Community Research in Cancer:

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Community Research in Cancer CORICA
CPCRN Los Angeles

• 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)

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CPCRN
Build Research Infrastructure in Community
Cancer Early-Detection
Vaccine Preventable Cancers
Tobacco Control
Obesity Prevention
DISCOVERY
DISSEMINATION
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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)

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WORKING ProjectWorking Out Regularly Keeps
Individuals Nurtured and Going WORKING I
2005-08 WORKING II 2008-13, PI
YanceyNCMHD/NIH R24
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WORKING II Study Design
Recruitment 60 sites, 25 workers/site
Health and Human Services Agencies
Baseline Assessment

• Organizational Change Intervention
• Policy changes
• Program champions
• Photovoice
• PA Competition, etc.

Intervention 30 sites, 750 workers
Control 30 sites, 750 workers

• Outcomes
• Objective biometrics, step test
• Self-reported practices, etc.
• Worksite environmental audits

Follow up 6, 12, 18 months
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Recent Success Story

• North East Valley Health Corporation (Debra Rosen
  et al.) receives HRSA Grant
• Patient Navigator Outreach and Chronic Disease
  Prevention Program
• Breast, Cervix, CRC screening and F/U
• 2 year project, 1 Million (Sept 2008)
• UCLA CPCRN role navigator training and project
  evaluation

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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 among
• Engaging Filipino American CBOs in Tobacco
  Control (Maxwell)
• Test 4 dissemination strategies to increase usage
  of the California Smokers Helpline, an
  evidence-based cessation approach
• Disseminating 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

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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
  services
• Seven languages Spanish, English, Mandarin,
  Cantonese, Korean, Vietnamese, Armenian
• 10,000 callers/year low-income, limited English
  proficiency, 92 uninsured

• Capitalize on this infrastructure for HPV Vaccine
  education, tracking of access uptake in county,
  including predictors

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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 intervention
• link callers to services

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Capacity Building

• Annual Symposia
• Cancer Disparities 2005
• Obesity 2006
• Vaccine Preventable Cancers 2007
• Lessons Learned from Tobacco Control 2008

• Using What Works Trainings
• Participants CBOs, Health Depts., Funding agency
  (Beach Cities Health Dept), grant applicants
• Follow-up technical assistance
• Cancer 101 (Promotores)
• CBPR (African American 5-a-day)
• Using secondary data and GIS for needs
  assessments (NBCCEDP)

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Center of Excellence for the Elimination
ofDisparities (REACH US, 2007-2012, CDC)
UCLA Yancey, Bastani, McCarthy,
Maxwell, Glenn, Mistry, Guinyard, Mojica

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

• Community Organizations
• LA Urban League
• Worksite Wellness LA
• CA Black Womens Health Project
• Asian Pacific Health Care Venture
• Latino Health Access
• Esperanza Housing Corp.

• Dissemination
• evidence- and practice-based strategies
• initial focus on obesity prevention
• future years tobacco, screening
• Promote organizational level change
• Worksites, churches, schools, clinics

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

• Multiple ethnic groups
• Low-income Latinos, African Americans and Asians
• Build infrastructure and capacity
• strengthen relationships, provide training to
  primary community partners
• Community partners train their partners and
  implement strategies

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Cancer Screening

• Latino 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

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Tobacco

• School-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

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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

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Publishing Data from CBO Initiated Projects

• Pausa para tu salud Integration of exercise
  breaks into workplace organizational routine may
  reduce weight and waistlines
• Preventing Chronic Disease, 2008 Jan 5 (1), A12
• Lara 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 Experience
• American Journal of Health Promotion, In Press
• Hinkell AJ, Mistry R, McCarthy WJ, Yancey AK
• Tobacco Use among South Asians Results of a
  Community-University Collaboration
• Ethnicity Health, In Press
• Glenn B, Surani Z, Chawla N, Bastani R
• Rates and sociodemographic predictors of cancer
  screening among South Asians
• Journal of Community Health, In Press
• Glenn B, Bastani R, Surani Z, Chawla, N

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Community Seed Projects

• LA County Department of Public Health Office of
  Womens
• Use Telephone Hotline to collect data about HPV
  vaccine and pilot test education intervention.
• Cabrillo Village Housing Cooperative
• Conduct health needs assessment in farm worker
  housing communities.
• Clinicas del Camino Real
• Enhance outreach to promote cancer screenings in
  Spanish-speaking low-income families.
• Cabrillo Economic Development Corporation
• Assess the impact and functioning of a no-smoking
  policy at affordable housing complexes.
• H/LATEN Hispanic/Latino American Tobacco
  Education Network and NCI/CIS
• Dissemination and Evaluation of the 5-As of
  Tobacco Cessation.
• Partnered for Progress Los Angeles County Cancer
  Detection Partnership
• Assess cancer prevention activities within health
  and social service organization worksites.
• Tri-County Cancer Detection Project
• Expand cancer prevention and control outreach to
  Mixteco population.
• Clinica Romero
• Design a needs assessment tool and conduct data
  collection in surrounding neighborhoods.
• South Asian Network
• Adapt and disseminate materials for colorectal
  cancer screening in South Asians.
• Los Angeles Community Garden Council