FUNDING SOURCE: CDC and NCI, 2014-2019 (previously funded in 2009-2014)





PROJECT DIRECTOR: James Lyndon (Lyn) McCracken, MA

Cancer-related health disparities in South Carolina (SC) are among the largest in the nation. The SC-CPCRN-II is working to reduce cancer-related health disparities among disenfranchised and medically underserved populations by advancing dissemination and implementation (D&I) science. In strong partnership with the National Association for Community Health Centers, the SC Primary Health Care Association, federally qualified health centers, the South Carolina Cancer Alliance, and other academic, community, and faith-based partners, the SC-CPCRN-II uses evidence-based approaches for the D&I of efficacious cancer prevention and control messages, programs, and interventions. The relevance of our D&I efforts in SC is strengthened considerably through established partnerships with our target audiences and stakeholders, leading to improved health outcomes. Our team’s well-recognized community-based participatory research (CBPR) approach to D&I research increases the validity and relevance of our work, ultimately providing all stakeholders with valuable information about strategies and programming for improving health and reducing cancer-related health disparities. The SC-CPCRN-II has three specific aims: 1) Disseminate, implement, and evaluate efficacious, multi-level, and multi-site public health interventions to address cancer-related health disparities; 2) Engage community partners and stakeholders locally, regionally, and nationally in research, training, and technical assistance to increase the impact of the cancer prevention and control and D&I evidence base in SC and translate effective interventions into practice; and 3) Increase participation in cancer prevention and control behaviors, such as cancer screening, physical activity, and access to and consumption of healthful foods among high-risk and disparate populations.

To learn more about the SC-CPCRN-II, please visit this website:


Adams, S.A., Choi, S.K., Eberth, J.M., Friedman, D.B., Yip, M.P., Tucker-Seeley, R., Wigfall, L.T., & Hebert, J.R. (2015). Is availability of mammography services at federally qualified health centers associated with breast cancer mortality-to-incidence ratios? An ecological analysis. Journal of Women’s Health, 24(11), 916-923 (DOI: 10.1089/jwh.2014.5114).

Adams S.A., Choi S.K., Khang L., A Campbell D., Friedman D.B., Eberth J.M., Glasgow R.E., Tucker-Seeley R., Xirasagar S., Yip M.P., Young V.M., & Hébert J.R. (2015) Decreased Cancer Mortality-to-Incidence Ratios with Increased Accessibility of Federally Qualified Health Centers. Journal of Community Health. 2015 Aug;40(4):633-41 (DOI: 10.1007/s10900-014-9978-8).

Brandt H.M., Young V.M., Campbell D.A., Choi S.K., Seel J.S., & Friedman D.B. (2015) Federally qualified health centers' capacity and readiness for research collaborations: Implications for clinical-academic-community partnerships.Clin Transl Sci.8(4): 391-393.

Brandt H.M., Freedman D.A., Friedman D.B., Choi S.K., Seel J.S., Guest M.A., & Khang L. (In press). Planning healthy roots: Using documentay film to evaluate and disseminate community-based participatory research. Family & Community Health.

Choi, S.K., Arp Adams, S., Eberth, J.M., Brandt, H.M., Friedman, D.B., Yip, M.P., Tucker, Seeley, R., & Hebert, J.R. (2015). Medicaid coverage expansion and cancer disparities. American Journal of Public Health, 105(S5), S706-S712. (DOI: 10.2105/AJPH.2015.302876).

Friedman, D.B., Wilcox, S., & Hebert, J.R. (2015 Apr 18 Epub). Proposing an interdisciplinary, communication-focused agenda for cancer and aging researchers. Journal of Cancer Education (DOI 10.1007/s13187-015-0822-3).

Kegler M.C., Carvalho M.L., Ory M., Kellstedt D., Friedman D.B., McCracken J.L., Dawson G., Fernandez M.. Use of Mini-Grant to Disseminate Evidence-Based Interventions for Cancer Prevention and Control. J Public Health Manag Pract. 2015 Sep-Oct;21(5):487-95. (DOI: 10.1097/PHH.0000000000000228).

