178668 Outcomes of training rural, Appalachia community-based cancer coalitions,agency and clinical partners in adapting and using evidence-based programs

Monday, October 27, 2008: 5:15 PM

Evelyn T. González, MA , NCI's Atlantic Region Cancer Information Service, Fox Chase Cancer Center, Philadelphia, PA
Brenda Kluhsman, MSS, PhD (ABD) , Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA
Anita Redrick McFarlane, MPH, CHES , NCI's New York Region Cancer Information Service, Memorial Sloan Kettering Cancer Center, New York, NY
Vijai Jaitley, MPH, CHES , NCI's Atlantic Region Cancer Information Service, Fox Chase Cancer Center, Philadelphia, PA
Christy Widman , NCI's New York Cancer Information Service, Roswell Park Cancer Institute, Buffalo, NY
Marcyann M. Bencivenga, BA , Northern Appalachia Cancer Network, Department of Public Health Sciences, Penn State College of Medicine, McKean, PA
Heather Homick, MPH , NCI's Atlantic Region Cancer Information Service, Fox Chase Cancer Center, Philadelphia, PA
Eugene J. Lengerich, VMD, MS , Epidemiology Department - Public Health Sciences, Penn State University, Hershey, PA
Linda Fleisher, MPH, PhD (ABD) , Fox Chase Cancer Center, Cheltenham, PA
Purpose: Evaluate the impact of a regional training on the importance of using and adapting evidence-based programs (EBPs) for rural Appalachian communities in PA and NY.

Design and Methods: A community-based educational intervention with pre-post test design was used. Members of 10 NACN coalitions, community agency staff, and clinicians were recruited by mail and e-mail. A two-part training was developed using NCI's Using What Works (UWW) program to introduce participants to the importance, appropriateness, and adaptation methods of EBPs. The training was collaboratively developed and delivered by Partnership Program staff of the Atlantic and New York Region of the CIS. Primary outcomes were change in self-reported knowledge and self efficacy related to training content.

Results: Of 28 respondents, 25 (89.3%) completed training on Part I, while 35 individuals completed Part II. Substantial change in knowledge were shown on most items assessed from pre-to post-test, including: what EBPs are and their importance (86%-100%); locating primary and secondary data sources (72% to 100%); methods of program adaptation (37% to 100%); application of SMART objectives (53% to 76%); confidence in locating a research-tested intervention (53% to 76%); tailoring an EBP (37% to 100%); and evaluation methods (47% to 100). Five (50%) or more NACN coalitions subsequently applied their training, utilizing or adapting EBPs in their community planning efforts.

Conclusions: The UWW training was highly effective in increasing self-reported knowledge and efficacy for using and adapting EBPs among rural Appalachian cancer coalitions, which ultimately may help reduce cancer health disparities within this population.

Learning Objectives:
Describe how to access and leverage NCI resources to support regional cancer programming efforts. Discuss enhanced skills needed to expand local capacity of community-based organizations to expand and to achieve measurable outcomes through evidence-based programs. Name the goals and objectives of the National Cancer Institute's Using What Works: Adapting Evidence-Based Programs to Fit Your Needs training program. Describe how to locate research-tested interventions and the role of community assessments. Explain the purpose and utility of adapting an evidence-based program to improve program outcomes. Identify how collaboration and partnership contribute to successful cancer prevention and control efforts in Appalachian and other rural communities.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As a partner, in collaboration with the Appalachia Cancer Network, NCI's CIS has overseen the project, delivered the training and analyzed the data associated with the abstract entry.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.