Assessment of training and technical assistance needs of Colorectal Cancer Control Program Grantees in the U.S.

BMC Public Health

Lindsay Gressard³  Ketra Rice³  Shaina Sowles⁷  Caitlin Mason⁶  Andrea Dwyer¹  Jennifer Leeman²  Thuy Vu⁴  Annette E Maxwell⁸  Peggy Hannon⁴  Cam Escoffery⁵ 

[1] University of Colorado, 13001 East 17th Bldg 500, Office Number W6104-D, Aurora 80045, CO, USA;University of North Carolina at Chapel Hill, School of Nursing, Room 2006, Chapel Hill 27599, NC, USA;Centers for Disease Control and Prevention, Division of Cancer Prevention and Control, 4770 Buford Highway, N.E., MS F-76, Atlanta 30341, GA, USA;University of Washington, Health Promotion Research Center, 1107 NE 45th Street, Ste. 200, Seattle 98105, WA, USA;Rollins School of Public Health, Emory University, 1518 Clifton Road, 5th Floor, Atlanta 30322, GA, USA;University of Washington, Department of Health Services, Campus Mail Box 354804, 1107 NE 45th Street, Suite 200, Seattle 98105, WA, USA;Washington University, Campus Box 1009, North Campus, Room 1549, 700 Rosedale Avenue, St. Louis 63112, MO, USA;University of California, 650 Charles Young Drive South (A2-125 CHS), Los Angeles 90095-6900, CA, USA

关键词: Cancer screening;    Evidence-based interventions;    Training;    Technical assistance;    Early detection and screening;    Colorectal neoplasms;   

Others  :  1122814
DOI  :  10.1186/s12889-015-1386-1

 received in 2014-06-14, accepted in 2015-01-09,  发布年份 2015

【 摘 要 】

Background

Practitioners often require training and technical assistance to build their capacity to select, adapt, and implement evidence-based interventions (EBIs). The CDC Colorectal Cancer Control Program (CRCCP) aims to promote CRC screening to increase population-level screening. This study identified the training and technical assistance (TA) needs and preferences for training related to the implementation of EBIs among CRCCP grantees.

Methods

Twenty-nine CRCCP grantees completed an online survey about their screening activities, training and technical assistance in 2012. They rated desire for training on various evidence-based strategies to increase cancer screening, evidence-based competencies, and program management topics. They also reported preferences for training formats and facilitators and barriers to trainings.

Results

Many CRCCP grantees expressed the need for training with regards to specific EBIs, especially system-level and provider-directed EBIs to promote CRC screening. Grantees rated these EBIs as more difficult to implement than client-oriented EBIs. Grantees also reported a moderate need for training regarding finding EBIs, assessing organizational capacity, implementing selected EBIs, and conducting process and outcome evaluations. Other desired training topics reported with higher frequency were partnership development and data collection/evaluation. Grantees preferred training formats that were interactive such as on-site trainings, webinars or expert consultants.

Conclusions

Public health organizations need greater supports for adopting evidence-based interventions, working with organizational-level change, partnership development and data management. Future capacity building efforts for the adoption of EBIs should focus on systems or provider level interventions and key processes for health promotion and should be delivered in a variety of ways to assist local organizations in cancer prevention and control.

