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Grant Details

Grant Number: 5P50CA244289-05 Interpret this number
Primary Investigator: Devoe, Jennifer
Organization: Oregon Health & Science University
Project Title: Building Research in Implementation and Dissemination to Close Gaps and Achieve Equity in Cancer Control (Bridge-C2) Center
Fiscal Year: 2023


Abstract

OVERALL PROJECT SUMMARY The Building Research in Implementation and Dissemination to close Gaps and achieve Equity in Cancer Control (BRIDGE-C2) Center will take on the grand challenge of advancing implementation science to improve cancer screening and prevention in underserved populations. This work is urgently needed because cancer screening and prevention disparities exist with regard to delivery of evidence-based interventions (EBIs). Effective strategies to improve implementation of EBIs in primary care community health centers (CHCs) that can eliminate these disparities are not known or poorly understood. Implementation science can contribute new knowledge that will transform CHCs' ability to serve the nation's most vulnerable populations. The BRIDGE-C2 Center will: 1) create a sustainable infrastructure for developing, conducting, and continuously evaluating implementation strategies that enhance primary care's ability to equitably deliver evidence-based cancer screening and prevention interventions to all people, emphasizing closing care gaps for vulnerable populations; 2) build capacity and training opportunities, and engage a multi-disciplinary team of implementation science and methods experts, to facilitate the development of innovative approaches relevant to our grand challenge; and 3) identify strategies to improve implementation of cancer screening and prevention EBIs in primary care, and conduct research / develop pragmatic methods to tailor, enhance, and support the adoption and sustainability of these strategies. We will build on the strong established partnerships between researchers at Oregon Health & Science (OHSU) primary care, the OHSU Knight Cancer Institute, and the OCHIN Implementation Laboratory (a well-established national network of >500 CHCs that share an electronic health record through the OCHIN Practice-Based Research Network). The BRIDGE-C2 Center will conduct pilot studies that develop and test strategies to improve implementation of EBIs, rapidly scale up successful pilots to conduct large scale pragmatic trials, and widely disseminate effective innovations to primary care practices caring for underserved populations. Woven throughout these activities will be the Center's focus on mentoring and training early career implementation scientists and leveraging collaborations to increase implementation science capacity. The Center's Administrative Core will serve as the nucleus that bridges the Research Program and Implementation Laboratory, providing support for research activities, leadership, governance, investigator development, dissemination, evaluation, and a connection to the national ISCCC network. Our first two research pilots aim to improve cervical cancer screening and follow-up care and tobacco cessation. Our first two methods pilots will create novel capabilities to predict needed implementation support based on provider and practice characteristics. We will spread our discoveries and create mechanisms for widely disseminating our findings and innovations to scientific, professional, and community networks to increase implementation of cancer screening and prevention EBIs and decrease health disparities.



Publications

Social risk factors and cancer prevention care among patients in community health-care settings.
Authors: Banegas M.P. , O'Malley J. , Kaufmann J. , Marino M. , Gottlieb L.M. , Huguet N. , Anyane-Yeboa A. , Gold R. .
Source: Jnci Cancer Spectrum, 2024-11-01 00:00:00.0; 8(6), .
PMID: 39662889
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Designing for data sharing: Considerations for advancing health equity in data management and dissemination.
Authors: Rabin B.A. , Smith J.D. , Dressler E.V. , Cohen D.J. , Lee R.M. , Goodman M.S. , D'Angelo H. , Norton W.E. , Oh A.Y. .
Source: Translational Behavioral Medicine, 2024-09-27 00:00:00.0; , .
EPub date: 2024-09-27 00:00:00.0.
PMID: 39331485
Related Citations

Implementation of Health IT for Cancer Screening in US Primary Care: Scoping Review.
Authors: Owens-Jasey C. , Chen J. , Xu R. , Angier H. , Huebschmann A.G. , Ito Fukunaga M. , Chaiyachati K.H. , Rendle K.A. , Robien K. , DiMartino L. , et al. .
Source: Jmir Cancer, 2024-04-30 00:00:00.0; 10, p. e49002.
EPub date: 2024-04-30 00:00:00.0.
PMID: 38687595
Related Citations

