Online Program

Building the Case for Expanded Support Services to Young Breast Cancer Survivors: Evaluation of a Cooperative Agreement

Tuesday, November 3, 2015

Sarah Abood O'Dell, MPH, ICF International, Atlanta, GA
Marnie House, EdD, MPH, ICF International, Atlanta, GA
Temeika Fairley, PhD, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA
Angela Moore, MPH, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA
Brandy Daniels, MPH, ICF International, Atlanta, GA
Shelby Cash, MPH, ICF International, Atlanta, GA
Background: In order to determine effective and appropriate communication interventions to address the psychosocial needs of young breast cancer survivors (YBCS), the Centers for Disease Control and Prevention (CDC) established a cooperative agreement (CA) with organizations offering tailored support and education services to YBCS.  The evaluation of this program aimed to document strategies used to reach YBCS and the extent to which the CA (via funding, subject matter expert support, technical assistance, and training) affected organizations’ delivery of programs to YBCS.

Methods: The evaluation utilized a multiple case study design, entailing document review, site visits, program observation, and in-depth interviews with relevant program staff to document and describe program implementation and perceptions related to program effectiveness.  Thematic analysis was used to analyze all qualitative data collected.  

Results: Organizations offered a range of services, including psychosocial support and education to YBCS, YBCS caregivers and health care providers.  Services offered covered the cancer care continuum, ranging from the provision of community outreach and education via multiple platforms (e.g., partnership development, social media) to the offering of structured support services (e.g., patient navigation, structured support plans) to relevant YBCS audiences.  Overall, program staff reported that cooperative agreement funding helped to expand and strengthen their organization’s YBCS-focused efforts.

Conclusions: Finding from this evaluation demonstrated the use of federal funds to help organizations augment existing or create new resources and services for YBCS.   Further, findings from this evaluation support the use of tailored interventions as a promising strategy to improve YBCS communication and education efforts.

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
Public health or related education

Learning Objectives:
Describe the unique psychosocial needs of young breast cancer survivors (YBCS). Explain the use of multiple case study methodology to evaluate implementation of a program across organizations. Identify promising strategies for educating and supporting YBCS and other relevant audiences.

Keyword(s): Cancer and Women’s Health, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been managing and engaging in public health research and evaluation projects for the past 10 years and currently am involved in a number federally funded evaluation projects focusing on chronic disease prevention and control. Among my research interests has been the use of mixed-methods for evaluation of chronic disease public health programs.
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.