Use of Evidence-Based Practices and Resources Among Comprehensive Cancer Control Programs

Steele, C. Brooke; Rose, John M.; Chovnick, Gary; Townsend, Julie S.; Stockmyer, Chrisandra K.; Fonseka, Jamila; Richardson, Lisa C.

doi:10.1097/phh.0000000000000053

Cited by 21 publications

(17 citation statements)

References 18 publications

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“…CDC promotes EBI use for all three of its cancer prevention and control programs: the NBCCEDP, the Colorectal Cancer Control Program (CRCCP), and the National Comprehensive Cancer Control Program (NCCCP). 20–21 ensuring that grantees invest in programs that have proven effectiveness.…”

Section: Discussionmentioning

confidence: 99%

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Using Evidence-Based Interventions to Improve Cancer Screening in the National Breast and Cervical Cancer Early Detection Program

DeGroff

Carter

Kenney

et al. 2016

Journal of Public Health Management and Practice

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Context The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides cancer screening to low income, un- and underinsured women through over 11,000 primary care clinics. The program is well-positioned to work with health systems to implement evidence-based interventions (EBIs) to increase screening among all women. Objective To collect baseline data on EBI use, evaluation of EBIs, and related training needs among NBCCEDP grantees. Design CDC conducted a web-based survey in late 2013 among NBCCEDP grantees for the period July 2012-June 2013. This was the first systematic assessment of EBIs among NBCCEDP grantees. Setting CDC’s National Breast and Cervical Cancer Early Detection Program Participants Primarily program directors/coordinators for all 67 NBCCEDP grantees. Main Outcome Measures Data captured were used to assess implementation of five EBIs, their evaluation, and related training needs. Frequencies and proportions were determined. Cluster analysis identified grantees with similar patterns of EBI use for NBCCEDP clients and providers. Results On average, 4.1 of 5 EBIs were implemented per grantee for NBCCEDP clients and providers. Four clusters were identified including “high overall EBI users,” “high provider EBI users,” “high EBI users with no provider assessment and feedback,” and “high client EBI users.” Only 1.8 EBIs were implemented, on average, with non-NBCCEDP clients and providers. Fewer than half (n= 32, 47.8%) of grantees conducted process or outcome evaluation of one or more EBIs. Overall, 47.6% of grantees reported high or medium training needs for client-oriented EBIs and 54.3% for provider-oriented EBIs. Conclusions NBCCEDP grantees are implementing EBIs extensively with clients and providers. Increased EBI use among non-NBCCEDP clients/providers is needed to extend the NBCCEDP’s reach and impact. Grantee training and technical assistance is necessary across EBIs. Additionally, grantees’ use of process and outcome evaluation of EBI implementation must be increased to inform effective program implementation.

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Section: Discussionmentioning

confidence: 99%

“…For instance, colleagues with the NCCCP found that limited resources and the lack of skills to adapt EBIs for local use, including adapting EBIs for cultural appropriateness, were central challenges for EBI use. 20 …”

Section: Discussionmentioning

confidence: 99%

Using Evidence-Based Interventions to Improve Cancer Screening in the National Breast and Cervical Cancer Early Detection Program

DeGroff

Carter

Kenney

et al. 2016

Journal of Public Health Management and Practice

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“…28 To aid NCCCP programs and their coalitions with evaluation efforts, a domain in which results from performance measures indicate an area that needs improvement, an evaluation toolkit and cancer plan index planning tool have been developed and disseminated. 29 These tools were used by one NCCCP program to successfully conduct an outcome evaluation of their cancer plan, 30 and their findings may be used to refine future cancer plan implementation efforts.…”

Section: Discussionmentioning

confidence: 99%

What Does a Performance Measurement System Tell Us About the National Comprehensive Cancer Control Program?

