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BMC Public Health
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Assessment of training and technical assistance needs of Colorectal Cancer Control Program Grantees in the U.S.

Authors: Cam Escoffery, Peggy Hannon, Annette E Maxwell, Thuy Vu, Jennifer Leeman, Andrea Dwyer, Caitlin Mason, Shaina Sowles, Ketra Rice, Lindsay Gressard

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Practitioners often require training and technical assistance to build their capacity to select, adapt, and implement evidence-based interventions (EBIs). The CDC Colorectal Cancer Control Program (CRCCP) aims to promote CRC screening to increase population-level screening. This study identified the training and technical assistance (TA) needs and preferences for training related to the implementation of EBIs among CRCCP grantees.

Methods

Twenty-nine CRCCP grantees completed an online survey about their screening activities, training and technical assistance in 2012. They rated desire for training on various evidence-based strategies to increase cancer screening, evidence-based competencies, and program management topics. They also reported preferences for training formats and facilitators and barriers to trainings.

Results

Many CRCCP grantees expressed the need for training with regards to specific EBIs, especially system-level and provider-directed EBIs to promote CRC screening. Grantees rated these EBIs as more difficult to implement than client-oriented EBIs. Grantees also reported a moderate need for training regarding finding EBIs, assessing organizational capacity, implementing selected EBIs, and conducting process and outcome evaluations. Other desired training topics reported with higher frequency were partnership development and data collection/evaluation. Grantees preferred training formats that were interactive such as on-site trainings, webinars or expert consultants.