Applying Machine Learning Techniques to Implementation Science.
Authors: Huguet N. , Chen J. , Parikh R.B. , Marino M. , Flocke S.A. , Likumahuwa-Ackman S. , Bekelman J. , DeVoe J.E. .
Source: Online Journal Of Public Health Informatics, 2024-04-22 00:00:00.0; 16, p. e50201.
EPub date: 2024-04-22 00:00:00.0.
PMID: 38648094
Related Citations

Differences in up-to-date colorectal and cervical cancer screening rates by ethnicity and preferred language: An analysis across patient-, clinic-, and area-level data sources.
Authors: Springer R. , Erroba J. , O'Malley J.P. , Huguet N. .
Source: Ssm - Population Health, 2024 Mar; 25, p. 101612.
EPub date: 2024-01-26 00:00:00.0.
PMID: 38322786
Related Citations

Community Health Centers Uptake of Telemedicine During the COVID-19 Pandemic: Trends, Barriers, and Successful Strategies.
Authors: Holderness H. , Baron A. , Hodes T. , Marino M. , O'Malley J. , Danna M. , Cohen D.J. , Huguet N. .
Source: Journal Of Primary Care & Community Health, 2024 Jan-Dec; 15, p. 21501319241274351.
PMID: 39183703
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The role of language in mammography orders among low-income Latinas over a 10-year period.
Authors: Heintzman J. , Hodes T. , Parras D. , Lucas J.A. , Guzman C.E.V. , Chan B. , Banegas M.P. , Marino M. .
Source: Preventive Medicine, 2023 Oct; 175, p. 107657.
EPub date: 2023-08-19 00:00:00.0.
PMID: 37573954
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Provision of colonoscopy in rural settings: A qualitative assessment of provider context, barriers, facilitators, and capacity.
Authors: Ramalingam N. , Coury J. , Barnes C. , Kenzie E.S. , Petrik A.F. , Mummadi R.R. , Coronado G. , Davis M.M. .
Source: The Journal Of Rural Health : Official Journal Of The American Rural Health Association And The National Rural Health Care Association, 2023-09-07 00:00:00.0; , .
EPub date: 2023-09-07 00:00:00.0.
PMID: 37676061
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Participatory logic modeling in a multi-site initiative to advance implementation science.
Authors: Easterling D.V. , Jacob R.R. , Brownson R.C. , Haire-Joshu D. , Gundersen D.A. , Angier H. , DeVoe J.E. , Likumahuwa-Ackman S. , Vu T. , Glasgow R.E. , et al. .
Source: Implementation Science Communications, 2023-08-29 00:00:00.0; 4(1), p. 106.
EPub date: 2023-08-29 00:00:00.0.
PMID: 37644495
Related Citations

Advancing health equity through implementation science: Identifying and examining measures of the outer setting.
Authors: Warner E.T. , Huguet N. , Fredericks M. , Gundersen D. , Nederveld A. , Brown M.C. , Houston T.K. , Davis K.L. , Mazzucca S. , Rendle K.A. , et al. .
Source: Social Science & Medicine (1982), 2023 Aug; 331, p. 116095.
EPub date: 2023-07-17 00:00:00.0.
PMID: 37473542
Related Citations

Delivery of Cervical and Colorectal Cancer Screenings During the Pandemic in Community Health Centers: Practice Changes and Recovery Strategies.
Authors: Huguet N. , Danna M. , Baron A. , Hall J. , Hodes T. , O'Malley J. , Holderness H. , Marino M. , DeVoe J.E. , Cohen D.J. .
Source: Medical Care, 2023-06-13 00:00:00.0; , .
EPub date: 2023-06-13 00:00:00.0.
PMID: 37310241
Related Citations

Participatory Logic Modeling in a Multi-Site Initiative to Advance Implementation Science.
Authors: Easterling D. , Jacob R.R. , Brownson R.C. , Haire-Joshu D. , Gundersen D.A. , Angier H. , DeVoe J.E. , Likumahuwa-Ackman S. , Vu T. , Glasgow R.E. , et al. .
Source: Research Square, 2023-05-18 00:00:00.0; , .
EPub date: 2023-05-18 00:00:00.0.
PMID: 37292912
Related Citations

