Why a CPCRN?CDC Expectations

Katherine M. Wilson, PhD, MPHCPCRN Technical Monitor

Division of Cancer Prevention and ControlCDC

Original intent for CPCRN

• To create an infrastructure that could be active in applying relevant research to local cancer prevention and control needs, while working across academic centers to maximize resources and tap synergistic forces.

• Cover the continuum of cancer research, from prevention to diagnosis to treatment to survivorship or end-of-life care.

Underlying premises

• The Guide to Community Preventive Services (CG) is used to influence the selection of intervention research.

• A mix of the types of research should be achieved so that the majority of the research rests on the “delivery” side of the continuum.

DiscoveryDiscovery DevelopmentDevelopment DeliveryDelivery PolicyPolicy

DiffusionDiffusion Diffusion & Diffusion & Dissem. Dissem.

ResearchResearch

DisseminationDisseminationKnowledge Knowledge SynthesisSynthesis ImplementationImplementation

Replication Replication ResearchResearch

Nearly sufficient Evidence

Community Guide-

Evaluated

Recommended but needs

testing in new pops/settings

Recommended but needs

disseminating in original

pops/settings

Recommended but needs program

evaluation tools

Program Services (e.g., NBCCEDP; CCC)

A Critical Juncture for CCC Programs:Current Challenges

• Completing the plan• Setting priorities• Resourcing the plan• Sustaining the partnership commitment• Establishing a system of accountability• Monitoring progress• Evaluating outcomes• Implementation at the community level

How? Community-based participatory

research3 types of community

- Traditional CBPR with local network.

- CPCRN – 8 Centers & CC

- Grey area where community includes affiliate members, other organizations or groups, such as ACS, CDD, NBCCEDP, CCC, other programs at CDC, plus selected members of local networks,.

CPCRN Challenges

• Balancing the activities in each type of community to reach outputs.

• Balancing resources for infrastructure with need for pilot studies.

Priority Research Areas

Effectiveness of community interventions for which there is nearly sufficient evidence for a CG recommendation.

Effective replication of CG-recommended interventions.

Effective dissemination of CG-recommended interventions with health depts. and other cancer control partners.

Priority Research Areas - 2

Evaluation of CG-recommended community interventions already implemented by state health depts. and others.

Evaluation of CG-recommended community interventions already implemented by state health depts. and others, but which are not recommended by the Guide because of insufficient evidence.

What can CPCRN expect from CDC?

• Commitment to funding infrastructure.

• A few SIPs.

• Introduction to our partners, networks, and other contacts useful to achieving outputs.

• Willingness to listen and to problem-solve.

Discussion

• NCI & CDC expectations of the CPCRN

• CPCRN expectations of the NCI & CDC

CPCRN Network Centers

CoordinatingCenter

CDC

NCI

Affiliate members?

Other organizations?

INPUTSIf we have this to draw on . . .

Infrastructure activities

ACTIVITIESWe can do this. .

OUTPUTSWhich will produce this. . .

1. Strong processes for networking, coordinating, cooperating, and collaborating are in place

OUTCOMESWhich will lead to these. . .

Network is aware of factors influencing intervention selection in the field

Network is able to respond to program requests

And then these. . . And then these. . .

Marketing and promotion of efforts

Replication research in multiple sites and settings

Program Evaluation

Intervention research related to Guide recs

Dissemination research in multiple sites and settings

2. Best messages and channels for reaching target audiences are known and employed

3. State plans for improving or continuing to improve cancer prevention and control

4. Change in number and completeness of Guide recommendations

5. Standard replication process developed

6. Standard dissemination process developed

Field knows which intervention strategies are recommended by the Guide

Field is able -to match and select intervention strategy appropriate to situation-to replicate interventions-to disseminate interventions

Field implements evidence-based interventions for cancer-related topics which have Guide recommendations

Increased informed decision

making for cancer

screening

Increased use of

effective cancer

screening tests

Reduced consumption of tobacco products

Increased dietary

change & physical activity

Increased sun safety

Strong processes for networking, coordinating, cooperating, and collaborating are in place.

OUTPUT #1

Which will produce this in 5 years…• Research portfolio diversity .• Diversity of funding sources.• Collaborative publications.• Collaborative research awards and type.• Minority researchers.

OUTPUT #2

Which will produce this in 5 years…• Increase in evidence for intervention categories

currently having insufficient evidence, where a few additional studies could lead to a CG recommendation.

• Increase in evidence for intervention strategies where recommendation exists, but where gaps remain.

Change in number and completeness of Guide recommendations.

OUTPUT #3

Which will produce this in 5 years…• Reports, plans, or policies generated in collaboration

with state-level programs.• Participation in CCC program Leadership Institute.• Extramurally funded evaluation studies of the

effectiveness of a CG-recommend community intervention category conducted collaboratively.

• Collaborative evaluation of current interventions or program materials which are not evidenced-based or evidence-informed.

Approaches for improving or continuing to improve cancer prevention and control.

OUTPUT #4

Which will produce this in 5 years…• CPCRN interventions included in PLANET

RTIPS.• CPCRN (local/Network) research presented.• CPCRN (local/Network) research published.• Field has capacity to choose, deliver, and

evaluate CG related interventions.

Best messages and channels for reaching target audiences are known and employed.

OUTPUT #5

Which will produce this in 5 years…

1. Measures.

2. Methods.

3. Indicators of success defined.

Standard replication process developed.

OUTPUT #6

Which will produce this in 5 years…

1. Measures.

2. Methods.

3. Indicators of success defined.

Standard dissemination process developed.

Questions for small groups

• What is your reaction to the outputs and products suggested for 5 years?

• What are your recommendations?

• What other considerations are important to achieving these outputs in 5 years?