Projects

CPCRN’s Network Centers regularly form cross-center workgroups to investigate areas of research interest to the Network. Below is a listing and description of the Network’s current workgroup projects as well as a listing of some of those the Network has undertaken in the past, any of which may be revived if renewed interest, projects, and resources become available.

Rural Cancer

Purpose

Research has shown that rural communities in the United States are often at increased risk of cancer incidence, morbidity, and mortality compared to their urban counterparts. Similarly, declines in the overall cancer burden seen nationally have not yet been observed in rural communities. In 2017, the National Cancer Institute (NCI) first brought together a diverse group of researchers to identify opportunities for rural cancer control research to improve related disparities. A second rural cancer control research meeting is being hosted by NCI in 2018. Harnessing this national momentum, the diverse geographic coverage of CPCRN Collaborating Centers, and the expertise of network investigators, the Rural Cancer Workgroup aims to utilize mixed-methods research designs to study topics such as: financial toxicity and emotional burden among rural patients diagnosed with cancer; rural hospital and clinic administrators’ perspectives on rural cancer control; historical trends in geographic access to surgical and oncology specialists; and urban vs. rural differences in guideline-concordant cancer treatment and survival, among other rural health topics.

Co-chairs

Robin Vanderpool, University of Kentucky
Jan Eberth, University of South Carolina

Members

Michelle Kegler, DrPH
Emory University
Arica White, PhD
CDC
Peggy Hannon, PhD, MPH
University of Washington
Maria E. Fernandez, PhD
University of Texas, Houston
Mary C. White, Sc.D
CDC
Catherine Rohweder, DrPH
UNC-Chapel Hill
Allison Cole, MD
University of Washington
Thuy Vu, MPH
University of Washington
Heather Brandt, PhD
University of South Carolina
Daniela Friedman, PhD
University of South Carolina
Cam Escoffery, PhD, MPH, CHES
Emory University
Robin Vanderpool, DrPH
University of Kentucky
Stephanie Wheeler, PhD
CPCRN Coordinating Center
David Chambers, PhD
NCI (National Cancer Institute)
Natoshia Askelson, MPH, PhD
University of Iowa
Erika Trapl, PhD
Case Western Reserve University
Cynthia Perry, PhD, FNP-BC
Oregon Health & Science University
Paige Farris, MSW
Oregon Health & Science University
Kerri Winters-Stone, PhD
Oregon Health & Science University
Jackilen Shannon, PhD, RD
Oregon Health & Science University
Lindsay Stradtman, MPH
University of Kentucky
James Hebert, ScD, MSPH
University of South Carolina
Laura Seegmiller, MPH
University of Iowa
Heidi Haines, MS
University of Iowa
Jan Eberth, PhD
University of South Carolina
Gila Neta, PhD
NCI (National Cancer Institute)
Cynthia Vinson, PhD, MPA
NCI (National Cancer Institute)
Melinda Davis, PhD
Oregon Health & Science University
Becky Lee, MS
CPCRN Coordinating Center
Maria Mayorga, PhD
UNC-Chapel Hill
Alexa Young, MPH Candidate
CPCRN Coordinating Center
Wendy Barrington, PhD, MPH
University of Washington
Linda Ko, Ph.D.
University of Washington
Susan Sabatino, MD, MPH
CDC
Angela Carman, DrPH
University of Kentucky
Siran Koroukian, PhD
Case Western Reserve University
Victoria Petermann, BSN, RN
UNC-Chapel Hill
Muneera Kapadia, MD
University of Iowa
Jean Edward, PhD, RN
University of Kentucky
Mary Charlton, PhD, MS
University of Iowa
Whitney Zahnd, PhD
University of South Carolina
Jason Rotter, MHS
UNC-Chapel Hill
Hannah Weir, PhD
CDC
Sarah Koopman Gonzalez, PhD
Case Western Reserve University
Elizabeth Frost, MPH, MSW, CHES
Case Western Reserve University
Susan McKernan, DMD, MS, PhD
University of Iowa
Aaron Scherer, PhD
University of Iowa
Venice Haynes, MSPH
University of South Carolina

Cancer Screening Navigation

Purpose

Ensuring that at-risk individuals receive appropriate screening is a long-standing challenge in cancer prevention and control. Most of the CPCRN workgroups have been focusing on a single type of screening or single cancer focus (e.g., colorectal, lung, cervical). Focusing on multiple types of screening as a 'cluster' or 'bundle' might result in an efficient approach to implementation strategies. We propose a workgroup that researches approaches to packaging preventive screening and prevention behaviors for different cancers together in a single 'package' such as one office appointment, or connecting preventive cancer screening to an already well-established appointment, like the introductory Medicare appointment for those who are eligible. Taking advantage of the time a patient is already in her or his provider’s office could be an important way to make sure eligible individuals are receiving recommended screening. Existing related examples include FluFIT and the WiseWoman program that combined CVD screening/counseling with mammography and cervical cancer screening.