Uptake of a Cervical Cancer Clinical Decision Support Tool: A Mixed-Methods Study.
Authors: Huguet N. , Ezekiel-Herrera D. , Gunn R. , Pierce A. , O'Malley J. , Jones M. , Marino M. , Gold R. .
Source: Applied Clinical Informatics, 2023 May; 14(3), p. 594-599.
EPub date: 2023-08-02 00:00:00.0.
PMID: 37532232
Related Citations

Impact of COVID-19 Pandemic on Assessing Tobacco Status in Community Health Centers.
Authors: Flocke S.A. , Huguet N. , Bailey S.R. , Hodes T. , O'Malley J.P. .
Source: Annals Of Family Medicine, 2023 Mar-Apr; 21(2), p. 161-164.
PMID: 36973052
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Creating research-ready partnerships: the initial development of seven implementation laboratories to advance cancer control.
Authors: Kruse G.R. , Hale E. , Bekelman J.E. , DeVoe J.E. , Gold R. , Hannon P.A. , Houston T.K. , James A.S. , Johnson A. , Klesges L.M. , et al. .
Source: Bmc Health Services Research, 2023-02-21 00:00:00.0; 23(1), p. 174.
EPub date: 2023-02-21 00:00:00.0.
PMID: 36810066
Related Citations

Speeding implementation in cancer: The National Cancer Institute's Implementation Science Centers in Cancer Control.
Authors: Oh A.Y. , Emmons K.M. , Brownson R.C. , Glasgow R.E. , Foley K.L. , Lewis C.C. , Schnoll R. , Huguet N. , Caplon A. , Chambers D.A. .
Source: Journal Of The National Cancer Institute, 2023-02-08 00:00:00.0; 115(2), p. 131-138.
PMID: 36315080
Related Citations

An Exploratory Study of Primary Care Clinicians' Perspectives on 2021 New and Updated Cancer Screening Guidelines.
Authors: Angier H. , Bonuck K.J. , McCrimmon S. , Wiser A.L. , Huguet N. , Carney P.A. .
Source: Journal Of Primary Care & Community Health, 2023 Jan-Dec; 14, p. 21501319231164910.
PMID: 37026464
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Precision Ecologic Medicine: Tailoring Care to Mitigate Impacts of Climate Change.
Authors: DeVoe J.E. , Huguet N. , Likumahuwa-Ackman S. , Bazemore A. , Gold R. , Werner L. .
Source: Journal Of Primary Care & Community Health, 2023 Jan-Dec; 14, p. 21501319231170585.
PMID: 37086151
Related Citations

Integrating a focus on health equity in implementation science: Case examples from the national cancer institute's implementation science in cancer control centers (ISC3) network.
Authors: Aschbrenner K.A. , Oh A.Y. , Tabak R.G. , Hannon P.A. , Angier H.E. , Moore W.T. , Likumahuwa-Ackman S. , Carroll J.K. , Baumann A.A. , Beidas R.S. , et al. .
Source: Journal Of Clinical And Translational Science, 2023; 7(1), p. e226.
EPub date: 2023-09-29 00:00:00.0.
PMID: 38028358
Related Citations

A Scoping Literature Review on Evidence-Based Strategies to Increase Cervical Cancer Screening.
Authors: Bonuck K.J. , Angier H. , McCrimmon S. , Holderness H. , Erroba J. , Huguet N. , DeVoe J.E. , Carney P.A. .
Source: Journal Of Primary Care & Community Health, 2023 Jan-Dec; 14, p. 21501319231220994.
PMID: 38131106
Related Citations

Collaboration networks of the implementation science centers for cancer control: a social network analysis.
Authors: Jacob R.R. , Korn A.R. , Huang G.C. , Easterling D. , Gundersen D.A. , Ramanadhan S. , Vu T. , Angier H. , Brownson R.C. , Haire-Joshu D. , et al. .
Source: Implementation Science Communications, 2022-04-13 00:00:00.0; 3(1), p. 41.
EPub date: 2022-04-13 00:00:00.0.
PMID: 35418309
Related Citations

Affordable Care Act Medicaid expansion and access to primary-care based smoking cessation assistance among cancer survivors: an observational cohort study.
Authors: Bailey S.R. , Voss R. , Angier H. , Huguet N. , Marino M. , Valenzuela S.H. , Chung-Bridges K. , DeVoe J.E. .
Source: Bmc Health Services Research, 2022-04-12 00:00:00.0; 22(1), p. 488.
EPub date: 2022-04-12 00:00:00.0.
PMID: 35414079
Related Citations

