The Appalachian Center for Cancer Education, Screening, and Support (ACCESS) is a special interest project of the University of Kentucky Prevention Research Center, locally recognized as the Rural Cancer Prevention Center (Cooperative Agreement Number 1U48DP005014-01). ACCESS is one of eight collaborating centers of the Cancer Prevention and Control Research Network (CPCRN) which is supported by funding from the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute (NCI). ACCESS is dedicated to supporting CPCRN’s overall mission to accelerate the adoption of evidence-based cancer prevention and control in underserved communities. In addition to national CPCRN research efforts, ACCESS focuses on the dissemination and implementation of multilevel interventions designed to increase use of evidence-based cancer preventive services to impact Appalachian cancer disparities. ACCESS has initiated collaborative research with a federally qualified health center – White House Clinics – serving a medically underserved, high-poverty region in eastern Kentucky. The academic-community partnership is guided by a systems-based participatory research approach to sustainable translational research and quality improvement that engages health system leadership, practicing clinicians, and patients. The project focuses on the design, implementation, and evaluation of a proactive office encounter intervention, a systematic approach to offering breast, cervical, colorectal, and lung cancer screening services at every office encounter for every eligible patient. The overall goal is to use existing primary care resources more efficiently and effectively to promote cancer preventive services to achieve gains in population health.
For information on cancer-related resources, please see the ACCESS Cancer Resource Guide.
Center for Public Health Systems & Services Research and Public Health Practice-based Research Networks
The Center for Public Health Systems & Services Research (CPHSSR) seeks to explore the impact of specific public health strategies on the quality and performance of the United States public health system. PHSSR is distinct, but related to, the established field of Health Services Research (HSR), which has traditionally focused on the delivery of medical services. This field of research focuses on the organization, staffing, financing and management of public health. Ultimately, the answers uncovered through this body of research will help us be more effective and productive in our mission to improve health status. Within CPHSSR is the Public Health Practice‐Based Research Networks (PBRN) Program which consists of research networks for studying the comparative effectiveness, efficiency and equity of public health strategies in real-world practice settings. Practice-based research networks have been used successfully to study medical care innovations and test quality improvement strategies in clinical settings. Building on this model, the Public Health PBRN Program, launched in 2008, is the first national initiative in the United States to develop PBRNs for research in public health practice settings. These research centers work closely with the Systems for Action National Coordinating Center, a national program of the Robert Wood Johnson Foundation that aims to discover and apply new evidence about ways of aligning the delivery and financing systems that support a health and well-being. S4A is a collaborative effort of CPHSSR and the Center for Poverty Research at the Gatton College of Business and Economics at the University of Kentucky.
Funded by the National Institute for Occupational Safety and Health (CDC/NIOSH), the Central Appalachian Regional Education and Research Center (CARERC) offers research, education, and training opportunities that are designed to help meet urgent regional needs in occupational safety and health. CARERC combines the academic resources of four colleges at the University of Kentucky and Eastern Kentucky University to provide a fully equipped and recognized resource for occupational safety and health research and training in Central Appalachia. As a result of this forward-looking partnership between two leading institutions of higher education, the CARERC is proud to offer graduate programs and continuing education in Mining Engineering Safety and Health, Occupational and Environmental Health Nursing, Occupational Epidemiology, Occupational Medicine, Occupational Safety, and Agricultural Safety and Health.
The Kentucky Injury Prevention and Research Center (KIPRC) works with Kentucky communities and the state's Department for Public Health to promote the reduction of injuries along with related disabilities and deaths. In addition to the state's injury prevention program and CDC-funded core injury surveillance, KIPRC activities include an occupational injury and fatality program funded by grants from the National Institute of Occupational Safety and Health; pediatric and adolescent injury prevention programs funded by state, federal, and foundation grants; a broad-ranging community outreach program that includes full-time staff in Rowan and Whitley Counties; a CDC-funded program to foster and evaluate injury coalition development; and the development and implementation of Kentucky's Violent Death Reporting System, another CDC-funded initiative. KIPRC is located at 333 Waller Avenue and welcomes inquiries from injury community stakeholders, College of Public Health students, and area residents with an interest in reducing the toll of injury statewide.
Part of the national Prevention Research Centers (PRC) program funded by the Centers for Disease Control and Prevention, the University of Kentucky Prevention Research Center (locally known as the Rural Cancer Prevention Center, RCPC) is the only PRC in the nation that specifically focuses its efforts on developing prevention research strategies for rural Appalachia and implementing them through Central Appalachian public health practice-based research networks (PBRNs) in KY, TN, GA, NC, OH, PA, SC, and VA. The first aim of the RCPC is to provide infrastructure and administrative services that support cancer prevention research activities and health promotion efforts in the Kentucky River Area Development District (KRADD). Overall, the mission of the RCPC is to prevent cancer morbidity and mortality among KRADD residents through a planned collaboration of residents, community organizations, public health professionals, and academic health center researchers designed to reduce health disparities associated with cervical, breast, and colorectal cancer. Through a Community Advisory Board (CAB) that has been highly engaged since 2004, the RCPC will continue to bridge the gap between researchers and rural public health practitioners to develop and implement effective community-based strategies designed to foster the primary and secondary prevention of colorectal, breast, and cervical cancer in this medically underserved region of Appalachia.
Research conducted at the Rural & Underserved Health Research Center will expand the breadth of knowledge available about the organization, coordination, strategizing, and efficiency of health services and policies in impoverished and underserved rural communities. Our specific aims are to advance understanding of effective means of organizing health services, facilitating access, and improving population health in rural America, especially in areas with low median household incomes, high poverty and unemployment rates, and low educational levels and to disseminate research findings to inform health policy makers, health system managers, and providers about how to better organize and deliver health services, with the ultimate goal of reducing inequities in care and improving population health in rural communities.
The mission of the Southeast Center for Agricultural Health and Injury Prevention is to develop and sustain an innovative program of research, education, and intervention services to prevent work-related illness and injury and to improve the safety and health of agricultural workers and their families in the southeastern United States. One of only seven such centers funded nationwide by the National Institute for Occupational Safety and Health (CDC/NIOSH), the Center offers training and research funding opportunities for qualified students as well as an annual pilot studies program for new and experienced investigators. The Center emphasizes interdisciplinary applied research, and courses in the Health of Agricultural Populations concentration area are open to students in Biostatistics, Epidemiology, Gerontology, Health Behavior, and Health Services Management, as well as Preventive Medicine and Environmental Health.