scholarly journals Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions Among Cancer Control Program Grantees, 2009–2015

2019 ◽  
Vol 16 ◽  
Author(s):  
Peggy A. Hannon ◽  
Annette E. Maxwell ◽  
Cam Escoffery ◽  
Thuy Vu ◽  
Marlana J. Kohn ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Cancer Control ◽  
Control Program ◽  
Evidence Based ◽  
Adoption And Implementation ◽  
Cancer Control Program

scholarly journals Economic Evaluation of Interventions to Increase Colorectal Cancer Screening at Federally Qualified Health Centers

2020 ◽  
Vol 21 (6) ◽  
pp. 877-883
Author(s):  
Florence K. L. Tangka ◽  
Sujha Subramanian ◽  
Sonja Hoover ◽  
Amy DeGroff ◽  
Djenaba Joseph ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Program Implementation ◽  
Cancer Control ◽  
Control Program ◽  
Evidence Base ◽  
Lessons Learned ◽  
Evidence Based ◽  
Crc Screening ◽  
Screening Uptake ◽  
Cancer Control Program

The Centers for Disease Control and Prevention (CDC) has a long-standing commitment to increase colorectal cancer (CRC) screening for vulnerable populations. In 2005, the CDC began a demonstration in five states and, with lessons learned, launched a national program, the Colorectal Cancer Control Program (CRCCP), in 2009. The CRCCP continues today and its current emphasis is the implementation of evidence-based interventions to promote CRC screening. The purpose of this article is to provide an overview of four CRCCP awardees and their federally qualified health center partners as an introduction to the accompanying series of research briefs where we present individual findings on impacts of evidence-based interventions on CRC screening uptake for each awardee. We also include in this article the conceptual framework used to guide our research. Our findings contribute to the evidence base and guide future program implementation to improve sustainability, increase CRC screening, and address disparities in screening uptake.

scholarly journals Examining the Effectiveness of Provider Incentives to Increase CRC Screening Uptake in Neighborhood Healthcare: A California Federally Qualified Health Center

2020 ◽  
Vol 21 (6) ◽  
pp. 898-904
Author(s):  
Melissa Barajas ◽  
Florence K. L. Tangka ◽  
James Schultz ◽  
Kulin Tantod ◽  
Ying Marilyn Kempster ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Positive Impact ◽  
Cancer Control ◽  
Control Program ◽  
Baseline Period ◽  
Health Centers ◽  
California Department ◽  
Screening Uptake

As an awardee of the Centers for Disease Control and Prevention’s Colorectal Cancer Control Program, the California Department of Public Health partnered with Neighborhood Healthcare to implement evidence-based interventions and provider incentives (incentives offered to support staff, e.g., medical assistants, phlebotomists, front office staff, lab technicians) to improve colorectal cancer screening uptake. The objective of this study was to evaluate the effectiveness and cost of the provider incentive intervention implemented by Neighborhood Healthcare to increase colorectal cancer screening uptake. We collected and analyzed process and cost data to assess fecal immunochemical test (FIT) kit return rates to the health centers and the number of completed FIT kits. We estimated the costs of the preexisting interventions and the new interventions. Analyses were conducted for two time periods: preimplementation and implementation. Most Neighborhood Healthcare health centers experienced an increase in the percentage of FIT kit returns (average of 3.6 percentage points) and individuals screened (an average increase of 111 FIT kits per month) from the baseline period through the implementation period. The cost of the incentive intervention for each additional screen was $66.79. In conclusion, the results indicate that incentive programs can have an overall positive impact on both the percentage of FIT kits returned and the number of individuals screened.

scholarly journals Colorectal Cancer Control Program Grantees’ Use of Evidence-Based Interventions

2013 ◽  
Vol 45 (5) ◽  
pp. 644-648 ◽  
Author(s):  
Peggy A. Hannon ◽  
Annette E. Maxwell ◽  
Cam Escoffery ◽  
Thuy Vu ◽  
Marlana Kohn ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Control ◽  
Control Program ◽  
Evidence Based ◽  
Cancer Control Program

scholarly journals Developing a Co-Production Strategy to Facilitate the Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions for Rural Health Systems: A Pilot Study

2021 ◽  
Author(s):  
Jungyoon Kim ◽  
Paul Estabrooks ◽  
Alisha Aggarwal ◽  
Analisa McMillan ◽  
Khalid Alshehri
Keyword(s):  
Colorectal Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Implementation Strategies ◽  
Systems Change ◽  
Content Delivery ◽  
Evidence Based ◽  
Rural Primary Care ◽  
Adoption And Implementation

