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Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions Among Cancer Control Program Grantees, 2009-2015.
Prev Chronic Dis 2019; 16:E139PC

Abstract

PURPOSE AND OBJECTIVES

Colorectal cancer (CRC) is the second-leading cause of cancer death in the United States. Although effective CRC screening tests exist, CRC screening is underused. Use of evidence-based interventions (EBIs) to increase CRC screening could save many lives. The Colorectal Cancer Control Program (CRCCP) of the Centers for Disease Control and Prevention (CDC) provides a unique opportunity to study EBI adoption, implementation, and maintenance. We assessed 1) the number of grantees implementing 5 EBIs during 2011 through 2015, 2) grantees' perceived ease of implementing each EBI, and 3) grantees' reasons for stopping EBI implementation.

INTERVENTION APPROACH

CDC funded 25 states and 4 tribal entities to participate in the CRCCP. Grantees used CRCCP funds to 1) provide CRC screening to individuals who were uninsured and low-income, and 2) promote CRC screening at the population level. One component of the CRC screening promotion effort was implementing 1 or more of 5 EBIs to increase CRC screening rates.

EVALUATION METHODS

We surveyed CRCCP grantees about EBI implementation with an online survey in 2011, 2012, 2013, and 2015. We conducted descriptive analyses of closed-ended items and coded open-text responses for themes related to barriers and facilitators to EBI implementation.

RESULTS

Most grantees implemented small media (≥25) or client reminders (≥21) or both all program years. Although few grantees reported implementation of EBIs such as reducing structural barriers (n = 14) and provider reminders (n = 9) in 2011, implementation of these EBIs increased over time. Implementation of provider assessment and feedback increased over time, but was reported by the fewest grantees (n = 17) in 2015. Reasons for discontinuing EBIs included funding ending, competing priorities, or limited staff capacity.

IMPLICATIONS FOR PUBLIC HEALTH

CRCCP grantees implemented EBIs across all years studied, yet implementation varied by EBI and did not get easier with time. Our findings can inform long-term planning for EBIs with state and tribal public health institutions and their partners.

Authors+Show Affiliations

University of Washington, Seattle, Washington. 1107 NE 45th St, Ste 200, Seattle, WA 98105. Email: peggyh@uw.edu.University of California, Los Angeles, California.Emory University, Atlanta, Georgia.University of Washington, Seattle, Washington.University of Washington, Seattle, Washington.Centers for Disease Control and Prevention, Atlanta, Georgia.University of Washington, Seattle, Washington.University of Washington, Seattle, Washington.Centers for Disease Control and Prevention, Atlanta, Georgia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31603404

Citation

Hannon, Peggy A., et al. "Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions Among Cancer Control Program Grantees, 2009-2015." Preventing Chronic Disease, vol. 16, 2019, pp. E139.
Hannon PA, Maxwell AE, Escoffery C, et al. Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions Among Cancer Control Program Grantees, 2009-2015. Prev Chronic Dis. 2019;16:E139.
Hannon, P. A., Maxwell, A. E., Escoffery, C., Vu, T., Kohn, M. J., Gressard, L., ... DeGroff, A. (2019). Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions Among Cancer Control Program Grantees, 2009-2015. Preventing Chronic Disease, 16, pp. E139. doi:10.5888/pcd16.180682.
Hannon PA, et al. Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions Among Cancer Control Program Grantees, 2009-2015. Prev Chronic Dis. 2019 Oct 10;16:E139. PubMed PMID: 31603404.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions Among Cancer Control Program Grantees, 2009-2015. AU - Hannon,Peggy A, AU - Maxwell,Annette E, AU - Escoffery,Cam, AU - Vu,Thuy, AU - Kohn,Marlana J, AU - Gressard,Lindsay, AU - Dillon-Sumner,Laurel, AU - Mason,Caitlin, AU - DeGroff,Amy, Y1 - 2019/10/10/ PY - 2019/10/12/entrez PY - 2019/10/12/pubmed PY - 2019/10/12/medline SP - E139 EP - E139 JF - Preventing chronic disease JO - Prev Chronic Dis VL - 16 N2 - PURPOSE AND OBJECTIVES: Colorectal cancer (CRC) is the second-leading cause of cancer death in the United States. Although effective CRC screening tests exist, CRC screening is underused. Use of evidence-based interventions (EBIs) to increase CRC screening could save many lives. The Colorectal Cancer Control Program (CRCCP) of the Centers for Disease Control and Prevention (CDC) provides a unique opportunity to study EBI adoption, implementation, and maintenance. We assessed 1) the number of grantees implementing 5 EBIs during 2011 through 2015, 2) grantees' perceived ease of implementing each EBI, and 3) grantees' reasons for stopping EBI implementation. INTERVENTION APPROACH: CDC funded 25 states and 4 tribal entities to participate in the CRCCP. Grantees used CRCCP funds to 1) provide CRC screening to individuals who were uninsured and low-income, and 2) promote CRC screening at the population level. One component of the CRC screening promotion effort was implementing 1 or more of 5 EBIs to increase CRC screening rates. EVALUATION METHODS: We surveyed CRCCP grantees about EBI implementation with an online survey in 2011, 2012, 2013, and 2015. We conducted descriptive analyses of closed-ended items and coded open-text responses for themes related to barriers and facilitators to EBI implementation. RESULTS: Most grantees implemented small media (≥25) or client reminders (≥21) or both all program years. Although few grantees reported implementation of EBIs such as reducing structural barriers (n = 14) and provider reminders (n = 9) in 2011, implementation of these EBIs increased over time. Implementation of provider assessment and feedback increased over time, but was reported by the fewest grantees (n = 17) in 2015. Reasons for discontinuing EBIs included funding ending, competing priorities, or limited staff capacity. IMPLICATIONS FOR PUBLIC HEALTH: CRCCP grantees implemented EBIs across all years studied, yet implementation varied by EBI and did not get easier with time. Our findings can inform long-term planning for EBIs with state and tribal public health institutions and their partners. SN - 1545-1151 UR - https://www.unboundmedicine.com/medline/citation/31603404/Adoption_and_Implementation_of_Evidence-Based_Colorectal_Cancer_Screening_Interventions_Among_Cancer_Control_Program_Grantees,_2009-2015 L2 - https://www.cdc.gov/pcd/issues/2019/18_0682.htm DB - PRIME DP - Unbound Medicine ER -