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Barrett, Nadine J

Overview:

As a Medical Sociologist with over 15 years of experience engaging diverse health systems and communities to improve community and population health, I have devoted my career to reducing health disparities among disadvantaged and vulnerable populations and effectively training health care and research professionals and trainees in community engagement, diversity and inclusion, and the principles of authentic and impactful stakeholder collaborations. My expertise can be defined broadly within the context of developing effective community and health system partnerships to improve health outcomes, and conducting community health assessments to inform strategic priority setting, and program development, implementation and evaluation. I serve as the inaugural director of the Office of Health Equity and Disparities at the Duke Cancer Institute, and the Director of the Community Connections and Collaborations Core within the Duke CTSA and the Center for Community and Population Health Improvement. I am also faculty in the Department of Community and Family Medicine, Division of Community Health. 
I have several funded project including Project PLACE (Population Level Approaches to Cancer Elimination), funded by the NCI is a three pronged research project designed to implement three robust mechanisms to inform the health equity strategic direction of the DCI over the next 5- 8 years. Project PLACE  is a highly intensive community engagement model and platform designed to shape robust scholarly productivity, partnered research and community programs to improve population health. I am also the Duke PI (subcontract) with Kevin Williams (lead-PI)of a national Susan G. Komen pipeline training grant on translational research in Inflammatory Breast Cancer, and community engaged research. I also co-direct the NCI funded Cancer Research and Education Program Core of the NCCU/DCI Translational Health Disparities Research Program which incorporates specified training in minority accrual in clinical research, a program I developed within the DCI entitled, Just Ask.  

Positions:

Medical Instructor in Community and Family Medicine

Community and Family Medicine, Community Health
School of Medicine

Member of the Duke Cancer Institute

Duke Cancer Institute
School of Medicine

Education:

Ph.D. 2005

Ph.D. — Texas Womans University

News:

Grants:

Improving Adherence to Adjuvant Endocrine Therapy in Breast Cancer Patients

Administered By
Psychiatry & Behavioral Sciences, Behavioral Medicine
AwardedBy
National Institutes of Health
Role
Co Investigator
Start Date
July 01, 2016
End Date
June 30, 2021

Training Minorities in Research to Reduce Breast Cancer Disparities

Administered By
Duke Cancer Institute
AwardedBy
North Carolina Central University
Role
Principal Investigator
Start Date
June 30, 2016
End Date
June 29, 2019

Coping Skills for Colorectal Cancer Survivors with Pain and Distress

Administered By
Psychiatry & Behavioral Sciences, Behavioral Medicine
AwardedBy
American Cancer Society, Inc.
Role
Co-Mentor
Start Date
July 01, 2015
End Date
June 30, 2018

Duke CTSA (UL1)

Administered By
Duke Clinical & Translational Science Institute
AwardedBy
National Institutes of Health
Role
Investigator
Start Date
September 26, 2013
End Date
April 30, 2018

Identification of Genetic Determinates for Disparities in African American Patients with Non-Small Cell Lung Cancer

Administered By
Medicine, Medical Oncology
AwardedBy
V Foundation for Cancer Research
Role
Co Investigator
Start Date
November 01, 2016
End Date
November 01, 2017

Breast Cancer Awareness to Action Ambassador Program (BCAAAP)

Administered By
Duke Cancer Institute
AwardedBy
Susan G Komen for the Cure
Role
Principal Investigator
Start Date
April 01, 2013
End Date
June 15, 2014
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Publications:

Connecting Mentally Ill Detainees in Large Urban Jails with Community Care.

Large urban jails have become a collection point for many persons with severe mental illness. Connections between jail and community mental health services are needed to assure in-jail care and to promote successful community living following release. This paper addresses this issue for 2855 individuals with severe mental illness who received community mental health services prior to jail detention in King County (Seattle), Washington over a 5-year time period using a unique linked administrative data source. Logistic regression was used to determine the probability that a detainee with severe mental illness received mental health services while in jail as a function of demographic and clinical characteristics. Overall, 70 % of persons with severe mental illness did receive in-jail mental health treatment. Small, but statistically significant sex and race differences were observed in who received treatment in the jail psychiatric unit or from the jail infirmary. Findings confirm the jail's central role in mental health treatment and emphasize the need for greater information sharing and collaboration with community mental health agencies to minimize jail use and to facilitate successful community reentry for detainees with severe mental illness.

