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The Cooperative Extension System

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ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCH www.indianactsi.org The Cooperative Extension System A valuable partner for CTSAs
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Page 1: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

The Cooperative Extension System

A valuable partner for CTSAs

Page 2: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

“Yesterday, I met with officials at NIH. I told them about the relationship the Indiana State Department of Health has with Purdue Extension and they have been discussing the need to get the Extension offices across the nation involved … I told them that I thought Purdue might be interested in being the model for the nation on this one as well.”

Judy Monroe, 2007Indiana Health Commissioner

Page 3: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

Cooperative Extension Mission The mission of the Extension Service is to provide

citizens access to research-based education and learning opportunities that are relevant to important community issues and which will contribute to the quality of life for all citizens.

Page 4: The Cooperative Extension System

Development of the Land-grant System Timeline

1860 1870 1880 1890 1990 1910 1920 . . . . . . . . . . . 2000

1862First

Morrill Act

Establish Land-grant Colleges

•Prepare industrial classes•Practical realities of an agricultural and industrial society•Professions of life

1887Hatch

Act

Establish Agriculture Experiment Station

•Recognition of research as a basis of agricultural and industrial development

1890Second

Morrill Act

Establish Land-grant Colleges for Blacks

1914Smith-

Lever Act

Establish Cooperative Extension Service

•Disseminate information to the population from the college’s research•Share benefits of current developments

“Land Grant Universities have long embraced a three part mission of Learning, Discovery, andEngagement.”

“Vic” LechtenbergVice Provost for EngagementPurdue University2006

Page 5: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

• Prior to 1862, most universities catered to the “elite”

• The Morrill Act of 1862 authorized a public university in every state and territory of the United States. Instead of money, the federal government gave land to be sold and the interest made available for “at least one college”

• Land Grant Mission: “…teach …agriculture and the mechanical arts … to promote liberal and practical education of (ordinary people)….”

The Land Grant University System

Page 6: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

• The Hatch Act (1887) provided for the establishment of Agricultural Experiment Stations which provided for research.

• Teaching methodology was “demonstrations”• Second Morrill Act (1890). States had to show

that race or color not a criterion for admission or designate a separate land-grant college. Most in the southern states due to segregation at that time.

• In 1994, Congress created Tribal Colleges to educate Native Americans.

Page 7: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

• The Smith Lever Act (1914) established a Cooperative Extension Service with each Land Grant university.

• “instruction and practical demonstration in agriculture and home economics to persons not attending said colleges”

• Federal, state, and county governments work together to provide public education services.

Page 8: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

The Structure of the Land Grant University

LEARNING DISCOVERY

EXTENSION (ENGAGEMENT)

Morrill Act -1862 Hatch Act - 1887

Smith – Lever Act - 1914

Page 9: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

The county Extension office is a branch office of the Land Grant university in each state. Extension educators in each county are university staff or faculty and report to the main campus of the Land Grant university.

Page 10: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

Cooperative ExtensionContribution to Research

Page 11: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

Research involving indigenous community based paraprofessionals

Page 12: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

Translating from bench to product

Translating from variations in health to research strategy

Biochemical mechanisms

Nutritional genomics

Nutritional adviceDietary guidelines

New foodsBiomarker Clinical

ValidationRisk /

Benefit

T r a n s l a t i o n

Individual variationsGenotyping

Metabotyping

Consumer Responses Healthscape Nutritional epidemiology

Behavioral insights

SCIENCE REALIZATION

Page 13: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

Translating from bench to product

Translating from variations in health to research strategy

Biochemical mechanismsNutritional genomics Biomarker Clinical

ValidationRisk /

Benefit

T r a n s l a t i o n

Individual variationsGenotyping

Metabotyping

Consumer Responses Healthscape

SCIENCE REALIZATION

Dining with DiabetesProfessor Popcorn

Health CoalitionsBehavior metrics

Page 14: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

National Programs• Expanded Food and Nutrition

Education Program (EFNEP)– Households with pregnant

women and pre-teen children– Lessons delivered by trained

paraprofessionals– National evaluation– Every $1.00 in EFNEP can

potentially reduce health care costs by about $8.00

• Family Nutrition Program (FNP)– Food stamp eligible– Lessons delivered in homes

