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HIV Risk Reduction | Cancer Network | Colorectal Cancer Screening
Southern HIV/AIDS Initiative | Community Technology | Reach 2010
Stroke Prevention/Intervention | Community Environment Empowerment
Violence Prevention Coalition | Healthy Marriage Initiative
Smoking Prevention and Cessation Counseling


HIV/AIDS Risk Reduction Among Heterosexually Active African American Men and Women: A Risk Reduction Prevention Intervention

Funder: Centers for Disease Control and Prevention
Principal Investigator: Elleen M. Yancey, PhD

The primary focus of this project is: a) to identify the key behavior and belief variables that are significant determinants of high risk HIV behavior among African American men and women residing in the coalition communities of the Morehouse School of Medicine Prevention Research Center, and b) to develop and implement a HIV risk reduction intervention that is culture and gender sensitive to African American men and women within these communities.

Cancer Prevention and Control Research Network

Funder: Centers for Disease Control and Prevention
Principal Investigator: Daniel Blumenthal, MD, MPH
Co-Principal Investigator: Lee Caplan, MD, MPH, PhD

The goals of this project are threefold: a) to create a subregional infrastructure of academic institutions, public agencies, and communities to conduct community-based participatory research and ethnic disparities in cancer between African Americans,   other minority populations, and the U.S. white population; b) develop and implement a community-based research agenda aimed at addressing gaps in the Guide to Community Preventive Service relevant to reducing and eliminating cancer disparities; and c) collaborate with other members of the CPCRN to improve cancer prevention in AfricanAmerican and other minority communities. For additional information contact the website at: http://www.cpcrn.org/

Colorectal Cancer Screening Intervention Trial (CCSIT)

Funder: Centers for Disease Control and Prevention
Principal Investigator: Daniel Blumenthal, MD, MPH
Co-Principal Investigator: Selina Smith, PhD

The objective of this study is to increase colorectal cancer screening rates among African Americans by evaluating the effects of education on the knowledge, attitude, and beliefs of this ethnic group as it relates to screening patterns. Participants are African American males and females, age 50 and older, who have not previously been screened for colorectal cancer. We are introducing this study in both clinical and community settings for qualifying persons who reside in Cobb, Clayton, DeKalb, Fulton, and Gwinnett counties. All persons recruited will be randomly assigned by site into one of four groups.   The educational approaches will vary with each group. An assessment of the effectiveness of these interventions will be done through previously validated survey instruments. It is anticipated that one of the methods will have national implications in promoting increased screening habits among this ethnic group.

Southern HIV/AIDS Prevention Initiative

Funder: Pfizer Foundation, Inc.
Principal Investigator: Elleen M. Yancey, PhD

The overall objective of this evaluation plan is to determine the extent to which Southern HIV/AIDS Prevention Initiative grantees of Pfizer have attained their project goals and objectives based on the Pfizer's logic model target outcomes. The evaluation plan: a) assists the grantees in clarifying and/or establishing measurable performance indicators, b) assists the Pfizer grantees in defining or enhancing their intervention implementation, and c) assists the Pfizer Foundation in assessing the cross-site effectiveness of the initiative.

Community Technology Centers: A Focus on Teens and Their Parents in Health Care Sites

Funder: U.S. Department of Education
Principal Investigator: Marion Howard, PhD

The Morehouse School of Medicine Prevention Research Center, in cooperation with the Emory University School of Medicine and the Grady Health System, has established a Community Technology Center dispersed in three sites: a) a community center in the area targeted by the Prevention Research Center, b) Hughes Spalding Children's Hospital (the Young Men's Clinic), and c) Grady Memorial Hospital (the Teen Services Clinic). The two hospitals serve the indigent population in the two most populated counties in Georgia,DeKalb and Fulton Counties. Their catchment area encompasses the PRC's target communities.

The broad goal of the Community Technology Center (CTC) project is to lessen the "digital divide" by making educational technology available to indigent populations. A narrower goal is to demonstrate to both the indigent consumers and health care systems that hospital-based Community Technology Centers can enable populations to better educate themselves about their own health and the health of their children.

Objectives of the project are: a) to demonstrate that low-income youth attending teen clinic sties, and any accompanying parents, will be willing to learn more about using computers and accessing information; b) to demonstrate that once given computer knowledge and skills, youth and their accompanying parents will actually use the computers and Internet service provided at the teen clinic sites; c) to demonstrate that use of computers and Internet access provided at the teen clinic sites will prove effective in increasing the knowledge of low-income youth and their parents about health, as well as meeting educational needs in other areas; d) to demonstrate that parents who have had positive experiences with personally gathering information through health site computers,   watching their children gather information, or use the computers in other ways, will be motivated to obtain a computer for home use or will help their child regularly access computers; e) to demonstrate that implementation of the CTC sites, over a three-year period, actually benefits the Health System and their indigent populations in such a way as to warrant Center maintenance and/or expansion to other sites throughout both hospitals; f) to demonstrate that community members who have been assisted in learning how to gather information on the Internet and write proposals will actually produce one or more proposals to benefit the health of the community.

REACH 2010 II (Reach for Wellness)

Funder: Centers for Disease Control and Prevention
Principal Investigator: Steven R. Katkowski, MD

REACH For Wellness is a cardiovascular disease prevention coalition sponsored by the Fulton County Department of Health and Wellness in collaboration with the PRC.

Mission. To serve as a catalyst for cardiovascular wellness while establishing health equity and general well-being through collaborative planning, advocacy, empowerment, community action, and systems change.
Coalition members include representatives from religious institutions, community groups, health-related organizations, colleges, and universities. Program goals include stimulating knowledge of the risk factors and warning signs for heart disease and stroke.