【 授权许可】

   
2015 Escoffery et al.; licensee BioMed Central.

【 参考文献 】

• [1]Center for Disease Control and Prevention: Vital signs: colorectal cancer screening among adults aged 50–75 years – United States 2008 Morb Mortal Wkly Rep 2010, 59(26):808-12.
• [2]Center for Disease Control and Prevention: Vital signs: colorectal cancer screening test use - United States, 2012 Morb Mortal Wkly Rep 2013, 62(44):881-8.
• [3]Baron RC, Rimer BK, Breslow RA, Coates RJ, Kerner J, Melillo S, et al.: Client-directed interventions to increase community demand for breast, cervical, and colorectal cancer screening a systematic review. Am J Prev Med 2008, 35(1 Suppl):S34-55.
• [4]Baron RC, Melillo S, Rimer BK, Coates RJ, Kerner J, Habarta N, et al.: Intervention to increase recommendation and delivery of screening for breast, cervical, and colorectal cancers by healthcare providers a systematic review of provider reminders. Am J Prev Med 2010, 38(1):110-7.
• [5]Sabatino SA, Habarta N, Baron RC, Coates RJ, Rimer BK, Kerner J, et al.: Interventions to increase recommendation and delivery of screening for breast, cervical, and colorectal cancers by healthcare providers systematic reviews of provider assessment and feedback and provider incentives. Am J Prev Med 2008, 35(1 Suppl):S67-74.
• [6]Hannon PA, Fernandez ME, Williams RS, Mullen PD, Escoffery C, Kreuter MW, et al.: Cancer control planners’ perceptions and use of evidence-based programs. J Public Health Manag Pract 2010, 16(3):E1-8.
• [7]Hannon PA, Maxwell AE, Escoffery C, Vu T, Kohn M, Leeman J, et al.: Colorectal Cancer Control Program grantees’ use of evidence-based interventions. Am J Prev Med 2013, 45(5):644-8.
• [8]Rogers EM: Diffusion of Innovations. Free Press, New York; 2003.
• [9]Armstrong R, Waters E, Crockett B, Keleher H: The nature of evidence resources and knowledge translation for health promotion practitioners. Health Promot Int 2007, 22(3):254-60.
• [10]Dodson EA, Baker EA, Brownson RC: Use of evidence-based interventions in state health departments: a qualitative assessment of barriers and solutions. J Public Health Manag Pract 2010, 16(6):E9-15.
• [11]Steele CB, Rose JM, Chovnick G, Townsend JS, Stockmyer CK, Fonseka J et al. Use of evidence-based practices and resources among Comprehensive Cancer Control Programs. J Public Health Manag Pract. in press.
• [12]Durlak JA, DuPre EP: Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation. Am J Community Psychol 2008, 41(3–4):327-50.
• [13]Mitton C, Adair CE, McKenzie E, Patten SB, Waye Perry B: Knowledge transfer and exchange: review and synthesis of the literature. Milbank Q 2007, 85(4):729-68.
• [14]Wandersman A, Duffy J, Flaspohler P, Noonan R, Lubell K, Stillman L, et al.: Bridging the gap between prevention research and practice: the interactive systems framework for dissemination and implementation. Am J Community Psychol 2008, 41(3–4):171-81.
• [15]Wandersman A, Chien VH, Katz J: Toward an evidence-based system for innovation support for implementing innovations with quality: Tools, training, technical assistance, and quality assurance/quality improvement. Am J Community Psychol 2012, 50(3–4):460-1.
• [16]Dreisinger M, Leet TL, Baker EA, Gillespie KN, Haas B, Brownson RC: Improving the public health workforce: evaluation of a training course to enhance evidence-based decision making. J Public Health Manag Pract 2008, 14(2):138-43.
• [17]Mainor A, Leeman J, Sommers J, Heiser C, Gonzales C, Farris RP, et al. A systematic approach to evaluating public health training: the obesity prevention in public health course. J Public Health Manag Pract. in press.
• [18]Joseph D, DeGroff A, Hayes N, Wong F, Plescia M: The Colorectal Cancer Control Program: partnering to increase population level screening. Gastrointest Endosc 2011, 73(3):429-34.
• [19]Harris JR, Brown PK, Coughlin S, Fernandez ME, Hebert JR, Kerner J, et al.: The cancer prevention and control research network. Prev Chronic Dis 2005, 2(1):A21.
