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The MD Anderson and CATCH

Partnership to Advance Youth

Cancer Prevention

featuring Dr. Ernest Hawk MD Anderson

Today’s Moderator

Duncan Van Dusen, MPH Executive Director

CATCH Global Foundation

Today’s webinar will be recorded and available online at

www.CATCHusa.org

We are an international leader in conducting research and providing programs that promote healthy living for children, their families and communities. Our work fosters improved health behaviors among youth, influences policy and environmental change to support healthy living, and advances professional education and community service. Our vision: Healthy children in a healthy world

About our Center

www.msdcenter.org

Ernest Hawk, MD, MPH Vice President & Head Division of Cancer Prevention & Population Science

Our Guest

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The!MD!Anderson!and!CATCH!

Partnership!to!Advance!Youth!

Cancer!Preven8on!Ernest!Hawk,!MD,!MPH,!Vice!President!&!Head,!

Division!of!Cancer!Preven8on!&!Popula8on!Sciences!

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April!27th,!2015!

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“The%f'nction%of%protecting%and%developing%health%must%rank%even%above%that%of%restoring%it%when%it%is%impaired.”%%%Hippocrates!

To!eliminate!cancer!in!Texas,!the!na+on!and!the!world…!

MD!Anderson’s!Mission!

Moonshot!Program!

Established!in!2012!!to!

accelerate!transla8onal!progress!

Cancer!Control!Community!

Educa8on!Future!genera8ons!

Clinical!Care!Individuals!

Research!

Premise!for!Preven8on!

OnePThird!to!OnePHalf!of!Cancer!Deaths!are!!Preventable!in!Western!Popula8ons!

Effec+ve!Cancer!Preven+on!is!Applied!in!Two!Domains!Across!the!Lifespan!

Eliminate tobacco exposure

Eat a healthy diet

Increase physical activity

Public policy

Education – public & professional

Delivery of community-based clinical services

Effective Cancer Prevention

Evidence-Based Personal Actions

Evidence-Based Population

Actions

Reduce UV exposure

Follow a cancer-

screening program

Use preventive meds & vaccines

Obesity/diet/inactivity

Colditz,!et!al.!Sci!Trans!Med.,!2012!AACR!Cancer!Progress!Report,!2014!

Know your family hx / risk assessment

An!Emphasis!on!Youth!is!Cri8cal!

Premise!•  Cancer!risk!behaviors!are!developed!early!in!life!

•  Ins8gators!of!adult!cancer!are!known!to!operate!during!childhood!

•  >!80%!of!adult!smokers!begin!smoking!before!age!18!

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•  1!blistering!sunburn!in!childhood!or!adolescence!more!than!doubles!

the!risk!of!melanoma!later!in!life!

Preven+ng!Tobacco!Use!Among!Youth!and!Young!Adults:!A!Report!of!the!Surgeon!General.!2012.!U.S.!DHHS!!Dennis,!et!al.!Ann!Epidemiol!!18(8).!2008.!!

MD!Anderson!Cancer!Center/!

CATCH!Global!Founda8on!Partnership!

!=!IMPROVED!EFFECTIVENESS!OF!BOTH!

Cancer!Control!PlaZorm!Mission!&!Deliverables!

Develop!and!deliver!comprehensive!evidencePbased!strategies!(PES)!in!cancer!

preven8on,!screening,!early!detec8on!and!survivorship!to!achieve!a!measurable!

and!las8ng!reduc8on!in!the!cancer!burden,!especially!among!the!underserved.!

!• !!Policies!!!Inform,!impact!&!implement!worksite,!government!&!public!policies!&!related!

ac8vi8es!!

• !!Educa8on!–!public!&!professional!!!Develop!&!deliver!schoolPbased!programs,!media!campaigns!&!counterPmarke8ng!

programs.!Improve!health!professional!knowledge!through!CME!programs!&!

telementoring!ac8vi8es!