Co-chairs

Wendy Barrington, University of Washington

Members

Peggy Hannon, PhD, MPH
University of Washington
Thuy Vu, MPH
University of Washington
Natoshia Askelson, MPH, PhD
University of Iowa
Erika Trapl, PhD
Case Western Reserve University
Laura Seegmiller, MPH
University of Iowa
Becky Lee, MS
CPCRN Coordinating Center
Alexa Young, MPH Candidate
CPCRN Coordinating Center
Wendy Barrington, PhD, MPH
University of Washington
Sue Flocke, PhD
Oregon Health & Science University
Amy DeGroff, PhD, MPH
CDC
Stephanie Melillo, MPH
CDC
Sarah Koopman Gonzalez, PhD
Case Western Reserve University
Elizabeth Frost, MPH, MSW, CHES
Case Western Reserve University

CDC Cancer Screening Programs

Purpose

The Centers for Disease Control and Prevention (CDC) supports two nationwide cancer screening programs, the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) and the Colorectal Cancer Control Program (CRCCP). Both NBCCEDP and CRCCP provide free or low-cost screening services to low-income and un/underinsured clients who meet Program eligibility requirements (e.g. age, insurance status, household income, etc.). The CPCRN has collaborated with CDC since 2010 to measure CRCCP grantees’ use of evidence-based interventions (EBIs) to promote colorectal cancer screening. The next step in this research is to extend our study to the organizations that partner with NBCCEDP/CRCCP to promote and deliver cancer screening services locally, with an eye toward developing and pilot-testing interventions to increase and support partner organizations’ EBI use in their local communities.

Co-chairs

Peggy Hannon, University of Washington

Members

Arica White, PhD
CDC
Peggy Hannon, PhD, MPH
University of Washington
Jennifer Leeman, DrPh, MDiv
UNC-Chapel Hill
Swann A. Adams, PhD
University of South Carolina
Kristen Hassmiller Lich, PhD
UNC-Chapel Hill
Thuy Vu, MPH
University of Washington
Stephanie Wheeler, PhD
CPCRN Coordinating Center
Thomas Becker, MD, PhD
Oregon Health & Science University
April Oh, PhD, MPH
NCI (National Cancer Institute)
Paige Farris, MSW
Oregon Health & Science University
Kerri Winters-Stone, PhD
Oregon Health & Science University
Jackilen Shannon, PhD, RD
Oregon Health & Science University
James Hebert, ScD, MSPH
University of South Carolina
Laura Seegmiller, MPH
University of Iowa
Gila Neta, PhD
NCI (National Cancer Institute)
Charles Lynch, MD, PhD
University of Iowa
Melinda Davis, PhD
Oregon Health & Science University
Becky Lee, MS
CPCRN Coordinating Center
Alexa Young, MPH Candidate
CPCRN Coordinating Center
Amy DeGroff, PhD, MPH
CDC
Aaron Scherer, PhD
University of Iowa

Tobacco/Lung Cancer

Purpose

This cross-CPCRN center initiative aims to understand barriers and facilitators faced by community health centers related to implementing both: 1) tobacco assessment and cessation assistance/referral (USPSTF grade A recommendation); and 2) low dose computed tomographic (LDCT) scan for lung cancer screening (the USPSTF grade B recommendation). The first steps are to develop a survey to assess current practices, resources and potential barriers to these preventive services.

