UPenn Prevention Research Center’s CPCRN
Collaborating Center
University of Pennsylvania (UPenn) Prevention Research Center is a new PRC, 2014-2019
Principal Investigator: Karen Glanz, PhD, MPH
This presentation was supported by Cooperative Agreement Number U48 DP005053 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
BackgroundPurpose of the CPCRN:to work with partners to accelerate the implementation of evidence-based cancer prevention and control in communities
Context of our CPCRN Collaborating Center:• UPenn PRC focus: community-based chronic disease
prevention and reducing health disparities in Southeastern Pennsylvania
• Deeply involved with the Abramson Cancer Center (ACC) at the University of Pennsylvania
• We have worked on & are involved with relevant community organizations including state and local health departments and federally qualified health centers.
Specific Aims1. Establish and maintain the infrastructure within the UPenn PRC to lead and manage a program of community-based intervention research in cancer prevention and control.
2. Form and expand partnerships to advance community-based intervention research in cancer prevention and control in Southeastern Pennsylvania (SEPa) and the surrounding region.
3. Expand community-based dissemination and implementation research on cancer prevention and control in SEPa and the region, including the state of Pennsylvania, through the use of:a) Evidence Academies and b) A Community-Engaged Scholars program of collaborative pilot
grant funding.
Planned Research Aim
Address critical gaps in the uptake of evidence-based strategies to increase colorectal cancer screening - by conducting implementation
research to increase systematic and opportunistic screening for colorectal cancer in primary care settings
- especially for disadvantaged and minority adults
Our TeamKaren Glanz, PhD, MPH (PI)
• PI of the Emory University PRC and CPCRN Network Center from 2004 to 2009
• Director, Community Engagement & Research Core, UPenn CTSA• Director, Recruitment – Outcomes Core (ROAR), Abramson Cancer
Center• Co-Chair, Implementation Sciences Working Group, 2012-2013• Member, Community Guide Task Force
Chyke A. Doubeni, MD, FRCS, MPH• Presidential Associate Professor of Family Medicine and
Community Health, and Associate Professor of Epidemiology• (Multiple) PI, PROSPR Network (CRC screening improvement)• HMO Research Network• CRC Screening, quality of screening, health disparities
Our Team (cont’d)David T. Grande, MD, MPA•Internist, health policy researcher•Making improvements to the health care safety net in Philadelphia•FQHC’s, emerging healthcare delivery/technology, reimbursement, access to care
Carmen E. Guerra, MD, MSCE•Associate Director of Diversity and Outreach, ACC•Cancer screening research, vulnerable populations, navigators•Active in regional & state cancer organizations and public health
John R. Kimberly, PhD (Wharton School)• Organizational behavior, health care management, implementation
science• Chair, Implementation Sciences Working Group, 2011-2013
Cathy Melvin, PhD, MPH • Consultant (MUSC)
Ideas/ProjectsAccess to care and cancer screening in FQHC's under the Affordable Care Act
• Multiple costs and influx of new patients• Lines between free screenings and deductibles • Affect on screening utilization and use of evidence-based
interventions to promote screening• Collaboration to study and identify ways to improve screening in
lower-income populations
Why a Network Project? • Healthcare markets are heterogeneous, states have varied policies,
and hard to do a strong study in a single institution or geographic area
• Results would be more impactful with cross-center network collaboration
Ideas: Cross-Center ProjectsCervical cancer screening: Implementation of new guidelines
• New Cervical Cancer screening guidelines were released by the USPSTF and other professional groups in 2012
• Potential for de-escalation of intensity and frequency of screening, do-it-yourself home testing, HPV testing combined with Pap tests, and changing clinical practices
• Study of the implementation of new guidelines could be timely and important
Why a Network Project? • CPCRN collaborating centers have relationships with different types
of healthcare institutions and clinics • A multi-center study on this topic would be stronger than one
conducted in a single institution or geographic area • Results of a "starter" cross-center network collaboration on this topic
could rapidly lead to a larger implementation science study
Questions, Comments