Online Program

Policy, Systems and Environmental Change Needs in Comprehensive Cancer Control: Ongoing Improvements in Technical Assistance

Monday, November 2, 2015

Mandi Pratt-Chapman, MA, The George Washington University Cancer Institute, George Washington University, Washington, DC
Aubrey Villalobos, MPH, The George Washington University Cancer Institute, The George Washington University, Washington, DC
Serena Phillips, RN, MPH, The George Washington University Cancer Institute, The George Washington University, Washington, DC
OBJECTIVES: The Centers for Disease Control and Prevention (CDC) established the National Comprehensive Cancer Control (CCC) Program to support community-level coordinated approaches to prevent and control cancer and its impacts. Policy, systems and environmental (PSE) change is a CDC priority and documented need of CCC practitioners. In response, the GW Cancer Institute developed PSE-focused technical assistance (TA) products in 2013-2015, including online learning opportunities, a Priority Alignment Tool (PAT) aggregating national health priorities to streamline state cancer plan alignment, and tools to help coalitions develop state advocacy agendas around healthcare access and patient navigation. Evaluation of TA products was conducted to assess reach, quality, outcomes, and opportunities for improvement.

METHODS: Data collected from web metrics, event participant surveys, program records, and qualitative interviews were analyzed using Excel to evaluate TA efforts and ongoing needs.

RESULTS: Preliminary findings indicate that TA offerings were well-received. Policy-related online learning events attracted 123 participants; post-survey respondents indicated they were satisfied (88.9%) and likely to apply new knowledge (81.5%). The PAT, pilot-tested with three states, was described as an “excellent tool” and generally helpful for state cancer plan revision. Further evaluation is forthcoming. Ongoing needs assessment shows that respondents desire TA that provides specific and actionable directives for implementing PSE change at the state level. We received 29 requests for additional policy-related online learning events.

CONCLUSIONS: PSE TA has been useful but needs remain. Ongoing assessment and evaluation ensure TA products continue to be relevant and effective for addressing the needs of CCC programs and coalitions.

Learning Areas:

Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs

Learning Objectives:
Discuss the Policy, Systems and Environmental (PSE) change technical assistance (TA) needs and preferences of Comprehensive Cancer Control (CCC) programs and coalitions. Describe 2 available PSE TA resources to assist CCC programs and coalitions in advancing PSE change.

Keyword(s): Cancer Prevention and Screening, Chronic Disease Management and Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the PI for the CDC cooperative agreement funding the project described. The project provides support to comprehensive cancer control programs across the country and helps accelerate translation of evidence-based and patient-centered care practices through the Cancer Control Technical Assistance Portal ( and the Center for the Advancement of Cancer Survivorship, Navigation and Policy (caSNP). I have published on patient navigation, cancer survivorship and comprehensive cancer control topics.
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.