Co-chairs

Erika Trapl, Case Western Reserve University

Members

Rebecca Williams, PhD, MHS
CPCRN Coordinating Center
Erika Trapl, PhD
Case Western Reserve University
Karen Glanz, PhD
University of Pennsylvania
Laura Seegmiller, MPH
University of Iowa
Jan Eberth, PhD
University of South Carolina
Tom Richards, MD
CDC
Stephanie Land, PhD
NCI (National Cancer Institute)
Becky Lee, MS
CPCRN Coordinating Center
Alexa Young, MPH Candidate
CPCRN Coordinating Center
Jade Avelis, PhD
University of Pennsylvania
Sue Flocke, PhD
Oregon Health & Science University
Christine Kava, PhD, MA
University of Washington
Sarah Koopman Gonzalez, PhD
Case Western Reserve University
Elizabeth Frost, MPH, MSW, CHES
Case Western Reserve University
Aaron Scherer, PhD
University of Iowa

Cervical Cancer

Purpose

Recent studies indicate that adherence to new (2009, 2012) Cervical Cancer Screening guidelines is low and patients and providers are reluctant to lengthen screening intervals. This workgroup has proposed to identify and evaluate methods to increase implementation of new and emerging guidelines – at the patient, provider, practice/organizational and policy levels. Specific aims include evaluating approaches and methods de-escalation as well as increase adherence to guidelines, examining the current state of practice and key determinants, and developing a multi-level intervention.

Co-chairs

Karen Glanz, University of Pennsylvania

Members

Sarah Kobrin, PhD, MPH
NCI (National Cancer Institute)
Jennifer Leeman, DrPh, MDiv
UNC-Chapel Hill
Thuy Vu, MPH
University of Washington
Heather Brandt, PhD
University of South Carolina
Stephanie Wheeler, PhD
CPCRN Coordinating Center
Thomas Becker, MD, PhD
Oregon Health & Science University
Karen Glanz, PhD
University of Pennsylvania
Cathy Melvin, PhD
University of South Carolina
Laura Seegmiller, MPH
University of Iowa
Cynthia Vinson, PhD, MPA
NCI (National Cancer Institute)
Becky Lee, MS
CPCRN Coordinating Center
Alexa Young, MPH Candidate
CPCRN Coordinating Center
Jade Avelis, PhD
University of Pennsylvania
Linda Ko, Ph.D.
University of Washington
Michelle Berlin, MD, MPH
Oregon Health & Science University
Aaron Scherer, PhD
University of Iowa
Venice Haynes, MSPH
University of South Carolina

HPV Vaccination

Purpose

One of the longest running CPCRN collaborative projects, the HPV Vaccination project has taken on a wide variety of studies to contribute to the science and evidence-base supporting innovative community-clinical linkages to increase Human Papillomavirus (HPV) vaccination initiation and completion among adolescents and young adults. Through applied prevention research, the HPV vaccination workgroup aims to accelerate the implementation of evidence-based cancer control through the systematic identification and dissemination of best practices, community/clinical stakeholders and vaccine champions, and community-clinical linkages needed to increase HPV vaccination rates among different populations in varying community settings. This has included surveys, standardized measures development and cognitive testing, policy studies, and other quantitative and qualitative studies.

Co-chairs

Robin Vanderpool, University of Kentucky

Members

Vicky Taylor, MD, MPH
University of Washington
Peggy Hannon, PhD, MPH
University of Washington
Sarah Kobrin, PhD, MPH
NCI (National Cancer Institute)
Jodi Olson, MPH
University of Washington
Thuy Vu, MPH
University of Washington
Heather Brandt, PhD
University of South Carolina
Edith Parker, MPH, DrPH
University of Iowa
Robin Vanderpool, DrPH
University of Kentucky
Stephanie Wheeler, PhD
CPCRN Coordinating Center
Thomas Becker, MD, PhD
Oregon Health & Science University
April Oh, PhD, MPH
NCI (National Cancer Institute)
Natoshia Askelson, MPH, PhD
University of Iowa
Paige Farris, MSW
Oregon Health & Science University
Kerri Winters-Stone, PhD
Oregon Health & Science University
Jackilen Shannon, PhD, RD
Oregon Health & Science University
Lindsay Stradtman, MPH
University of Kentucky
Laura Seegmiller, MPH
University of Iowa
Heidi Gullett, MD, MPH
Case Western Reserve University
Kerri Lopez,
Oregon Health & Science University
Cynthia Vinson, PhD, MPA
NCI (National Cancer Institute)
Becky Lee, MS
CPCRN Coordinating Center
Alexa Young, MPH Candidate
CPCRN Coordinating Center
Sue Flocke, PhD
Oregon Health & Science University
Michelle Berlin, MD, MPH
Oregon Health & Science University
Aaron Scherer, PhD
University of Iowa
Venice Haynes, MSPH
University of South Carolina

Implementing Evidence into Action Workgroup

Purpose

Evidence-based interventions (EBIs) continue to be underused in community programs and practices. The purpose of this workgroup is to develop, test, and refine training and technical assistance strategies with the goal of building community planners’ capacity to select, adapt, and implement evidence-based interventions. The training and technical assistance strategies will be tested with grantees of the Knight Cancer Institute’s Community Partnership Program, through which the Knight has made a 10-year commitment to provide $1 million annually for community-based cancer prevention in Oregon. Participating CPCRN centers also will have the opportunity to test the training and technical assistance strategies locally or in other cross-center projects.

