CPCRN and NCI Priorities Jon F. Kerner, Ph.D. Deputy Director DCCPS

What Makes the CPCRN Different?  A research network with no funding for research projects?  A more focused approach on Guide related research?  A network focused on linking CBPR issues to national discovery to delivery priorities?

THE DISCOVERY-DELIVERY CONTINUUMDiscovery Development Delivery Policy Diffusion Diffusion & Dissem. Research Dissemination Knowledge Synthesis Implementation Replication Research

Baseline Research & New Options  NCI FY03 Portfolio Analysis CPCRN Centers  New Options for Network Research

DCCPS funding FY 2003 UCLATwo Screening & Two Epidemiology Grants EmoryOne Dietary Change & One Tobacco Grant Harvard (excl. Dana Farber) 27 Grants across the continuum St. Louis UniversityTwo Communication Grants UNC16 Grants across the continuum UT- Houston (excl. MD Anderson One Tobacco & Two Screening Grants UW (excl. Fred Hutchinson) 15 Grants across the continuum MorehouseThree NCI but 0 DCCPS Grants

What Changes to Measure?  More grant funding?  More collaborative CPCRN funding?  More CBPR funding?  More replication and/or dissemination research funding?  Qualitative evidence of network impact:  Guide-related research projects;  CPCRN intervention program postings on RTIPs;  Program evaluation tools developed & disseminated to field (e.g., NBCCEDP)

New Funding Opportunities  Trans-NIH CBPR PAR e/pa-files/PAR html  NCI R25E PAR (6/1/05 submission)  Trans-NIH Dissemination Research PAR (look for in September 2005)

National Cancer Institute DHHS recently announced a trans-HHS report entitled: “Making Cancer Health Disparities History” ( In this report, a broad coalition of scientists, practitioners, community and patient advocates organized by the NCI, identified several research themes that would best be addressed through a CBPR model. These include but are not limited to: The need for more cancer prevention and health promotion (e.g., tobacco control, diet/physical activity to reduce obesity) research in medically underserved populations such as racial/ethnic minorities, and low SES populations (e.g., rural poor). Cancer prevention and health promotion research should integrate scientific questions related to intergenerational differences, lifespan, mental health and emotional well-being. Studies that develop standards and test models for ensuring cultural competence in the delivery of prevention, early detection, treatment and cancer survivorship services. Studies that identify and test strategies for overcoming the barriers (e.g., unequal service resource allocation, cost-effectiveness) to the adoption of evidence-based interventions in medically underserved communities. Developing and testing models in medically underserved communities (e.g., patient navigation) to enhance access to and utilization of high quality cancer screening, diagnostic, treatment, and survivor support services.

Cancer Education (R25E) Grants Program  Educational and research dissemination activities are essential components of NCI’s efforts to reduce morbidity and mortality due to cancer.  This PAR provides support: for innovative educational programs….  The PAR also supports grants to develop effective approaches to dissemination of research knowledge related to cancer prevention and control. In this PAR, research dissemination refers to innovative education approaches designed to translate knowledge gained from science (discovery) into public health and community applications (delivery).

Process Measures of Change  Network communication (meetings, conference calls, web activity, newsletter)  New investigators and community partners coordinate with/involved in network over time  Quality and quantity of community & service delivery program cooperation  Collaborative publications and presentations  Support for state comprehensive cancer control plan implementation

Community vs. Network Priorities  How much time and effort to expend on local community priorities?  How much time and effort to expend on national network priorities?  Can national network collaborative priorities be coordinated with local community cooperative priorities?

Local Community - National Network Priorities

“Be the change you wish to see in the world.” --Mahatma Gandhi