Townsend

Moore

Mulder

et al. 2015

Journal of Public Health Management and Practice

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Context The National Comprehensive Cancer Control Program (NCCCP) performance measurement system seeks to understand both the processes that funded programs undertake with their respective coalitions to implement the objectives of their cancer plans and outcomes of those efforts. Objective To identify areas of achievement and technical assistance needs of NCCCP awardees. Design Program performance was assessed through surveys completed by program directors on performance indicators in 2009 and 2010 and queries from a web-based management information system in 2011 and 2012. Setting Programs funded by CDC’s NCCCP. Participants 69 programs. Main Outcome Measure(s) The key performance measures assessed were: inclusion of diverse partners and key sectors in cancer coalitions; partners’ involvement in activities; receiving in-kind resources from partners; using evidence-based interventions and data for setting priorities; conducting program evaluation; using community- or organization-level strategies to address cancer control efforts; and demonstrating progress toward achieving health outcomes. Results Most programs reported having active coalitions that represent diverse organizational sectors. Nearly all programs routinely assess the burden of cancer. In-kind resources to implement activities peaked at $64,716 in the second year of a five year funding cycle, and declined in subsequent project years. By year 3, over 70% of programs reported having an evaluation plan. While programs reported that nearly two-thirds of their interventions were evidence-based, some programs implemented non-evidence-based interventions. A majority of programs successfully used at least one community- or organization-level change strategy. However, many programs did not incorporate objectives linked to health outcomes as they reported progress in implementing interventions. Conclusions: While NCCCP programs were strong at building and maintaining infrastructure, some programs may need additional technical assistance to increase the adoption of evidence-based interventions, develop solid and responsive evaluation plans, and better link efforts to population-based measures that demonstrate impact toward reducing the burden of cancer.

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“…[23]), all provide EBI resources and tools for NCCCP participants [20]. A 2012 survey showed that 75% of NCCCP directors from states, tribes and/or USAPIJs reported using EBIs to address cancer plan objectives [24]. Most directors had used web sites for The Community Guide (95%) and Cancer Control P.L.A.N.E.T.…”

Section: Evidence For Initiatives and Interventionsmentioning

confidence: 99%

“…Most directors had used web sites for The Community Guide (95%) and Cancer Control P.L.A.N.E.T. (75%) [24]. Brief descriptions and specific examples of the types of activities are described below, categorized by each cancer continuum-related NCCCP priority area.…”

Section: Evidence For Initiatives and Interventionsmentioning

confidence: 99%

Combating Cancer Through Public Health Practice in the United States: An In-Depth Look at the National Comprehensive Cancer Control Program

Stewart¹,

Hayes²,

Moore³

et al. 2018

Public Health - Emerging and Re-Emerging Issues

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Cancer is the second leading cause of the death in the United States (U.S.). The National Comprehensive Cancer Control Program (NCCCP) is a national, public health practice program funded by the U.S. Centers for Disease Control and Prevention. The NCCCP has been planning and implementing interventions to reduce the burden of cancer since 1998. Interventions are implemented across three areas primary prevention, early detection, and survivorship using health systems and environmental changes to promote sustainable cancer control. The aim of this chapter is to provide a summary of the NCCCP, and highlight specific examples of interventions and successes to aid cancer planning in other countries. Cancer plan analyses show that all NCCCP participant cancer plans address reducing tobacco use for cancer prevention and 98% contain activities to increase colorectal cancer screening. The vast majority implement activities to improve the quality of life following a cancer diagnosis (94%). Relatively fewer cancer plans contain activities to reduce radon exposure (42%), promote human papilloma virus vaccination (62%), and incorporate the use of genomics in cancer control (56%). The examples of NCCCP activities demonstrate success in controlling cancer and other non-communicable diseases through public health practice.

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Use of Evidence-Based Practices and Resources Among Comprehensive Cancer Control Programs

Cited by 21 publications

References 18 publications

Using Evidence-Based Interventions to Improve Cancer Screening in the National Breast and Cervical Cancer Early Detection Program

Using Evidence-Based Interventions to Improve Cancer Screening in the National Breast and Cervical Cancer Early Detection Program

What Does a Performance Measurement System Tell Us About the National Comprehensive Cancer Control Program?

Combating Cancer Through Public Health Practice in the United States: An In-Depth Look at the National Comprehensive Cancer Control Program

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