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Social Work Research Opportunities at CDC. Lynda Doll, PhD Associate Director for Science National Center for Injury Prevention and Control Don Lollar, EdD Senior Research Scientists National Center on Birth Defects and Developmental Disabilities

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Social Work Research Opportunities at CDC

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Social Work Research


at CDC


Lynda Doll, PhDAssociate Director for ScienceNational Center for Injury Prevention and

Don Lollar, EdDSenior Research ScientistsNational Center on Birth Defects and Developmental

goals for session
Goals for Session
  • Introduce CDC and its public health research
  • Examples of public health research at CDC: the Injury and Birth Defects Centers
  • Trends and challenges in public health research today


cdc s structure

CDC’s Structure

National Center on Birth Defects and Developmental Disabilities

National Center for Chronic Disease Prevention and Health Promotion

National Center for Environmental Health

National Center for Health Statistics

National Center for Infectious Disease

National Center for Injury Prevention and Control

National Center for HIV, STD, and TB Prevention

National Institute for Occupational Safety and Health

National Immunization Program

Epidemiology Program Office

Public Health Practice Program Office

public health research at cdc

Public Health Research at CDC

1) Focuses on prevention

2) Links Science and Practice


Research Continuum by Agency

Basic Applied



“The modern trend in academic circles is to

neglect the microorganism as it exists in the

outside world, in order to concentrate

on the “domesticated” microbes that can so

conveniently be handled in the chemist’s

flasks and test tubes.”

The Natural History of Infectious Diseases, 1962

academic health centers need more balance in research
“Academic health centers need more balance in research...

They need faculty who are not just doing

research in the laboratory, but people

who can go out into the community and

conduct community-based

research to learn how to

apply the findings.”

Surgeon General David Satcher

National Press Club, 5/6/98


Public health operates at the population level, targeting groups and communities rather than individuals.


Top 10 Achievements of the 20th Century


  • Vaccination
  • Healthier mothers and babies
  • Family planning
  • Safer and healthier foods
  • Fluoridation of drinking water
  • Control of infectious diseases


  • Decline in deaths from heart disease and stroke
  • Recognition of tobacco use as a public health problem
  • Motor vehicle safety
  • Safer workplaces










Public health research is research that is directly applicable to the prevention or control of diseases, conditions, or injuries





Reduce Injuries

Assure Widespread Use

Develop and test solutions

Define the Problem

Identify risk and protective factors


Research to Practice Model

Prevention Programs





fetal alcohol syndrome prevention program
Fetal Alcohol Syndrome Prevention Program
  • Studies of prevalence of FAS
  • Targeted media campaigns aimed at reducing alcohol-exposed pregnancies
  • Educational intervention studies in high risk women
  • Scientific Working Group for uniform diagnostic guidelines for FAS
  • FAS Regional Training Centers for care providers
  • Identify interventions to improve outcomes of children with FAS
high profile school shootings

April 20, 1999:

Columbine High School

Littleton, CO

High Profile School Shootings
school associated violent deaths study
School-Associated Violent Deaths Study
  • Study Objectives
    • Track the occurrence of these events
    • Identify common features of these events
    • Target interventions
research funding mechanisms
Research Funding Mechanisms
  • Grant – investigator initiated (PA)
  • Cooperative agreement -- shared research (RFA)
  • Contract – CDC directed. An acquisition of a product or service
  • Small business innovation research (SBIR)
peer review process
Peer Review Process
  • An independent assessment of the scientific merit of research by peers who are scientists with knowledge and expertise equal to that of the researchers whose work they review.
  • Provide signed assurances that their assessments are free of any real or perceived conflicts of interest.
cdc research announcements
CDC Research Announcements
  • Annually: December --- May
  • Typically RFAs; some PAs
  • Announced in Federal Register and CDC’s

Federal Solicitation Funding Brochure (FSFB)

cdc research announcements1
CDC Research Announcements
  • Open 30 – 90 days
  • Applications similar to NIH
  • Follow directions/call CDC contact person
  • Funding: September 1st
works to reduce morbidity disability mortality and costs associated with injuries

Works to reduce morbidity, disability, mortality, and costs associated with injuries

National Center for Injury Prevention & Control

ncipc supports research and programs
NCIPCSupports Research and Programs
  • Violence Prevention
  • Unintentional Injury
  • Acute care, disability, and rehabilitation
ncipc supports
NCIPC Supports
  • Injury prevention programs
  • Surveillance systems
  • Extramural research programs (Investigator-initiated grants and cooperatives
  • 24 research centers
  • Intramural research programs

NCIPC Core Funding

Core State Funding, FY01


NCIPC Allocation of Resources–FY03









Surveillance 11.7%

Other 5.1%

ncipc fy03 research expenditures
NCIPCFY03 Research Expenditures
  • Grants 38%
  • Research Centers 29%
  • Cooperative Agreements 25%
  • Research Contracts 8%

