2019 Toolkit | Dialogue for Action® on Cancer Screening and Prevention

The Dialogue for Action® Toolkit contains materials to start and continue conversations with Dialogue colleagues and in your community about cancer screening and prevention.

To learn about evidence-based interventions and collaborations in communities working on cancer screening and prevention, view the posters and presentations that were presented throughout the 2019 Dialogue.


2019 Dialogue for Action® Agenda

2019 Speaker Biographies

Wednesday, April 24

9:00 a.m. – 12:00 p.m.

Foundations for Prevention and Early Detection of Breast, Cervical, Colorectal and Lung Cancers

This overview of the mandated guidelines-driven cancer screenings serves as an in-service for attendees new to cancer screening and as a review for others. This session has breaks.

Moderator: Faye L. Wong, MPH, Program Services Branch, Centers for Disease Control and Prevention

Natural History and Epidemiology of Breast Cancer
Bridget A. Oppong, MD, FACS, Reston Breast Care Specialists and Georgetown University

Natural History and Epidemiology of Cervical Cancer and HPV
Patti E. Gravitt, PhD, MS, Department of Epidemiology and Public Health, University of Maryland Baltimore, School of Medicine

Natural History and Epidemiology of Colorectal Cancer
Roy J. Duhé, PhD, Cancer Institute, University of Mississippi Medical Center, @70x2020Guy

Natural History and Epidemiology of Lung Cancer
Hormuzd Katki, PhD, Division of Epidemiology & Genetics, National Cancer Institute

Cancer Screening in the Primary Care Setting with Emphasis on Community Health Centers
Durado Brooks, MD, MPH, National Colorectal Cancer Roundtable and American Cancer Society

Overcoming Barriers Health Educators Face in Promoting Cancer Screening
Jacqueline Miller, RN, BSN, OCN, New Jersey Cancer Education and Early Detection Program, Virtua Health System

9:00 a.m. – 10:20 a.m.

Colorectal Cancer Screening Workshop: 80% in Every Community Communications Guidebook: Recommended Messages for Reaching the Unscreened

The National Colorectal Cancer Roundtable (NCCRT) and the Prevent Cancer Foundation® are proud to offer this workshop to attendees to enhance and expand opportunities to increase colorectal cancer screening according to the guidelines.

The goal of this session is to introduce users to the new 80% in Every Community Communications Guidebook, which provides tested messages and advice for reaching key populations. Participants will have the opportunity to work with the messages and consider how they might use the messages in the communities they serve.

Michelle Aubertine, MBA, KS&R
Bill Willard, Marketing Research, American Cancer Society

10:30 a.m. – 11:45 a.m.

HPV Vaccination Information-sharing

This session offers an in-depth look at a successful HPV vaccination program ‘on the ground.’ In his talk on “Championing HPV Vaccination in a Rural Community,” Harry A. Lehman, III, MD, and Kimberly Reed, RN, CPN, of Nemours duPont Pediatrics, will discuss the successful strategies implemented in a small clinic in rural southern Delaware to achieve an 81% HPV vaccine series completion rate for 13 to 15 year-old patients. Following this talk will be informal peer-to-peer sharing about opportunities and challenges for HPV vaccination programs on the national, state or local level. Come share your insights about what makes a strong program and how to make a program stronger. Open to all.

Facilitator: Erica Childs Warner, MPH, Prevent Cancer Foundation

Speakers: Harry A. Lehman, III, MD and Kimberly Reed, RN, CPN, both of Nemours duPont Primary Care Pediatrics, Shipley Street

1:00 p.m. – 2:30 p.m.

Evidence, Opinion, and Fact in Cancer Screening and Prevention

When it comes to cancer screening or prevention, the evidence is often uncertain. This workshop will discuss why there are still gaps in the evidence and will demonstrate how to distinguish opinion from fact when filling in the gaps, using case studies from the professional and popular press. Dr. Etzioni will address overdiagnosis, recent guidelines on prostate and colorectal cancer, clinical-trial results on ovarian cancer screening, and obesity as a cancer risk. She will also ask: Is the circulating DNA test ready for prime time?

