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Grant Details

Grant Number: 5P01CA072085-05 Interpret this number
Primary Investigator: Hollis, Jack
Organization: Kaiser Foundation Research Institute
Project Title: Patient Focused Cancer Control in an Hmo Population
Fiscal Year: 2000


Abstract

The theme of the proposed CPRU is to improve the organization and delivery of cancer control services in manage care. The investigators propose a CPRU to extend the previous work, expand the collaboration of CHR and ORI, initiate development of work in two areas new to us that are important to managed care, to add new investigators to our cancer control research team including two young investigators without previous cancer control experience, and to enhance the opportunities for working with a large managed care organization to develop a rational approach to designing, testing, evaluating and implementing cancer control strategies. Project I will test an innovative expert systems model developed at the University of Rhode Island in a medical setting. No adolescent smoking prevention or cessation programs have had a demonstrable long-term impact on teenage smoking. This sophisticated, interactive video provides stage- appropriate smoking prevention/cessation interventions. For adults, we have already shown that the medical encounter is uniquely effective as a vehicle for delivering effective smoking interventions. This project will apply those lessons to adolescent interventions. Project 2 will use the successful outpatient TRACC 1 smoking intervention s a model for delivery of an intervention designed to reduce dietary fat. There are no low- intensity interventions proven to have a long-term impact on dietary fat consumption. We will determine whether an inexpensive, brief dietary counseling approach incorporated into routine primary care can reduce blood lipids and long-term risk of cancer. Project 3 examines the impact of coordinating integrating, and prioritizing the delivery of cancer prevention services ot a population of underserved health plan members. There are multiple, often conflicting, systems and recommendations for delivering cancer control services. This project focuses on women who fall into the mammography and pap smear safety nets and women who smoke. Two developmental projects will initiate new areas of research for us; genetic screening and its implications for cancer control, and quality of life studies among cancer patients. Both developmental projects involve young investigators new to cancer control. The projects will be served by a core that provides data management, quality control, economic analyses, biostatistics, and analysis support.



Publications

A brief intervention designed to increase breast cancer self-screening.
Authors: Lindberg N.M. , Stevens V.J. , Smith K.S. , Glasgow R.E. , Toobert D.J. .
Source: American journal of health promotion : AJHP, 2009 May-Jun; 23(5), p. 320-3.
PMID: 19445434
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Stages of smoking acquisition versus susceptibility as predictors of smoking initiation in adolescents in primary care.
Authors: Huang M. , Hollis J. , Polen M. , Lapidus J. , Austin D. .
Source: Addictive behaviors, 2005 Jul; 30(6), p. 1183-94.
EPub date: 2005-01-18.
PMID: 15925127
Related Citations

Teen reach: outcomes from a randomized, controlled trial of a tobacco reduction program for teens seen in primary medical care.
Authors: Hollis J.F. , Polen M.R. , Whitlock E.P. , Lichtenstein E. , Mullooly J.P. , Velicer W.F. , Redding C.A. .
Source: Pediatrics, 2005 Apr; 115(4), p. 981-9.
PMID: 15805374
Related Citations

Cost-effectiveness of a tailored intervention to increase screening in HMO women overdue for Pap test and mammography services.
Authors: Lynch F.L. , Whitlock E.P. , Valanis B.G. , Smith S.K. .
Source: Preventive medicine, 2004 Apr; 38(4), p. 403-11.
PMID: 15020173
Related Citations

Screening rarely screened women: time-to-service and 24-month outcomes of tailored interventions.
Authors: Valanis B. , Whitlock E.E. , Mullooly J. , Vogt T. , Smith S. , Chen C. , Glasgow R.E. .
Source: Preventive medicine, 2003 Nov; 37(5), p. 442-50.
PMID: 14572429
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Consumer knowledge and opinions of genetic testing for breast cancer risk.
Authors: Vuckovic N. , Harris E.L. , Valanis B. , Stewart B. .
Source: American journal of obstetrics and gynecology, 2003 Oct; 189(4 Suppl), p. S48-53.
PMID: 14586321
Related Citations

One-year results from a brief, computer-assisted intervention to decrease consumption of fat and increase consumption of fruits and vegetables.
Authors: Stevens V.J. , Glasgow R.E. , Toobert D.J. , Karanja N. , Smith K.S. .
Source: Preventive medicine, 2003 May; 36(5), p. 594-600.
PMID: 12689805
Related Citations

Tobacco use patterns and attitudes among teens being seen for routine primary care.
Authors: Hollis J.F. , Polen M.R. , Lichtenstein E. , Whitlock E.P. .
Source: American journal of health promotion : AJHP, 2003 Mar-Apr; 17(4), p. 231-9.
PMID: 12640779
Related Citations

From rapid smoking to the Internet: five decades of cessation research.
Authors: Lichtenstein E. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2002 May; 4(2), p. 139-45.
PMID: 12028845
Related Citations

Randomized trial of a brief dietary intervention to decrease consumption of fat and increase consumption of fruits and vegetables.
Authors: Stevens V.J. , Glasgow R.E. , Toobert D.J. , Karanja N. , Smith K.S. .
Source: American journal of health promotion : AJHP, 2002 Jan-Feb; 16(3), p. 129-34.
PMID: 11802257
Related Citations

Screening HMO women overdue for both mammograms and pap tests.
Authors: Valanis B.G. , Glasgow R.E. , Mullooly J. , Vogt T.M. , Whitlock E.P. , Boles S.M. , Smith K.S. , Kimes T.M. .
Source: Preventive medicine, 2002 Jan; 34(1), p. 40-50.
PMID: 11749095
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The RE-AIM framework for evaluating interventions: what can it tell us about approaches to chronic illness management?
Authors: Glasgow R.E. , McKay H.G. , Piette J.D. , Reynolds K.D. .
Source: Patient education and counseling, 2001 Aug; 44(2), p. 119-27.
PMID: 11479052
Related Citations

Awareness and barriers to use of cancer support and information resources by HMO patients with breast, prostate, or colon cancer: patient and provider perspectives.
Authors: Eakin E.G. , Strycker L.A. .
Source: Psycho-oncology, 2001 Mar-Apr; 10(2), p. 103-13.
PMID: 11268137
Related Citations

Adolescent health care visits: opportunities for brief prevention messages.
Authors: O'Connor E.A. , Hollis J.F. , Polen M.R. , Lichtenstein E. .
Source: Effective clinical practice : ECP, 1999 Nov-Dec; 2(6), p. 272-6.
PMID: 10788025
Related Citations

Behavioral research contributions and needs in cancer prevention and control: tobacco use prevention and cessation.
Authors: Lichtenstein E. .
Source: Preventive medicine, 1997 Sep-Oct; 26(5 Pt 2), p. S57-63.
PMID: 9327493
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