142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Building Grantees' Capacity to Implement Evidence-based Approaches for Cancer Control within the CDC's Colorectal Cancer Control Program (CRCCP)

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Cam Escoffery, PhD , Rollins School of Public Health, Atlanta, GA
Andrea Dwyer, MPH , Colorado School of Public Health, University of Colorado Cancer Center, Aurora, CO
LIndsay Gressard, MPH, MEd , Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA
Peggy A. Hannon, PhD, MPH , Health Promotion Research Center, University of Washington, Seattle, WA
Jennifer Leeman, DrPH , University of North Carolina, Chapel Hill, NC
Caitlin Mason, PhD , University of Washington, Seattle, WA
Ketra Rice, PhD , Centers for Disease Control and Prevention, Atlanta, GA
Annette E. Maxwell, DrPH , Cancer Prevention and Control Research, UCLA Fielding School of Public Health, Los Angeles, CA
Shaina Sowles, MPH, CHES , Health Communication Reseach Lab at the Brown School, Washington University in St. Louis, St. Louis, MO
Thuy Vu, MPH , University of Washington, Seattle, WA
Background:  Training and technical assistance (TA) are methods to increase the dissemination and uptake of evidence-based practices.  Twenty-nine states and tribal organizations receive Centers for Disease Control and Prevention funding to increase colorectal cancer (CRC) screening by promoting CRC screening population-wide using evidence-based approaches (EBAs) and by providing CRC screening to the un/underinsured. The purpose of this study was to assess grantees’ TA and training needs to increase EBA use for screening promotion.

Methods: An online survey about CRC screening activities and technical assistance was administered to the CRCCP grantees in Fall 2012.  Grantees identified EBAs, if any, for which training/TA was desired. Additional items assessed ratings of training need for EBA-related competencies (e.g., adaptation, evaluation), training preferences and barriers, and desire for training across various areas of program administration.

Results: The training needs most frequently reported by CRCCP grantees were provider assessment and feedback (69%), reducing structural barriers (55%), and provider reminders (41%).  Preferred approaches for capacity-building included: onsite training (62%), webinars (62%), and expert consultation (55%). Barriers to participating in training/TA were: limited application of examples to own context (55%), travel restrictions (41%), and content of education perceived as too basic (38%).  Partnership and program evaluation were ranked as highest training needs across grantees.   

Conclusions:  Future training and TA for CRCCP grantees should focus on implementation of organizational-level EBAs.  Additional capacity-building efforts to increase EBA competencies and more context-specific assistance, and focus on partnership development and program evaluation skills will offer critical support to increasing EBA use.

Learning Areas:

Administer health education strategies, interventions and programs
Administration, management, leadership
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
Discuss different technical assistance methods to increase use of evidence-based practices to promote colorectal cancer screening. Describe evidence-based strategies for promoting colorectal cancer screening Explain key competencies to increasing evidence-based practices

Keyword(s): Training, Evidence-Based Practice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Escoffery is an Assistant Professor of Behavioral Sciences and Health Education at the Rollins School of Public Health. Her research interests are cancer control, translation of evidence-based practices, and evaluation. She is the Co-Principal Investigator of the Emory Cancer Prevention and Control Research Network that aims to translate evidence based approaches to local communities to reduce cancer disparities and mortality.
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.