Native People for Cancer Control: Summary of 2006 – 2007 Activities

1. Native People for Cancer Control: Summary of 2006 – 2007 Activities Stay in the circle of life…

2. Native People for Cancer Control: Community Core Activities

3. Community Core Activities • Building program infrastructure • Hired new staff • Linking organizations, tribes, people, resources • Spokane Native Project, Fort Peck Tribe, Alaska Native Tribal Health Consortium • Indigenous Wellness Research Institute • Collaborating with cancer care providers • Developing plan for mobile colonoscopy unit with David Perdue • Working to create a Native unit at Seattle Cancer Care Alliance • Continuing activities at Ronald MacDonald House and try to set up teleconferencing for patients and families

4. Community Core Activities • Community outreach • Expanding our work through other efforts, e.g., Community Engagement Core of University of Washington CTSA • Attended many health fairs • Participated in University of Washington Medicine Wheel Society Elder’s dinner • Expanded Art for Cancer program • Created brochures and posters • Provided educational materials • Website • On-line class

5. Community Core Activities • Cancer Information Service • Supporting Native staff in 3 regions to focus on Native issues and populations • Created Spirit of Eagles evaluation tools • Supporting work of Cancer Information Service and Spirit of Eagles staff in Northwest Region • Developed RFA for Community Grants program • Awarded 7 grants to community organizations • Re-issuing RFA for 2006 - 2007

6. Native People for Cancer Control: Training Core Activities

7. Training Core Activities • Students: Educational and training opportunities • Rose James took 8 tribal college students to the Intercultural Cancer Council national meeting • Sponsored Dakotah Lane to attend the national IRB conference • Created summer internships for tribal college students • Involved Native students in outreach and research • Doctoral candidates and junior faculty: Intensive 1 week, hands-on program • Working with University of North Dakota Center for Rural Health • Invite applicants for 2 sessions in 2006 – 2007

8. Training Core Activities • Tribal College Faculty • Developing an intensive internship for faculty • Junior Faculty: Native Investigator Development Program • Since 2002, program faculty and 14 Native Investigators (4 cohorts) have submitted 81 grants (71% were funded) • Angela Gonzales (Hopi) 1/2006 – 1/2008 • David Perdue (Chickasaw) 1/2008 – 1/2010 • Reaching out to other health professions

9. Native Investigator Development Program: Cohort 4

10. Native Investigator Development Program: Cohort 5

11. Native Investigator Development Program: New Links

12. Training Core Activities • Junior Investigators • Sponsoring Rosemary Gibbons and Angela Gonzales to attend National Cancer Institute workshop • Providers • Supported Melany Cueva’s week-long Cancer Training Workshop for Community Health Aides working in Alaska Native villages • Offering on-line cancer class for Flathead tribal health department employees

13. Research Core Activities

14. Research Core: Core Projects • 4 designated research projects all underway • 2 pilot projects funded and underway (Rose James, Rosemary Gibbons) • Other projects • Youth projects (Andy Bogart, John Simmons, Dakotah Lane) • Numeracy projects (Donna LaVallie) • Exercise among urban elders

15. Research Core: Collaborators and Funded Grants • Health Resources and Services Administration: provide cancer education to providers, patients, and families through Telehealth (Colven, Towle) • National Center for Minority Health and Health Disparities EXPORT Centers: examine time to cancer care and distance to provider (Ramsey) • National Cancer Institute:Linking data from California, Oregon, Washington Medicare/Medicaid, SEER, and IHS records to assess patterns of cancer care. Conduct interviews about care and reasons for dropping out of Medicaid (Ramsey, Northwest Portland Area Indian Health Board)

16. Workplace Interventions to Improve Health of Alaska Natives National Cancer Institute: Worksites are good places to implement preventive service interventions (Bowen) • Many people work • Employers need help in finding interventions • Improving health could also help employers • Efficient location to intervene • Evaluation and follow-up relatively easy

17. Workplace Interventions to Improve Health of Alaska Natives Alaska Native worksites would be good places to implement interventions because • Native workplaces often set norms for non-employees • Tribal leaders are often workplace leaders and could act as thought leaders or motivators • Tribes and Alaska Native corporations are big employers in many Native communities

18. Workplace Interventions to Improve Health of Alaska Natives Specific Aims • To test efficacy of a workplace-based package of activities to reduce chronic disease focusing on Alaska Native workplaces • To estimate program cost effectiveness

19. Workplace Interventions to Improve Health of Alaska Natives • Randomized controlled trial of package of interventions (e.g., exercise, mammography, smoking cessation) implemented in 40 workplaces • Unit of analysis is the workplace • First year devoted to development; years 2 – 5 spent on conduct of trial

20. Workplace Interventions to Improve Health of Alaska Natives • Surveys of workplace-level practices pre-intervention and post-intervention • Surveys of employees at each site • Process evaluations of communications to employees and benefits offered and used

21. Research Core: Submitted Grants • Lance Armstrong Foundation: cancer survivorship issues focusing on breast cancer (Friedman) • National Center for Minority Health and Health Disparities EXPORT Center: provide assessment and care to breast cancer survivors (Friedman) • National Center for Minority Health and Health Disparities EXPORT Center: examine why Native people drop out of Medicaid after a cancer diagnosis in Washington State (Ramsey, Northwest Portland Area Indian Health Board) • National Cancer Institute: assess feasibility of implementing preventive practices in community workplaces in Pacific Northwest (Deb Bowen)

22. Research Core: Technical Support and Collaboration • Provided methods and analytic support to EARTH renewal to Black Hills Center for American Indian Research (Jeff Henderson) • Provided technical assistance on survey design to National Resource Center on Native American Aging (Kyle Muus and Twyla Baker-Demaray) • Analyzing EARTH data on relation of nutrition and exercise to cancer screening (Glen Duncan) • Completed manuscript on colorectal cancer screening and traditional practices and cultural identity (David Perdue)

23. Native People for Cancer Control: Goals for Next Year

24. Goals for Next Year • Expand outreach, education, and research efforts in Idaho, Oregon, and Wyoming • Link with other National Cancer Institute programs • Conduct pilot project in community on human papilloma virus vaccine

25. Goals for Next Year: Focus on Men

26. Goals for Next Year • Submit application to National Cancer Institute on telephone intervention to increase rates of cancer screening • Submit application to National Cancer Institute based on numeracy and art and statistics work • Submit a Life Sciences Discovery Fund application to provide telemedicine to 29 tribes in Washington State along with 3 pilot projects • We welcome your ideas and collaborations

27. Thank you and come talk to us!