Promoting state health department evidence-based cancer and chronic disease prevention: a multi-phase dissemination study with a cluster randomized trial component

Implementation Science

Ross C Brownson⁶  Elizabeth A Baker¹  Maureen Dobbins⁷  Ellen Jones³  Jon F Kerner⁴  Lindsay Elliott²  Jenine K Harris²  Katherine A Stamatakis⁵  Adriano Akira Ferreira Hino⁸  Rebekah R Jacob²  Sonia Sequeira²  Peg Allen² 

[1]Prevention Research Center in St. Louis, College for Public Health & Social Justice, Saint Louis University, 3545 Lafayette Ave, St. Louis, MO 63104, USA

[2]Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, 621 Skinker Blvd., St. Louis, MO 63130-4838, USA

[3]School of Health Related Professions, University of Mississippi Medical Center, Jackson, MS 39216, USA

[4]Population Health and Knowledge Management, Canadian Partnership Against Cancer, Toronto, ON M5J 2P1, Canada

[5]Department of Epidemiology and Prevention Research Center in St. Louis, College for Public Health & Social Justice, Saint Louis University, 3545 Lafayette Ave, St. Louis, MO 63104, USA

[6]Division of Public Health Sciences and Siteman Cancer Center, Washington University School of Medicine

[7] Washington University in St. Louis, St Louis, MO 63130, USA

[8]National Collaborating Centre for Methods and Tools and Health Evidence, McMaster University, Hamilton, Ontario, Canada

[9]Department of Physical Education, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná, Curitiba, Parana, Brazil

关键词: Public health accreditation;    Evidence-based public health;    Cancer prevention and control;    Chronic disease prevention;    Public health workforce;    Dissemination research;    Innovation diffusion;    Information dissemination;   

Others  :  810699
DOI  :  10.1186/1748-5908-8-141

 received in 2013-10-08, accepted in 2013-12-09,  发布年份 2013

【 摘 要 】

Background

Cancer and other chronic diseases reduce quality and length of life and productivity, and represent a significant financial burden to society. Evidence-based public health approaches to prevent cancer and other chronic diseases have been identified in recent decades and have the potential for high impact. Yet, barriers to implement prevention approaches persist as a result of multiple factors including lack of organizational support, limited resources, competing emerging priorities and crises, and limited skill among the public health workforce. The purpose of this study is to learn how best to promote the adoption of evidence based public health practice related to chronic disease prevention.

Methods/design

This paper describes the methods for a multi-phase dissemination study with a cluster randomized trial component that will evaluate the dissemination of public health knowledge about evidence-based prevention of cancer and other chronic diseases. Phase one involves development of measures of practitioner views on and organizational supports for evidence-based public health and data collection using a national online survey involving state health department chronic disease practitioners. In phase two, a cluster randomized trial design will be conducted to test receptivity and usefulness of dissemination strategies directed toward state health department chronic disease practitioners to enhance capacity and organizational support for evidence-based chronic disease prevention. Twelve state health department chronic disease units will be randomly selected and assigned to intervention or control. State health department staff and the university-based study team will jointly identify, refine, and select dissemination strategies within intervention units. Intervention (dissemination) strategies may include multi-day in-person training workshops, electronic information exchange modalities, and remote technical assistance. Evaluation methods include pre-post surveys, structured qualitative phone interviews, and abstraction of state-level chronic disease prevention program plans and progress reports.

Trial registration

clinicaltrials.gov:NCT01978054.

【 授权许可】

   
2013 Allen et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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