Form 0920-0650 Prevention Research Center

Prevention Research Centers Information System

83-C PRC 081706 Instrument with changes marked

Prevention Research Centers Information System

OMB: 0920-0650

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PRC IS: Center -Center Home

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N~VQn~j Cent~r for Chronic Di5e~$!! Preventiof'l ..no Health Promotion

PREVENTION

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PRC IS

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Welcome
State University of New York at Albany
Prevention Research Center
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Form Approved OMB NO.: 0920-0650
Expiration Date: 11/30/2007
Public reporting burden of this collection of information is estimated to average 4.25
hours per response (interim report), including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. An agency may not conduct or
sponsor, and a person is not required to respond to a collection of information unless it
displays a currently valid OMB control number. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for
reducing this burden to CDC/ATSDRReports Clearance Officer; 1600 Clifton Road NE, MS
D-24, Atlanta, Georgia 30333; ATTN: PRA(0920-0650)

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Address line 2

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Telephone
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Website

NCC region

Northeast

NCC regional

Ralph Fucillo (Harvard University)

director

Community description*
Briefly describe the partnering

community the center focuses on

I-Mission

Briefly state the center's mission

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~

Organizational

Chart

To upload a copy of the center's organizational chart, enter the
entire path of the organizational chart file or click the 'Browse'
*
button.
Entire

Date organizational

chart

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PRC IS: Center -List 5-Year Goals

Page 1 of 1

liationa! Center fnr Chronic D1sea~ I>reve"tion and Health Promotion

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PRC IS: Center -Add 5-Year Goal

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General Information

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PRC IS: Center -Add 5-Year Goal
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PRC IS: Center -Add 5-Year Goal

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Tr>rChronic

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2005-2006

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Program Component

Communication

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Briefly describe one of the center's 5-year goals.*

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PRC IS: Center -Add 5-Y ear Goal
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PRC IS: Center -Add 5-Year Goal

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PRC IS: Center -Annual Work Plan
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PRC IS: Center -Annual Work Plan

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Page 1 of 2

PRC IS: Center -Annual Work Plan
Nation3! t:enter for Chronic Di.se3se Prevention and Hea,ith ?romotiQn

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N$tiona! Center for Chronk Di$~a5e Prevention and Hearth Promotion

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2005-2006

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Log-Out

Annual Work Plan

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Communi~
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2005-2006

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0 Principal investigator
DCo-principal
investigator
D Co-director
D Deputy director

D Investigator
D Research scientist
DAdministrative

0
0
0
0

Communications contact
Data manager
Evaluation lead
Information system contact

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8/21/2006

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PRC IS: Center -Add Center Staff

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Page 1 of 2

PRC IS: Center -Add Community Committee
Natj~n,,1 Cel1ter for Chronic Disease P'reve(\tion and Health Promotion,

PREVENTION

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Which perspectives
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>RC
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IS: Center -Add Community Committee

Page 2 of 2

Activities

0

0
0

Identifying national; regional; or local health priorities and
health disparities within the partnering community
Facilitating communication and collaboration between the
center and the partnering community or other partners
Establishing the center research agenda
Identifying or approving research projects to be implemented
in the community
Developing or implementing the center evaluation activities
Developing or implementing the center training; technical
assistance; and mentoring activities
Developing or implementing the center communication and
dissemination activities
Conducting advocacy activities
Providing or obtaining funding

0

9th~!(~pe~!fybeI2w}

0
0
0
0
0
0

Committee

Guidelines

To upload a copy of the committee guidelines, enter the entire
path of the guidelines file or click the 'Browse' button.+
Entire path and file name
Date guidelines

last revised?

Can the guidelines

(mm/dd/yyyy)

be shared

with other PRCs?

