Ana M. Navarro, Ph.D.

SDSU-UC SAN DIEGOCANCER CENTER COMPREHENSIVE PARTNERSHIP

SDSU PIs UCSD PIsElizabeth Klonoff, Ph.D. Ana Navarro, Ph.D.Stanley Maloy. Ph.D. John Carethers, M.D.

POR LA VIDA COMMUNITY HEALTH ADVISOR PROGRAMS

Beatriz Barraza-Roppé, B.S., Lourdes Baezconde-Garbanati, Ph.D., Catalina Bernal, Guillermina Coronado, Mary Cruz, Irma Hernández, Robert Kaplan,Ph.D., Patricia Lozada-Santone, Ph.D., Marianne McKennett, M.D., Lori McNicholas, Ph.D., Olivia Puentes-Reynolds, Cheryl Rock, Ph.D., Olga Sánchez, Karen Senn, Ed.D.

Por La Vida Intervention Model Identification of community health advisors--

“natural helpers” Recruitment and training of consejeras Recruitment of project participants from the

naturally occurring social networks Small group educational sessions Bilingual facilitator’s guide Diffusion through “learning partners”

SDSU-UC San Diego Cancer Center Comprehensive Partnership

Cancer Health Disparities◦Research◦Training◦Outreach

Community Health Workers’ Roles

Health Educator and Health Care Navigator

Research Associate

◦ Recruitment, Data Collection, Data Processing, Data Analysis and Interpretation, Report Preparation, Presentations

Advisory Committee Member and Key Informant

Community Based Participatory Research In Action:Research Adaptation

Outstanding Research Outstanding Training Outstanding Outreach Services

Por La Vida Cuidándome: Women and Cancer 1. Introduction 2. The fountain of my life 3. The female body 4. Where cancer can be found 5. Keeping your uterus and

cervix healthy 6. Keeping your breasts healthy 7. Overcoming barriers 8. All women are at risk 9. Recognizing changes 10. Moving ahead 11. The choice is yours 12. Graduation

Por La Vida CuidándomeWomen and CancerProjects

1994 - 1997

17

386

597

Consejeras Participants Learning Partners

1997 - 2002

13

205

330

34

638

2004 - 2010

909

Por La Vida Cuidándome: Nutrition and Cancer 1. Introduction 2. The fountain of my life 3. What we eat 4. Where is cancer found? 5. Protecting ourselves

with fruits and vegetables. 6. Enjoying fruits and vegetables 7. Getting more fiber in our foods 8. Fat 9. Weight control 10. Shopping tour 11. Moving ahead 12. Graduation

Por La Vida Cuidándome Nutrition and Cancer Projects

1994 - 1997

14

216

418

Consejeras Participants Learning Partners

1997 - 2002

16

281

11

245

2004 - 2010

352

Por La Vida Taking Action for Tobacco Free Communities

Consejeras Participants Community

10

181

Formal agreement between ACS and community based organizations with existing promotores programs

Colorectal Cancer Screening Promotores Program

2008-09

126

1,620

6,991

Design Considerations Experimental and quasi-experimental designs◦ Comparison groups

Pretest, posttest, and follow-up assessments Validation Standardization Qualitative and qualitative methods

Measurement and Data Collection Tools to Assess Impact and Process Face to face, telephone, and paper and pencil

questionnaires Self-report, rating scales, observations,

existing records Focus group discussions, debriefing sessions,

advisory committees, key informants

◦ Knowledge, Attitudes, Behaviors, Health Outcomes◦ Fidelity/Implementation of the Intervention,

Quality Control, Validation, Reliability

Community Health Workers throughout the Cancer Health Care Continuum Discovery Risk Assessment Prevention Early Detection Diagnosis Treatment Survivorship Palliative Care

Community Health Worker Participatory Programs:An Opportunity for

Outstanding Research Outstanding Training Outstanding Services

Acknowledgements: Advisory Committee Members

H. Nelson Aguila, DVM Cristina Alvarado Lourdes Baezconde-

Garbanati, PhD, MPH Lynda Barbour, MPH Emily Guzmán F. Allen Hubbell, MD Syvera Hardy, RN Lolita Lizarraga

Lupita Lombardo Tana Lepule Juanita Merchant, MD, PhD Obdulia Nieblas Carolina Quintana Robert G. Robinson, DrPH Fabio Sabogal, Ph.D. Susan Shinagawa Roberto Villarreal, MD, MPH

Acknowledgements:Funding Support

National Cancer Institute U01-52948 National Cancer Institute R25 Grant No. 66942 Tobacco-Related Disease Research Program

Pilot CARA Award #8BT-1901CARA Award # 9AT-1501

National Cancer Institute Grants #U56 CA92079 & #U56 CA92081

The California Endowment American Cancer Society, California Division National Cancer Institute Grants #U54CA132384 &

U54CA132379