May 2012

Inside this Issue...

> COLLABORATION

   Research to Reality

   A Few Timely Topics to
   Get You Started

> RESEARCH SYNTHESIS

   Guide to Community
   Preventive Services

   U.S. Preventive Services
   Task Force

> PROGRAMS

   Strong Women-Healthy
   Hearts

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COLLABORATION:

Research to Reality

This month, we hope that each of you will consider participating and sharing your expertise, insights, or new information around moving evidence-based programs into practice with the R2R community. Do you have a burning question, a timely topic, or a success story you would like to share on R2R, but aren’t quite sure how to frame your discussion or post to the forum? Have no fear—your R2R Program Team is here! We realize that putting your thoughts out in cyberspace may be a bit daunting, but we are here with tips, resources, and guidance to help you get started. Please reach out to us at ResearchtoReality@mail.nih.gov, and we’ll take that leap to the next level of collaboration together!

A Few Timely Topics to Get You Started

Check out the current conversations on the timely issue of obesity in light of the recent HBO documentary and CDC conference of the same title, Weight of the Nation. Join us in a discussion on "big data" and how we can harness that data to better improve our communities’ health and our programs. Want to know more about factors of and frameworks for sustainability? Visit the discussion and corresponding cyber-seminar on program sustainability. If you are interested in what others like you are doing with EBIs, engage with the R2R mentees through their monthly stories. Are you in a local or state cancer coalition? Each month engage with Karin Hohman and Leslie Given, well-regarded comprehensive cancer control coalition consultants. Their discussions focus on topics of interest to coalitions and others engaged in cancer control efforts. This month, they offer tips and ideas for building and maintaining a coalition, and they want to learn from your experiences!

RESEARCH SYNTHESIS:

Guide to Community Preventive Services

Updated Cancer-related Systematic Reviews added to The Community Guide
The Community Guide added evidence review results specific to the following Community Preventive Services Task Force (Task Force) findings. These Task Force findings are based on updates of systematic reviews conducted by Community Guide scientists and partners.

Skin cancer prevention:
Multicomponent Community-wide Interventions [Recommended]
This finding was changed from Insufficient Evidence to Recommended.

Breast, cervical, and colorectal cancer screening:
Provider-oriented Cancer Screening Interventions: Provider Incentives
[Insufficient Evidence for breast, cervical and colorectal cancer]
This finding is unchanged from the original review.

Client-oriented Cancer Screening Interventions: Client Incentives [Insufficient Evidence for breast, cervical and colorectal cancer]
This finding is unchanged from the original review.

Client-oriented Cancer Screening Interventions: One-on-one Education [Recommended for breast, cervical and colorectal cancer using FOBT]

The Task Force recommendation was unchanged (recommended based on strong evidence) for one-on-one client education to increase breast and cervical cancer screening. The Task Force finding for colorectal cancer screening using fecal occult blood testing (FOBT) was changed from Insufficient Evidence to Recommended based on sufficient evidence. However; there was insufficient evidence to determine the effectiveness of colorectal cancer screening with tests other than FOBT.

U.S. Preventive Services Task Force

Final Recommendation Statement on Behavioral Counseling to Prevent Skin Cancer: In an update to its 2003 recommendation, the USPSTF now recommends counseling children, adolescents, and young adults ages 10 to 24 years who have fair skin about minimizing their exposure to ultraviolet radiation to reduce risk for and prevent incidence of skin cancer. (B recommendation)

The USPSTF also concluded that the current evidence is insufficient to assess the balance of benefits and harms of counseling adults older than age 24 years about minimizing risks to prevent skin cancer. (I Statement)

The final recommendation statement appears in the May 8 issue of Annals of Internal Medicine and is available on the USPSTF website at www.uspreventiveservicestaskforce.org/uspstf/uspsskco.htm. This webpage also includes a summary of the evidence the Task Force reviewed and a fact sheet that explains the final recommendation statement in plain language.

Final Recommendation Statement on Screening for Prostate Cancer: On May 21, the USPSTF released their final recommendation statement on screening for prostate cancer. After a systematic review of available evidence, posting a draft recommendation statement for public comment, and reviewing those comments, the Task Force concluded that PSA screening harms more men than it benefits and has only a small potential to reduce deaths from prostate cancer. (D recommendation)

This recommendation is for adult men of all ages. It does not apply to men who have been diagnosed with or are being treated for prostate cancer. Although the Task Force recommends against screening, they realize that some men may continue requesting the PSA test and that some physicians may continue offering it.

"Before getting a PSA, all men deserve to know what the science tells us about PSA screening: There is a very small potential benefit and significant potential harms," said Task Force Co-Chair Michael LeFevre, M.D., M.S.P.H. "We encourage clinicians to consider this evidence and not screen their patients with a PSA test unless the individual being screened understands what is known about PSA screening and makes a personal decision that even a small possibility of benefit outweighs the known risk of harms."

The Task Force’s recommendation has been published online at the Annals of Internal Medicine, as well as on the Task Force website at: http://www.uspreventiveservicestaskforce.org/prostatecancerscreening.htm.

PROGRAMS:

Research Tested Intervention Programs (RTIPs)

Strong Women-Healthy Hearts
The program is designed to promote healthy dietary habits and increase physical activity to reduce obesity. The intervention includes: 1) One-hour class that takes place two days per week for 12 weeks and includes physical activity and a didactic and hands-on training to modify dietary intake patterns and improve weight control. 2) One-day training workshop for program leaders. The programmatic materials are available at the Strong Women-Healthy Hearts website: http://www.strongwomen.com/strongwomen-programs/strongwomen-healthy-hearts/. A research study was conducted to test the efficacy of the intervention and at posttest, the intervention group showed a significant increase in physical activity and significant decreases in body weight, Body Mass Index (BMI), and dietary energy intakes compared to the control group.