Research Agenda

  • Developed with help from partners
  • Published in 2002
  • Focuses on research that will have public health impact in the relatively near future
research agenda objectives
Research Agenda Objectives
  • Guide for funding decisions
  • Guide for extramural and intramural researchers
  • Guide for collaboration with other funding organizations
criteria for research priorities
Criteria for Research Priorities
  • Congruency with Agency and Center Mission
    • injury reduction through public health methods
  • Public Health Burden
  • Research Opportunity: preventability; timeliness; broad application; accessible populations
  • Near Term Impact

The Phases of

Prevention Research



Efficacy and







home and community safety
Home and Community Safety
  • Disseminate effective interventions
    • Fires
    • Falls
  • Evaluate interventions
    • Mass trauma events
    • Childhood falls
  • Understand the role of supervision
sports recreation exercise safety
Sports, Recreation & Exercise Safety
  • Disseminate effective interventions
    • Protective gear
    • Playground surfaces
  • Evaluate environmental, behavioral & regulatory interventions
  • Develop exposure data
transportation safety
Transportation Safety
  • Disseminate or evaluate effectiveness of interventions
    • Alcohol & driving
    • Pedestrians
    • Teen drivers
    • Older drivers
    • Occupants
  • Evidence based policy formulation
intimate partner sexual violence and child maltreatment
Intimate Partner & Sexual Violence and Child Maltreatment
  • Primary prevention by focusing on perpetration
  • Evaluate existing programs & strategies to disseminate
  • Develop new programs
  • Change social norms
suicidal behavior
Suicidal Behavior
  • Public health vs. traditional mental health
  • Evaluate efficacy & effectiveness
    • Suicide (Extant & New)
    • Other violence
  • Disseminate effective programs
  • Identify risk factors
youth violence
Youth Violence
  • Disseminate strategies of effective programs (adoption, costs)
  • Evaluate program (and cost) effectiveness
    • Parenting
  • Identify modifiable risk and protective factors
    • Perpetration
    • Victimization
    • Community & Sociocultural
  • Clarify relationship of youth and other violence
acute care disability rehabilitation
Acute Care, Disability & Rehabilitation
  • Evaluate the effectiveness of clinical prevention services in acute care settings
  • TBI & SCI
    • Special population epidemiology
    • Consequences,services & costs
    • Secondary condition prevention
  • Determine costs/benefits of trauma care systems
research agenda crosscutting priorities
Research Agenda Crosscutting Priorities
  • Evaluate methods for translating research findings into programs and policies
  • Evaluate the effectiveness of programs
    • Parenting
    • Alcohol
  • Identify the costs and consequences of injury
  • Build research infrastructure
fy04 research announcements
FY04 Research Announcements
  • Grants
  • Cooperative Agreements
  • Contracts
  • SBIR
annual research grants announcements
Annual Research Grants Announcements
  • Violence
  • Acute care, rehabilitation and disability
  • Biomechanics
  • Unintentional injury prevention
  • Injury research centers
  • Youth violence centers
  • New investigators
  • Dissertations
for information on the research agenda or research funding
For Information on the Research Agenda or Research Funding
    • “What’s new”
    • “Grants and Funding”
cdc s applied public health research aphr agenda
CDC’sApplied Public Health Research (APHR) Agenda
  • Fast Track Priorities for FY04 (DEC)
  • FY05 Research Agenda developed over 12- 18 months
  • Focus on crosscutting investigator initiated research
trends at cdc
Trends at CDC
  • Increase # behavioral/social scientists
  • Broad array beh/soc scdisciplines
  • Culture + social/environmental + individual factors
  • Expanded set of methods
trends at cdc1
Trends at CDC
  • Increase in community participatory research
  • Increase in community-based research
  • Increased study of social/community-level factors: social networks, social determinants of health, social capital, livability
  • Increase in community-level and multi-level intervention research
trends at cdc2
Trends at CDC
  • Increased emphasis:
    • research synthesis
    • translation of research to practice
    • program evaluation
    • researchers in the field
trends at cdc3
Trends at CDC
  • Increased awareness that mental and physical health and injuries are not easily separated
  • Topics: behavioral and psychological consequences of abuse, terrorism, witnessing violence
trends in research
Trends in Research
  • Intervention/dissemination research
  • Cross-cutting research—reduce “silos”
  • Big Science
  • Translation of research to practice
  • Support for researcher training
trends in research1
Trends in Research
  • Accountability
    • Products
    • Observable, near term outcomes: behavioral, systems, health
    • Data/stories about impact of research
trends in research2
Trends in Research

Expansion areas:

  • Health disparities
  • Socioeconomic determinants
  • Prevention communication
  • Health systems
  • Global infrastructure development