• Knowledge of healthy food choices and healthy meal preparation
• Physical activity
• Smoke-free lifestyles and environments
• Personal empowerment and enrichment
• Public policy, environmental improvements, and social marketing

The coalition teaches the public using lessons developed for the community to help promote healthy lifestyles. Services are provided in public housing communities, neighborhood meeting places, health centers, religious institutions, barbershops, beauty shops, and grocery stores.

Cardiovascular Wellness Centers are being established in places of worship, barbershops and beauty shops. Barbers, beauticians, and church volunteers will be trained to accurately measure and monitor blood pressures with equipment supplied by the program. Health educational materials will be available for participants, at no cost. Exercise equipment will be placed in selected centers to encourage fitness. Cooking demonstrations and nutritional presentations will also be offered. Support groups for men and women will be held at various locations.

Subcontracts to assist the Fulton County Department of Health and Wellness have been awarded to the Association of Black Cardiologists, Inc., Association of Black Psychologists, Lakewood Redevelopment Corporation, Sisters Action Team, Divine Universal Sisterhood, Morehouse School of Medicine,   Emory University, and Rollins School of Public Health.

SPIRP Community Core: The Stroke Prevention/intervention
Research Program

Funder: National Institutes of Health (NINDS, NHLBI, NCRR)
Principal Investigator: David Satcher, MD, PhD
Core Director: Elleen M. Yancey, PhD

The long-term goals of this research program are to identify reasons for racial and geographic disparities related to stroke and cerebrovascular disease in the United States and to establish prevention/intervention programs that will eliminate health disparities. SPIRP seeks to augment and enhance the stroke research capabilities of faculty at the Morehouse School of Medicine and encourage innovative and effective research strategies to reduce the burden of stroke in populations historically at risk for this disease. This program is developing multi-disciplinary partnerships with regional, private, and governmental institutions in the areas of stroke research, minority stroke research training and career development, and effective stroke prevention/intervention outreach to urban and rural AfricanAmerican communities.

Morehouse Community Environmental Empowerment
Initiative (MCEEI)

Funder: Morehouse School of Medicine Prevention Research Center
Coordinator: Richard Bright, MEd, MDiv

The MCEEI is a project to assist in the health advocacy empowerment of communities negatively affected by environmental health factors. Goals: a) To assist communities to become empowered to recognize conditions that cause environmental health problems, and b) to educate and train community leaders to develop methods to avert or eliminate these conditions. Objectives: a) To determine the nature and source of pollution, e.g. spills, air emission, improperly designed structures; b) to provide community environmental health education; c) to teach community leaders community development principles; and d) to assist organization of communities into proactive groups and coalitions to address negative environmental health conditions. The project consists of three programs: The South Atlanta Redevelopment Corporation (SARC) Rodent Control Project, The Atlanta Transportation Environmental Coalition Project (ATEC), and Civic Environmental Health Education Project (CEHE).

Violence Prevention Coalition

Funder: Office of Juvenile Justice and Delinquency Prevention
Principal Investigator: James Griffin, PhD

Morehouse School of Medicine participates as a member institution of the Hamilton Fish National Institute on School Violence as a subcontractor to George Washington University (GWU). The Turner Safe School Project is an academically focused violence prevention initiative conducted in partnership between faculty and staff at Henry McNeal Turner Middle School in Atlanta, Georgia. This project supports student academic performance in the areas of reading, writing, arithmetic, and attendance. Project goals include a) linkage of academic performance to cognitive behavioral skills through classroom instruction in curriculum- based violence prevention; b) support of deployment of a school-wide professional development system that improves instructional methods, reinforces effective faculty teaching methods, bolsters classroom management, practices and improves student pro-social skills for the prevention of violence and precursors to violence and; c) deployment of a wide array of faculty, staff, and partner initiated activities that improve safety and encourage the adoption of a safe school environment and a nonviolent set of organizational norms.
WEBSITE: http://web.msm.edu/vpc/index.htm

African American Healthy Marriage Initiative: Understanding the Past, Surveying the Present and Framing the Future - Examining African American Marriages and Families

Funder: Administration for Children and Families
Principal Investigator: Elleen M. Yancey, PhD

The African American Healthy Marriage Initiative is a component of the Administration for Children and FamiliesHealthy Marriage Initiative. The Initiative specifically promotes a culturally competent strategy for fostering healthy marriage and responsible fatherhood, improving child well-being, and strengthening families within the African American community. The project's goal is to produce the African American Healthy Marriage Initiative background paper, which will highlight promising approaches and models for promoting healthy marriages in African American communities as identified in the literature from a full spectrum of social and health science disciplines.

Development and Evaluation of Educational Materials for Medical Students on Smoking Prevention and Cessation Counseling

Funder: Robert Wood Johnson Foundation
Principal Investigator: Daniel S. Blumenthal, MD, MPH
Co-investigators: Linda Pederson, PhD, Centers for Disease Control &
Prevention G.E.A. , Alan Dever, PhD, Mercer University School of Medicine

This project pursues the following objectives: (1) To develop a tutorial on counseling patients on smoking   cessation and prevention in a self-directed computer-based format. (2) To survey Morehouse and Mercer students to determine their knowledge, attitudes, and skills regarding the health effects of smoking and environmental tobacco smoke, smoking cessation counseling, and management of patients who smoke (3) To test the intervention with medical students at Morehouse and Mercer University Schools of Medicine to determine the effectiveness of the tutorial in improving knowledge and skills related to knowledge, attitudes, and skills.
The tutorial has been completed and is available for public use at http://nosmoking.msm.edu/. Results of the project will be published in an upcoming tobacco-themed issue of Drug and Alcohol Revue.

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