OVesONo

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2005-2006

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Select one

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How would the center and partner characterize their
relationship?+

Partners
Health Priorities
R§$§~.r!;bAge[]ga

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EVql!J~tjon P1an

'--

)

Perspectives

Which perspectives

does the partner bring to the center?*+

DAcademia
0 Advocate of health issue
0 Business sector
0 Community coalition
0 Community health center or
clinic
0 Community resident
0 Community-based
organization

0 County or local government

agency

0 County or local health
department
0 Cultural organization
0 Environmental agency
0
0
0
0

Faith-based organization
Federal government agency
Foundation
Healthcare or medical
professional organization
0 Healthcare provider

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DMedia
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organization
DPublic health practitioner
0 Research center
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D 9~~~rSspeci fYbe\o~)

1:=:]
Ho~;piti3;

Activities

?/

In which center activities is the partner engaged?*+

8/21/2006

PRC IS: Center -Add Partners
0

Page2 0£2

0
0

Identifying national; regional; or local health priorities and
health disparities within the partnering community
Facilitating communication and collaboration between the
center and the partnering community or other partners
Establishing the center research agenda
Identifying or approving research projects to be implemented
in the community
Developing or implementing the center evaluation activities
Developing or implementing the center training; technical
assistance; and mentoring activities
Developing or implementing the center communication and
dissemination activities
Conducting advocacy activities
Providing or obtaining funding

0

gthe!(spec!fybe!owl.

0
0
0
0
0
0

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PRC IS: Center -Add Health Priority
Nation~1 Centi;rfor

Page 1 of~~
Chronic Disease Prevention and Hft:ait:h Promotion

"
c~

PREVE~TION
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(

~

.

RESEARCH CENTERS@

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State University of New York at Albany
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2005-2006

Add Health Priority

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General Information

Enter one of the center's health priorities.

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AnDYg'W9rk

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prioritization of this topic?*
National

data sources

Behavioral Risk Factor Survey Surveillance (BRFSS)
Centers for Medicare and Medicaid Services (CMS)
Guide to Clinical Preventive Services recommendations
Guide to Community Preventive Services recommendations

0

Health Plan Employer Data and Information

0
0
0

Healthy People 2010
National Ambulatory Medical Care Survey
National Health and Nutrition Examination

0

National Health Interview

0
0
0
0
0

National Hospital Discharge Survey (NHDS)
Peer Review Organization/Quality
Improvement Organization
Pregnancy Risk Assessment Monitoring System (PRAMS)
Technical report national agency
U.S. Bureau of Census Data

0
n

Vital Statistics
Youth Risk Behavior Surveillance System (YRBSS)

0

county

J

and documents

0
0
0
0

State,

'--

Sets (HEDIS)

Survey (NHANES)

Survey (NHIS)

or local data sources

and documents

Behavioral Risk Factor Survey Surveillance

(BRFSS)

8/21/2006

Page 2 of2

PRC IS: Center -Add Health Priority

'3)

0

Community

needs or assets assessment conducted by PRC

0
0
0

Report or data provided by the partnering community
Youth Risk Behavior Surveillance System (YRBSS)
Other state report (specify below)

D Other local report (specify below)

0

Other (specifY below)

~
-/

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PRC IS: Center -Edit ResearchAgenda

Page 1 of 2

* Required
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State University of New York at Albany
Prevention Research Center

2005-2006

Edit Research Agenda
General Information

Overall Research Agenda
Regorts

~-Y~a.rGQgJ$

Briefly describe the overall center research agenda.*+

~Qg~Qyt

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.0

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0

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partners
Identifying or selecting research topics
Planning the research agenda
Other (specify below)

0
0
0

community

-~_Q,a~r,.h

or

Aga"rl~ ~

Evalugtion Plan

\..

!

Evidence of Partner Input
Where can evidence be found of partner input into the activities
listed above?*+
0 Letters of support

0 Retreat summary

0 Meeting minutes
0 Memorandum of
understanding

DOther

(specify below)

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2005-2006

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Edit Evaluation
Community

Plan

Committee

General Information

Involvement

2::Y§Q.rG9g..l~

ReRorts

In which center evaluation
committee involved?*+
0
0
0
0
0
0
0
0

plan activities is the community

Annyg..lW9rkPIgQ
(;;_e_!lterSJ;gff

Collecting data for the evaluation
Communicating results to the community or partners
Communicating results in publications or presentations
Developing or refining the PRC logic model
Developing the evaluation plan
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evaluation
Recruiting or engaging other partners in planning the
evaluation
Other (specify below)

