The goal of the proposed community Outreach Program (OP) is to increase the use of evidence-based biomedical and behavioral procedures and interventions to reduce the cancer burden among Hispanics in Texas. We will build on existing community partnerships, infrastructure and programs to develop an Outreach Program that will accomplish this goal through capacity building with community partners and direct health promotion in Hispanic communities. This proposal describes how we will conduct community-based participatory research, training, and health promotion and education that will reduce the cancer burden in Texas. Based on extensive community participation and prioritization through existing CBPR efforts, we have identified a number of areas of primary concern among Latino communities in Texas. These include: increasing vaccination against HPV, increasing breast and cervical cancer screening among rarely and never screened women, increasing colorectal cancer screening, increasing tobacco cessation, and increasing physical activity and nutrition. Additionally, based on our experience with Hispanic cohorts in Houston, El Paso, and Brownsville, and our preliminary studies conducted on the Texas Mexico border, we have noted other important areas of need including a better understanding of factors influencing participation in clinical trials and biobanking and the need for culturally competent and linguistically appropriate educational materials to address these issues. Collectively, the proposed CNP will focus on all of these areas;the Outreach core will begin with an initial focus on cancer screening (breast, cervical, and colorectal), and HPV vaccination. Additionally, the Pilot research project and the Outreach Core will jointly conduct needs assessment and intervention development and implementation activities related to participation in clinical trials and biobanking. The CNP Community OP will be named: TODOS Against Cancer/ TODOS Contra el Cancer ( n Spanish). TODOS stands for Texas Organizations Delivering Outreach Services Against Cancer. The proposed team and community partners chose this name because it conveys the conviction that "all of us" working together, can address cancer health disparities in Texas. Through our existing networks, we have demonstrated that inclusive, coordinated, community-centered collaboration can result in increased use of cancer prevention practices among the underserved to ultimately reduce the burden of cancer among Hispanics communities and other medically underserved groups.

National Institute of Health (NIH)
National Cancer Institute (NCI)
Specialized Center--Cooperative Agreements (U54)
Project #
Application #
Study Section
Special Emphasis Panel (ZCA1-PCRB-G)
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of Texas MD Anderson Cancer Center
United States
Zip Code
Heppner, Whitney L; Spears, Claire Adams; Correa-Fernández, Virmarie et al. (2016) Dispositional Mindfulness Predicts Enhanced Smoking Cessation and Smoking Lapse Recovery. Ann Behav Med 50:337-47
Brown, Louis D; Chilenski, Sarah M; Ramos, Rebeca et al. (2016) Community Prevention Coalition Context and Capacity Assessment: Comparing the United States and Mexico. Health Educ Behav 43:145-55
Heredia, Natalia I; Krasny, Sarah; Strong, Larkin L et al. (2016) Community Perceptions of Biobanking Participation: A Qualitative Study among Mexican-Americans in Three Texas Cities. Public Health Genomics :
Arevalo, Mariana; Heredia, Natalia I; Krasny, Sarah et al. (2016) Mexican-American perspectives on participation in clinical trials: A qualitative study. Contemp Clin Trials Commun 4:52-57
Etcheverry, Paul E; Waters, Andrew J; Lam, Cho et al. (2016) Attentional bias to negative affect moderates negative affect's relationship with smoking abstinence. Health Psychol 35:881-90
Cano, Miguel Ángel; Vaughan, Ellen L; de Dios, Marcel A et al. (2015) Alcohol Use Severity Among Hispanic Emerging Adults in Higher Education: Understanding the Effect of Cultural Congruity. Subst Use Misuse 50:1412-20
Hoover, Diana Stewart; Vidrine, Jennifer I; Shete, Sanjay et al. (2015) Health Literacy, Smoking, and Health Indicators in African American Adults. J Health Commun 20 Suppl 2:24-33
Adams, Claire E; Cano, Miguel A; Heppner, Whitney L et al. (2015) Testing a Moderated Mediation Model of Mindfulness, Psychosocial Stress, and Alcohol Use among African American Smokers. Mindfulness (N Y) 6:315-325
Penaranda, Eribeth; Molokwu, Jennifer; Flores, Silvia et al. (2015) Women's Attitudes Toward Cervicovaginal Self-Sampling for High-Risk HPV Infection on the US-Mexico Border. J Low Genit Tract Dis 19:323-8
Brown, Louis D; Feinberg, Mark E; Shapiro, Valerie B et al. (2015) Reciprocal relations between coalition functioning and the provision of implementation support. Prev Sci 16:101-9

Showing the most recent 10 out of 39 publications