Evidence map›Paper›PMID 31603404›Full record

ArticlePreventing chronic disease2019

Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions Among Cancer Control Program Grantees, 2009-2015.

Peggy A Hannon, Annette E Maxwell, Cam Escoffery, Thuy Vu, Marlana J Kohn, Lindsay Gressard, Laurel Dillon-Sumner, Caitlin Mason, Amy DeGroff

Abstract read
In one paragraph

Article in Preventing chronic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Trial
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  6. Indigenizing and Ruralizing NCI Screen to Save Program: Resources, Optimizing Outreach, Teaching, Science (ROOTS).Journal of cancer education : the official journal of the American Association for Cancer Education · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Peggy A HannonUniversity of Washington, Seattle, Washington.
Annette E MaxwellUniversity of California, Los Angeles, California.
Cam EscofferyEmory University, Atlanta, Georgia.
Thuy VuUniversity of Washington, Seattle, Washington.
Marlana J KohnUniversity of Washington, Seattle, Washington.
Lindsay GressardCenters for Disease Control and Prevention, Atlanta, Georgia.
Laurel Dillon-SumnerUniversity of Washington, Seattle, Washington.
Caitlin MasonUniversity of Washington, Seattle, Washington.
Amy DeGroffCenters for Disease Control and Prevention, Atlanta, Georgia.

Funding

HEALTH PROMOTION RESEARCH CENTERU48DP001911 · DP · UNIVERSITY OF WASHINGTON · PI AU, DAVID H, HARRIS, JEFFREY RANDALL · 2009 to 2013
$14.3M
Health Promotion and Disease Prevention Research CenterU48DP005013 · DP · UNIVERSITY OF WASHINGTON · PI HANNON, MARGARET A · 2014 to 2018
$13.3M
EMORY PREVENTION RESEARCH CENTERU48DP001909 · DP · EMORY UNIVERSITY · PI KEGLER, MICHELLE C · 2009 to 2013
$10.7M
UCLA/RAND PREVENTION RESEARCH CENTERU48DP001934 · DP · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BASTANI, ROSHAN · 2009 to 2013
$5.9M
ACL HHS U48DP005013NCCDPHP CDC HHS U48 DP001909NCCDPHP CDC HHS U48 DP001911NCCDPHP CDC HHS U48 DP001934NCCDPHP CDC HHS U48 DP005013
6 · The paper itself

Abstract

PURPOSE AND

objectivesColorectal 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

methodsWe 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.

resultsMost 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.

Indexed as

Centers for Disease Control and Prevention, U.S.Colorectal NeoplasmsEarly Detection of CancerEvidence-Based MedicineFinancing, GovernmentHealth PromotionHumansMass ScreeningProgram EvaluationSurveys and QuestionnairesUnited States

Identifiers

PMID31603404
PMCPMC6795067

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.