Communit¥

(;;Qmmjttee~
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Research Aaenda
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)

Evidence of Community Committee Input
Where

can evidence

the center

evaluation

be found

of community

input

into

0 Retreat summary
0 Other {specify below)

0 Letters of support
0 Meeting minutes
0 Memorandum of
understanding

Evaluation

committee

plan?*+

Plan

To upload a copy of the center evaluation
plan, enter the entire
path of the evaluation
plan file or click the 'Browse' button.*+
Entire

path and file name

Date evaluation

plan last revised

Can the evaluation
aYes

Ler9W$e

I

(mm/dd/yyyy)

plan be shared with other PRCs?

(~)No

Evaluation
Name

Plan Files
Size

Revised

\,JI\.lP?
,l~i._\~r~':t.._;'J;;'J.._p.'~n,pi:if
~:55 (1:2../28.,'2004
Logic Model

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f\1

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D

db
8/21/2006

~

Page 2 of 2
To upload a copy of the center logic model and narrative,
the entire path of the file or click the 'Browse' button,*+
Entire path and file name
Date logic model
/

)

~fOW$e,

last revised

Can the logic model

enter

(mm/dd/yyyy)

be shared

with other

PRCs?

,~,

\, Yes \_) No

Logic Model

Files

Name

Size

QYrJQgJ~mQdel_fm9L,pdf

15 K 05/05/2004

Revised

Share

Delete

y

D

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Prevention

Research Centers

PRC Information

System

r
[I

PRCIS: Projects- Edit GeneralInformation

Page 1 of 2

National Cef'!ter for Chronic D1seascePrevention and Hea~th Promot1on

PREVE~TION

5"'Fr;R"'~J\..T"'~""'~QP..~ PRC Information
PRe IS
M_yPR_C

.Cent_erJDfoIm9tion
.Projects
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RESEARCH CENTERS@

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State University of New York at Albany
Prevention Research Center
Educational

2005-2006

Resources Video Project
General Information

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Proj~!;;tGO9.1$

.ReQuired Regorts

!"Qg:()yt

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AnO\J9JWQrk P.l90

Title*

Educational Resources Video Project

Principal
investigator

F\Jnding

D9t:QSQ\J.rGe$~
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Other Project

Type
Start date

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*

June

2005

November

2005

End date

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O\Jt!;;ome$ &
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project?*

(:JVes (~No

Prod\Jct$

If yes, indicate the type of research.

'"-oJ

0 Determinant

0 Intervention

0 Dissemination

D,Q~he!{specify below)

If yes, indicate level of prevention.
D Primordial
DPrimary

DTertiary
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DSecondary
Project

description

Briefly describe the project.

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8/21/2006

"',
~

PRC IS: Project -Add Project Goal

Page 1 of 1

t'fatk1nal Cente%for ChrQrnc J)j$~a$e PrevfJntion and HfJa.JthPromQ1;ion

PREVE~TION

PRCInf()rm~ti<>f1
Sys;tem
(

PReIS
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.Projects
.PrQg!J!;;t~

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~

Help

State University of New York at Albany
Prevention
Educational

2005-2006

Research Center
Resources Video Project
G_engrgIJof9.rmgt..i9D

Add Project Goal

Project Goals

.ReQuired ReQorts
Log-Out

cAl)mJ~LW_9r~_PJ_~n

Goa I Statement

~9_o.~
Briefly describe one of the project goals.*

Funding
Data Sources
Focus Areas
Po~ulation

&

Studied

KeYW_Qrd~

Expected date of completion

*

(;;2-rru:I1_Y-o.!!;y

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~_~[)ter~f.QLPj~9c~
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Division of Adult and Community Health

8/21/2006

Project -Annual Work Plan

Page 1 of 2

NaTro"al Cent£;;rfor Chronic Disealila Prevention ~!1d Health Promotio"

PREVE~TION
RESEARCH CENTERS
PRC Information
SY$t~m
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PIC IS

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State University of New York at Albany
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Educational

Resources Video Project
Gener~.!.illfoIm~tjQD

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>RCIS:

Relationship

Help

2005-2006

Proiect Goals

.ReQuired Regorts
Log-Out

* Required
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to Project Goal

Annual Work Plan

~II_~~~

Select which project goal the objective relates to.'

