1 the prevention research centers program: the case for networks eduardo simoes, md, msc, mph...
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1
The Prevention Research Centers Program: The Case
for Networks
Eduardo Simoes, MD, MSc, MPHProgram Director
Prevention Research Centers
National Center for Chronic Disease Prevention and Health Promotion
Prevention Research CentersProgram History
1984: Congress authorizes Prevention Research Centers Program
1986: First 3 centers funded 1993: Program expands to 9 centers; Special
Interest Projects are introduced 1997: Institute of Medicine publishes review of
the program 1998: Program comprises 23 centers 2001: PRCs co-sponsor annual chronic disease
conference 2004: Program grows to 33 centers in a new
5-year cycle
Prevention Research CentersEvolution of the PRC Program
1990-1993 Promote excellence in researchBuild partnerships with health & education agencies
1993-1998 Focus on distinct research themes1998-2003 Build or strengthen partnerships with
communitiesDesign methods for program evaluation
2003-Beyond Emphasize participatory researchTranslate research to public health practiceMeasure impact
University of Washington at Seattle
University of California
at Berkeley
University of California
at Los AngelesUniversity of
ArizonaUniversity of New Mexico
University of Colorado
University of TexasHealth Science Center
at Houston
Universityof Oklahoma
St. LouisUniversity
TulaneUniversity
University of Minnesota University
of Illinoisat Chicago
University of Alabama atBirmingham
University of South Florida
MorehouseSchool of Medicine
University of Michigan
West VirginiaUniversity
University of North Carolina at
Chapel Hill
University of South Carolina
Harvard University
Yale University
Columbia University
Prevention Research Centers
State University ofNew York at Albany
Universityof Iowa
The Johns HopkinsUniversity of Pittsburgh
Boston University
University
University of Kentucky
Prevention Research Centers
Center RequirementsCompetitive process of selection
Partnership and collaboration
Participatory prevention research
Translation and dissemination
Assessment
Prevention Research CentersCompetitive Peer Reviews
Two-phase competition:1st phase - External panel peer review2nd phase - Internal panel policy reviewMonitored by SRAs
Trained and independent reviewersRepresentative mix of disciplines,
methodological expertise, and content area • In 2004, 62 letters of intent received
52 competitive institutions - $27 Million
Prevention Research Centers
Partnership and Collaboration
CDD
DHPE
ASPH
NCC
SPHA
CDC
National Partnership
ATPM
LPHA ASTHONAACHO
Prevention Research Centers
Community-Based Participatory Research
Prevention Research Centers
Meeting with a Community Advisory Board
Prevention Research CentersCommunity Committees’
Responsibilities
Contribute to research prioritiesArticulate community valuesHelp recruit partner organizationsParticipate in delivering
interventionsReflect local attitudes and beliefs
Prevention Research CentersNational Community
CommitteeDeveloped by PRC community committee
membersFacilitates training and development of
committee membersEnhances capabilities of communities not
traditionally involved in planning and implementing research
Shares information among community committees throughout the country
Operates independent from any PRC or CDC structure
Prevention Research Centers
Research Translation and Dissemination
Framework for Prevention Research: A Community Driven Approach
Identify community priorities?
Phase 1 – Health Assessment; define
issue; identify interventions(data-driven)
Data on:Needs
ResourcesPotential
interventions
Data on:Unmet needsService gaps
Data gapsDisease burden
Target populations
What is achieved?Phase 4 –
Implementing & evaluating effective
Strategies; (outcome-driven)
Data from:process, outcome, impact evaluations
Data on:Disease burden
Target populationsUtilization barriers
Proposing research?
Phase 2 –testing intervention and research tools
(science-driven)
Data on:Basic and
applied research
Evaluating efficacy?Phase 3 - Planned intervention and
controlled environment(science & capacity-
driven)
Data on: Societal influencesPartner resources
Fundraising Possibilities
Efficacy measures
Knowledge Knowledge for Policy-for Policy-
MakingMaking
Research Phases:Health needsIdentifying interventionsFormative evaluationTesting toolsEfficacy trialsEffectiveness studiesDissemination research
Prevention Research FrameworkPrevention Research Center
Past and Current:BRFSS (old)Oral Health (old)Aging (current)Cancer (current)Physical Activity (new)
Prevention Research Centers: Networks
Lessons learned:Unclear expectations on outcomeLack of guidance on how to organize networkLack of leadershipLack of patience – it takes time
Prevention Research Centers: Networks
Standardized designs/toolsConcerted effort on research gapsAddressing disparities
Serving diverse communities and population groups
Better translational research
External validity (replication) and sustainability
Cost saving strategy
Prevention Research Centers Networks: Why?
Accepted guidelines in place
Network documentCancer network paperStrategic planning – opportunity for network
PRC Office supportEvaluation – DEFINE: technical support from contractorMonitoring and feedback system:
Review of reviewers and PRCs repliesStandardized site visit and reportWorking plan and progress reportInformation system
Prevention Research Centers Support of Networks
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