Ruth Etzioni, PhD, Biostatistics Program, Public Health Sciences Division, Fred Hutchinson Cancer Research Center, @retzioni

1:00 p.m. – 2:15 p.m.

Information Exchange About State and Tribal Colorectal Cancer Screening Programs

The 2019 Dialogue will again host an opportunity for peer discussion on local efforts to increase colorectal cancer screening. Attendees will have the chance to meet with others working in this area and share successes, challenges and lesson learned.

Jennifer Boehm, MPH, Centers for Disease Control and Prevention
Melissa Leypoldt, RN, Nebraska Department of Health and Human Services

3:30 p.m. – 5:30 p.m.

American Indian/Alaska Native Meeting to Share Experiences With Cancer Screening and Prevention Programs in Indian Country

Carolyn Angus-Hornbuckle, JD, will speak on the state of health in Indian Country, and Donald Haverkamp, MPH, CPH, will share data updates on cancer incidence and trends in various regions of Indian Country. Participants will also have the opportunity to share information and updates about their community programs. Everyone is welcome!

Facilitator: Kris Rhodes, MPH (Enrolled Bad River Band of Lake Superior Chippewa), American Indian Cancer Foundation, @aicaf_org, @chi_ikwe

Carolyn Angus-Hornbuckle, JD, National Indian Health Board
Donald Haverkamp, MPH, CPH, Centers for Disease Control and Prevention

4:15 p.m. – 5:45 p.m.

National Colorectal Cancer Roundtable Task Group Meeting

For Roundtable members: In 2019, the Dialogue will host a sub-committee meeting of the National Colorectal Cancer Roundtable.

Thursday, April 25, 2019

8:00 a.m.

Welcome to The Dialogue for Action® on Cancer Screening and Prevention
Carolyn R. Aldigé, Founder and CEO, Prevent Cancer Foundation

8:10 a.m.

Opening Keynote: Breast Inflammation: A Defining Moment?
Andrew J. Dannenberg, MD, Weill Medical College of Cornell University

9:40 a.m.

Research Updates in Cancer Screening

Moderator: James L. Mulshine, MD, Institute for Translational Medicine, Rush University, and Prevent Cancer Foundation Board of Directors

How a Lung Cancer Screening Program Can Help Reduce Health Disparities
Mary Pasquinelli, DNP, MS, FNP-BC, University of Illinois Health Cancer Center Department of Medicine

New Evidence on the Value of Breast Cancer Screening
Robert Smith, PhD, American Cancer Society and the Rollins School of Public Health, Emory University

Making the Case for Liver Cancer Screening
Anjana Pillai, MD, The University of Chicago Department of Medicine

11:05 a.m.

Current Research on HPV Vaccination

Moderator: Brian Mattingly, Comprehensive Cancer Control Programs, Maryland Department of Health

Why Parents Say ‘No’ to the HPV Vaccine
Anne F. Rositch, PhD, MSPH, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health and Johns Hopkins Sidney Kimmel Comprehensive Cancer Center

Increasing HPV Vaccination Rates for Boys
Melanie Kornides, ScD, MPH, APRN, University of Pennsylvania School of Nursing

HPV-Associated Oropharyngeal Cancer and the Evidence for HPV Vaccination
Anil Chaturvedi, PhD, MPH, Division of Cancer Epidemiology and Genetics, Clinical Genetics Branch, National Cancer Institute

1:50 p.m.

Innovative Communications in Cancer Screening or Prevention

Moderator: Heather Nicole Platter, MS, School of Public Health, University of Maryland

Developing Personalized Colorectal Cancer Screening Messages for Rural and Minority Residents in Florida
Janice L. Krieger, PhD, STEM Translational Communication Center, University of Florida

Making the Most of the Teachable Moment: Structure and Content of Smoking Cessation Communications Linked to Lung Cancer Screening
Kathryn L. Taylor, PhD, Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University

Use of a Culturally Adapted Video Decision Aid to Improve Colorectal Cancer Screening among American Indians
Leah Frerichs, PhD, MS, Gillings School of Global Public Health, University of North Carolina

4:45 p.m.

The Comprehensive Approach of the FDA to Tobacco and Nicotine
Mitch Zeller, JD, Center for Tobacco Products, Food and Drug Administration, @FDAtobacco

Friday, April 26, 2019

8:05 a.m.