• !!Services!beyond!MD!Anderson’s!walls!!!Improve!professional!prac8ce!&!delivery!of!communityPbased!screening!&!early!

detec8on,!counseling,!immuniza8on,!&!preven8on!services!

EvidencePBase!for!Cancer!Control!

11!

Key!Parameters!of!an!!

Implementa8on!Strategy!for!Cancer!Control!

Excessive alcohol

Cancer-causing infections (e.g., HPV, H. pylori

hep C, hep B)

Excessive UV exposure

Obesity (excess calories &/or physical inactivity)

Provide service

Facilitate service delivery

Public education

Implement policy

•  Dominant risk factors

Individual

Community

Region

State

Nation

Family

•  Control actions/intensity (PES) •  Passive •  Active

•  Levels of intervention/cohort •  Geopolitical

Tobacco

World

Low

Moderate

High

•  Neoplastic risk •  Education level •  Socioeconomic status •  Access to services •  Receipt of services •  Literacy •  Language skills •  Pop’n cancer rates

• Risk-based cohort subsets

Professional education

Enforce policy

• Moonshot-oriented cancer sites/organ systems

Improper evidence-based

screening

Integra8on!with!External!Community!

MD!Anderson!partners!with!diverse!government!agencies,!NGOs!&!

corpora8ons!to!facilitate!planning,!implementa8on!&!evalua8on!

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Government)Agency)and)NGO)Engagement!•  Center!for!Disease!Control!&!Preven8on!

•  Associa8on!of!American!Cancer!Ins8tutes!

•  American!Associa8on!for!Cancer!Research!

•  American!Cancer!Society!

•  American!Cancer!SocietyPCancer!Ac8on!Network!

•  TobaccoPFree!Kids!

•  Episcopal!Health!Founda8on!

•  American!Society!of!Preven8ve!Oncology!

)Boards)of)Visitors)&)Community)Advisory)Groups))•  Health!Policy!Advisory!Panel!

•  BOV!Cancer!Control!Advisory!Group!

•  BOV!Governmental!Rela8ons!Commibee!

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Corporate)Engagement)•  Jason’s!Deli!

•  Halliburton!

•  LyondellBasell!

•  ExxonMobil!

•  Shell!Oil!Co.!

•  CVS!Health!

•  Blue!Cross!Blue!Shield!

•  Linn!Energy!

Academic)Advisors)•  John!Groopman!(Johns!Hopkins)!

•  Elizabeth!Platz!(Johns!Hopkins)!

•  Tim!Byers!(University!of!Colorado)!

•  James!Marks!(RWJF)!

Execu8ve!Leadership!&!Exper8se!!Leveraging!&!Extending!MD!Anderson’s!Control!Infrastructure!

Control!(PES)!

PlaZorm!Div of Cancer Prev & Population Sciences

Hawk & Wetter

Community Relations & Education

Kim

Professional Education

Woods

Governmental Relations Moreno

Health Policy

Foxhall Dissemination & Implementation Expertise

Youth Prevention & Education Expertise

Public Health Practitioners

Existing To Be Incorporated Human

Resources Varghese

PlaVorm!Opera+ons!Tek+ridis,!Salas,!Bello! Opera+ons!Staff!

Community Health Advocates

Public Health Partners

PorZolio!Management!Process!

Assessment!Evidence!!

Appraisal!Product!Concepts!

Go/No8Go!!

Decision!

Product!!

Prototype!

Pilot!Implementa<on!

Product!!!!!!!!!!!Implementa<on!&!

Scale8up!

Maintenance!&!Dissemina<on! Evalua<on!

PRODUCTS!DEVELOPED!&!IMPLEMENTED!IN!A!STRUCTURED,!!

MILESTONEPDRIVEN!PROCESS!

Priori8za8on!Criteria!

•  Rela8onship!to!Moon!Shot!programs!

•  Resources,!exper8se!&!capacity!

•  Poten8al!for!popula8on!impact!

•  Benefit!to!underserved!&!dispropor8onatelyPimpacted!communi8es!

