1. Emory Prevention Research Center Emory Prevention Research Center Emory Cancer Prevention and Control Research Network (CPCRN)

2. Partnerships

3. Primary Community Partner: Southwest Georgia Cancer Coalition (SWGCC) Rural Southwest Georgia

4. Southwest Georgia Demographics 33-county region (served by SW GA Cancer Coalition) Population approx 713,000  Range: 2,390 Webster County - 96,065 Dougherty County  Most counties < 20,000 Almost 40% African American (US Census, 2000)

5. 22.1% live below poverty level, compared to:  14.1% statewide in Georgia  13.3% nationally Per capita income (1999) $21,000, compared to:  $27,324 in Georgia  $28,542 nationally (US Census, 2000)

6. Southwest Georgia Partners Primary Community Partner: Southwest Georgia Cancer Coalition (SWGCC) Other Partners: SW Georgia Area Health Education Center (AHEC) Local American Cancer Society Phoebe Health Systems The Albany Herald Albany State University, Darton College, Georgia Southwestern University District Health Departments Decatur County Commissioner Local churches Core Liaisons

7. University and Statewide Partners Emory University: Schools of Public Health, Medicine, Nursing, Law… Interfaith Health Program, TTAC, Ethics Center, Emory College, Winship Cancer Institute, and more Other Partners: Georgia Division of Public Health American Cancer Society Georgia Cancer Coalition Grady Health Systems Emory Healthcare

8. CPCRN-Affiliated Faculty Julie Gazmararian David Howard Kyle Steenland Cam Escoffery

9. New Partnership Development Local & state  Health departments  Tour de Georgia  Tour of Hope – Clifton Corridor  CIS and Team Up collaboration GCC Cancer Summit (November 2-3) Collaborations w/ Behavioral Research Center of ACS (National Home Office)

10. Progress Staffing: Hired Anna Ehlerding, MEd - part-time local CPCRN coordinator in Albany, GA SWGCC new leadership:  Diane Fletcher, MA, RN – CEO of SWGCC  Denise Ballard, MEd – EPRC Coordinator

11. Progress SWGCC Coordinator compiled County Profiles Scientific Advisory Committee meeting (for EPRC and CPCRN) - June SW Georgia Cancer Symposium with Area Health Education Center (Oct 14)

12. Progress American Society of Clinical Oncology (ASCO) Prevention Curriculum  Community Intervention Chapter  Arrangement to use 40-chapter curriculum regionally & statewide

13. CPCRN Research Activities Pilot Studies Ideas solicited from Emory researchers and Community Advisory Committee (CAC) 6 proposals submitted Review committee - CAC & researchers Rated and scored proposals in 6 criteria areas on a 1-5 scale (5=highest). Selected 3 top priority pilot studies by consensus (written reviews and meeting)

14. Selection Criteria 1. Meets community needs 2. Can be completed within 6 months 3. Consistent with current cancer control guidelines (e.g. NCI, CDC, ACS, USPSTF) 4. Potential to contribute to scientific literature 5. Potential for larger funding 6. Appropriate research expertise available

15. Decision making for “healthy lifestyle changes” in rural communities Led By: Darrell Sabbs – Community Benefits Coordinator, Phoebe Putney Memorial Hospital Research Questions:  When do people want to make a decision?  What has been the point of decision for others?  How do family and community impact decisions?  What factors contribute to the difficulties of (healthy) decision making?

16. Rural Mexican-American women’s perceptions of cultural & environmental influences on physical activity & healthy dietary practices Led by: Maria R. Warda, RN, PhD - Dean, School of Nursing, Georgia Southwestern State University Research Questions:  Perceptions of enablers & barriers to physical activity and healthy dietary practices?  How cultural factors, e.g.: family, spirituality, health beliefs, & communication influence PA & healthy diet?  Role of environmental factors (living environment, work environment)?

17. Training needs assessment re: knowledge and practices … cancer control guidelines in health care professionals in SW GA Led By: Cam Escoffery, PhD, MPH, CHES – Assistant Professor, RSPH, Emory University Research Questions:  Current knowledge & needs of providers related to clinical and evidence-based guidelines for breast and cervical cancer detection, & smoking cessation?  Adherence to USPSTF guidelines and the Community Guide recommendations for education, recruitment, screening and treatment?  Preferred training content and formats?

18. Partially funded pilot: Rapid cancer case ascertainment in SW Georgia Led by: Kyle Steenland, PhD - Professor, RSPH, Emory University Aims:  Develop rapid case ascertainment system for cancer in SW Georgia, in collaboration with the Georgia Cancer Registry  Support work of ongoing (#25-04) and new SIPs (#7-05) in SW Ga treatment centers

19. Phoebe Putney Memorial Hospital (Albany) John D. Archbold Memorial Hospital (Thomasville) Tift General Hospital (Tifton) South Georgia Medical Center (Valdosta)

20. Other Affiliated Research: Cancer SIP’s

21. SIP 25-04: Population-based study of quality of life of 300 prostate cancer patients SW GA PI: Kyle Steenland, PhD Focus of interviews:  Treatment choice  Physiologic quality of life (e.g., incontinence, sexual dysfunction)  Perception of quality of life

22. SIP 07-05: Determinants of patient dropout from Cancer Treatment & Follow-up PI: Joe Lipscomb, PhD  Examine treatment dropout for breast, colorectal, lung, and prostate cancers within 1 st year  Investigate associated disease, patient, provider, & system factors  Assess data sources & identify potential interventions to improve tx completion

23. Plans for Year 2 Complete pilot studies Develop larger applications for most promising Leverage partnerships to disseminate & replicated evidence-based CP&C programs Contribute to &/or lead selected, priority Network research efforts

24. Thank you very much!