Closing Keynote: How New Technologies Will Change Health Care in the Next Five Years

Introduction by Peter L. Levin, PhD, Amida Techology Solutions and Prevent Cancer Foundation Board of Directors

Aneesh Chopra, MPP, President, CareJourney, an open data intelligence service launched by Hunch Analytics, @aneeshchopra

9:45 a.m.

Research on Cancer Prevention

Moderator: Bernard Levin, MD, FACP, University of Texas MD Anderson Cancer (emeritus)

The Mediterranean Diet and the Breast Microbiome: Might the Right Diet Reduce the Risk of Breast Cancer?
Katherine L. Cook, PhD, Department of Surgical Sciences, Wake Forest Comprehensive Cancer Center

Creating Healthier Faith-Based Environments to Promote Health in Underserved Communities: Insights from the Faith, Activity, and Nutrition (FAN) Program in Rural South Carolina
Deborah Kinnard, Prevention Research Center, University of South Carolina

Alcohol and Risk of Cancer
Abenaa Brewster, MD, MHS, Department of Clinical Cancer Prevention, Division of Cancer Prevention and Population Sciences, MD Anderson

11:00 a.m.

Implementation and Sustainability of Evidence-based Programs: Lessons Learned from the Colorectal Cancer Control Program
Djenaba Joseph, MD, MPH, Division of Cancer Prevention and Control, Program Services Branch, Centers for Disease Control and Prevention

11:35 a.m.

Issues in Cancer Screening Guidelines

Moderator: Robert Smith, PhD, American Cancer Society and the Rollins School of Public Health, Emory University

Considerations about the Current Colorectal Cancer Screening Guidelines from the American Cancer Society
Carmen E. Guerra, MD, MSCE, FACP, Perelman School of Medicine and Cancer Prevention Research Center, University of Pennsylvania, @GuerraViswanath

Breast Cancer Screening Guidelines: How to Navigate the Differences
David P. Chelmow, MD, Department of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine

HPV and Cytology Co-Testing vs. HPV Testing for Secondary Cervical Cancer Prevention: Is the Juice Worth the Squeeze?
Philip E. Castle, PhD, Albert Einstein College of Medicine


This year’s poster session theme was “Building Community Health and Prosperity through Cancer Screening or Prevention” The Dialogue poster session showcased 15 projects and programs from across the country. This year’s top-ranked poster was Case Study of a Comprehensive Team-Based Approach to Increasing Colorectal Cancer Screening, presented by Lauren Wright, MPH from West Virginia University Cancer Institute, Cancer Prevention and Control.

View the full list of posters displayed at the 2019 Dialogue

BOARD 1: Case Study of a Comprehensive Team-Based Approach to Increasing Colorectal Cancer Screening

BOARD 2: A Multicultural Approach to Patient Navigation: Case Studies from the Somali and Hispanic Communities in Minneapolis to Improve Colorectal Cancer Screening Rates

BOARD 3: Achieving High Compliance with a Noninvasive Home-Based Multitarget Stool DNA Test for Colorectal Cancer Screening

BOARD 4: Addressing Gastric Cancer Risks via General Infection Rates of Helicobacter pylori in an Urban Chinese Population

BOARD 5: Addressing Liver Cancer through Hepatitis B and C Screening in Philadelphia’s African Immigrant Communities

BOARD 6: Barriers to Low Uptake of Cervical Cancer Screening: A Community–Based Approach in Lagos State, Southwest Nigeria

BOARD 7: Exploring the Effect of the Composition and Combinations of Evidence-Based Intervention Implementation to Increase Colorectal Cancer Screening Rates

BOARD 8: Exploring Health Literacy Barriers to Lung Cancer Screening: A Grounded Theory Study

BOARD 9: Families First Health and Support Center: A Colorectal Cancer Screening Success Story

BOARD 10: Identifying Optimal Approaches to Scale Up Colorectal Cancer Screening: An Overview of the Centers for Disease Control and Prevention’s (CDC) Learning Laboratory

BOARD 11: Optimizing the Utilization of Health Information Technology to Link Hospital and Community Health Systems to Increase Colorectal Cancer Screening and Reduce Disparities Among Vulnerable Population