•  Targets!children!&!adolescents!to!promote!healthy!lifestyles!

The!CATCHPMD!Anderson!Rela8onship!

FourPyear!agreement!will!fund:!•  ! Infrastructure!&!opera8ons!

•  ! Curriculum!development!&!dissemina8on!

•  ! Program!&!technology!support!

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An8cipated!projects!include:!•  ! Developing!&!dissemina8ng!new!program!content,!including!UV!protec8on,!tobacco!use!preven8on!

•  !!!!Transforming!CATCH!curriculum!into!a!digital!format!

CONFIDENTIAL © 2015 CATCH Global Foundation

Health!Educa8on!Modules!

Pre-school

Elementary (K-5)

Middle (6-8)

High (9-12)

After-School

Physical Activity

Nutrition

Tobacco Use Prevention

*to be developed (Lung Moon Shot Prevention)

UVR Protection “Ray & the Sunbeatables”

*to be developed or adopted/adapted from existing

evidence-based programs

HPV Vaccination *vaccine education

materials to be developed

TOBACCO!USE!CONTENT!

ASPIRE:!A!Smoking!Preven8on!Interac8ve!Experience!

•  Started!in!2000!as!research!project!for!smoking!preven<on!&!cessa<on!aimed!at!high!school!students!

•  Internet8based!with!various!media!elements,!including!flash!anima<on,!quizzes,!games,!videos!

•  Can!be!culturally!tailored!

•  School8Based!Dissemina<on:!

–  12,745!students!have!used!ASPIRE!

–  !4,474!students!completed!the!program!

–  24!states!&!1!interna8onal!loca8on!enrolled!

–  Add’l!states!&!interna8onal!loca8ons!have!expressed!interest!

•  Accomplishments:!!

–  Website!has!averaged!up!to!800!visitors!/!month,!more!than!40,000!

visits!from!at!least!66!countries!

–  Spanish!version!launched!in!2011!

19!Prokhorov!et!al,!Nico+ne!Tob!Res!2008!Prokhorov!AV!et!al,!Subst!Use!Misuse!2010! Funded!by!NCI!

Prokhorov!AV,!Kelder!SH,!et!al.!Nico+ne!&!Tobacco!Research,!10!(9),!1477`1485.!2008!

Smoking!Ini8a8on!Rates!Among!

Nonsmoking!10th!Grade!Students!!

at!18!mo.!FollowPup!

P!<!0.05!

Learned New Facts

Yes

No

Maybe

Don't Know

Influenced Not To Use Tobacco

Yes

No

Maybe

Don't Know

Better Understand Tobacco Effects

Yes

No

Maybe

Don't Know

Would Recommend ASPIRE

Yes

No

Maybe

Don't Know

Student!Feedback!on!ASPIPRE!

Slide!courtesy!of!A.!Prokhorov!

SUN!PROTECTION!CONTENT!

Purpose:!To!teach!children!about!sun!protec8on!and!promote!these!behaviors!to!reduce!skin!cancer!risk.!

Theme:!Ray!&!the!Sunbeatables!are!superheros,!with!each!having!a!unique!superpower!to!protect!against!the!sun!P!

clothing,!hats,!sunglasses,!sunscreen,!shade,!and!knowing!

when!it’s!safe!to!be!outside.!!

Sample!Curriculum!Ac<vity:!!“Are!Our!Shadows!Long?”!

Children!learn!about!the!Shadow!Rule:!During!early!morning!and!late!anernoon,!shadows!are!longer!

and!it!is!safer!to!be!outside.!During!midday!(10:00!AM!to!4:00!PM),!the!sun!is!directly!overhead,!UV!rays!

are!most!intense,!and!shadows!are!shorter!(or!there!is!no!shadow).!

Sun!Protec8on!Interven8on!Works!

•  Teachers:!–  Teachers!became!more!knowledgeable!about!sun!protec8on!&!more!

confident!in!ability!to!protect!children!

