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Supporting and Expanding Public Health Research: A CDC Perspective

Community-Campus Partnerships for Health (CCPH)Community-Campus Partnerships for Health (CCPH)January 10, 2006January 10, 2006

Robin M. Wagner, Ph.D., M.S.Robin M. Wagner, Ph.D., M.S.Jamila Rashid, Ph.D., M.P.H.Jamila Rashid, Ph.D., M.P.H.

Robert Spengler, Sc.DRobert Spengler, Sc.D..

Office of Public Health Research Office of Public Health Research Office of the Chief Science OfficerOffice of the Chief Science Officer

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MissionMission

To promote health through To promote health through partnerships between communities partnerships between communities and higher educational institutionsand higher educational institutions

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Overview

• Developing a national public health Developing a national public health research agendaresearch agenda – Why nowWhy now– How theHow the NEWNEW CDC Health Protection Guide, CDC Health Protection Guide,

2006-2015 is being developed2006-2015 is being developed– How it will be used to support shorter-term How it will be used to support shorter-term

Research AgendaResearch Agenda

• How you can get involvedHow you can get involved

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The Original CDC

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Emerging Public Health Threats Health Disparities

Globalization

Public Health InfrastructurePublic Health Infrastructure

Changing DemographicsChanging Demographics

Rising Health Care Costs

Aging Workforce

Information Technology

Human Genome

Why Change? Many External Forces…

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CDC Response

• New strategic plan: Futures Initiative

• New organizational structure

• New health protection goals

• New strategic imperatives

• New national public health research agenda– CDC Health Protection Research Guide, 2006-2015– CDC Research Agenda (shorter-term priorities)

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CDC Organizational Structure

COORDINATING OFFICE FOR

GLOBAL HEALTH

COORDINATING OFFICE

FOR TERRORISM PREPAREDNESS &

EMERGENCY RESPONSE

COORDINATING CENTER FOR

ENVIRONMENTALHEALTH AND

INJURY PREVENTION

COORDINATING CENTER FOR INFECTIOUS

DISEASES

COORDINATING CENTER FOR

HEALTH PROMOTION

COORDINATING CENTER

FOR HEALTH INFORMATION AND SERVICES

NATIONAL INSTITUTE

FOR OCCUPATIONAL

SAFETY AND HEALTH

CDC WASHINGTONOFFICE

OFFICE OF THE CHIEF OF PUBLIC HEALTH

PRACTICE

OFFICE OF THE CHIEF OPERATING OFFICER

OFFICE OF CHIEF OF STAFF

OFFICE OF ENTERPRISE COMMUNICATION

OFFICE OF EQUAL EMPLOYMENT OPPORTUNITY

OFFICE OF STRATEGY AND INNOVATION

OFFICE OF WORKFORCE AND CAREER

DEVELOPMENT

OFFICE OF THE CHIEF SCIENCE OFFICER

OFFICE OF THE DIRECTOR

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CDC Overarching Health Protection Goals

HealthyPeople

in Every Stage of Life

HealthyPeople in HealthyPlaces

PeoplePreparedfor EmergingHealthThreats

HealthyPeople

in a HealthyWorld

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Specific Health Protection Goals

Healthy People in Every Stage of Life–Infants & toddlers–Children–Adolescents–Adults–Older Adults

Healthy People in Healthy Places–Communities–Homes–Workplaces–Schools–Healthcare settings–Institutions–Travel & recreation

People Prepared for Emerging Health Threats–Event Goals: Investigate & control threats–Post-Event Goals: Recover from threats & improve future responses to threats–Pre-Event Goals: Prevent, detect & report public health threats

Healthy People in a Healthy World–Health promotion–Health protection–Health diplomacy

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Strategic Imperatives

• Health Impact Focus

• Customer-centricity

• Public Health Research

• Leadership

• Global Health Impact

• Accountability

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Goals Implementation for CDC

EvidenceInput

MissionFeasibility

Impact

Evidence-based action planAccountability & responsibility

assignmentsResource allocation

Performance Management

Health Impact

GoalsHealthy People, Healthy Places,Preparedness & Global Health

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Goals Will Drive Program and Research

GOALSGOALS

RESEARCHRESEARCH

PROGRAMPROGRAM

HealthImpact

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CDC Integration of Goals, Research and Program

Public health services,programs and response

Research

HEALTH IMPACT

Achieve goals

Improved services,programs and response

HEALTH PROTECTION GOALSHealthy People, Healthy Places,Preparedness & Global Health

InnovationNew priorities Threats & emergencies

Program

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Overview: CDC Health Protection Research Guide, 2006-2015

• Provides comprehensive, long-range vision of national & global public health needs– Research Guide will support shorter-term

Research Agenda

• Applies to intramural & extramural research

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Purpose of the Purpose of the Research GuideResearch Guide • Identify knowledge gaps Identify knowledge gaps

• Describe research most needed to improve existing Describe research most needed to improve existing or establish new public health programs and or establish new public health programs and interventions. interventions.

