1. 1 The Prevention Research Centers Program: The Case for Networks Eduardo Simoes, MD, MSc, MPH Program Director Prevention Research Centers National Center for Chronic Disease Prevention and Health Promotion

2. Prevention Research Centers Program History  1984: Congress authorizes Prevention Research Centers Program  1986: First 3 centers funded  1993: Program expands to 9 centers; Special Interest Projects are introduced  1997: Institute of Medicine publishes review of the program  1998: Program comprises 23 centers  2001: PRCs co-sponsor annual chronic disease conference  2004: Program grows to 33 centers in a new 5-year cycle

3. Prevention Research Centers Evolution of the PRC Program 1990-1993Promote excellence in research Build partnerships with health & education agencies 1993-1998Focus on distinct research themes 1998-2003Build or strengthen partnerships with communities Design methods for program evaluation 2003-Beyond Emphasize participatory research Translate research to public health practice Measure impact

4. University of Washington at Seattle University of California at Berkeley University of California at Los Angeles University of Arizona University of New Mexico University of Colorado University of Texas Health Science Center at Houston University of Oklahoma St. Louis University Tulane University University of Minnesota University of Illinois at Chicago University of Alabama at Birmingham University of South Florida Morehouse School of Medicine University of Michigan West Virginia University University of North Carolina at Chapel Hill University of South Carolina Harvard University Yale University Columbia University Prevention Research Centers State University of New York at Albany University of Iowa The Johns Hopkins University of Pittsburgh Boston University University University of Kentucky

5. Prevention Research Centers Center Requirements  Competitive process of selection  Partnership and collaboration  Participatory prevention research  Translation and dissemination  Assessment

6. Prevention Research Centers Competitive Peer Reviews  Two-phase competition:  1 st phase - External panel peer review  2 nd phase - Internal panel policy review  Monitored by SRAs  Trained and independent reviewers  Representative mix of disciplines, methodological expertise, and content area In 2004, 62 letters of intent received 52 competitive institutions - $27 Million

7. Prevention Research Centers Partnership and Collaboration

8. CDD DHPE ASPH NCC SPHA CDC National Partnership ATPM LPHA ASTHONAACHO

9. Prevention Research Centers Community-Based Participatory Research

10. Prevention Research Centers Meeting with a Community Advisory Board

11. Prevention Research Centers Community Committees’ Responsibilities  Contribute to research priorities  Articulate community values  Help recruit partner organizations  Participate in delivering interventions  Reflect local attitudes and beliefs

12. Prevention Research Centers National Community Committee  Developed by PRC community committee members  Facilitates training and development of committee members  Enhances capabilities of communities not traditionally involved in planning and implementing research  Shares information among community committees throughout the country  Operates independent from any PRC or CDC structure

13. Prevention Research Centers Research Translation and Dissemination

14. Framework for Prevention Research: A Community Driven Approach Identify community priorities? Phase 1 – Health Assessment; define issue; identify interventions (data-driven) Data on: Needs Resources Potential interventions Data on: Unmet needs Service gaps Data gaps Disease burden Target populations What is achieved? Phase 4 – Implementing & evaluating effective Strategies; (outcome-driven) Data from: process, outcome, impact evaluations Data on: Disease burden Target populations Utilization barriers Proposing research? Phase 2 –testing intervention and research tools (science-driven) Data on: Basic and applied research Evaluating efficacy? Phase 3 - Planned intervention and controlled environment (science & capacity- driven) Data on: Societal influences Partner resources Fundraising Possibilities Efficacy measures Knowledge for Policy- Making

15. Research Phases: Health needs Identifying interventions Formative evaluation Testing tools Efficacy trials Effectiveness studies Dissemination research Prevention Research Framework Prevention Research Center

16. Past and Current: BRFSS (old) Oral Health (old) Aging (current) Cancer (current) Physical Activity (new) Prevention Research Centers: Networks

17. Lessons learned:  Unclear expectations on outcome  Lack of guidance on how to organize network  Lack of leadership  Lack of patience – it takes time Prevention Research Centers: Networks

18.  Standardized designs/tools  Concerted effort on research gaps  Addressing disparities  Serving diverse communities and population groups  Better translational research  External validity (replication) and sustainability  Cost saving strategy Prevention Research Centers Networks: Why?

19.  Accepted guidelines in place  Network document  Cancer network paper  Strategic planning – opportunity for network  PRC Office support  Evaluation – DEFINE: technical support from contractor  Monitoring and feedback system:  Review of reviewers and PRCs replies  Standardized site visit and report  Working plan and progress report  Information system Prevention Research Centers Support of Networks