Co-chairs

Jennifer Leeman, UNC-Chapel Hill

Members

Becky Lee, MS
CPCRN Coordinating Center
Alexa Young, MPH Candidate
CPCRN Coordinating Center

Modeling EBI Impact

Purpose

The overall aim of the workgroup is to inform cancer screening-focused intervention planning, practice-level change, improvement at the health system-level, and policy at the state and national level by integrating best available evidence into decision support models and using these models to conduct virtual comparative effectiveness research. Using models, we seek to simulate and compare the impact of alternate “what if” scenarios on screening rates in a given year and over time, the percent of subpopulations up-to-date with routine screening, cancer incidence, cancer stage at diagnosis, cancer deaths and/or life-years lost due to cancer. The outcomes of focus in a given study and populations simulated are determined by motivating questions and stakeholder perspective considered. We are interested in supporting increased cancer screening overall, as well as addressing observed disparities. Our intention is to replicate projects, described below across states, increasing our ability to test the generalizability of results and learn about the effect of context on evidence-based intervention impact. Future work has spurred in both NC and OR, and, over time, we expect that our work can grow within these and other states.

Co-chairs

Stephanie Wheeler, CPCRN Coordinating Center

Members

Rebecca Williams, PhD, MHS
CPCRN Coordinating Center
Swann A. Adams, PhD
University of South Carolina
Kristen Hassmiller Lich, PhD
UNC-Chapel Hill
Stephanie Wheeler, PhD
CPCRN Coordinating Center
Melinda Davis, PhD
Oregon Health & Science University
Becky Lee, MS
CPCRN Coordinating Center
Maria Mayorga, PhD
UNC-Chapel Hill
Justin Trogdon, PhD
UNC-Chapel Hill
Alexa Young, MPH Candidate
CPCRN Coordinating Center
Sarah Drier, MPH
UNC-Chapel Hill

Organizational Theory Framework for Implementation

Purpose

Implementing evidence-based interventions (EBIs) often requires multi-level strategies. For example, efforts to increase colorectal cancer screening rates may require increasing access for patients, encouraging providers to recommend screening, and making screening a priority within healthcare organizations. Despite the importance of multi-level strategies, most research to promote EBI implementation to date has focused on individual-level determinants. The focus on individual-level determinants is reinforced by the availability of numerous behavior change theories and the Theoretical Domains Framework, which synthesizes these theories into a comprehensive list of individual determinants of implementation. In contrast, we lack a framework that synthesizes organizational theories, limiting awareness of organizational determinants of EBI implementation. The goal of the proposed study is to develop a theoretical framework of organizational determinants of EBI implementation.

Co-chairs

Jennifer Leeman, UNC-Chapel Hill
Sarah Birken, UNC-Chapel Hill

Members

Catherine Rohweder, DrPH
UNC-Chapel Hill
Jennifer Leeman, DrPh, MDiv
UNC-Chapel Hill
Thuy Vu, MPH
University of Washington
Sarah Birken, PhD, MSPH
UNC-Chapel Hill
Stephanie Wheeler, PhD
CPCRN Coordinating Center
John Kimberly, PhD
University of Pennsylvania
Karen Glanz, PhD
University of Pennsylvania
Becky Lee, MS
CPCRN Coordinating Center
Alexa Young, MPH Candidate
CPCRN Coordinating Center
Jade Avelis, PhD
University of Pennsylvania
Bryan Weiner, PhD
University of Washington
Linda Ko, Ph.D.
University of Washington
Mary Wangen, MPH
UNC-Chapel Hill

Multiple Cancer Prevention/Control

Purpose

Ensuring that at-risk individuals receive appropriate screening is a long-standing challenge in cancer prevention and control. Most of the CPCRN workgroups have been focusing on a single type of screening or single cancer focus (e.g., colorectal, lung, cervical). Focusing on multiple types of screening as a ‘cluster’ or ‘bundle’ might result in an efficient approach to implementation strategies. We propose a workgroup that researches approaches to packaging preventive screening and prevention behaviors for different cancers together in a single ‘package’ such as one office appointment, or connecting preventive cancer screening to an already well-established appointment, like the introductory Medicare appointment for those who are eligible. Taking advantage of the time a patient is already in her or his provider’s office could be an important way to make sure eligible individuals are receiving recommended screening. Existing related examples include FluFIT and the WiseWoman program that combined CVD screening/counseling with mammography and cervical cancer screening.

