Patient Navigation

(GT, GW, JH)

Cancer Screening

Clinic-based interventions

(GT, GW, HW, JS, UVA, WHC)

Community-based interventions (GT, GW, HW, JS, UVA, WHC)

NCI CRCHD Geographic Management Program (GMaP): Catalyzing inter-institutional collaborations for enhanced cancer health disparity (CHD) research and outreach

Steven R. Patierno1, PhD; Peter Shields2, MD; Sarah Hijaz1, MPH; Sarah Reisinger2, MPH, CHES

George Washington University Cancer Institute1, Washington, DC; Georgetown University Lombardi Comprehensive Cancer Center2, Washington, DC

BACKGROUND

  • In 2009, the NCI Center to Reduce

    Cancer Health Disparities (CRCHD)

    launched its GMaP initiative

    - Groups cancer health disparity

    (CHD) research and outreach

    efforts according to geographic

    region

    - Goal: create a regional network

    wherein resources can be pooled

    to facilitate progress through

    inter- institutional collaborations

    with large-scale funding

    6 Regions across the country:

    - George Washington University

    Cancer Institute (GWCI)

    selected as the Region 1 GMaP

    coordinating hub

    - Georgetown Lombardi

    Comprehensive Cancer Center

    selected as Region 1 BMaP

    coordinating hub (focused on

    Biospecimen Banking for CHD

    research)

SUMMARY- REGION 1

  • Phase I: Develop Infrastructure

  • Region 1 (DC, MD, VA):

  • Bowie State University

  • - Georgetown University

  • George Washington University

  • - Hampton University

  • - Howard University - Johns Hopkins University

  • Morgan State University - University of the District of Columbia

  • - University of Maryland- B - University of Maryland- ES

  • University of Virginia

  • - Washington Hospital Center

  • Virginia Commonwealth University

Phase II: Resource Assessment

Survey Tools:

Readiness Assessment Tool (RAT): NCI survey tool- institutional data:

- Communication abilities - Biospecimen banking - Bioinformatics

- Emerging technology - Clinical trials - Training programs

Resource Assessment Database (RAD): Region 1-specific tool, obtains a more

thorough understanding of institutional resources and cooperation potential, including

more qualitative information- institutional data:

- Communication abilities - Biospecimen banking - Bioinformatics

- Emerging technology - Clinical trials - Training programs

- Community outreach - Institutional Infrastructure

- Social & Behavioral oncology

BMaP: Survey of three Region 1 institutions* on metabolomics specimens by

type and race.Human biospecimens from racial and ethnic populations that can be

used to study metabolomics, accessible to investigators through collaborative

mechanisms:

- African American: 113745 - Native American: 745

- Asian: 7259 - Native Hawaiian / Pacific Islander: 84

- Hispanic: 6611 - Other: 3958

Total = 127902

*Georgetown University, George Washington University,

Howard University, & Virginia Commonwealth University

Phase III: Implementation Plan (in progress)

Institutional resources, interests, and project proposals are

gathered to pinpoint project themes that are most optimal for inter-

institutional collaboration.

Mechanisms by which institutional interests can be proposed and

pursued:

- Collaborative Outreach Networks for Community Engagement

and Research Translation (CONCERT)

- Collaborative Networks for Laboratory and Clinically-based

Research

CONCLUSION

The RAT/RAD data submitted thus far indicates a wide variety of resources within Region 1 that can be brought together to meet the goal of addressing CHDs as a whole. The Phase III Implementation Plan, whereby Region 1 will use collected Regional information to brainstorm unique and important collaborations between Region 1 institutions, is in progress. The mechanisms that have been structured, which will serve as the means by which future project proposals can be assessed and pursued, have been separated into the community/outreach-based and laboratory/clinical-based. Future G/BMaP effort will be focused on further development of these mechanisms and direct pilot projects utilizing these tools in order to assess their feasibility and potential impact.

CONCERT

CONCERT Implementation Diagram:

Region 1 GMaP Institutional Interest by Topic:

Patient

Navigation

Research Question: What is the role of patient navigation in health care education, social attitudes, health behavior changes, and participation in clinical trials, biospecimen banking, and cancer risks studies as related to CHDs?

Overarching Hypothesis: Patient navigation mediates the effectiveness of interventions to reduce cancer disparities by improving health literacy, providing social support, and increasing access to health education.  The mediating effects result in enhanced capacity to use health information, improved adherence to cancer screening recommendations, and increased likelihood of participating in clinical trials, biospecimen banking, and cancer risk studies.


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