June 14, 2005

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June 14, 2005
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Windows of Opportunity
Lethal Phenotype
Cancer Burden
Evolution/ Progression
Death Due to Cancer
Malignant Transformation
Susceptibility
Pre-initiation
Natural Death
Life Span
Birth
Von Eschenbach, A. C., 2005. The national cancer
program, in V. T. DeVita, S. Hellman, S.
Rosenberg (Eds.) Cancer Principles and practice
of oncology, 7th Ed. Lippincott Williams
Wilkins, Philadelphia, pp. 2788-2793.
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Windows of Opportunity
Death Due to Cancer
2005
2015
Natural Death
Life Span
Birth
Von Eschenbach, A. C., 2005. The national cancer
program, in V. T. DeVita, S. Hellman, S.
Rosenberg (Eds.) Cancer Principles and practice
of oncology, 7th Ed. Lippincott Williams
Wilkins, Philadelphia, pp. 2788-2793.
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Windows of Opportunity

• Preventing Metastasis
• Maintenance (Chronic)
• Chemoprevention

• Early Detection
• Informational Control
• Informed Rx Decision
• Access to Treatment

• Diet/Exercise
• Risk Reduction
• Risk Identification

Control its Behavior
Detect and Eradicate its Presence
Avert or Delay its Onset
2005
2015
Natural Death
Life Span
Birth
Von Eschenbach, A. C., 2005. The national cancer
program, in V. T. DeVita, S. Hellman, S.
Rosenberg (Eds.) Cancer Principles and practice
of oncology, 7th Ed. Lippincott Williams
Wilkins, Philadelphia, pp. 2788-2793.
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Extraordinary Opportunity in Cancer Communication

• 1993 Age-adjusted mortality estimates decline,
  due largely to behavior changes (Hiatt Rimer,
  1999)
• 1998 Cancer is third most popular health search
  on the Web (Rice, 2001).
• 2000 Human Genome completed, emphasis shifts to
  tailored interventions (Von Eschenbach, 2005)
• 2003 Internet penetration reaches 63 (HINTS
  Hesse et al, 2005) broadband penetration
  increasing, secondary impact high (Pew Trends
  2005)
• 2004 Call for electronic health record in the
  State of the Union (www.whitehouse.gov)

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Accelerating Communication Science
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Accelerating Communication Science
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Center for Cultural Cancer Communication
African American Population
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Center for Cultural Cancer Communication
Late-stage breast cancer cases, women 50,
Missouri
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Center for Cultural Cancer Communication
Narratives Cancer Survivor Stories
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Center for Cultural Cancer Communication
Narratives Cancer Survivor Stories
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Center for Cultural Cancer Communication
Matt Krueter
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Center for Cultural Cancer Communication
Doug Luke, Glen Cameron
Oziama! Good News!
Culturally Sensitive Formats Study
Vetta Sanders Thompson
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Windows of Opportunity
Control its Behavior
Detect and Eradicate its Presence
Avert or Delay its Onset
2005
2015
Natural Death
Life Span
Birth
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Center for Health Comm. Research (CHCR)
What are active ingredients in tailoring?
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Center for Health Comm. Research (CHCR)
in smoking cessation?
Vic Strecher
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Center for Health Comm. Research (CHCR)
.. in ethnic motivational tailoring?
Ken Resnicow
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Center for Health Comm. Research (CHCR)
in patient decision making?
Angie Fagerlin, Peter Ubel
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Windows of Opportunity
Control its Behavior
Detect and Eradicate its Presence
Avert or Delay its Onset
2005
2015
Natural Death
Life Span
Birth
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Effects of Public Information in Cancer (EPIC
Center)
Seeking and Scanning Behavior
Passive exposure
Purposive Seeking
Scanning
continuum
Robert Hornik
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Effects of Public Information in Cancer (EPIC
Center)
Message Sensation Value Argument Quality

• MSV recorded for format, content, audio-visual
  features
• Argument Quality measured in mall intercept
  studies

Caryn Lerman
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Effects of Public Information in Cancer (EPIC
Center)
Framing Genetic Risk

• Describing frames used by news media to discuss
  genetics human behavior ( disease)
• Framing genetic information to empower (enhance
  efficacy) minimize fatalism in smokers

Joseph Cappella
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Windows of Opportunity
Control its Behavior
Detect and Eradicate its Presence
Avert or Delay its Onset
2005
2015
Natural Death
Life Span
Birth
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Technology Enhancing Cancer Communication
Comprehensive Health Enhancement Support System
(CHESS)
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Technology Enhancing Cancer Communication

• Components Project.
• RCT of breast cancer patients to investigate
• User driven cancer information
• Computer facilitated human interaction
• Human computer interactive skill building

David Gustafson
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Technology Enhancing Cancer Communication

• Mentor Integration.
• RCT, 4 arms
• Cost effectiveness of integrating cancer mentor
  into CIS
• Clinician Integration.
• Integrating partner into palliative care
• Integrating clinicians into patient/partner
  self-care

Robert Hawkins Suzie Pingree
Jim Cleary
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Windows of Opportunity
Control its Behavior
Detect and Eradicate its Presence
Avert or Delay its Onset
2005
2015
Natural Death
Life Span
Birth
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Objectives Under Evaluation

• Interdisciplinary scientists studying cancer
  communication informatics
• Basic science for cancer communication
• Novel interdisciplinary research
• Evidence base for practitioners
• Training for interdisciplinary scientists in
  cancer communication
• Peer reviewed publications

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Contacts

• NCI
• Bradford Hesse, hesseb_at_mail.nih.gov
• Linda Harris, harrisl_at_mail.nih.gov
• Sabra Woolley, woolley_at_mail.nih.gov
• CECCR Project Web Sites
• Foresee, St. Louis http//hcrl.slu.edu/
• CHCR, Ann Arbor http//healthmedia.umich.edu/
• EPIC, UPenn http//www.asc.upenn.edu/ceccr/
• TECC, Madison http//chess2.chsra.wisc.edu/tecc
  

NCI Bradford Hesse, hesseb_at_mail.nih.gov Linda
Harris, harrisl_at_mail.nih.gov Sabra Woolley,
woolley_at_mail.nih.gov CECCR Project Web
Sites Foresee, St. Louis http//hcrl.slu.edu/
CHCR, Ann Arbor http//healthmedia.umich.edu/
EPIC, UPenn http//www.asc.upenn.edu/ceccr/ TE
CC, Madison http//chess2.chsra.wisc.edu/tecc