S.I.R.C. Community Advisory Board Meeting Nov. 25, 2002

1
State of the Center SIRC Annual Report
Flavio F. Marsiglia, Ph.D. Distinguished
Foundation Professor of Cultural Diversity and
Health SIRC Director
SIRC 7th Annual Research Conference March 20th ,
2009
2
Acknowledgment

• SIRC is funded by
• The National Center on Minority Health and Health
  Disparities (NCMHD) /National Institutes of
  Health (NIH) - P20MD002316
• The Centers for Medicare and Medicaid Services
  1H0CMS03207
• Arizona State University
• Community Research Partners

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Health Disparities Research Focus
4
Administrative Core
Int. Scientific Advisory Board
Community Advisory Board
Executive Council
Training Core
Community Engage. Outreach Core
Research Core -Research Studies-
SIRC Exploratory Center of Excellence in health
disparities research training Organizational
Chart
5
Community Engagement Outreach Core PI Davis

• Collaborate with community partners to promote
  and improve health among minority populations of
  the U.S.-Mexico border region
• Health information website has been designed and
  launched
• sirc-ceoc_at_asu.edu
• Community needs assessment data are slated for
  collection in year 3 via computer kiosks located
  at partner agencies
• Community Advisory Board is providing guidance
  and input on prioritization of community needs

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Research Education Training CorePI Gillmore
Assc. Director Vargas

• Increase the number of health disparities
  researchers from under-represented minority
  populations and train health disparities
  researchers in culturally competent research
• First cohort of Early Career Faculty Fellows,
  Postdoctoral and Ph.D. Student Interns are
  completing first year of training
• First semester evaluations of trainees and
  mentors completed

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Research Core

• Since its inception SIRC researchers have
• 65 published refereed articles
• 9 articles in press
• 18 articles under review
• 86 refereed papers or posters presented at
  professional conferences, including three at the
  NIH Health Disparities Summit (December 2008)

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Research Dissemination
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Families in Action/Familias en AcciónPI
González-Castro Co-PI Marsiglia Project
Director Parsai

• Create, implement, and test the efficacy of a
  culturally appropriate supplemental parent
  education intervention to increase the
  effectiveness of keepin it REAL for middle
  school youth.
• Examine the effects of Families in Action on
  family functioning.
• Study design A three group (one control)
  pretest-posttest and follow-up design will be
  employed (N1800)
• Curriculum has been adapted pilot phase is
  underway full randomized controlled trial to
  begin Fall 2009.

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Living in Two WorldsPI Brown Co-PI Kulis
Project Director Dustman

• Create, implement, and test a cultural adaptation
  of keepin it REAL for urban American Indian 7th
  graders.
• American Indian implementers deliver the program
  to AI youth in 10 middle school sites (N256).
• Assess the AI youths substance use outcomes
  prior to implementation and twice
  post-implementation.
• Initial curriculum adaptation has been completed.
  Pilot under way full randomized controlled
  trial begins Fall 2009.

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Familias Sanas/Healthy FamiliesPI Marsiglia
Co-PI Coonrod Project Director Parsai

• This intervention research study aims at
  increasing Latina mothers access to
  interconception care as a means of enhancing the
  overall well-being of the mothers and their
  children
• Uses an adapted Promotora model
• Sample of N440, randomized trial ongoing

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ADD Health PilotPI Chen Co-PI Gillmore

• Comparing Chinese and Mexican youth
• How does acculturation influence trajectories of
  risky sexual behavior, substance use and
  depressive symptoms?
• Do changes in family factorslinked to
  acculturationpredict changes in risky sexual
  behavior, substance use and depressive symptoms?
• Method Secondary data analysis of ADD Health, a
  national sample of youth from 9th grade to early
  adulthood (N2204).
• Latent growth curve analysis of depressive
  symptoms completed.

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Second Generation Pilots

• Illness Representations Among Mexican Mothers of
  Children with Asthma A Factor in Health
  Disparities? PI Sidora-Arcoleo Co-PI Zayas
• Risk and Protective Factors Associated with
  Sexual Risk Behavior in Juvenile Female Offenders
• PI Robillard Co-PIs Lopez, Gillmore
• Community-Based Participatory Research to Improve
  Health and Quality of Life of Latino Youth Every
  Little Step Counts
• PI Shaibi Co-PIs Castro, Keller

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Evaluation Partner Contracts

• The Office was established in May 2008.
• Performs evaluations in partnership with local,
  community, state and national agency partners.
• Examples of partner contracts
• AHCCCS
• American Heart Association
• City of Phoenix, Housing, Hope VI
• Ellis Center for Educational Excellence and Cross
  Joftus, for the WestEd Districts Moving Up
  initiative in the Creighton School District
• Gila River Indian Community, Health Care - Life
  Center
• St. Lukes Health Initiatives
• TERROS Behavioral Health Services, Inc.

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Taking innovation to scale keepin it REAL is
SIRCs signature substance abuse prevention
intervention. This Model Program was identified
in the journal Pediatrics (Spoth et al, 2008) as
one of the most promising interventions on
alcohol outcomes for youth. Licensed by ASU and
distributed by ETR, it is being used across the
US and Canada and in Mexico, Spain and Australia.
1,197 teachers guides 47,612 student workbooks
4,775 student Spanish workbooks
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SIRC International Initiatives

• 4 Research Studies
• 2 Training Programs
• Scholars Exchange

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Applications Under Review

• T36 Interdisciplinary Multiethnic Mentorship
  Program in Health Disparities Research (PI
  Marsiglia)
• R01 COPE/Healthy Lifestyles for Teens (PI
  Melnyk)
• R01 Asthma Disparities in Latino Children
  Acculturation, Illness Representations CAM (PI
  Arcoleo)
• R21 Adaptation as Prevention An Indicated
  Intervention with Substance-Using Youth (PI
  Holleran)
• The Harold Amos Medical Faculty Development
  Program (PI Johnson)
• Maricopa Diabetes Interconception Care Project
  (PI Coonrod)

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Short Term Priorities

• Integrate knowledge acquired from pilots studies
  into the two new interventions and prepare for
  the upcoming RCTs
• Incorporate a social determinants perspective
  into all areas of work
• Consolidate the clinical (medical) faculty
  research affiliates program
• Respond (strategically) to opportunities related
  to the Economic Stimulus package
• Identify and hire additional personnel and senior
  scientists

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Long Term Strategies

• Recruit and retain next generation of health
  disparities researchers (faculty, predoctoral,
  doctoral and postdoctoral)
• Reconcile requests for new areas of health
  disparities research with P20 priority areas
• Connect with sister Centers
• Start planning for renewal of P20 Center grant
• Diversify funding portfolio

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QUESTIONS AND ANSWERS

• Dr. Eddie Brown Living in two Worlds
• Dr. Felipe Castro Families in Action
• Dr. Angela Chen ADD Health Pilot
• Dr. Olga Davis - Community Eng. Outreach
• Dr. Patricia Dustman Implement. Dev.
• Dr. Stephen Kulis Research
• Dr. Monica Parsai Familias Sanas
• Dr. Perla Vargas Training Education
• Dr. Wendy Wolfersteig Evaluation Contracts
• Ms. Migs Woodside Strategic Planning

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THANK YOU!

• Please contact me at
• marsiglia_at_asu.edu
• Or visit us at
• http//sirc.asu.edu