Emory University Special Interest Projects (SIPs)
The CDC funds Special Interest Projects (SIPs) to focus on a topic of interest or a gap in scientific evidence. SIP grants are competitively awarded only to investigators affiliated with one of the 26 Prevention Research Centers in the national network. During this funding cycle, Emory has been awarded six SIP grants – two in 2020 and four in 2019.
Awarded in 2020
SIP 20-004 Effect of Survivorship Care Plans on Cancer Mortality
- Co-Principal Investigator: Ann Mertens, PhD
Professor in the Department of Pediatrics at Emory University
Director of the Clinical Research Office at the Aflac Cancer and Blood Disorders Center
Children’s Healthcare of Atlanta - Co-investigator: Sharon M Castellino, MD, MSC
Associate Professor, Department of Pediatrics
Director of the Leukemia/ Lymphoma program at the Aflac Cancer and Blood Disorders Center - Co-investigator: Xu Ji, PhD
Assistant Professor of Pediatrics at Emory University School of Medicine - Co-investigator: Joseph Lipscomb, PhD
Professor of Health Policy and Management
Rollins School of Public Health, Emory University - Co-investigator: Kevin Ward, PhD
Associate Professor of Epidemiology
Rollins School of Public Health, Emory University
Director of the Georgia Center for Cancer Statistics (GCCS) - Support staff: Rebecca Lewis, MPH
Research Epidemiologist
Children’s Healthcare of Atlanta
Overall survival for childhood cancer is over 85%, however childhood cancer survivors are at an increased risk of premature mortality. The Institute of Medicine (IOM) recommends all cancer survivors (of both childhood and adult cancers) receive a personalized survivorship care plan (SCP) that includes a summary of treatment received and surveillance recommendations to mitigate late effects. Since the initial IOM guidance, there have been concerns that heterogeneous construction and dissemination of SCPs may limit their ability to improve the quality of cancer survivorship care. In childhood cancer survivors, the development of a SCP is guided by the evidence-based Children’s Oncology Group (COG) Long-Term Follow-up (LTFU) Guidelines. These guidelines recommend specific surveillance for late effects based on therapeutic exposures. However, very few studies have examined the impact of SCPs on adherence to COG-recommended surveillance and the associated impact on reducing premature mortality using a population-based approach.
We will study a cohort of over 4,000 childhood and adolescent cancer survivors diagnosed before the age of 20 and treated between 2002-2016 at Children’s Healthcare of Atlanta (CHOA). More than 91% of all cases of childhood cancer in the state of Georgia are treated at CHOA, thus we will be able to generate statewide estimates of the impact of SCPs for survivors with all types of childhood cancers and a diverse racial/ethnic background. We also have documentation that approximately 70% of this cohort of survivors has received of a SCP.
Our study aims are to:Aim 1. Investigate the association between receiving a SCP and mortality.
Aim 2. Compare cause-specific mortality between those who did or did not receive a SCP.
Aim 3. Investigate the association of receiving a SCP with
- adherence to screening for key late effects,
- presence of specific late effects, and,
- health care utilization.
Within CHOA, we have systematically been providing all survivors seen in the Cancer Survivor Program their SCP utilizing the COG LTFU Guideline recommendations since 2005. Each SCP provided to a survivor contains a summary of their cancer diagnosis and treatment, their late effect risk profile, and their recommend surveillance. Importantly, our reporting to and linking with the Georgia Cancer Registry will allow us to easily trace mortality and determine cause of death in this cohort of survivors. A subset (47%) of this CHOA cohort, representing a population that is the most vulnerable and underserved in the U.S, will also be linked to longitudinal Medicaid data to evaluate screening adherence for key drivers of premature mortality.