Authors
Sayers, SK; Domino, ME; Cuddeback, GS; Barrett, NJ; Morrissey, JP
MLA Citation
Sayers, SK, Domino, ME, Cuddeback, GS, Barrett, NJ, and Morrissey, JP. "Connecting Mentally Ill Detainees in Large Urban Jails with Community Care." The Psychiatric quarterly 88.2 (June 2017): 323-333.
Website
http://hdl.handle.net/10161/12944
PMID
27342104
Source
epmc
Published In
Psychiatric Quarterly
Volume
88
Issue
2
Publish Date
2017
Start Page
323
End Page
333
DOI
10.1007/s11126-016-9449-8

Implementing a Health Equity Agenda at the Duke Cancer Institute

Authors
Barrett, NJ; Vann, T; Wilder, J; ingraham, K; Worthy, V; Boyce, X; Reyes, R; Chirinios, M; Wigfall, P; Robinson, W; Patierno, S
MLA Citation
Barrett, NJ, Vann, T, Wilder, J, ingraham, K, Worthy, V, Boyce, X, Reyes, R, Chirinios, M, Wigfall, P, Robinson, W, and Patierno, S. "Implementing a Health Equity Agenda at the Duke Cancer Institute." Oncology Issues September -October 2016 (September 1, 2016): 48-57.
Website
http://hdl.handle.net/10161/12945
Source
manual
Published In
Oncology Issues
Volume
September -October 2016
Publish Date
2016
Start Page
48
End Page
57

2014 Durham County Health Assessment: Cancer”

This component of the Durham Health Assessment provides an overview of the cancer burden in Durham County. The report provides a comprehensive summary of primary and secondary data around the burden of cancer, areas of need, and potential opportunities to improve community and population health outcomes in the region.

Authors
Barrett, NJ; Bethea, K
MLA Citation
Barrett, NJ, and Bethea, K. 2014 Durham County Health Assessment: Cancer” (Published online). Durham County Department of Public Health, January 2015.
Source
manual
Publish Date
2015
Start Page
217
End Page
227

Abstract A30: Using the principles of community-based participatory research to build an office of health equity within a nationally designated cancer institute

Authors
Barrett, NJ; Worthy, V; Boyce-Manon, X; Reyes, R; Banks, L; Patierno, S; Chu, C
MLA Citation
Barrett, NJ, Worthy, V, Boyce-Manon, X, Reyes, R, Banks, L, Patierno, S, and Chu, C. "Abstract A30: Using the principles of community-based participatory research to build an office of health equity within a nationally designated cancer institute." Cancer Epidemiology Biomarkers & Prevention 23.11 Supplement (November 2014): A30-A30.
Website
http://hdl.handle.net/10161/12947
Source
crossref
Published In
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
Volume
23
Issue
11 Supplement
Publish Date
2014
Start Page
A30
End Page
A30
DOI
10.1158/1538-7755.DISP13-A30

Examining the Crack Epidemic and Subsequent Drug Policy through Identifying Trends in Outpatient Substance Abuse Treatment for Crack Use/Abuse: 1995-2005

Disparities in the crack/cocaine discourse have changed drastically since its inception over 30 years ago. Since the late 1980s, research examining this particular abuse has become more complex as both nationally and globally crack use/abuse has been examined within various contexts. Crack use has often been framed as an African American problem in part resulting from the high volume of African Americans seeking treatment for illnesses associated with their crack-cocaine use, and more African Americans dying from crack-cocaine overdose. This logical fallacy persists despite evidence showing African Americans have lower substance use/abuse compared to Caucasians. Given the impact of the crack epidemic as well as its related drug policies on African American communities and their families, further examination of crack use/abuse is necessary. This study will discuss the crack epidemic historically and examine crack use among clients of a large sample of outpatient substance abuse treatment units over a decade period between 1995 and 2005.