Conclusions

Public health organizations need greater supports for adopting evidence-based interventions, working with organizational-level change, partnership development and data management. Future capacity building efforts for the adoption of EBIs should focus on systems or provider level interventions and key processes for health promotion and should be delivered in a variety of ways to assist local organizations in cancer prevention and control.
Appendix
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Literature
1.
Center for Disease Control and Prevention. Vital signs: colorectal cancer screening among adults aged 50–75 years – United States 2008. Morb Mortal Wkly Rep. 2010;59(26):808–12.
2.
Center for Disease Control and Prevention. Vital signs: colorectal cancer screening test use - United States, 2012. Morb Mortal Wkly Rep. 2013;62(44):881–8.
3.
Baron RC, Rimer BK, Breslow RA, Coates RJ, Kerner J, Melillo S, et al. Client-directed interventions to increase community demand for breast, cervical, and colorectal cancer screening a systematic review. Am J Prev Med. 2008;35(1 Suppl):S34–55.CrossRefPubMed
4.
Baron RC, Melillo S, Rimer BK, Coates RJ, Kerner J, Habarta N, et al. Intervention to increase recommendation and delivery of screening for breast, cervical, and colorectal cancers by healthcare providers a systematic review of provider reminders. Am J Prev Med. 2010;38(1):110–7.CrossRefPubMed
5.
Sabatino SA, Habarta N, Baron RC, Coates RJ, Rimer BK, Kerner J, et al. Interventions to increase recommendation and delivery of screening for breast, cervical, and colorectal cancers by healthcare providers systematic reviews of provider assessment and feedback and provider incentives. Am J Prev Med. 2008;35(1 Suppl):S67–74.CrossRefPubMed
6.
Hannon PA, Fernandez ME, Williams RS, Mullen PD, Escoffery C, Kreuter MW, et al. Cancer control planners’ perceptions and use of evidence-based programs. J Public Health Manag Pract. 2010;16(3):E1–8.CrossRefPubMedPubMedCentral
7.
Hannon PA, Maxwell AE, Escoffery C, Vu T, Kohn M, Leeman J, et al. Colorectal Cancer Control Program grantees’ use of evidence-based interventions. Am J Prev Med. 2013;45(5):644–8.CrossRefPubMedPubMedCentral
8.
Rogers EM. Diffusion of Innovations. New York: Free Press; 2003.
9.
Armstrong R, Waters E, Crockett B, Keleher H. The nature of evidence resources and knowledge translation for health promotion practitioners. Health Promot Int. 2007;22(3):254–60.CrossRefPubMed
10.
Dodson EA, Baker EA, Brownson RC. Use of evidence-based interventions in state health departments: a qualitative assessment of barriers and solutions. J Public Health Manag Pract. 2010;16(6):E9–15.CrossRefPubMed
11.
Steele CB, Rose JM, Chovnick G, Townsend JS, Stockmyer CK, Fonseka J et al. Use of evidence-based practices and resources among Comprehensive Cancer Control Programs. J Public Health Manag Pract. in press.
12.
Durlak JA, DuPre EP. Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation. Am J Community Psychol. 2008;41(3–4):327–50.CrossRefPubMed
13.
Mitton C, Adair CE, McKenzie E, Patten SB, Waye Perry B. Knowledge transfer and exchange: review and synthesis of the literature. Milbank Q. 2007;85(4):729–68.CrossRefPubMedPubMedCentral
14.
Wandersman A, Duffy J, Flaspohler P, Noonan R, Lubell K, Stillman L, et al. Bridging the gap between prevention research and practice: the interactive systems framework for dissemination and implementation. Am J Community Psychol. 2008;41(3–4):171–81.CrossRefPubMed
15.
Wandersman A, Chien VH, Katz J. Toward an evidence-based system for innovation support for implementing innovations with quality: Tools, training, technical assistance, and quality assurance/quality improvement. Am J Community Psychol. 2012;50(3–4):460–1.CrossRef
16.
Dreisinger M, Leet TL, Baker EA, Gillespie KN, Haas B, Brownson RC. Improving the public health workforce: evaluation of a training course to enhance evidence-based decision making. J Public Health Manag Pract. 2008;14(2):138–43.CrossRefPubMed
17.
Mainor A, Leeman J, Sommers J, Heiser C, Gonzales C, Farris RP, et al. A systematic approach to evaluating public health training: the obesity prevention in public health course. J Public Health Manag Pract. in press.
18.
Joseph D, DeGroff A, Hayes N, Wong F, Plescia M. The Colorectal Cancer Control Program: partnering to increase population level screening. Gastrointest Endosc. 2011;73(3):429–34.CrossRefPubMed
19.
Harris JR, Brown PK, Coughlin S, Fernandez ME, Hebert JR, Kerner J, et al. The cancer prevention and control research network. Prev Chronic Dis. 2005;2(1):A21.PubMed
20.
21.
Sarfaty M. How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician’s Evidence-Based Toolbox and Guide. Atlanta: The American Cancer Society, The National Colorectal Cancer Roundtable and Thomas Jefferson University; 2008.
22.
Escoffery C, Carlvalho M, Kegler MC. Evaluation of the Prevention Programs that Work curriculum to teach use of public health evidence to community practitioners. Health Promot Pract. 2012;13(5):707–15.CrossRefPubMed
23.
Brownson RC, Ballew P, Kittur ND, Elliot MB, Haire-Joshu D, Krebill H, et al. Developing competencies for training practitioners in evidence-based cancer control. J Cancer Educ. 2009;24(3):186–93.CrossRefPubMed
24.
McKleroy VS, Galbraith JS, Cummings B, Jones P, Harshbarger C, Collins C, et al. Adapting evidence-based behavioral interventions for new settings and target populations. AIDS Educ Prev. 2006;18(4 Suppl A):59–73.CrossRefPubMed
25.
Meyers DC, Durlak JA, Wandersman A. The quality implementation framework: a synthesis of critical steps in the implementation process. Am J Community Psychol. 2012;50(3–4):462–80.CrossRefPubMed
26.
27.
Lehman WE, Greener JM, Simpson DD. Assessing organizational readiness for change. J Subst Abuse Treat. 2002;22(4):197–209.CrossRefPubMed
28.
Cohen D, McDaniel Jr RR, Crabtree BF, Ruhe MC, Weyer SM, Tallia A, et al. A practice change model for quality improvement in primary care practice. J Healthc Manag. 2004;49(3):155–68.PubMed
29.
Flaspohler P, Duffy J, Wandersman A, Stillman L, Maras MA. Unpacking prevention capacity: an intersection of research-to-practice models and community-centered models. Am J Community Psychol. 2008;41(3–4):182–96.CrossRefPubMed
30.
Fagan AA, Arthur MW, Hanson K, Briney JS, Hawkins JD. Effects of Communities That Care on the adoption and implementation fidelity of evidence-based prevention programs in communities: Results from a randomized controlled trial. Prev Sci. 2011;12(3):223–34.CrossRefPubMedPubMedCentral
31.
Glanz K, Steffen A, Elliott T, O’Riordan D. Diffusion of an effective skin cancer prevention program: design, theoretical foundations, and first-year implementation. Health Psychol. 2005;24(5):477–87.CrossRefPubMed
32.
Hannon PA, Harris JR, Sopher CJ, Kuniyuki A, Ghosh DL, Henderson S, et al. Improving low-wage, midsized employers’ health promotion practices: a randomized controlled trial. Am J Prev Med. 2012;43(2):125–33.CrossRefPubMed
33.
Rabin BA, Glasgow RE, Kerner JF, Klump MP, Brownson RC. Dissemination and implementation research on community-based cancer prevention: a systematic review. Am J Prev Med. 2010;38(4):443–56.CrossRefPubMed
34.
Beam M, Ehrlich G, Black JD, Block A, Leviton LC. Evaluation of the Healthy Schools Program: Part II. The role of technical assistance. Prev Chronic Dis. 2012;9:E64.PubMedPubMedCentral
35.
Brown ML, Klabunde CN, Cronin KA, White MC, Richardson LC, McNeel TS. Challenges in meeting Healthy People 2020 Objectives for cancer-related preventive services, National Health Interview Survey, 2008 and 2010. Prev Chronic Dis. 2014;11:E29.CrossRefPubMedPubMedCentral
36.
Rohan EA, Boehm JE, Degroff A, Glover-Kudon R, Preissle J. Implementing CDC’s colorectal cancer screening demonstration program: wisdom from the field. Cancer. 2013;119 Suppl 15:2870–83.CrossRefPubMed
37.
Centers for Disease Control and Prevention. Increasing Colorectal Cancer Screening and Promoting Screening Quality: An Action Guide for Engaging Employers and Professional Medical Organizations. Atlanta: Centers for Disease Control and Prevention, U.S. Department of Health and Human Services; 2013.
38.
39.
40.
Metadata
Title
Assessment of training and technical assistance needs of Colorectal Cancer Control Program Grantees in the U.S.
Authors
Cam Escoffery
Peggy Hannon
Annette E Maxwell
Thuy Vu
Jennifer Leeman
Andrea Dwyer
Caitlin Mason
Shaina Sowles
Ketra Rice
Lindsay Gressard
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-1386-1

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