219100 Pacific Cancer Programs Performance Management Plan and Online Database; An evaluation framework based on the Socio-Ecological Model

Monday, November 8, 2010

Karen A. Heckert, PhD, MPH, MSW , Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI
Angela Sy, DrPH , John A. Burns School of Medicine, Department Public Health Sciences, University of Hawaii at Manoa, Honolulu, HI
Lee Buenconsejo-Lum, MD , John A. Burns School of Medicine, Department Family Medicine and Community Health, University of Hawaii at Manoa, Mililani, HI
Michael Reiter, BBA , Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI
Neal Palafox, MD, MPH , Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawaii, Mililani, HI
Background: The Department of Family Medicine and Community Health and Office of Public Health Sciences collaborate with the US Affiliated Pacific Islands (USAPI) to plan, implement and evaluate the Regional Comprehensive Cancer Control Program, the Pacific Regional Central Cancer Registry and the Pacific Center of Excellence in the Elimination of Disparities funded by the US Centers for Disease Control and Prevention. The cancer burden in the resource-limited and culturally-rich USAPI is among the highest in the world. Limited access to screening, late-stage diagnosis and premature death are common, resulting in severe cancer disparities.

Theoretical Framework & Methodology: The Pacific Cancer Programs Performance Management Plan (PMP) was developed with the Cancer Coalition for the Pacific Islands and the USAPI Comprehensive Cancer Control Coordinators to structure the complex regional evaluation framework. The online data base that supports the PMP is being field tested in all ten USAPI to track progress and outcomes across two intersecting dimensions; first, the multiple levels of change defined by the Socio-Ecological Model (e.g. policy, organization, community, and individual) and second, the three levels of program implementation (e.g. Pacific region, USAPI jurisdictions and community projects).

Results and Implications: For each SEM level a capacity profile is created from multiple indicators. The capacity profiles map progress by aggregating data for the region, for each island jurisdiction and for the community projects. The utilization of these tools should help explain the changes in outcomes associated with reducing cancer disparities in the resource constrained USAPI.

Learning Areas:
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Planning of health education strategies, interventions, and programs
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the main components of the Pacific Cancer Programs Performance Management Plan and online database, including how the Socio-ecological Model and levels of intervention are applied in the evaluation framework.

Keywords: Performance Measurement, Asian and Pacific Islander

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Director for the Pacific Center of Excellence in the Elimination of Disparities (Pacific CEED) and manage the development & implementation of the PMP, database and capacity profiling methodology.
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.

Back to: 3081.3: Cancer Prevention and Control: Cultural and International Perspectives