AGENDA

Cardiovascular Disease Prevention in High-risk Rural Communities
NIH Off Campus
6701 Rockledge Drive (Rockledge 2)
CONFERENCE ROOM 9112/9116
Bethesda, MD 20892
June 14-15, 2010

OBJECTIVE:
This two-day workshop is designed to guide future research to develop, implement, and evaluate family and community interventions to reduce obesity, hypertension, diabetes, and cardiovascular disease (CVD) in rural communities of the United States. The intended outcome is a set of recommendations to NHLBI and other funding partners on the conduct of community-based research to reduce the CVD burden in high-risk rural communities of the United States. Workshop participants will discuss key factors that contribute to obesity, hypertension, diabetes, and CVD from the perspective of rural populations, the challenges and opportunities to achieving and maintaining healthy lifestyles in rural communities, and the resources that rural communities provide for supporting CVD intervention research.

Workshop Co-Chairs:
Giselle Corbie-Smith, MD, MS, University of North Carolina at Chapel Hill
Shiriki Kumanyika, PhD, MPH, University of Pennsylvania School of Medicine

DAY 1, June 14, 2010
6701 ROCKLEGE DRIVE, RLK2 CONFERENCE ROOM 9112/9116


8:30 am: Dr. Diane Bild Associate Director, DCVS

    Welcome
    Introduce Workshop Co-Chairs:
    Giselle Corbie-Smith, MD, MS, University of North Carolina at Chapel Hill
    Shiriki Kumanyika, PhD, MPH, University of Pennsylvania School of Medicine

8:45 am: Dr. Giselle Corbie-Smith and Dr. Shiriki Kumanyika, Workshop Co-Chairs

    Remarks, General Overview of Workshop, Conceptual frameworks for CVD interventions

9:00 am: Tom Ricketts
    What do we mean by rural communities?

9:15 am: Opportunities for intervention research in rural communities across the United States. CDC research and programmatic initiatives in states and localities.

    Chastity L. Walker
    an Overview of CDC Prevention Research Centers Community-based CVD Prevention Projects, particularly in rural communities
    Darwin Labarthe
    State Initiatives in CVD, Nutrition, Physical Activity and Obesity

    Panelist: Walker and Labarthe - Responses to Audience Questions

9:45 am: Overview of Community-based CVD Prevention Approaches

    Karen Fox
    Delta Health Alliance
    Lyle Best
    American Indian Projects
    Guadalupe X. Ayala
    Latino partnerships

    Panelist: Fox, Best, and Ayala -Responses to Audience Questions

10:45 am - 11:00 am                                                 Break

11:00am: Dissemination and Implementation Research of Evidence-based Interventions

    William Neal
    The CARDIAC Project
    Michael Perri
    Obesity related projects
    Andrea Cherrington
    Latinos Diabetes Prevention and Promotoras Project
    Christina Economos
    The Change Project/ Shape Up Somerville
    Cathy Melvin
    Evidence-Based Approaches to Address Tobacco Use and Dependence

    Panelist: Neal, Perri, Cherrington, Economos, and Melvin -Responses to Audience Questions

12:30 pm - 1:30 pm                          Lunch
                                                          Rockledge 2 Cafeteria (9th floor)
                                                          Rockledge 1 Cafeteria (4th floor)

2:30 pm: Cutting Edge Research Projects State of the Art

    Joseph Sharkey
    Policy and environmental interventions related to healthy eating
    Steven Hooker
    Policy and environmental interventions related to physical activity
    Stephanie Laws
    Tele-health innovation for cardiovascular disease prevention
    Alice Ammerman
    Sustainable food systems for African American rural communities
    Tom Ricketts
    Policy/Advocacy for Health and Sustainability

    Panelist: Sharkey, Hooker, Laws, Ammerman, and Ricketts -Responses to Audience Questions

3:00 Infrastructure and Training

    Betsy Haughton
    Workforce infrastructure: capacity building, training and partnership
    Cathy Melvin
    Dissemination and Implementation Research Training: The Next Generation