Tu S.P., Young V.M., Coombs L.J., Williams R.S., Kegler M.C., Kimura A.T., Risendal B.C., Friedman D.B., Glenn B.A., Pfeiffer D.J., Fernandez M.E. (2015) Practice adaptive reserve and colorectal cancer screening best practices at community health center clinics in 7 states. Cancer 121(8): 1241-1248.


Xirasagar, S., Bennett, C.L., & Hebert, J.R. (2010) Screening Colonoscopy vs. Flexible Sigmoidoscopy. Letter to the Editor JAMA, 304(18), 2016-2017.

Wagner, S.E., Drake, B.F., Elder, K.T., & Hébert J.R. (2011, Nov.). Social and clinical predictors of prostate cancer treatment decisions among men in South Carolina. Cancer Causes Control, 22(11), 1597-1606. PMID: 21877121. PMCID: PMC3383650.

Xirasagar, S., Hurley, T.G., Burch, J.B., Mansaray, A., & Hébert, J.R. (2011, Nov. 15). Colonoscopy screening rates among patients of colonoscopy-trained African-American primary care physicians. Cancer, 117(22), 5151-60. doi: 10.1002/cncr.26142. PMID: 21523762. PMCID: PMC3145827.

Freedman, D.A., Whiteside, Y.O., Brandt, H.M., Young, V., Friedman, D.B., & Hebert, J.R. (2012, February). Assessing readiness for establishing a farmers' market at a community health center. Journal of Community Health, 37(1), 80-88. doi: 10.1007/s10900-011-9419-x.
PMCID: PMC3208118. 

Friedman, D.B., Young, V.M., Freedman, D.A., Arp Adams, S., Brandt, H.M., Xirasagar, S., Felder, T.M., Ureda, J.R., Hurley, T., Khang, L., Campbell, D., & Hebert, J.R. (2012). Reducing cancer disparities through innovative partnerships: A collaboration of the South Carolina Cancer Prevention and Control Research Network and Federally Qualified Health Centers. Journal of Cancer Education, 27(1), 59-61. doi: 10.1007/s13187-011-0272-5. PMID: 21932143. PMCID: PMC3272325.

Freedman, D.A., Choi, S.K., Hurley, T., Anadu, E., & Hébert, J.R. (2013, May). A farmers' market at a federally qualified health center improves fruit and vegetable intake among low-income diabetics. Preventive Medicine, 56(5), 288-92. doi: 10.1016/j.ypmed.2013.01.018. PMID: 23384473. PMCID: PMC3633661.                                                                                                                                                          

Freedman, D.A., & Alia, K.A. (2013). Building farmacies: A guide for implementing a farmers' market at a community health center. Columbia, SC: University of South Carolina. Available online at

McCracken, J.L., Friedman, D.B., Brandt, H.M., Arp Adams, S., Xirasagar, S., Ureda, J.R., Mayo, R.M., Comer, K., Evans, M., Fedrick, D., Talley, J., Broderick, M., & Hebert, J.R. (2013, September). Findings from the Community Health Intervention Program in South Carolina: Implications for reducing cancer-related health disparities. Journal of Cancer Education, 28(3), 412-419. doi: 10.1007/s13187-013-0479-8. PMID: 23645547. PMCID: PMC3755099.

Koskan, A., Friedman, D.B., Messias, D.K.H., Brandt, H.M., & Walsemann, K. (2013, Sept-Oct). Sustainability of Promotora initiatives: Program planners’ perspectives. Journal of Public Health Management & Practice, 19(5), E1-9. doi: 10.1097/PHH.0b013e318280012a.
PMID: 23295409.

Freedman, D.A., Blake, C., & Liese, A. (2013, Dec 9 Epub). Developing a multicomponent model of nutritious food access and related implications for community and policy practice. Journal of Community Practice, 21, 379-409.  doi: 10.1080/10705422.2013.842197.
PMID: 24563605. PMCID: PMC3930921.

Friedman, D.B., Freedman, D.A., Choi, S.K., Anadu, E., Brandt, H.M., Carvalho, N., Hurley, T.G., Young, V.M., & Hebert, J.R. (2014, March). Provider communication and role modeling related to patients' perceptions and use of a federally qualified health center-based farmers' market. Health Promotion Practice, 15(2), 288-297. doi: 10.1177/1524839913500050. PMID: 23986503. PMCID: PMC3871943.