Funding

Select one

Data Sources &
Focus Areas

PoQulationStudied
KeYWOId?

Objective
Briefly state the objective that supports the goal (include a
measurable and specific intended outcome).*

~Qmm.Y_nj!;y

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A.-<;l~(!~~

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"'"-LJ
Expected date of completion
Status

*

Anticipated

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Select 0

Challenges

Briefly describe any anticipated challenges and the plans to
address them.*

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3

IS: Projects -Add Project Contact

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Page 1 of2

State University of New York at Albany
Prevention Research Center
Educational

2005-2006

Resources Video Project

.Pr9g!'!Gt~

.Required Regorts

Generg'
..Information

Add Project Contact

Project Goals

Log-Out

Annual Work Plan

Contacts
ryndlnQ
Data Sources &

fQ~!,!L~
First name*
Middle

Pogulation Studied

Keyword~

name

Last name

*

CQmm!'!ni~
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QJJ~-~S"&'

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Ext.

Telephone*

~[Qq\!(;t~

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,

J

E-mail*
Contact

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Type'

Roles
Which

role does the staff

person

0 Principal investigator
0 Co-principal investigator
0 Investigator
0 Project director

have at the project

level?*

0 Project manager
0 Research Coordinator
0 Graduate Student
0 Other (specify below)

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8/21/2006

~

Page 1 of 1

PRC IS: Projects -Add Funding Source

(

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PIC IS

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.Center

l.nf9rmqti.9n

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2005-2006

State University of New York at Albany
Prevention Research Center
Educational

Resources Video Project

.Projects
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Add Funding Source

.Pr9d!,l~t~

Proiect G9als

ReDOrts

~JJ~y:!-Q[ls,J!lgn

Source of funding*

~ontacts
Select one

Funding
Data Sources
Focus Areas

If source above is 'Other', specify below

&.

PoQulatlonStudied
KeywQrQ~

Yearly amount

~ommunjt.v

Committees

Enter the amount of yearly funding dollars.

P~!t;D~.r~
Outcomes &.

AQ~~n~~~
Products

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33
8/21/2006

0

PRC IS: Projects -Edit Data Sources & Focus Areas

"

(

State

University

of New York

at Albany

PRCIS

2005-2006
Prevention

MYPR~

.C~_ot~rillf9ImatLQn
.Projects
.Pr90V(;ts
.Required

Research

Educational

Center

Resources Video Project
G~o~r?J1QfQrmatiQO

Edit Data Sources 81.Focus Areas

Proiect Goals

Regorts

!.99~QYt

Aooy?LWQrkPI?_o

Data Sources

CQota!;t~

Which data sources were used to support the development

of the

project?

~

Oata !uur~~s

&"

FocusAreas

D Guide to Clinical Preventive Services

PQPqJq1;jQQStyqi~q

D Guide to Community

Ke:ywQrd~

Preventive Services

CQmmyoity

D Healthy People 2010

tv

Funding

CQmmJ.!;!;e:e~

D Other national data source (specify below)
0
0

P?rtoeI~
Outcomes &
Ad.Y~nGe~

Other state data source (specify below)

Products

'--

Other local data source (specify below)

)

Focus areas
Which focus areas relate to the project (as listed in Healthy
People 2010, Guide to Clinical Preventive Services, and Guide to
Community
Preventive
Services)?*

0 Access to quality care
0
0

Arthritis; osteoporosis;
back conditions
Cancer

0

Chronic kidney disease

0

Diabetes

0

chronic

Disability and secondary
conditions
0 Educational and community-based
programs
0 Environmental health
F:~ 1"" 11y\.It!''''.!:1
...1- r' "' 11"'
--I
1._",1,

