Evidence map›Paper›PMID 37218022›Full record

ArticleImplementation science communications2023

Implementation of a novel program to support colorectal cancer screening in a community health center consortium before and after the onset of COVID-19: a qualitative study of stakeholders' perspectives.

Eduardo J Santiago-Rodríguez, Kristin S Hoeft, Kara Lugtu, Matthew McGowen, David Ofman, Jaime Adler, Ma Somsouk, Michael B Potter

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 27% of its field
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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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

8 authors at 3 institutions in 1 country.

Eduardo J Santiago-RodríguezDepartment of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA.
Kristin S HoeftDepartment of Preventive and Restorative Dental Sciences, University of California, San Francisco, CA, USA.
Kara LugtuDepartment of Family and Community Medicine, University of California, 500 Parnassus Avenue, MU3E - Room 330, San Francisco, CA, 94143, USA.
Matthew McGowenSan Francisco Community Clinic Consortium, San Francisco, CA, USA.
David OfmanSan Francisco Community Clinic Consortium, San Francisco, CA, USA.
Jaime AdlerAcademyHealth, Washington, D.C., USA.
Ma SomsoukDivision of Gastroenterology, Department of Medicine, University of California, San Francisco, CA, USA.
Michael B PotterDepartment of Family and Community Medicine, University of California, 500 Parnassus Avenue, MU3E - Room 330, San Francisco, CA, 94143, USA. michael.potter@ucsf.edu.ORCID http://orcid.org/0000-0002-9930-392X
University of California, San Francisco · USSan Francisco Community Clinic Consortium · USAcademyHealth · US

Funding

The Social Environment and Colorectal Cancer in the United StatesF31CA260881 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SANTIAGO-RODRIGUEZ, EDUARDO JOSE · 2021 to 2023
$113k
NCI NIH HHS F31 CA260881NCI NIH HHS F31CA260881
6 · The paper itself

Abstract

backgroundIn 2017, the San Francisco Cancer Initiative (SF CAN) established the Colorectal Cancer (CRC) Screening Program to provide technical assistance and financial support to improve CRC screening processes, and outcomes in a consortium of community health centers (CHCs) serving low-income communities in San Francisco. The purpose of this study was twofold: to evaluate the perceived influence of the support provided by the CRC Screening Program's Task Force on CRC screening processes and outcomes in these settings and to identify facilitators and barriers to SF CAN-supported CRC screening activities before and after the onset of the COVID-19 pandemic.

methodsSemi-structured key informant interviews were conducted with consortium leaders, medical directors, quality improvement team members, and clinic screening champions. Interviews were audio-recorded, professionally transcribed, and analyzed for themes. The Consolidated Framework for Implementation Research (CFIR) was used to develop the interview questions and organize the analysis.

resultsTwenty-two participants were interviewed. The most commonly cited facilitators of improved screening processes included the expertise, funding, screening resources, regular follow-up, and sustained engagement with clinic leaders provided by the task force. The most salient barriers identified were patient characteristics, such as housing instability; staffing challenges, such as being understaffed and experiencing high staff turnover; and clinic-level challenges, such as lack of ability to implement and sustain formalized patient navigation strategies, and changes in clinic priorities due to the COVID-19 pandemic and other competing health care priorities.

conclusionsImplementing CRC screening programs in a consortium of CHCs is inherently challenging. Technical assistance from the Task Force was viewed positively and helped to mitigate challenges both before and during the pandemic. Future research should explore opportunities to increase the robustness of technical assistance offered by groups such as SF CAN to support cancer screening activities in CHCs serving low-income communities.

Indexed as

Colorectal cancer screeningCommunity health centersConsolidated Framework for Implementation ResearchCOVID-19Qualitative researchSan Francisco

Identifiers

PMID37218022
PMCPMC10201507
OpenAlexW4377565017

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.