Community Health Centers' Performance in Cancer Screening and Prevention.
Authors: Huguet N. , Hodes T. , Holderness H. , Bailey S.R. , DeVoe J.E. , Marino M. .
Source: American Journal Of Preventive Medicine, 2022 Feb; 62(2), p. e97-e106.
EPub date: 2021-10-16 00:00:00.0.
PMID: 34663549
Related Citations

Effectiveness of an insurance enrollment support tool on insurance rates and cancer prevention in community health centers: a quasi-experimental study.
Authors: Nathalie H. , Steele V. , Miguel M. , Laura M. , Brigit H. , Andrea B. , Cohen Deborah J. , DeVoe Jennifer E. .
Source: Bmc Health Services Research, 2021-10-30 00:00:00.0; 21(1), p. 1186.
EPub date: 2021-10-30 00:00:00.0.
PMID: 34717616
Related Citations

Preventive service utilization among low-income cancer survivors.
Authors: Blackburn B.E. , Marino M. , Schmidt T. , Heintzman J. , Hatch B. , DeVoe J. , Moreno L. , Huguet N. .
Source: Journal Of Cancer Survivorship : Research And Practice, 2021-08-19 00:00:00.0; , .
EPub date: 2021-08-19 00:00:00.0.
PMID: 34409521
Related Citations

Strengthening methods for tracking adaptations and modifications to implementation strategies.
Authors: Haley A.D. , Powell B.J. , Walsh-Bailey C. , Krancari M. , Gruß I. , Shea C.M. , Bunce A. , Marino M. , Frerichs L. , Lich K.H. , et al. .
Source: Bmc Medical Research Methodology, 2021-06-26 00:00:00.0; 21(1), p. 133.
EPub date: 2021-06-26 00:00:00.0.
PMID: 34174834
Related Citations

Prevalence of Pre-existing Conditions Among Community Health Center Patients With COVID-19: Implications for the Patient Protection and Affordable Care Act.
Authors: Huguet N. , Schmidt T. , Larson A. , O'Malley J. , Hoopes M. , Angier H. , Marino M. , DeVoe J. .
Source: Journal Of The American Board Of Family Medicine : Jabfm, 2021 Feb; 34(Suppl), p. S247-S249.
PMID: 33622847
Related Citations

Assessing cancer history accuracy in primary care electronic health records through cancer registry linkage.
Authors: Hoopes M. , Voss R. , Angier H. , Marino M. , Schmidt T. , DeVoe J.E. , Soule J. , Huguet N. .
Source: Journal Of The National Cancer Institute, 2020-12-30 00:00:00.0; , .
EPub date: 2020-12-30 00:00:00.0.
PMID: 33377908
Related Citations

SARS-CoV-2 Testing and Changes in Primary Care Services in a Multistate Network of Community Health Centers During the COVID-19 Pandemic.
Authors: Heintzman J. , O'Malley J. , Marino M. , Todd J.V. , Stange K.C. , Huguet N. , Gold R. .
Source: Jama, 2020-10-13 00:00:00.0; 324(14), p. 1459-1462.
PMID: 32870237
Related Citations

A Practice-Based Research Network (PBRN) Roadmap for Evaluating COVID-19 in Community Health Centers: A Report From the OCHIN PBRN.
Authors: DeVoe J.E. , Likumahuwa-Ackman S.M. , Angier H.E. , Huguet N. , Cohen D.J. , Flocke S.A. , Marino M. , Gold R. .
Source: Journal Of The American Board Of Family Medicine : Jabfm, 2020 Sep-Oct; 33(5), p. 774-778.
PMID: 32989072
Related Citations

The Affordable Care Act improved health insurance coverage and cardiovascular-related screening rates for cancer survivors seen in community health centers.
Authors: Angier H.E. , Marino M. , Springer R.J. , Schmidt T.D. , Huguet N. , DeVoe J.E. .
Source: Cancer, 2020-04-15 00:00:00.0; , .
EPub date: 2020-04-15 00:00:00.0.
PMID: 32294251
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