• Improve the effectiveness of public health disciplines Improve the effectiveness of public health disciplines through supporting innovative, cross-cutting through supporting innovative, cross-cutting interdisciplinary and foundational research. interdisciplinary and foundational research.

• Serve as a platform for discussions and collaboration Serve as a platform for discussions and collaboration

• Plan, promote, and market CDC researchPlan, promote, and market CDC research

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Workgroup Structure

Research Agenda Steering Subworkgroup

Core Team

Environmental & OccupationalHealth & Injury Prevention

Health Promotion

Infectious Diseases

Community Preparedness& Response

Health Information Services

Global Health

CDC ADVISORY COMMITTEE

Workgroup on Goals & Research Agenda

2015 Health Protection Goals Subworkgroup

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Research Guide Research Guide Development Development Accomplishments and Next StepsAccomplishments and Next Steps

• Developed plans & gained approvalDeveloped plans & gained approval• Formed workgroupsFormed workgroups• Gathered CDC and partner inputGathered CDC and partner input• Created “starter list” for discussionCreated “starter list” for discussion• Held public participation meetingsHeld public participation meetings• Held initial federal partners meetingHeld initial federal partners meeting• Conducted synthesis & prioritizationConducted synthesis & prioritization• Produced public comment draftProduced public comment draft• Hold second federal partners meetingHold second federal partners meeting• Finalize Finalize Research GuideResearch Guide

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Priority-Setting Criteria

• Public health need/importance of problem

• Relevance to reducing health disparities

• Potential for broad impact (>1 disease or subject area)

• Relevance to CDC mission/health protection goals

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Research GuideResearch Guide topics include… topics include…

•Infectious diseasesInfectious diseases

•Disasters and terrorismDisasters and terrorism •Global health burdensGlobal health burdens

•Workplace safety and healthWorkplace safety and health

•Public health informaticsPublic health informatics

•Public health law and Public health law and ethicsethics

•Chronic diseasesChronic diseases•Environmental exposuresEnvironmental exposures

•GenomicsGenomics

•Injuries and violenceInjuries and violence

•Public health workforce Public health workforce developmentdevelopment

•Health disparitiesHealth disparities

And more…..

Community-Based Participatory ResearchCommunity-Based Participatory Research

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Outline of Public Comment DraftOutline of Public Comment Draft

I.I. OverviewOverview

II.II. Relationship of Research Themes to CDC Health Relationship of Research Themes to CDC Health Protection GoalsProtection Goals

Proposed Proposed GuideGuide

III.III. Prevent and Control Infectious DiseasesPrevent and Control Infectious Diseases

IV.IV. Promote Preparedness to Protect HealthPromote Preparedness to Protect Health

V.V. Promote Health To Reduce The Burden Of Chronic Promote Health To Reduce The Burden Of Chronic Diseases and DisabilityDiseases and Disability

VI.VI. Create Safe Places To Live, Work, Learn, and PlayCreate Safe Places To Live, Work, Learn, and Play

VII.VII. Work Together to Build a Healthy WorldWork Together to Build a Healthy World

VIII.VIII. Manage and Market Health InformationManage and Market Health Information

IX.IX. Cross Cutting ResearchCross Cutting Research

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LinkingLinking Research Guide Research Guide to Goals Action to Goals Action TeamsTeams

• Each Team’s Goals Action Plan will include a Each Team’s Goals Action Plan will include a research component.research component.

• The The Research GuideResearch Guide will have identified research to will have identified research to fill knowledge gaps determined as priorities by fill knowledge gaps determined as priorities by Teams.Teams.

• Teams will use Teams will use Research GuideResearch Guide to form basis of to form basis of short-term Research Agenda (2-3 year timeline).short-term Research Agenda (2-3 year timeline).

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Research Themes Related to the Goals Research Themes Related to the Goals Action TeamsAction Teams

• Optimal Adolescent Development [ADOLESCENT HEALTH]Develop and evaluate strategies to improve health and fitness levels of U.S. adolescents, and establish health behaviors that promote lifelong health and reduce the leading causes of morbidity, mortality, and disability among youth and adults.