Authors
kim, M; Barrett, NJ; Gilbert, KL; Taylor, Y; Godley, P; Howard, D
MLA Citation
kim, M, Barrett, NJ, Gilbert, KL, Taylor, Y, Godley, P, and Howard, D. "Examining the Crack Epidemic and Subsequent Drug Policy through Identifying Trends in Outpatient Substance Abuse Treatment for Crack Use/Abuse: 1995-2005." Journal of Equity in Health 3.1 (February 2014): 124-138.
Website
http://hdl.handle.net/10161/12948
Source
manual
Published In
Journal of Equity in Health
Volume
3
Issue
1
Publish Date
2014
Start Page
124
End Page
138

Promoting community practitioners' use of evidence-based approaches to increase breast cancer screening.

Many women do not get mammography screenings at the intervals recommended for early detection and treatment of breast cancer. The Guide to Community Preventive Services (Community Guide) recommends a range of evidence-based strategies to improve mammography rates. However, nurses and others working in community-based settings make only limited use of these strategies. We report on a dissemination intervention that partnered the University of North Carolina with the Susan G. Komen Triangle Affiliate to disseminate Community Guide breast cancer screening strategies to community organizations. The intervention was guided by social marketing and diffusion of innovation theory and was designed to provide evidence and support via Komen's existing relationships with grantee organizations. The present study reports the findings from a formative evaluation of the intervention, which included a content analysis of 46 grant applications pre- and post intervention and focus groups with 20 grant recipients.

Authors
Leeman, J; Moore, A; Teal, R; Barrett, N; Leighton, A; Steckler, A
MLA Citation
Leeman, J, Moore, A, Teal, R, Barrett, N, Leighton, A, and Steckler, A. "Promoting community practitioners' use of evidence-based approaches to increase breast cancer screening." Public health nursing (Boston, Mass.) 30.4 (July 2013): 323-331.
Website
http://hdl.handle.net/10161/12946
PMID
23808857
Source
epmc
Published In
Public Health Nursing
Volume
30
Issue
4
Publish Date
2013
Start Page
323
End Page
331
DOI
10.1111/phn.12021

Can Cultural Competency Speak to the Race Disparities in Methadone Dosage Levels?

Authors
Howard, DL; Barrett, NJ; Holmes, DN
MLA Citation
Howard, DL, Barrett, NJ, and Holmes, DN. "Can Cultural Competency Speak to the Race Disparities in Methadone Dosage Levels?." The Review of Black Political Economy 37.1 (March 2010): 7-23.
Source
crossref
Published In
The Review of Black Political Economy
Volume
37
Issue
1
Publish Date
2010
Start Page
7
End Page
23
DOI
10.1007/s12114-009-9052-4

Susan G. Komen for the Cure, NC Triangle Community Health Profile, 2009

This Community Health Assessment covers the 13 County Catchment Area of Susan G. Komen NC Triangle Affiliate and is designed to ensure strategic initiatives reach the most vulnerable populations in the Greater Triangle and eastern NC to increase breast cancer outreach, education, screening, and treatment for underserved populations in the region. The report is a comprehensive overview of primary and secondary data describing the current state of breast cancer incidence and mortality and the challenges associated with access to care in urban and rural counties in the Greater Triangle.

Authors
Barrett, NJ; Blondin, P; Steele, J
MLA Citation
Barrett, NJ, Blondin, P, and Steele, J. Susan G. Komen for the Cure, NC Triangle Community Health Profile, 2009 (Published online). August 2009.
Source
manual
Publish Date
2009

Understanding public attitudes towards Social Security

Authors
Yang, P; Barrett, N
MLA Citation
Yang, P, and Barrett, N. "Understanding public attitudes towards Social Security." International Journal of Social Welfare 15.2 (April 2006): 95-109.
Source
crossref
Published In
International Journal of Social Welfare
Volume
15
Issue
2
Publish Date
2006
Start Page
95
End Page
109
DOI
10.1111/j.1468-2397.2006.00382.x
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