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Grant Details

Grant Number: 5R01CA113932-05 Interpret this number
Primary Investigator: Dignan, Mark
Organization: University Of Kentucky
Project Title: Structure M.tuberculosis Adenosine Kinase Design Antimicrobial Nucleoside Analogs
Fiscal Year: 2009
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Abstract

DESCRIPTION (provided by applicant): The University of Kentucky's Cancer Control Program, Department of Behavioral Science , Kentucky Cancer Program, and community partners are proposing a five-year, community-based, participatory project to increase colorectal cancer screening in rural Appalachian Kentucky (51 counties in eastern Kentucky). Compared with the rest of the U.S., Appalachian Kentucky is medically underserved, economically distressed, and disproportionately burdened with different types of cancer. Data from the Behavioral Risk Factor Surveillance System indicates that approximately 36% of respondents in Appalachian Kentucky reported screening for colorectal cancer (FOBT or flexible sigmoidoscopy or colonoscopy) in accordance with guidelines of the US Preventive Services Task Force compared to 43.5% in Kentucky and 53% nationwide. Specific aims of this project are to: 1) Build on a foundation of community partnerships in Appalachian Kentucky and develop a network of community partners capable of fostering colorectal cancer screening; 2) Use results from a pilot project and, in collaboration with community partners, pretest an intervention to increase screening for colorectal cancer in rural Appalachian Kentucky; 3) Recruit primary health care providers for the project, conduct a baseline assessment and implement an intervention to increase colorectal cancer screening in primary care practices; and, 4) Evaluate the effectiveness of the intervention in increasing colorectal cancer using a randomized design involving primary care practices assigned to intervention or control based on a readiness to change score and conduct qualitative key informant interviews and process evaluations. Methods for achieving these aims are described in detail in Section D (Research Design and Methods) and include conducting focus groups, recruiting 64 primary care practices (32 control, 32 intervention), delivering an educational intervention consisting of 4 modules, collecting colorectal cancer screening data from 60 medical records/intervention practice, and assessing the impact of the intervention.

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Publications

Effectiveness of a primary care practice intervention for increasing colorectal cancer screening in Appalachian Kentucky.
Authors: Dignan M, Shelton B, Slone SA, Tolle C, Mohammad S, Schoenberg N, Pearce K, Van Meter E, Ely G
Source: Prev Med, 2014 Jan;58, p. 70-4.
EPub date: 2013 Nov 8.
PMID: 24212061
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How do rural health care providers and patients view barriers to colorectal cancer screening? Insights from appalachian kentucky.
Authors: Hatcher J, Dignan MB, Schoenberg N
Source: Nurs Clin North Am, 2011 Jun;46(2), p. 181-92, vi.
PMID: 21501729
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Human papillomavirus (HPV) vaccine availability, recommendations, cost, and policies among health departments in seven Appalachian states.
Authors: Katz ML, Reiter PL, Kluhsman BC, Kennedy S, Dwyer S, Schoenberg N, Johnson A, Ely G, Roberto KA, Lengerich EJ, Brown P, Paskett ED, Dignan M
Source: Vaccine, 2009 May 21;27(24), p. 3195-200.
EPub date: 2009 Apr 7.
PMID: 19446191
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