0

Medical product safety

0

Mental health and
mental illness
Nutrition and
overweight

0
0

Occupational
and health
0 Oral Health

safety

0

Physical fitness and
activity
0 Public health
infrastructure
0 Respiratory diseases
t'~ J c' I"""J " lll '" tr ~ T"" n 'tt ""
cjsf~ases
~,:",("",".I'
1

Food safety0

0

Social determinants

Health communication

0

Substance abuse

30/
8/21/200()

~

Page 2 of 2

PRC IS: Projects -Edit Data Sources & Focus Areas
0

Heart disease and stroke

0 Tobacco use

0

Human Immunodeficiency Virus
(HIV)
Immunization and infectious
diseases

0 Vision and hearing

Injury and violence prevention

D. Other state focus
a rea(spec..ifybe)o~)

0

0

D Maternal;

infant; child health

D Other national focus
area (specify below)

0

Other local focus
area (specify below)

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Division of Adult and CommunitY Health

'35"
8/21/2006

~

PRC IS: Projects -Edit Population Studied

(--;;-;;-'~
M~ PRC

.Center
Information.
"--

Page1 of2

State University
of New York
Prevention
Research
Center
Educational

..
Video

Resources

at Albany

2005-2006

ProJect

.PrQje~t$

.Products

Edit

Population

Geoerg.lJO.f9rmgti9o

Studied

.ReqYJregRePQr!;$
Log-Out

Which of the following
of the project?

best characterizes the sample population

~

'('\(I\Ri~dII '

Aooual

W9rk Plan

~-9ntg~_t$

Data Sources

&

FQ~!,I~-Ar.eg$

0 Hispanic or Latino
0 Not Hispanic or Latino
*

G9als

EyoQl!}Q

Ethnicity*

Race

P(9ject

D Unknown at this time
D No specific focus on ethnicity

Age group

Studied

Ke~words
C;gmmyolty
Committees

(Check all that apply)

DAfrican American or Black
DAmerican Indian or Alaska
Native
DAsian
0 Native Hawaiian or Other
Pacific Islander

Population

0 White
U Unknown at this time

P9-rtoer~

LJ No specific focus on race

p:[~g!,!(;t~

Qy_t~Q_me$_~
AgY_Qn~e.$

\..'.ccJ

*

0 Infant
DChild
D Adolescent
DAdult

0 Older adult
D Unknown at this time
[j No specific focus on age
group
[j ,9the!.\?pec!fybelow)

Sex'

OMen or boys
[] Women or girls
EJ Unknown at this time
Setting

LJ No specific focus on sex

LJ,Qthe!(spec!fybelow}

or site*

0 City
0 County or parish
0 Medical or clinica1 site
LJ Rural Area
DSchool
DTribal nation

0 Urban area
DWorksite
0 Unknown at this time
0 No specific focus on setting or
site
Dqtherjspec)fybelow)

3G
8/21/2006

Page 2 of

PRC IS: Projects -Edit Population Studied
Study sample size
Underlying

population

size

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Center for Chronic Disease Prevention
and Health

Promotion

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mm~o.i.!;YHe9Jto

37
8/21/2006

~

PRC IS: Projects -Add Keywords

(

Page 1 of 1

-"", State University of New York at Albany
Prevention Research Center

2005-2006

PRe IS
,
MvPRC
.Center lof9rm9ti9n
.Projects

.er~gy(;t~

Educational

Resources Video Project

G ~-IJ~f9U n f Qf!Il- 9_tiQO

Project Goals

.ReQuired Regorts
Log-Out

A_IJDJJ.-Q.L_W2rk_PlaD

Add Keyword

(;;QO!;9_C_t~

To search for CDC keywords, enter three or more letters of a
word and click 'Search' button.