Co-chairs

Karen Glanz, University of Pennsylvania

Members

Peggy Hannon, PhD, MPH
University of Washington
Maria E. Fernandez, PhD
University of Texas, Houston
Thuy Vu, MPH
University of Washington
Cam Escoffery, PhD, MPH, CHES
Emory University
Stephanie Wheeler, PhD
CPCRN Coordinating Center
David Chambers, PhD
NCI (National Cancer Institute)
Karen Glanz, PhD
University of Pennsylvania
Becky Lee, MS
CPCRN Coordinating Center
Alexa Young, MPH Candidate
CPCRN Coordinating Center
Jade Avelis, PhD
University of Pennsylvania
Susan Sabatino, MD, MPH
CDC
Katharine Rendle, PhD, MSW, MPH
University of Pennsylvania

2-1-1 Social Services Information and Referral System Workgroup (inactive)

Purpose

Co-chairs

Kurt Ribisl, CPCRN Coordinating Center

Members

Rebecca Williams, PhD, MHS
CPCRN Coordinating Center
Lucja Bundy, MPH
Emory University
Matthew Kreuter, PhD, MPH
Washington University in Saint Louis
Clive Jones,
Washington University in Saint Louis
Shaina Sowles, MPH, CHES
Washington University in Saint Louis
Alison Herrmann, PhD
University of California, Los Angeles
Theresa Byrd, PhD
University of Texas, Houston
Kassandra Alcaraz, PhD
Washington University in Saint Louis
Lara Savas, PhD
University of Texas, Houston
William J. McCarthy, PhD
University of California, Los Angeles
Nikki Spencer,
Washington University in Saint Louis
Tom Page,
Washington University in Saint Louis
Becky Lee, MS
CPCRN Coordinating Center
Alexa Young, MPH Candidate
CPCRN Coordinating Center

CPCRN4 Implementing Evidence into Action Workgroup

Purpose

Evidence-based interventions (EBIs) continue to be underused in community programs and practices. The purpose of this workgroup is to develop, test, and refine training and technical assistance strategies with the goal of building community planners’ capacity to select, adapt, and implement evidence-based interventions. The training and technical assistance strategies will be tested with grantees of the Knight Cancer Institute’s Community Partnership Program, through which the Knight has made a 10-year commitment to provide $1 million annually for community-based cancer prevention in Oregon. Participating CPCRN centers also will have the opportunity to test the training and technical assistance strategies locally or in other cross-center projects.

Co-chairs

Members

Peggy Hannon, PhD, MPH
University of Washington
Catherine Rohweder, DrPH
UNC-Chapel Hill
Allison Cole, MD
University of Washington
Jennifer Leeman, DrPh, MDiv
UNC-Chapel Hill
Swann A. Adams, PhD
University of South Carolina
Thuy Vu, MPH
University of Washington
Stephanie Wheeler, PhD
CPCRN Coordinating Center
April Oh, PhD, MPH
NCI (National Cancer Institute)
Cynthia Perry, PhD, FNP-BC
Oregon Health & Science University
Paige Farris, MSW
Oregon Health & Science University
Kerri Winters-Stone, PhD
Oregon Health & Science University
Jackilen Shannon, PhD, RD
Oregon Health & Science University
Karen Glanz, PhD
University of Pennsylvania
James Hebert, ScD, MSPH
University of South Carolina
John Ureda, DrPH
University of South Carolina
Wynne Norton, PhD
NCI (National Cancer Institute)
Cynthia Vinson, PhD, MPA
NCI (National Cancer Institute)
Suzanne Heurtin-Roberts, PhD, MSW
NCI (National Cancer Institute)
Becky Lee, MS
CPCRN Coordinating Center
Alexa Young, MPH Candidate
CPCRN Coordinating Center
Adrienne Zell, PhD
Oregon Health & Science University