• [20]Research Tested Intervention Programs (RTIPs). [http://rtips.cancer.gov/rtips/index.do]
• [21]Sarfaty M: How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician’s Evidence-Based Toolbox and Guide. The American Cancer Society, The National Colorectal Cancer Roundtable and Thomas Jefferson University, Atlanta; 2008.
• [22]Escoffery C, Carlvalho M, Kegler MC: Evaluation of the Prevention Programs that Work curriculum to teach use of public health evidence to community practitioners. Health Promot Pract 2012, 13(5):707-15.
• [23]Brownson RC, Ballew P, Kittur ND, Elliot MB, Haire-Joshu D, Krebill H, et al.: Developing competencies for training practitioners in evidence-based cancer control. J Cancer Educ 2009, 24(3):186-93.
• [24]McKleroy VS, Galbraith JS, Cummings B, Jones P, Harshbarger C, Collins C, et al.: Adapting evidence-based behavioral interventions for new settings and target populations. AIDS Educ Prev 2006, 18(4 Suppl A):59-73.
• [25]Meyers DC, Durlak JA, Wandersman A: The quality implementation framework: a synthesis of critical steps in the implementation process. Am J Community Psychol 2012, 50(3–4):462-80.
• [26]Kitson A, Harvey G, McCormack B: Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care 1998, 7(3):149-58.
• [27]Lehman WE, Greener JM, Simpson DD: Assessing organizational readiness for change. J Subst Abuse Treat 2002, 22(4):197-209.
• [28]Cohen D, McDaniel RR Jr, Crabtree BF, Ruhe MC, Weyer SM, Tallia A, et al.: A practice change model for quality improvement in primary care practice. J Healthc Manag 2004, 49(3):155-68.
• [29]Flaspohler P, Duffy J, Wandersman A, Stillman L, Maras MA: Unpacking prevention capacity: an intersection of research-to-practice models and community-centered models. Am J Community Psychol 2008, 41(3–4):182-96.
• [30]Fagan AA, Arthur MW, Hanson K, Briney JS, Hawkins JD: Effects of Communities That Care on the adoption and implementation fidelity of evidence-based prevention programs in communities: Results from a randomized controlled trial. Prev Sci 2011, 12(3):223-34.
• [31]Glanz K, Steffen A, Elliott T, O’Riordan D: Diffusion of an effective skin cancer prevention program: design, theoretical foundations, and first-year implementation. Health Psychol 2005, 24(5):477-87.
• [32]Hannon PA, Harris JR, Sopher CJ, Kuniyuki A, Ghosh DL, Henderson S, et al.: Improving low-wage, midsized employers’ health promotion practices: a randomized controlled trial. Am J Prev Med 2012, 43(2):125-33.
• [33]Rabin BA, Glasgow RE, Kerner JF, Klump MP, Brownson RC: Dissemination and implementation research on community-based cancer prevention: a systematic review. Am J Prev Med 2010, 38(4):443-56.
• [34]Beam M, Ehrlich G, Black JD, Block A, Leviton LC: Evaluation of the Healthy Schools Program: Part II. The role of technical assistance. Prev Chronic Dis 2012, 9:E64.
• [35]Brown ML, Klabunde CN, Cronin KA, White MC, Richardson LC, McNeel TS: Challenges in meeting Healthy People 2020 Objectives for cancer-related preventive services, National Health Interview Survey, 2008 and 2010. Prev Chronic Dis 2014, 11:E29.
• [36]Rohan EA, Boehm JE, Degroff A, Glover-Kudon R, Preissle J: Implementing CDC’s colorectal cancer screening demonstration program: wisdom from the field. Cancer 2013, 119(Suppl 15):2870-83.
• [37]Centers for Disease Control and Prevention: Increasing Colorectal Cancer Screening and Promoting Screening Quality: An Action Guide for Engaging Employers and Professional Medical Organizations. Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta; 2013.
• [38]Washington University. [Make it your own. http://www.miyoworks.org/]
• [39]National Cancer Institute. Using what works: Adapting evidence-based programs to fit your needs. [http://cancercontrol.cancer.gov/use_what_works/start.htm]
• [40]80% by 2018 Tools & Resources. [http://nccrt.org/about/80-percent-by-2018/]