1 Overview of CPCRN and Recent Accomplishments Kurt M. Ribisl, PhD University of North Carolina at Chapel Hill CPCRN Coordinating Center CPCRN Dialogue with NCI July 27, 2011

2 CPCRN Mission To accelerate the adoption of evidence- based cancer prevention and control in communities.

3 Organization One of five Thematic Research Networks in the Prevention Research Centers (PRCs) –Only Thematic Network focused on dissemination and translation Collaboration with two Federal Agencies –CDC – Division of Cancer Prevention and Control –NCI – Division of Cancer Control and Population Sciences Ten Network Centers at major research institutions

4 PI’s Michelle Kegler, DrPH Jennifer Allen, ScD, MPH, RN Betsy Risendahl, PhD Roshan Bastani, PhD Cathy Melvin, PhD Kurt Ribisl, PhD (Coord Ctr) Maria Fernandez, PhD Vicky Taylor, MD, MPH Matthew Kreuter, PhD, MPH Marcia Ory, PhD, MPH James Hebert, ScD, MSPH

5 Network Center Map

Grants Publications

8 14 Multi-Center Publications ( )

9 CPCRN Survey of Colorectal Cancer Control Programs (CRCCP) Survey CRCCPs to assess Dissemination and Implementation (D&I) activity Identify precursors of D & I success Identify challenges to D & I Monitor progress over time New Cross-Center Project

10 A unique opportunity for CPCRN Natural laboratory for dissemination Defined set of cancer control EBIs Large-scale practice settings Perfect timing

11 Survey of Federally Qualified Health Centers Sample: FQHCs in Network states belonging to their state primary health care association. Focus on organizational factors that influence implementation of evidence-based breast, cervical, and colorectal cancer screening, and tobacco cessation interventions in primary care practice. The project would provide information about translation processes in health center settings. Examine theoretical and conceptual frameworks pertinent to FQHCs; promising models and measures applicable to FQHCs; and FQHC infrastructure, capacity and processes key to dissemination and implementation.

12 California110 Colorado 14 Georgia 28 Massachusetts24 Missouri 21 North Carolina27 South Carolina 22 Texas58 Washington 25 Network members in states with smaller numbers of health centers could survey all of the health centers in their state, and Network members in states with larger numbers of health centers could randomly select a sample of health centers. FQHC Centers Diverse geographic areas and diverse patient populations.

13 Multi-Center Work Research & Dissemination Activities 363 Activities Total 26 Multi-Center Activities Multi Center Grants 4 Funded Grants involve 8 centers ($2,945,201) 4 Pending Grants involve all 10 centers ($14,219,462)

14 TACTICC Aims Multi-center grant proposal, reviewed & scored Aim 1: To develop and validate an online, interactive decision support and program planning tool (TACTICC) to increase use of EBAs in communities. Aim 2: To evaluate the effectiveness of TACTICC in increasing EBA adoption, adaptation, and implementation.

15 Logic Model for Conceptual Frameworks

16 CPCRN Strengths Advancing science for implementation and translation research Strong community partnerships Focus on underserved populations Broad geographic outreach Research focus that complements NCI & CDC priorities Infrastructure funding provides impetus to focus beyond discovery and be opportunistic