Abstract Background: Evidence-based colorectal cancer screening (CRCS) interventions exist, but have not been broadly adopted in rural primary care settings. Participatory adoption and implementation strategies may be promising in closing this gap through a clinical-academic partnership to guide rural practitioners to locate, select, and implement CRCS interventions that align with local context. We developed a prototype strategy adapted from the National Cancer Institute’s ‘Putting Public Health Evidence in Action’ curriculum in collaboration with two rural clinics to facilitate systems change related to CRCS. This paper describes the process of co-development and delivery of a systems-focused strategy to improve adoption, implementation, and sustainability of CRCS interventions. Methods: We used a bundle of implementation strategies with a core focus on academic-clinical partnership development and Plan-Do-Study-Act cycles to identify clinical partner interests/preferences on delivery methods and content needed to facilitate intervention identification and systems-change processes that improve CRCS rates. Clinic physicians and staff (n=7) at the rural clinics were asked to evaluate the approach based on overall reactions and perceptions of innovation characteristics using 5-point Likert scale. After completing the systems-change process, we conducted key-stakeholder interviews (n=5) to assess feasibility and acceptability on content/delivery format and plans for ongoing implementation of CRCS evidence-based interventions (EBIs). Results: Electronic blueprints for CRCS EBI selection and implementation (8 modules) were developed and followed by an online forum/live-streaming conference to allow for CRCS tailoring. The two clinics used different learning approaches: one completed the modules together while the other completed the modules separately to cover material before a group video conference. Across all modules, participants in both clinics reported positive reactions toward the systems-change modules. Both clinics reported improvements in how they perceived the characteristics of the modules and the participatory approach to tailor selected CRCS EBIs. Through the process both clinics developed a specific EBI implementation plan. Interview participants reported that the approach was feasible and acceptable, and provided suggestions for further improvements on content, delivery, and format of the approach.Conclusions: The bundle of implementation strategies used were feasible and acceptable in rural primary care practices to facilitate the use of evidence-based approaches to improve CRCS.

scholarly journals Developing a Co-Production Strategy to Facilitate the Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions for Rural Health Systems: A Pilot Study

2021 ◽  
Author(s):  
Jungyoon Kim ◽  
Paul Estabrooks ◽  
Alisha Aggarwal ◽  
Analisa McMillan ◽  
Khalid Alshehri
Keyword(s):  
Colorectal Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Implementation Strategies ◽  
Systems Change ◽  
Content Delivery ◽  
Evidence Based ◽  
Rural Primary Care ◽  
Adoption And Implementation

Abstract Background: Evidence-based colorectal cancer screening (CRCS) interventions exist, but have not been broadly adopted in rural primary care settings. Participatory adoption and implementation strategies may be promising in closing this gap through a clinical-academic partnership to guide rural practitioners to locate, select, and implement CRCS interventions that align with local context. We developed a prototype strategy adapted from the National Cancer Institute’s ‘Putting Public Health Evidence in Action’ curriculum in collaboration with two rural clinics to facilitate systems change related to CRCS. This paper describes the process of co-development and delivery of a systems-focused strategy to improve adoption, implementation, and sustainability of CRCS interventions. Methods: We used a bundle of implementation strategies with a core focus on academic-clinical partnership development and Plan-Do-Study-Act cycles to identify clinical partner interests/preferences on delivery methods and content needed to facilitate intervention identification and systems-change processes that improve CRCS rates. Clinic physicians and staff (n=7) at the rural clinics were asked to evaluate the approach based on overall reactions and perceptions of innovation characteristics using 5-point Likert scale. After completing the systems-change process, we conducted key-stakeholder interviews (n=5) to assess feasibility and acceptability on content/delivery format and plans for ongoing implementation of CRCS evidence-based interventions (EBIs). Results: Electronic blueprints for CRCS EBI selection and implementation (8 modules) were developed and followed by an online forum/live-streaming conference to allow for CRCS tailoring. The two clinics used different learning approaches: one completed the modules together while the other completed the modules separately to cover material before a group video conference. Across all modules, participants in both clinics reported positive reactions toward the systems-change modules. Both clinics reported improvements in how they perceived the characteristics of the modules and the participatory approach to tailor selected CRCS EBIs. Through the process both clinics developed a specific EBI implementation plan. Interview participants reported that the approach was feasible and acceptable, and provided suggestions for further improvements on content, delivery, and format of the approach.Conclusions: The bundle of implementation strategies used were feasible and acceptable in rural primary care practices to facilitate the use of evidence-based approaches to improve CRCS.

scholarly journals Costs of promoting cancer screening: Evidence from CDC’s Colorectal Cancer Control Program (CRCCP)

2017 ◽  
Vol 62 ◽  
pp. 67-72 ◽  
Author(s):  
Florence K.L. Tangka ◽  
Sujha Subramanian ◽  
Sonja Hoover ◽  
Janet Royalty ◽  
Kristy Joseph ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Cancer Control ◽  
Control Program ◽  
Cancer Control Program
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