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cal, psychosocial, behavioral, sociocultural, and environmental sciences: nursing, occupational health, alternative therapies, public health and policy, and economics. In FY 1993-1994 the program applied the recommendations of the Institute of Medicine and focused on traditional research and infrastructure (IOM, 1997). In FY 1996, the program deemphasized traditional awards to fund innovative "idea awards" and clinical translational research. The BCRP also offers training support, such as predoctoral, postdoctoral, sabbatical, and career development awards.
Prostate cancer: Between FY 1997 and 1999, $135 million has been appropriated to the Prostate Cancer Research Program for basic and clinical research. The goals of the program are to pursue breakthrough ideas and approaches, prepare new scientists, encourage established investigators, and promote prostate cancer public awareness and education among the public. The program encourages innovative, multi-institutional, and multidisciplinary research and has funded new investigator awards, idea development awards, and minority population-focused training awards.
Ovarian cancer: Between FY 1997 and 1999, $27.5 million has been appropriated to the Ovarian Cancer Research Program. To date, comprehensive, multidisciplinary, preventive center grants have been funded to foster the development of a sustained national ovarian cancer research enterprise.
Extramural research identified in HSRProj is shown in Box 7.9.
BOX 7.9Current Extramural Health Services Research Projects Funded by DoD
Utilization of a national clinical trials infrastructure to evaluate breast cancer patient outcomes of importance in determining priorities for new care reform
A randomized clinical trial to evaluate advanced nursing care for women with newly diagnosed breast cancer
Decision modeling of psychosocial and clinical factors in assessing treatment alternatives for lobular carcinoma in situ
Adding data accessibility and rule-based targeting data collection to the California cancer reporting system for breast cases
Massachusetts cancer control evaluation project
Development of a stochastic simulation model of the cost-effectiveness of promoting breast cancer screening
Special sabbatical for training in health decision sciences with application to breast cancer treatment evaluation
Role of African-American churches in prostate cancer prevention
Unbiased outcome estimates for conservative versus aggressive treatment of early-stage prostate cancer from retrospective data: an instrumental variables approach
Assessing patient values toward prostate cancer genetic screening