Funding
Data Sources &
Focus Areas
PoDulation Studied

phrase'

Keywords
kQr!:1JI1_lJ11j!;y

~rn_!Illtl~e~

~~
Outcomes &

AgY9_IJC~_~
progucts

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I Contg!;;t Us

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Djvisjon of Adult and CommunitY Health

3D
8/21/2006

~
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Page of2
NatlQpe! Center for Chronic Disease Prevention «nd Health Promotion

PREVE~TION

PRCI.nfom1act.onSystem
PRe IS
M_YPRC

.PrQducts
.Required Regorts

CENTERS

f/;)

...~

State University of New York at Albany
Prevention Research Center

.C~n!;e.rlo_fQ.r_m~!;i.Qn
.Projects

RESEARCH

Educational

* Required
+ Performance Indicator
Help

2005-2006

Resources Video Project

Add Community

G~n~rqJl[}f9r.mQt.iQn

Committee

Pr9ject G9als
~-D_~Y.QLWQr.!s~@J)

!",Q9::Qyt

C_Qn!;g~!;~
Funding
Data Sources &
Focus Areas
Pogulation Studied

K~YW9r.d~

When did the community committee and the center start working
t 0get~er~~cthi~pr9je ct?
Selectone ;.iii'
(yyyy)

~_III.mYI!.ity

~Qmmlt!;g~~
PQr.tner.~
Outcomes &
~qYQn!;;e~

Number of members

Products

'-Committee

J

Compo!;ition

Which perspectives

do the committee

members bring to the

project?
DAcademia
0 Advocate of health issue
0 Business sector
DCommunity
coalition
0 Community health center or
clinic
DCommunity
resident
DCommunity-based
organization
0 County or local government
agency
DCounty or local health
department
0 Cultural organization
0 Environmental agency

DIndian Health Service (IHS)
0 labor union
0 Managed care
DMedia
0 National nonprofit
organization
D Public health practitioner
0 Research center
0 School. or school-based
organization
0 State government agency
0 State health department

~ \-iea:trlc,are':II medi.t::c.1

0 State; county or local
.nonprofit organization
DTraining center
DTribal government agency
[]Ti'i'-;al h~i:I~~h1:!E~p,:)'trl;e'1t
0 't'outh a.~EI\c\j'

professional organization
0 Healthcare provider

0 Other (specify below)

0 Faith-based organization
0 Federal government

.3gency

["~ ~l)lJnl:"util:)"':

3{

0 Hospital

8/21/2006

PRC IS: Projects -Add Community Committees

Page2 of2

Activities
In which project activities is the community

committee

engaged?

0
0

Conceptualizing the project
Selecting the project

0
0
0
0
0
0

Establishing project goals and objectives
Developing and planning the project
Conducting or implementing project activities
Evaluating the project
Communicating or disseminating project activities and results
Other (specify below)

PrjY~~YPQJ.i~Y
I A~~e$$jbj.!jt.y
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8/21/2006

~

PRC IS: Projects -Add Partner

Page 1 of2:

N~tj;QnajCenter for Chronic Dise;}sePrevention :an.dHe;althPromotion.

PREVENTION
PRC Inform~tion

r

PIC IS

'"

,

MY~R(;

.!;;enterJnformgtlQn
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CENTERS

@C

State University of New York at Albany
Prevention Research Center
Educational

.Projects

RESEARCH

System

:~:~~~~anceIndicator
Heip

2005-2006

Resources Video Project
Gen_er~I..JnfQrm~tJQn

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Project Goals

Recorts

A!JnQq'WQr.~_e@n

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Fundinq

Data Sources &
Focus Areas

Partner type .0

Individual 0 Organization

Population Studied

KeywQrd$

If organization, enter name

When did the partner and center start working together on the

project?
Select one
.How

(7)\) e-\& e-

-

would

Outcomes &
AdY~n4~$

Prgducts

(yyyy)
the center

~mYn~y
~mltte.e~
Partners

~.

and partner

characterize

J

their

relationship?
Select one

Perspectives
Which

perspectives

does the partner

DAcademia
0 Advocate of health issue
0 Business sector
0 Community coalition
0 Community health center or
clinic
DCommunity
resident
0 Community-based
organization

0 County or local government

agency
0 County or local health
department
0 Cultural organization
0 Environmental agency

bring to the project?

