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Facing Forward: Ways You Can Make a Difference in Cancer
    Updated: 06/01/2002



Introduction






Making a Difference: What It Means






Finding Ways You Can Make a Difference: A Guide






Making a Difference in Everyday Ways






Making a Difference with Cancer Organizations







Making a Difference in Cancer Research






Making a Difference in Government Programs






Resources to Learn More



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Making a Difference in Cancer Research

About Making a Difference in Cancer Research
Taking Part in Cancer Research
Influencing Cancer Research
Joining an Institutional Review Board
Federal Government Programs That Welcome Consumer Involvement

"I found out I had cancer 6 years ago, just after my 45th birthday. I started learning as much as I could about my cancer. I wanted to know about all my treatment options. I am lucky because my wife's best friend is a nurse. She told me that for many cancers, some of the best treatments are clinical trials. I remember I said, 'Are you crazy? I'm not going to be anybody's guinea pig.' Then she told me, 'Don't close your mind to this before you know all the facts. Sometimes clinical trials can offer the best treatments available.'

So I found out everything I could about clinical trials. My doctor and I talked about this together, and she referred me to a trial. After a lot of thought and talking it over with my family, I decided to sign up. That's how I got my cancer treatment.

I've been out of treatment for about 4 years now, and so far, things look good. I am not saying that clinical trials are right for everyone. I'm not even saying I'm cured. I'm just saying I got informed and learned about all my options.

I tell everyone that if you want to take an active role in deciding your treatment, learn about clinical trials and decide if they're right for you. I help people understand that they're not 'guinea pigs' when they take part in a trial.

Clinical trials helped me. But more than that, I feel like I am helping others who may someday get cancer. Maybe my decision to take part in a clinical trial will help improve treatment for others. Maybe my story will help others find the treatment they need. I know that my cancer experience is not in vain."

—  Chris, colon cancer survivor, 51

About Making a Difference in Cancer Research

Research is the key to improving treatments for cancer. The more people take part in clinical trials, the faster we can answer important research questions, leading to better treatment and prevention options for all cancers.

Cancer research takes place at hospitals, universities, government facilities, and private companies. There are many ways you can get involved with research: taking part, encouraging others to do so, and helping to influence how research is done.

Taking Part in Cancer Research

Clinical trials are research studies in which people help doctors find ways to improve cancer care. Each study tries to answer scientific questions and find better ways to prevent, diagnose, or treat cancer.

Cancer treatment clinical trials test whether a new drug or procedure is effective, but there are many other kinds of clinical trials and types of research studies you can take part in. For example, there are:

  • Clinical trials that focus on cancer prevention, cancer screening, and quality of life.
  • Research studies that ask survivors and their families to fill out surveys or take part in interviews. These studies focus on understanding more about:
    • The things people do or are exposed to that may affect their health.
    • How cancer and its treatment affect their lives.
    • The medical costs of cancer and its treatment.

Taking part in a research study--after learning everything you need to know about it--is an important way you can give to others and, perhaps, help yourself at the same time. You can also make a difference by telling others about how they can participate in clinical trials.

Influencing Cancer Research

"My 13-year old son died of cancer. So, I have a unique viewpoint that I can share with other parents and scientists. I learned that research is where the answers are--like how new treatments get to the clinics for kids. I have also become an advocate and use my skills to help doctors and scientists understand what parents of children with cancer go through."

—  Juana, lost her son to cancer, 53



Doctors and scientists take a lot of time to design a study before the research can start. They need to decide what topics to research, how the research will be done, and how it will be funded.

It's not just doctors and scientists in lab coats who need to think about these issues.

People who have had cancer and others who are concerned about cancer (often called consumer or patient advocates) are beginning to have a voice in how research is funded. Consumers bring an important point of view to the research process. They explain what is really important to people who have cancer. They also help scientists think about what it is like for patients to take part in cancer research.

Whether sponsored by a private organization, a state government, or the Federal Government, cancer research programs must review applications to decide which projects to fund. For example:

  • Many foundations raise money for cancer research, education, and outreach programs and then award funds to projects they feel are worthy.
  • Many states, as well as the Federal Government, run programs in which they award funds to scientists for cancer research.

Many of these programs invite consumers to join committees that help decide which research gets funded. Consumers can bring a community perspective to these important decisions. By serving on these committees, consumer reviewers help advocate for:

  • Innovative research studies that will benefit patients sooner and more effectively
  • Improved medical care
  • Improved quality of life for patients, survivors, and their families

There are many different programs that seek consumer input into what research gets funded. (See Federal Government Programs That Welcome Consumer Involvement; many organizations listed in Organizations Where You Can "Make a Difference" also have funding programs).

