In 2003, six Northwest tribes participated in the Northwest Tribal Safety Seat Project (led by Dr. Francine Romero, Principal Investigator) in 2003. From this 2003 observational survey, we learned that many American Indian and Alaska Native children age 8 and under were riding either unrestrained or improperly restrained in passenger vehicles.
The Northwest Portland Area Indian Health Board adapted and evaluated a CDC-recognized HIV prevention intervention for AI/AN teens and young adults 15-29 years old.
The project is supported by a grant from the Indian Health Service, issued through their Native American Research Centers for Health (NARCH) program.
The Oregon Community Cancer Research Collaborative (OR-CCRC) at Oregon Health & Science University (OHSU) is designed to address cancer prevention, early detection and survivorship needs of rural, American Indian and Alaskan Native (AI/AN) residents, as well as other underserved communities throughout the state. Needs related to cancer are met through community-based research, training, Dissemination & Implementation strategies and evaluation activities.
In order to reduce the risk of cancer and improve the quality and quantity of life for cancer survivors, we’re working toward enhancing the capacity of underserved Oregon communities to implement evidence-based, scientifically rigorous interventions aimed at increasing physical activity, cancer screening rates, HPV vaccination rates, and tobacco cessation. Our program targets the prevention, detection and survivorship of cancer through programs in communities that may be both culturally and geographically difficult to reach.
As a new member of the national Cancer Prevention and Control Research Network (CPCRN), the Oregon Community Cancer Research Collaborative at Oregon Health & Science University is designed to address the cancer prevention, early detection and survivorship needs of rural, American Indian and Alaskan Native (AI/AN), and other underserved communities through community-based research, training, dissemination and implementation, and evaluation activities.
Programs include increasing physical activity for cancer survivors and their families, increasing cancer screening rates specific to colorectal cancer, increasing HPV vaccination rates for both females and males, and encouraging smokers to stop using tobacco products.
Increase Physical Activity for Cancer Survivors: ‘Step It Up! Survivors’ is a statewide effort to implement an evidence-based walking program, funded by the Knight Cancer Institute’s Community Partnership Program. The goal of this program is two-fold; to identify characteristics and resources at the community level that make program implementation successful and to provide a research-supported opportunity for Oregon communities to increase social support, improve symptom management, and ultimately reduce risk of second cancers by increasing physical activity among cancer survivors, their friends and family.
Selecting EBIs to Increase Colorectal Cancer (CRC) Screening Rates: Many EBIs can improve CRC screening. Yet, deciding which EBI to implement in individual clinical settings can be a challenge – is patient navigation, direct mail, or Flu FIT the best method for increasing screening? We are working with partners from the University of North Carolina to refine a microsimulation (computer analytic tool) model to determine which EBIs are likely to be most effective in increasing CRC screening rates in Oregon. This research utilizes all-payers all-claims data and a computer modeling program to define which EBIs, or combination of EBIs, has the potential to have the most impact on screening rates and demonstrate the highest return-on-investment.
Data from this project are being used to inform outreach and technical assistance to Oregon’s Coordinated Care Organizations through a complementary award to Dr. Davis and Dr. Gloria Coronado (Kaiser) to facilitate payer-clinic partnerships to implement EBIs to improve CRC.
Encourage Tobacco Cessation: We will be identifying the organizational characteristics (e.g., ownership, geography) and specific implementation strategies associated with successful adoption and penetration of lung cancer early detection programs. This will enable us to be able to evaluate the facilitators and barriers to implementation of lung cancer early detection programs in rural as compared to urban primary care settings. Results will be utilized for the analyses of barriers and facilitators of implementation, as well as guide future implementation efforts.
The project is led by co-directors, Dr. Shannon and Dr. Winters-Stone. Jackilen Shannon, PhD, is Director of Community Engaged Research at the Knight Cancer Institute, Director of the Community and Collaboration Core of the Oregon Clinical and Translational Research Institute and is a Professor in the OHSU-PSU School of Public Health. Kerri Winters-Stone, PhD, FACSM, is a Co-Program Lead of the OHSU Knight Cancer Institute Cancer Prevention and Control Program and a Research Professor in the School of Nursing.
Co-Investigators include Michelle Berlin, MD, MPH, Director of the Center for Women’s Health and Professor with OHSU’s Schools of Medicine and Public Health; Melinda Davis, PhD, Director of Community Engaged Research with Oregon Rural Practice-based Research Network and Associate Professor at OHSU’s Department of Family Medicine; Cynthia Perry, PhD, Director of the Family Nurse Practitioner Program and Associate Professor at OHSU’s School of Nursing. The Project Director is Paige Farris, MSW, Research Associate with OHSU’s School of Public Health and Research Program Administrator at OHSU’s Community Research Hub.
Our Tribal and Rural Advisory Board is comprised of rural consultants from Union, Clatsop, Deschutes, and Jefferson Counties as well as American Indian representatives from the PRC Center Community Committee.