BOARD 12: Outcomes from a Cancer Screening, Training, Education & Prevention Program (Texas C-STEP) Serving Low-income Uninsured/Underinsured

BOARD 13: Tablet-Based Patient Education Regarding HPV Vaccination in Colposcopy Clinic: A Prospective Study of Patient Knowledge and Satisfaction

BOARD 14: Validation of the Assess Your Risk Tool for Breast and Ovarian Cancer Prevention

BOARD 15: Variation in Breast Cancer Screening Recommendations by Primary Care Providers 

Concurrent Conversations

These are facilitated, cross-disciplinary small groups which have experts as resources for structured conversations linked to key topics in cancer screening and prevention and which lead to recommendations for action to be shared with all participants. A three-month follow-up survey will collect data on related post-Dialogue cancer screening activities of participants.

Concurrent Conversation #1: HPV Vaccination Programs in the Community: Strategies for Reaching Vaccine-Hesitant Parents and Their Children
Facilitator: Tasha B. Moses, MPA, Strategic Management Services, LLC

Concurrent Conversation #2: Primary Care Providers and Patient Referrals to Lung Cancer Screening: What’s Working to Ensure That Patients Who Need Screening Get Screened?
Facilitator: Claudia Christensen, ANP, Samuel Simmonds Memorial Hospital
Resource Person: James L. Mulshine, MD, Institute for Translational Medicine, Rush University, and Prevent Cancer Foundation Board of Directors

Concurrent Conversation #3: Technology and Health Disparities
Facilitator: Erin Thomas, MS, DC Health
Resource Person: Janice L. Krieger, PhD, STEM Translational Communication Center, University of Florida

Concurrent Conversation #4: Tobacco Cessation Programs in the Community
Facilitator: Elizabeth Westbrook, MPH, MCHES, Kentucky Cancer Program, University of Louisville
Resource Person: Mary Pasquinelli, DNP, MS, FNP-BC, University of Illinois Health Cancer Center Department of Medicine

Concurrent Conversation #5: Partnerships for Encouraging Physical Activity and Healthy Eating
Facilitator: Emily Butler Bell, MPH, National Colorectal Cancer Roundtable
Resource Person: James A. Hotz, MD, MACP, Albany Area Primary Health Care

Concurrent Conversation #6: Focus Group to Help Shape Future Dialogues for Action
Moderator: Nicole Unger, Consultant

Supplemental Resources

Alcohol and Cancer: A Statement of the American Society of Clinical Oncology, Abenaa M. Brewster, et al., 2018

Association of Body Fat and Risk of Breast Cancer in Postmenopausal Women With Normal Body Mass Index: A Secondary Analysis of a Randomized Clinical Trial and Observational Study, Andrew J. Dannenberg, MD, et al., 2018

Does weight and BMI affect breast cancer? The role of belly fat, Linda Carroll, 2018

Guide to Physical Activity, U.S. Department of Health & Human Services

Inflammation and Increased Aromatase Expression Occur in the Breast Tissue of Obese Women with Breast Cancer, Clifford A. Hudis, et al., 2011

Macrophagic “Crown-like Structures” Are Associated with an Increased Risk of Breast Cancer in Benign Breast Disease, Jodi M. Carter, et al., 2017

Metabolic Obesity, Adipose Inflammation and Elevated Breast Aromatase in Women with Normal Body Mass Index

Milliman examines three unique single payer scenarios, 2018

Mortality Risk Reductions for Replacing Sedentary Time With Physical Activities, Erika Rees-Punia, PhD, et al.

Obesity and Cancer: Local and Systemic Mechanisms, Andrew J. Dannenberg, et al., 2015

Skinny Fat, Sandra and Edward Meyer Cancer Center, 2015

The Inflamed Fat-Cancer Connection, Caitlin Hayes

Metabolic Obesity, Adipose Inflammation and Elevated Breast Aromatase in Women with Normal Body Mass Index, Clifford A. Hudis, et al., 2017

Systemic Correlates of White Adipose Tissue Inflammation in Early-Stage Breast Cancer, Andrew J. Dannenberg, et al., 2015

A Vaccine to Prevent Cancer, OhioHealth Cancer Care

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