SIP 20-007 Quantifying the burden of epilepsy using novel data sources
- Co-Principal Investigator: David H. Howard, PhD
Professor in Department of Health Policy and Management, Rollins School of Public Health
Estimates of the burden of disease are useful for evaluating the potential benefits of biomedical research, interventions, and treatments. Nearly 3 million adults in the US currently live with active epilepsy. We will use large claim and survey datasets to estimate the impact of epilepsy on labor force participation, quality of life, health care use, and outcomes among nursing home patients.
Awarded in 2019
SIP19-002 Managing Epilepsy Well (MEW Coordinating Center)
- Co-Principal Investigator: Cam Escoffery, PhD, MPH, CHES
Professor in the Department of Behavioral, Social, and Health Education Sciences (BSHES)
The Managing Epilepsy Well (MEW) Network is a multi-site initiative dedicated to improving the health and well-being of people with epilepsy. With the combination of research, evaluation, and program dissemination, the MEW Network develops sustainable epilepsy self-management programs to help better the lives of people living with epilepsy. Funded by the CDC Epilepsy Program, the MEW Network currently houses over 7 self-management programs. For more information, visit: The MEW Network.
SIP19-005 Cancer Prevention and Control Research Network (CPCRN)
- Co-Principal Investigator: Cam Escoffery, PhD, MPH, CHES
Professor in the Department of Behavioral, Social, and Health Education Sciences (BSHES)
The goal of this project is to translate evidence-based interventions for cancer and to evaluate a multi-level intervention for HPV vaccination uptake among clinics in Southwest Georgia. Cultivate and strengthen partnerships with communities, public health agencies, community-based organizations, and cancer control research and practice networks to promote community-based participatory approaches to preventing cancer and reducing health disparities. Conduct national and local trainings to build capacity on adoption and implementation of evidence-based approaches in collaboration with our Southwest GA partners and regional cancer coalitions. Assess factors related to HPV vaccination using the P3 (Practice, Provider, and Patient-Level) model to inform intervention development through a qualitative study in Southwest Georgia. Evaluate a multi-level intervention employing implementation strategies of mini-grants and technical assistance on HPV vaccine series initiation and completion among clinical and community organizations in SW Georgia. Assess implementation outcomes and factors related to implementation success.
SIP19-006 Evaluating Community Clinical Linkage Interventions in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP)
- Co-Principal Investigator: Sarah C. Blake, PhD, MA
Professor in the Department of Health Policy and Management - Co-investigator: Kathleen Adams, PhD
Professor in the Department of Health Policy and Management
The goal of this project is to evaluate community-clinical linkage (CCL) interventions in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). The evaluation will include a robust mixed methods design to evaluate the implementation, cost, cost-effectiveness and scalability of CCL interventions funded by NBCCEDP to increase cancer screening completion among medically underserved women. Guided by the AHRQ Clinical-Community Evaluation Roadmap, we will collect qualitative, quantitative, process, costs and outcome data to determine the effectiveness of clinical-community relationships for improving cancer screening completion among hard-to-reach and unscreened women. Findings from these efforts and a cost-effectiveness analysis will also be used to identify and describe the strategies for scaling up each intervention studied.
The primary aims of this evaluation are 1) to assess facilitators and barriers to implementation of selected CCL interventions; 2) to determine the cost and cost-effectiveness of select CCL interventions; and 3) to assess the potential for scalability of each CCL interventions. Findings from this evaluation can be used for program monitoring, enhancement of the CCL interventions and the development of strategies to scale programs to reach broader, hard-to-reach populations.
SIP19-009 Assessing the Lifetime Economic Burden in Men with Metastatic Prostate Cancer
- Co-Principal Investigator: David H. Howard, PhD
Professor in Department of Health Policy and Management, Rollins School of Public Health
Estimates of the cost and burden of metastatic disease are critical for assessing the value of interventions to prevent, detect, and treat prostate cancer. Yet, existing estimates of the cost and burden of metastatic disease are out of date or are based on small, non-representative patient samples. We will develop a comprehensive assessment of the burden of metastatic prostate cancer, including quality of life and caregiver costs, using large survey and claims databases.