Native People for Cancer Control (NPCC) is a currently funded regional Community Networks Program serving an 8-state region. NPCC is headquartered at the University of Washington in Seattle, with 3 additional sites that align geographically with the conduct of our Community Outreach Program activities. Site 1 includes Washington, Alaska, and Oregon;Site 2 includes Idaho, Montana, and Wyoming;and Site 3 includes North and South Dakota. South Dakota is also home to NPCC's partner organization, the non-profit, community-based Black Hills Center for American Indian Health (BHCAIH). NPCC is organized into an Administrative Core and Community Outreach, Research, and Training Programs. The Research Program is comprised of a Research Project, 2 Pilot Projects, and 2 Training Projects. Directorship of NPCC will be shared by Dedra Buchwald, MD, Professor of Medicine and Director, Partnerships for Native Health, University of Washington, and Jeffrey Henderson (Cheyenne River Sioux), MD, MPH, President and CEO of BHCAIH Aligned with the """"""""team science"""""""" approach of this application, the Administrative Core integrates the University's strength in administration, training, outreach, innovative community education, and methodology with the equally formidable strengths of BHCAIH in community-based participatory research and field work with American Indian and Alaska Native populations. This Core will provide day-to-day and long-term direction and support to NPCC. Accordingly, the Specific Aims of the Administrative Core are to 1) support logistical and field operations of the Research Projects, Pilot Projects, Community Outreach Program, and Training Program;2) stimulate, coordinate, and monitor diverse activities across the Research Projects, Pilot Projects, Community Outreach Program, and Training Program;3) supervise implementation of key strategic decisions; and 4) facilitate program planning, implementation, evaluation, and review. Administrative Core staff will support a broad range of logistical operations. The Steering Committee will make key strategic decisions and engage in program planning and review. Evaluations will be conducted in concert with program staff of the Center to Reduce Cancer Health Disparities and with NPCC's Community Advisory Group, comprised of local and regional experts and stakeholders. In addition to Drs. Buchwald and Henderson, other key Administrative Core personnel at the University of Washington who will implement logistical tasks are Ursula Tsosie (Navajo), MPH, and Carrie Nass, MPH, Co-Directors;Kim Tran, BA, Program Manager;and Michelle Xan, MS, Senior Computer Specialist. At BHCAIH, Sandra Albertson (Fort Peck Tribes), BA, Director of Grants and Contracts will assist Dr. Henderson.

Public Health Relevance

The challenges of working with Native communities are not trivial. Few institutions possess the infrastructure on which to build and sustain a program of research on Native health disparities. Stable, continuous, culturally attuned resources are necessary to successfully mount and sustain a program of research under these conditions, carrying it past the intermittent, unforeseen shortfalls in funding that often plague research projects. Our team has the commitment and resources to successfully carry out the work of the NPCC

National Institute of Health (NIH)
National Cancer Institute (NCI)
Specialized Center--Cooperative Agreements (U54)
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Special Emphasis Panel (ZCA1)
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University of Washington
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Simonds, Vanessa W; Omidpanah, Adam; Buchwald, Dedra (2017) Diabetes prevention among American Indians: the role of self-efficacy, risk perception, numeracy and cultural identity. BMC Public Health 17:763
Muller, Clemma J; Robinson, Renee F; Smith, Julia J et al. (2017) Text message reminders increased colorectal cancer screening in a randomized trial with Alaska Native and American Indian people. Cancer 123:1382-1389
Tanner, Julie-Anne; Henderson, Jeffrey A; Buchwald, Dedra et al. (2017) Variation in CYP2A6 and nicotine metabolism among two American Indian tribal groups differing in smoking patterns and risk for tobacco-related cancer. Pharmacogenet Genomics 27:169-178
Simonds, Vanessa Watts; Garroutte, Eva Marie; Buchwald, Dedra (2017) Health Literacy and Informed Consent Materials: Designed for Documentation, Not Comprehension of Health Research. J Health Commun 22:682-691
Sawchuk, Craig N; Van Dyke, Emily; Omidpanah, Adam et al. (2016) Barriers to Cancer Care among American Indians and Alaska Natives. J Health Care Poor Underserved 27:84-96
Blacksher, Erika; Nelson, Charlene; Van Dyke, Emily et al. (2016) Conversations about Community-Based Participatory Research and Trust: ""We Are Explorers Together"". Prog Community Health Partnersh 10:305-9
Harris, Raymond; Van Dyke, Emily R; Ton, Thanh G N et al. (2016) Assessing Needs for Cancer Education and Support in American Indian and Alaska Native Communities in the Northwestern United States. Health Promot Pract 17:891-898
Winer, Rachel L; Gonzales, Angela A; Noonan, Carolyn J et al. (2016) Assessing Acceptability of Self-Sampling Kits, Prevalence, and Risk Factors for Human Papillomavirus Infection in American Indian Women. J Community Health 41:1049-61
Hiratsuka, Vanessa Y; Suchy-Dicey, Astrid M; Garroutte, Eva M et al. (2016) Patient and Provider Factors Associated With American Indian and Alaska Native Adolescent Tobacco Use Screening. J Prim Care Community Health 7:2-9
Haozous, Emily A; Doorenbos, Ardith; Alvord, Lori A et al. (2016) Cancer Journey for American Indians and Alaska Natives in the Pacific Northwest?. Oncol Nurs Forum 43:625-35

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