Ory, M.G., Anderson, L.A., Friedman, D.B., Pulczinski, J.C., Eugene, N., & Satariano, W.A. (2014, March). Cancer prevention among adults aged 45-64 Years: Setting the stage. American Journal of Preventive Medicine, 46(3S1), S1-S6. doi: 10.1016/j.amepre.2013.10.027. PMID: 24512925.
Freedman, D.A., Mattison-Faye, A., Alia, K., Guest, M.A., & Hébert, J.R. (2014, May). Comparing farmers’ market revenue trends before and after the implementation of a monetary incentive for recipients of food assistance. Preventing Chronic Disease, 11:130347.  

Freedman, D.A., Peña-Purcell, N., Friedman, D.B., Ory, M., Flocke, S., Barni, M.T., & Hébert, J.R. (2014, April 20 Epub). Extending cancer prevention to improve fruit and vegetable consumption. Journal of Cancer Education. PMID: 24748060.

Alia, K.A., Freedman, D.A., Brandt, H.M. & Browne, T. (2014, June). Identifying emergent social networks at a federally qualified health center-based farmers' market. American Journal of Community Psychology, 53(3-4), 335-345. doi: 10.1007/s10464-013-9616-0. PMID: 24352510.

Xirasagar, S., Li, Y.J., Burch, J.B., Daguise, V., Hurley, T.G.,& Hebert, J.R. (2014, June 23). Reducing colorectal cancer incidence and disparities: Performance and outcomes of a screening colonoscopy program in South Carolina. Advances in Public Health.

Fernandez, M.E., Melvin, C., Leeman, J., Ribisl, K.M., Allen, J.D., Kegler, M.C., Bastani, R., Ory, M.G., Risendal, B.C., Hannon, P.A., Kreuter, M.W., & Hebert JR. (2014, Aug 25 Epub). The Cancer Prevention and Control Research Network: An interactive systems approach to advancing cancer control implementation research and practice. Cancer Epidemiology, Biomarkers & Prevention. pii: cebp.0097.2014. PMID: 25155759.

Friedman, D.B., Brandt, H.M., Freedman, D.A., Arp Adams, S., Young, V.M., Ureda, J.R., McCracken, J.L., & Hebert, J.R. (2014, July 24). Innovative and community-driven communication practices of the South Carolina Cancer Prevention and Control Research Network. Preventing Chronic Disease, 11. doi:

Jankowski, C.M., Ory, M.G., Friedman, D.B., Dwyer, A., Birken, S.A., & Risendal, B. (2014, Aug 8 Epub). Searching for maintenance in exercise interventions for cancer survivors. Journal of Cancer Survivorship: Research and Practice. doi: 10.1007/s11764-014-0386-y.
PMID: 25103605.

Friedman, D.B., Tanner, A., Kim, S-H., Bergeron, C.D., & Foster, C.B.  (In press 2014, Oct).  Improving our messages about research participation: A community-engaged approach to increasing clinical trial literacy. Clinical Investigation.

Kegler, M., Carvalho, M., Ory, M., Kellstedt, D., Friedman, D.B., McCracken, J.L., Dawson, G., & Fernandez, M. (2015). Use of mini-grant to disseminate evidence-based interventions for cancer prevention and control. Journal of Public Health Management & Practice 21(5), 487-495 (DOI: 10.1097/PHH.0000000000000228).

Guest, M.A., Freedman, D., Alia, K.A., Brandt, H.M., & Friedman, D.B. (2015). Dissemination of an electronic manual to 4 build capacity for implementing farmers' markets with community health centers. Clinical and Translational Science. 8(5), 484-489 (DOI: 10.1111/cts.12318)

Alia, K.A., Freedman, D.A., Brandt, H.M., Gibson-Haigler, P., & Friedman, D.B. (2015). A participatory model for evaluating a multilevel farmers’ market intervention. Progress in Community Health Partnerships: Research, Education, and Action, 9(4), 537-548 (DOI: 10.1353/cpr.2015.0074)