–  Significant!behavioral!effects!on!teacher’s!use!of!sunscreen,!protec8ve!clothing!&!shade!to!protect!children!

•  Parents:!–  Parents!became!more!knowledgeable!about!sun!protec8on!

–  Posi8vely!impacted!their!sun!protec8on!behaviors!for!children!

The!Sunbeatables™!program!con8nues!MD!Anderson’s!dedica8on!

to!preschool!sun!protec8on.!!

Results!of!MD!Anderson’s!Sun!Protec8on!is!Fun!!(S.P.F.)!preschool!

program:!

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Gritz,!Tripp,!et!al.,!Health!Educ!Behav,!2007!Gritz,!Tripp,!et!al.,!Prev!Med,!2005!

Future!Content!Development!

•  HPV!vaccina8on!

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•  Hierarchy!of!scien8fic!evidence!!!!!(advanced!grade!levels)!

DISSEMINATION!

Transla8on…!

•  Into!digital!format!

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•  Across!cultures!&!languages!

National Reach

Interna8onal!Reach!Global!Academic!Programs!(GAP)!

GAP!supports!our!mission!via!the!Sister!Ins8tu8on!Network:!•  29!Sister!Ins8tu8ons!in!22!countries!incl.!3!consor8a!

–  list!at!www.mdanderson.org/gap!!

•  the!largest!global!network!of!cancer!centers!working!collabora8vely!to!accelerate!the!mission!of!Making!Cancer!History!

–  Network!is!a!plaZorm!to!support!work!in!pa8ent!care,!research,!

preven+on,!control,!and!educa+on!

Our!Aspira8on!

…Everywhere!•  Texas!

•  U.S.!•  World!

…In!!Every!Regard!

•  Tobacco!control!•  Skin!cancer!screening!

•  HPV!vaccina8on!

EvidencePbased!Cancer!Preven8on!&!Control!=!“Plan!A”!

…By!All!Means!

•  Educa8on!•  Service!

•  Policy!

Thank!You!!

THANKS!to!CATCH!and!exis8ng!partners!for!permiung!us!the!

honor!of!working!with!you!to!advance!our!shared!mission!of!

educa8ng!youth!in!healthy!behaviors!!

!Special!thanks!to:!Steven!Kelder,!PhD,!MPH!

Deanna!Hoelscher,!PhD,!RD,!LD,!CNS!

Duncan!Van!Dusen,!MPH!!

“Effec8ve!cancer!preven8on!will!play!a!powerful!role!in!the!

future!health!of!our!country…It’s!important!that!we!deploy!

MD!Anderson’s!programs!for!op8mum!impact.!With!CATCH,!

we’re!fortunate!to!combine!our!exper8se!with!a!successful,!

longstanding!program!providing!a!prac8cal,!researchPbased!

approach!to!child!health!that’s!already!na8onal!in!scope.”!

! ! !Ronald!DePinho,!MD!! ! !President,!MD!Anderson!Caner!Center!

Acknowledgements!

Cancer!Preven<on!&!Control!PlaWorm!Leadership!Team!Mark!Moreno!(coPleader)!

Jennifer!Tek8ridis,!PhD!

Lewis!Foxhall,!MD!

David!Weber,!PhD!

Kendra!Woods,!PhD!

Shibu!Varghese!

Stephanie!Kim!

Rosalind!Bello,!MA!

Martha!Salas,!MSW,!MBA!

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CATCH!Collabora<on!Steven!Kelder,!PhD,!MPH!

Deanna!Hoelscher,!PhD,!RD,!LD,!CNS!

Duncan!Van!Dusen,!MPH!

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Thank You!

Peter Cribb, MEd National CATCH Director CATCH Global Foundation pcribb@catchglobalfoundation.org

Today’s webinar was recorded and will be available online at

www.CATCHusa.org

Duncan Van Dusen, MPH Executive Director CATCH Global Foundation DVD@catchglobalfoundation.org