and community settings– Meal planning, budgeting,

preparation, food safety– Randomized controlled trial

• Intervention and delayed intervention

– Statistically significant reduction in food insecurity

Eicher-Miller et al J Nutr Educ Behav 2009

Page 15: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

Purdue ExtensionMaking a Difference

• College of Health and Human Sciences

• Purdue Agriculture– Agriculture and Natural

Resources– 4H Youth Development– Economic and Community

Development• Purdue Agricultural Research

Programs• School of Veterinary Medicine

• Four critical issues of HHS Extension Program– Foods and nutrition– Personal and family finances– Human development

throughout the lifespan– Health– Over 100 programs are

offered by Purdue Extension-HHS

www.extension.purdue.edu

Page 16: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

Healthy People, Healthy Communities

• Extension Educators partner with community groups– Create coalitions– Identify and address local

issues– Started in 2005 as a

response to childhood obesity

• Walk Across Indiana– Multiple partners including

INShape Indiana– Held throughout the year– Brings attention to physical

activity and nutrition

Page 17: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

Engaging Community PopulationExtension Involvement

• Indiana CHEP unique with statewide involvement

• Purdue Extension– Health and Human Sciences

Extension Educators– Health Coalitions

Lawrence

Elkhart

Newton Jasper

Noble

Allen Whitley

Wells

Huntington Wabash

Fulton

Miami

Cass White

Benton

Warren Tippecanoe Howard Jay

Randolph Madison Tipton

Hamilton

Marion

Boone

Clinton

Fountain

Putnam Hendricks Parke

Vigo

Ver-mil-lion

Clay Owen

Johnson Shelby

Monroe Brown Bartholomew

Jackson

Orange Washington

Posey

Gibson

Pike

Knox

Vander-burgh

Warrick

Dubois

Daviess Martin

Spencer

Perry

Crawford Harrison

Clark

Jennings

Jefferson

Decatur

Ripley Dearborn

Wayne

Switzerland

Rush

Franklin

Steuben

De Kalb

Lake Porter La Porte St. Joseph

Marshall Kosciusko

La Grange

Starke

Carroll

Pulaski

Morgan

Floyd

Greene

Scott

Delaware

Union Fayette

Hancock

Sullivan

Adams

Ohio

Montgomery

Henry

Elkhart

Noble

Steuben

De Kalb

Lake Porter La Porte St. Joseph

Kosciusko

La Grange

Newton

Elkhart Steuben Lake Porter

La Porte St. Joseph La Grange

Jasper

Fulton

White

Benton

Pulaski Newton

Elkhart Steuben Lake Porter

La Porte St. Joseph La Grange

Marshall Starke

Kosciusko

Jasper

Fulton

White

Benton

Pulaski Newton

Elkhart Steuben Lake Porter

La Porte St. Joseph La Grange

Marshall Starke

Kosciusko

Jasper

Fulton

White

Benton

Pulaski Newton

Elkhart Steuben Lake Porter

La Porte St. Joseph La Grange

Allen Whitley

WabashMiami

Cass

Noble De Kalb Marshall

Starke Kosciusko

Jasper

Fulton

White

Benton

Pulaski Newton

Elkhart Steuben Lake Porter

La Porte St. Joseph La Grange

Wells

Huntington Adams

Allen Whitley

WabashMiami

Cass

Noble De Kalb Marshall

Starke Kosciusko

Jasper

Fulton

White

Benton

Pulaski Newton

Elkhart Steuben Lake Porter

La Porte St. Joseph La Grange

BlackfordGrant

Jay

Tippecanoe Warren

Page 18: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

• How can you do this in your state……………….1. Determine where the Cooperative Extension

office is located in your state2. Meet with your Extension Director/Program

Leader• Brainstorm possibilities

Page 19: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

http://www.csrees.usda.gov/Extension/

Page 20: The Cooperative Extension System

ACCELERATING CLINICAL AND TRANSLATIONAL RESEARCHwww.indianactsi.org

For more information:

Dr. Carol [email protected]

Donna [email protected]


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