1. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org The Cooperative Extension System A valuable partner for CTSAs

2. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org “ Yesterday, I met with officials at NIH. I told them about the relationship the Indiana State Department of Health has with Purdue Extension and they have been discussing the need to get the Extension offices across the nation involved … I told them that I thought Purdue might be interested in being the model for the nation on this one as well. ” Judy Monroe, 2007 Indiana Health Commissioner

3. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org Cooperative Extension Mission The mission of the Extension Service is to provide citizens access to research-based education and learning opportunities that are relevant to important community issues and which will contribute to the quality of life for all citizens.

4. Development of the Land-grant System Timeline 1860187018801890199019101920...........2000 1862 First Morrill Act Establish Land-grant Colleges Prepare industrial classes Practical realities of an agricultural and industrial society Professions of life 1887 Hatch Act Establish Agriculture Experiment Station Recognition of research as a basis of agricultural and industrial development 1890 Second Morrill Act Establish Land-grant Colleges for Blacks 1914 Smith- Lever Act Establish Cooperative Extension Service Disseminate information to the population from the college’s research Share benefits of current developments “Land Grant Universities have long embraced a three part mission of Learning, Discovery, and Engagement.” “Vic” Lechtenberg Vice Provost for Engagement Purdue University 2006

5. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org Prior to 1862, most universities catered to the “elite” The Morrill Act of 1862 authorized a public university in every state and territory of the United States. Instead of money, the federal government gave land to be sold and the interest made available for “at least one college” Land Grant Mission: “…teach …agriculture and the mechanical arts … to promote liberal and practical education of (ordinary people)….” The Land Grant University System

6. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org The Hatch Act (1887) provided for the establishment of Agricultural Experiment Stations which provided for research. Teaching methodology was “demonstrations” Second Morrill Act (1890). States had to show that race or color not a criterion for admission or designate a separate land-grant college. Most in the southern states due to segregation at that time. In 1994, Congress created Tribal Colleges to educate Native Americans.

7. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org The Smith Lever Act (1914) established a Cooperative Extension Service with each Land Grant university. “instruction and practical demonstration in agriculture and home economics to persons not attending said colleges” Federal, state, and county governments work together to provide public education services.

8. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org The Structure of the Land Grant University LEARNING DISCOVERY EXTENSION (ENGAGEMENT) Morrill Act -1862 Hatch Act - 1887 Smith – Lever Act - 1914

9. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org The county Extension office is a branch office of the Land Grant university in each state. Extension educators in each county are university staff or faculty and report to the main campus of the Land Grant university.

10. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org Cooperative Extension Contribution to Research

11. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org Research involving indigenous community based paraprofessionals

12. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org Translating from bench to product Translating from variations in health to research strategy Biochemical mechanisms Nutritional genomics Nutritional advice Dietary guidelines New foods Biomarker Clinical Validation Risk / Benefit T r a n s l a t i o n Individual variations Genotyping Metabotyping Consumer Responses Healthscape Nutritional epidemiology Behavioral insights

13. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org Translating from bench to product Translating from variations in health to research strategy Biochemical mechanisms Nutritional genomics Biomarker Clinical Validation Risk / Benefit T r a n s l a t i o n Individual variations Genotyping Metabotyping Consumer Responses Healthscape Dining with Diabetes Professor Popcorn Health Coalitions Behavior metrics

14. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org National Programs Expanded Food and Nutrition Education Program (EFNEP) –Households with pregnant women and pre-teen children –Lessons delivered by trained paraprofessionals –National evaluation –Every $1.00 in EFNEP can potentially reduce health care costs by about $8.00 Family Nutrition Program (FNP) –Food stamp eligible –Lessons delivered in homes and community settings –Meal planning, budgeting, preparation, food safety –Randomized controlled trial Intervention and delayed intervention –Statistically significant reduction in food insecurity Eicher-Miller et al J Nutr Educ Behav 2009

15. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org Purdue Extension Making a Difference College of Health and Human Sciences Purdue Agriculture –Agriculture and Natural Resources –4H Youth Development –Economic and Community Development Purdue Agricultural Research Programs School of Veterinary Medicine Four critical issues of HHS Extension Program –Foods and nutrition –Personal and family finances –Human development throughout the lifespan –Health –Over 100 programs are offered by Purdue Extension-HHS www.extension.purdue.edu

16. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org Healthy People, Healthy Communities Extension Educators partner with community groups –Create coalitions –Identify and address local issues –Started in 2005 as a response to childhood obesity Walk Across Indiana –Multiple partners including INShape Indiana –Held throughout the year –Brings attention to physical activity and nutrition

17. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org Engaging Community Population Extension Involvement Indiana CHEP unique with statewide involvement Purdue Extension –Health and Human Sciences Extension Educators –Health Coalitions

18. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org How can you do this in your state………………. 1. Determine where the Cooperative Extension office is located in your state 2. Meet with your Extension Director/Program Leader Brainstorm possibilities

19. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org http:// www.csrees.usda.gov/Extension /

20. ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org For more information: Dr. Carol Boushey boushey@purdue.edu Donna Vandergraff vandergraff@purdue.edu boushey@purdue.edu vandergraff@purdue.edu