Joining an Institutional Review Board

Another way you have an influence in research is by joining an institutional review board (IRB) at your local hospital, cancer center, or university. An IRB is made up of doctors, nurses, and people from the community. Its job is to review research studies and make sure they are run in a manner that is safe and fair. IRB members also look at informed consent documents and make sure they are easy to understand and have all the information people in the study need to know.

Ways to Get Started-- Cancer Research

If you are interested in cancer research, here are some ways you can get started. To learn more about clinical trials:

  • Contact the National Cancer Institute (NCI) to find out more about clinical trials. For example, you can:
  • Talk to your doctor about clinical trials in your area. Some of these studies may also be listed in your local newspaper.

To learn more about influencing cancer research:

  • Contact the research office at your local hospital, university, or cancer center. Ask to speak with the researchers to learn more about their work.
  • Learn about research in your community by visiting the NCI Research Portfolio Web site at:
    http://researchportfolio.cancer.gov.
    You can search this site by state, institution, or name of researcher.

  • Contact your state's health department and ask about the cancer research programs it funds. Find out which studies are looking for consumers to get involved.
  • To find local cancer programs, look in your telephone book under "Departments of Health" or "Health Departments."
  • Find out about the private foundations in your area that fund cancer research, and ask if they would like consumer input. (To learn more, go to the list of cancer organizations in Organizations Where You Can "Make a Difference".)
  • Call or write the Federal Government programs at the numbers listed on the next page, and ask for an application to be a consumer or patient representative.

Federal Government Programs That Welcome Consumer Involvement

Government Program

Description

National Cancer Institute

Consumer Advocates in Research and Related Activities (CARRA) NCI Liaison Activities (LA) Branch
6116 Executive Blvd., 3068A
Bethesda, MD 20892-8324
Tel: 301-594-3194
http://la.cancer.gov/carra
E-mail: liaison@od.nci.nih.gov

The Consumer Advocates in Research and Related Activities (CARRA) program encourages people affected by cancer to provide their viewpoints and ideas directly to NCI staff so that the NCI can incorporate their perspectives into its programs and activities. CARRA members represent many different cancer types, age groups, and ethnic groups from across the nation. In addition to participating in NCI activities, CARRA members represent the opinions of their groups and play critical roles as two-way information links between their own communities and constituencies and the NCI.

CARRA members meet directly with NCI staff. They may:

  • Review proposals during scientific peer review.
  • Participate in meetings about NCI research plans and policies.
  • Develop and review health promotion messages.
Clinical Trial Cooperative Group Program

See the Cooperative Group Program link on the Web site by going to , and following the links on your screen. Or call the National Cancer Institute's Cancer Information Service at
1-800-4-CANCER to request a fact sheet that lists cooperative groups.

Clinical trials are often conducted through NCI Clinical Trial Cooperative Groups, which are networks of institutions that jointly carry out large clinical trials. Members of these groups include:

  • University hospitals
  • Cancer centers
  • Community doctors and community hospitals

There are ten cooperative groups; some focus on type of cancer, others on type of treatment, and at least one on age of participants. Other groups are regional or focus on several cancer types.

Cooperative groups seek the input of patients in their committees and working groups. Some patient advocates may be involved in developing research plans (called protocols); others may help develop informed consent forms; and others are involved in advising on policies or priorities. The application process is different for each cooperative group.

U.S. Department of Defense

Congressionally Directed Medical Research Programs (CDMRP)
Congressionally Directed Medical
Research Programs
ATTN: Consumer Recruitment
1077 Patchel Street
Fort Detrick, MD 21702-5024
Tel: 301-619-7079
http://cdmrp.army.mil
E-mail: cdmrp.consumers@det.
amedd.army.mil

Currently, the CDMRP oversees research programs in Breast Cancer, Prostate Cancer, Ovarian Cancer, and Chronic Myelogenous Leukemia. In these programs, Consumer Reviewers take part in reviewing research proposals along with scientists (called "peer review"). Consumer Reviewers:

  • Represent the collective views of survivors, patients, family members, and persons affected by and at risk for a disease.
  • Read and evaluate research study proposals for relevance to the consumer community's needs and concerns.
  • Actively participate in the discussions and decisionmaking process of peer-review panels.
  • Participate equally with scientists as full voting members.

After you have worked in cancer research for a while, think about how you liked this experience. One way is to fill out Thinking About Your Choices: A Guide.


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