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

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.