Evidence map›Paper›PMID 40739416›Full record

ArticleCancer causes & control : CCC2025

Evaluation of an implementation support program for rural communities using a two-tiered, embedded framework.

Michelle B Shin, Thuy Vu, Manal Masud, Miriana C Duran, Ngoc Cam Escoffery, Sonia Bishop, Rachel L Winer, Linda K Ko

Abstract read
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Article in Cancer causes & control : CCC, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Michelle B ShinDepartment of Child, Family, and Population Health Nursing, School of Nursing, University of Washington, 1959 NE Pacific Street, Seattle, WA, 98195, USA. mbyshin@uw.edu.
Thuy VuDepartment of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, USA.
Manal MasudDepartment of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, USA.
Miriana C DuranDepartment of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, USA.
Ngoc Cam EscofferyDepartment of Behavioral, Social and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Sonia BishopDepartment of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, USA.
Rachel L WinerDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA.
Linda K KoDepartment of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, USA.

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Division of Cancer Prevention and Control, the National Center for Chronic Disease Prevention and Health Promotion of the Centers for Disease Control and Prevention, U.S. Department of Health and Human Services U48 DP006398 and U48 DP006377NCATS NIH HHS UL1 TR002319
6 · The paper itself

Abstract

purposeEvaluate the impact of Implementation Studio (the "Studio") on community-based organizations' (CBOs) EBI implementation, including changes in breast and colorectal (CRC) cancer screening status among Hispanic/Latino/a EBI recipients.

methodsA two-tiered, embedded framework consisted of 1) surveys (n = 38) comparing up-to-date breast and CRC screening status among EBI recipients pre/post-EBI delivery (Tier 1); and semi-structured interviews (n = 13 total; n = 7 leaders, n = 6 community health workers) with CBO staff assessing EBI implementation outcomes using rapid qualitative analysis methods (Tier 2) guided by Proctor's Implementation Research Outcomes Framework. Surveys and interviews were conducted in Spanish/English by phone/virtually September 2022-September 2023.

resultsUp-to-date screening status increased by 16.6% for breast and 19.3% for CRC screening pre/post-EBI implementation, albeit not statistically significant overall (p = 0.168). CBOs reported that implementing EBIs cultivated their confidence and enhanced CBOs' workforce capacity (acceptability). CHWs (the primary EBI implementers) proficiently used the Studio tools to adapt the EBIs to improve fit and implement them in the rural Hispanic/Latino/a communities (appropriateness). Remote delivery increased the EBI accessibility for the community (feasibility). Key drivers of costs were CHWs' time to adapt and implement EBIs (costs). CBOs expressed the need to address clients' social needs to maintain EBI's impact (sustainability).

conclusionCBOs successfully implemented CHW-led EBIs, and their efforts increased up-to-date cancer screening among rural Hispanic/Latino/a community members. These findings demonstrate that Studio is a promising strategy for building CBOs' capacity to implement EBIs and increase cancer screening.

Indexed as

Early Detection of CancerHealth Plan ImplementationRural PopulationAgedBreast NeoplasmsColorectal NeoplasmsFemaleHispanic or LatinoHumansMaleMiddle AgedProgram EvaluationSurveys and QuestionnairesCancer screeningCommunity engagementEvidence-based interventionsImplementation supportProgram evaluationRural communities

Identifiers

PMID40739416

What OpenQuestion holds

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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.