    Panelist: Haughton and Melvin -Responses to Audience Questions

3:45 pm - 4:00 pm                                        Break

4:00 pm: Community Research Partnerships

    Ron Stollings
    School-based risk factor screenings and obesity related projects: The CARDIAC Project
    Stephanie Welch
    Healthy Kids, Healthy Communities
    Leticia Ibarra
    Promotora curricula development (Alliance for a Healthy Border)
    Jeff Levi
    Community Transformation Grants

    Panelist: Stollings, Welch, Ibarra, and Levi -Responses to Audience Questions

5:15 pm - 5:45 pm                 Recommendations and Summary

5:45 pm                                  Adjourn and collate Recommendations for Day 2

DAY 2, June 15, 2010
6701 ROCKLEGE DRIVE, RLK2 CONFERENCE ROOM 9112/9116

8:00 am: Dr. Giselle Corbie-Smith and Dr. Shiriki Kumanyika, Workshop Co-Chairs

    Summary of Day 1 discussions

8:30 am: Keynote Speakers

    Rev. Danny F Ellis
    Engaging the Community to address prevention of obesity, hypertension and diabetes
    Lawrence Green
    Practice-based evidence- using lessons from existing community interventions to develop the evidence

9:30 am: Research Design Considerations

    David Murray
    Randomized vs. non randomized studies, randomizing individuals vs. families vs. communities vs. counties; other statistical procedures

    Responses to Audience Questions

10:00 am - 10:15 am                                     Break

10:15 am - 12:15 pm
Breakout Session A: Rm 9112/9116
Recruitment, Intervention and outcomes
Facilitators: Drs. Neal and Perri (assistant: Neal Jefferies, NHLBI)

Breakout Session B: Room 10209 (10th floor)
Capacity Building Through Community Development, Training and Partnerships
Facilitators: Drs. Ammerman and Melvin (assistant: Bridget Ware, HRSA)

10:15am- 12:15 pm: Breakout Sessions

Breakout Session A
Rockledge 2
Rm 9112/9116
Facilitators: Drs. Neal and Perri
 assistant: Neal Jefferies, NHLBI

Breakout Session B
Rockledge 2
Rm 10209 (10th floor)
Facilitators: Drs. Ammerman and Melvin
assistant: Bridget Ware, HRSA

Recruitment, Intervention and outcomes

Recruitment: Discuss which groups to target-- families, children only, adults only?

Intervention design and implementation:

  • Discuss intervention areas topics and targeted risk factors to focus (e.g., hypertension, obesity, diabetes).
  • Discuss study design options, potential intervention design and methods (e.g., formative research, intervention, and follow up). What might a successful community-based intervention in a rural underserved community be?
  • Discuss intervention implementation (e.g., use of community health workers, various settings to implement intervention, for example, community health centers, schools, etc.).
  • Discuss how to advocate for policy and environmental changes. Discuss the use of ongoing community programs deemed efficacious to develop the evidence.

Outcomes and Metrics:

  • Discuss individual, environmental and community outcomes.
  • Discuss metrics to demonstrate sustainability and to evaluate success.

Capacity Building Through Community Development,
Training and Partnerships

  • Community development: Discuss methods for community development including grant writing, economic incentives, and leadership training and policy and environmental changes.
  • Training the Next Generation of CVD Researchers: Discuss methods to train young investigators and community health workers (e.g., through training workshops and financial incentives).
  • Partnerships: Discuss how to develop partnership (e.g., by including local stakeholders, community health centers administrators, federal sponsors, and advocacy groups)
  • Metrics: What metrics to demonstrate sustainability? What metrics to evaluate success?

Recommendations/Priorities reported back to larger group (RLK2 CONFERENCE ROOM 9112/9116)

12:15 pm - 1:00 pm                          Lunch
                                                          Rockledge 2 Cafeteria (9th floor)
                                                          Rockledge 1 Cafeteria (4th floor)

1:00 pm - 3:00 pm: RLK2 CONFERENCE ROOM 9112/9116    

    Dr. Giselle Corbie-Smith and Dr. Shiriki Kumanyika
    Summary of Recommendations and Priorities

3:00 pm                                  Adjourn

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