• Influenza Pandemic and Interpandemic (Annual) [INFLUENZA] Determine the pathogenesis, transmission, and immune response of highly pathogenic avian

and other influenza viruses with pandemic potential to develop improved preventive and therapeutic measures.

• Occupational Diseases [HEALTHY WORKPLACES]Improve understanding of the role and burden of workplace exposures to diseases, and determine sector-specific risk factors, mechanisms, and effective prevention strategies.

• Health Marketing and Health Education in Global Settings [GLOBAL HEALTH PROMOTION]Improve strategies for health education and dissemination of health marketing messages and products with the objective of encouraging behaviors that will prevent disease and injury in the developing world.

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Community-Based Participatory Research

IX. Cross Cutting ResearchIX. Cross Cutting Research

Community-Based Participatory Research (CBPR)

Design, conduct, and interpret CBPR research to Design, conduct, and interpret CBPR research to increase the relevance, acceptability, and increase the relevance, acceptability, and usefulness of evidence-based scientific findings usefulness of evidence-based scientific findings in improving the health of communities.in improving the health of communities.

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Community-Based Participatory Research II

• Infectious Diseases– Behavioral and Prevention Research to Promote Health

– Develop, evaluate, and implement existing and emerging infectious disease-specific behavioral and social science interventions, public health education programs, and health communication research.

• Chronic Diseases– Reduce the Burden of Chronic Diseases

– Develop and evaluate strategies that enable families, employers, and communities to control and prevent the burden of chronic diseases and to reduce the preventable physical and emotional adverse health effects associated with these diseases and conditions.

• Genomics– Models for Incorporating Education and Community

Engagement into Population-Based Genomics Research– Develop and evaluate methods for engaging communities in assessing the

risks, benefits, and tradeoffs associated with research participation.

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Public Comment Period Nov 18, 2005 ~ Jan 15, 2006

• Review and comment athttp://www.rsvpBOOK.com/custom_pages/50942/index.php

• Email Comments to: ResearchGuide@cdc.gov

• Send comments via “snail mail” to: Dr. Jamila Rashid, CDC, 1600 Clifton Rd., NE, Mailstop D72, Atlanta, GA 30333, USA

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For More Information

• CDC Goals

http://www.cdc.gov/about/goals

• CDC Health Protection Research Guide

www.cdc.gov/od/ophr/cdcra.htm

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We Need Your Input on the Research Guide . . .

To help us fulfill CDC’s vision of healthy people in a healthy world – through prevention!

Thank you!!

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Contact InformationContact Information

Robin M. Wagner, Ph.D., M.S.Associate Director for Research Planning and Evaluation

Phone: 404-639-4898Email: RWagner@cdc.gov

Jamila Rashid, PhD, MPHResearch Agenda and Promotion Team Leader

Phone: 404-639-4658Email: JRashid@cdc.gov

Office of the Chief Science OfficerOffice of Public Health Research

1600 Clifton Rd, MS D72Atlanta, GA 30333

ResearchGuide@cdc.gov http://www.cdc.gov/od/ophr/cdcra.htm

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QuestionsQuestions

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Mark Your Calendars!Mark Your Calendars!

CCPH 9CCPH 9thth Conference - May 31-June 3, 2006, Conference - May 31-June 3, 2006, Minneapolis, MN – Registration openMinneapolis, MN – Registration openPre-conference institutes include “Developing & SustainingPre-conference institutes include “Developing & SustainingCBPR Partnerships, ” “Practical Guidance for Authors WritingCBPR Partnerships, ” “Practical Guidance for Authors Writingabout CBPR” and “Making Your Best Case for Promotion & Tenure”about CBPR” and “Making Your Best Case for Promotion & Tenure”

99thth Service-Learning Institute Service-Learning Institute – July 21-24, 2006 in – July 21-24, 2006 in WA State – Applications due April 7WA State – Applications due April 7

55thth Annual CCPH Award Annual CCPH Award – Nominations Due Jan 20– Nominations Due Jan 20

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Stay ConnectedStay Connected

Become a member of CCPHBecome a member of CCPH

Join the free CBPR ListservJoin the free CBPR Listserv

Co-sponsored by CCPH and Wellesley Central Co-sponsored by CCPH and Wellesley Central Health CorporationHealth Corporation

Details at Details at www.ccph.infowww.ccph.info