0
0
0
0
0

Indian Health Service (IHS)
Labor union
Managed care
Med ia
National nonprofit
organization
0 Public health practitioner
0 Research center
0 School or school-based
organization
0 State government agency

U j=ai1th,-oasedorgarJizatiorl

0 State health department
0 State; county or local
r!on~)r,:.fit ol"g'ani,:,3ti:)n
o'.rrairling Ct?nter

0 Federal government

DTribal

0 Foundation

agency

government

agency

OTribal health department

~,
8/21/2006

~

PRC IS: Projects -Add Partner

Page 2 of 2

0 Healthcare or medical
professional organization
0 Healthcare provider

DYouth agency
DOther

(specify below)

0 Hospital
Activities
In which project activities is the partner engaged?
0
0
0
0
0
0
0

Conceptualizing the project
Selecting the project
Establishing project goals and objectives
Developing and planning the project
Conducting or implementing project activities
Evaluating the project
Communicating or disseminating project activities and results

0

Other (specify below)

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I Health Tooics A-Z

This page was last reviewed on 10/17/2005
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United

States De p artment
Centers for Disease

of Health and Human Services
Control and Prevention
Promotion
Djy i.~jOQof Ad!,!..!t9ndComm!'!n
ityHeg..!th

8/21/2006

Page 1 of 2

IS: Projects -Edit Outcomes & Advances

N3tio~1 Center for Chronic Dlse3se Prevenl:ion ano He311:hP,omotion

PREVEt:iTION

PAC Information
"

(

PRC

PRCIS
MyPR<;
.c.en!;_eI_t.of9rm~!;_LQn

State

CENTERS

@
~

System

University

Prevention

RESEARCH

of New York

Research

Educational

at Albany

2005-2006

Center

Resources Video Project

.Projects
Edit Outcomes-

.PrQQY(;!;$
.ReQuired

* Required
+ Performance Indicator
Help

GenergJlofQrmgtiQn

& Advances

-Project Goals

Reoorts

p..IlJlY~l.WQ[~Plgn

I.Qg-Qyt

Expected Outcomes in Community,
Health

Practice, Policy, and

C~llt~g$
Funding
Data Sources &

What are the expected outcomes for the project?

Focus Areas
Pogulation Studied
KeywQ[q$

~mmMolt.Y
Commit1;.~e~
P~[!:_1ler.5
-OYt~g~8S

gt

Ad";aAeeS
-

Actual Outcomes in Community,
Health

\)J.6e-

Practice, Policy, and

-

Products

lJ

Which has been an outcome of the project?*
0 Change in health status or
bei:1avior
0 Change in physical
environment
DChange in clinical practice
0 Change in public health
practice
0 Change in sociocultural
environment

0 Enhanced community
capacity
0 Policy change
D Uptake of intervention
D Not applicable at this time
DOther(specifY

below)

Actual Outcome Description
Briefly describe each outcome checked above. (Include specific
community or communities affected, numbers reached or served,
and time frame of outcome.)

Lfj
8/21/200(;

RC
~

IS: Projects -Edit Outcomes & Advances
Methodological

Page2 of 2

and Theoretical

Advances

The project furthered the field of prevention research by
developing, testing, or disseminating which of the following?*

0
0
0
0

Guidelines
Measures
Methods
Models

Methodological

D Procedures
D Theories
D Not applicable at this time
D9ther(specifybelow)

and Theoretical

Advances Description

Briefly describe each methodological
checked above.

and theoretical

advance

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r

PRC IS: Projects -Products

Page 1 of 1

Natj

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Page 1 of 1

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2005-2006

University

of New York at Albany

Prevention Research Center

Interim Report

'-

InterimReport

Dule: May 12

Step

Status

1.

Review 2005-2006 Center Goals t
Obiectives & Activities

Complete

2.

Review 2005-2006 Project Goals,
Obje!;;tJve$&A!;;tiv.itie$

Complete

3.

I rgD~f~r J nIQrm gt)Qn. tQ.200 6=4OO?

Incomplete

4

Review 2006-2007 Center Goals,
Objectives & Activities

Incomplete

5.

Review 2006-2007
Project
Objectives
& Activities

Incomplete

View I Finalize

Goals,

Print Report

J

DRAFT: Past Due

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8/21/2006


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