Filling evidence gaps

Karen Glanz, PhD, MPHEmory University

Glorian Sorensen, PhD, MPHHarvard University

Dana-Farber Cancer Institute

Description

The Cancer Prevention and Control Research Network (CPCRN) is actively engaged in advancing both the science and practice of cancer control through scholarly activities and community engagement.  Several of our multicenter activities (completed and in progress) emphasize filling evidence gaps related to cancer prevention and control.

Review Paper of IDM Measures

Mullen PD, Allen JD, Glanz K, Fernandez ME, Bowen DJ, Pruitt SL, Glenn BA, Pignone M. Measures used in studies of informed decision making about cancer screening:  A systematic review.  [Special Issue] Annals of Behavioral Medicine, 2006;32(3):188-201

Collaboration between 6 centers

FINDINGSMost studies measured screening (or

intention) and knowledge;Fewer measured recommended IDM-related

constructsNone measured all outcomes proposed for

evaluating IDM interventions.

Review RecommendationsNew and in-progress studies:

should emphasize outcomes beyond knowledge – participation in decision-making according

to personal preference satisfaction with the process, and consistency between decisions and values.

need better use of theory to guide conceptualization and operationalization of measures

should give greater attention to reliability and validity (particularly in diverse populations)

need more thorough reporting of sources and operating characteristics of measures

Funders, researchers, and journal editors should place increased emphasis and resources focused on these issues.

Dissemination Forum

“Dissemination Research to Promote Cancer Prevention: Methodological Challenges and Approaches” Fall 2007 in Boston, MA

Hosted by Harvard University, Boston University, Dana-Farber Cancer Institute

Planning Committee included members from all 8 CPCRN centers

Over 100 participants attended from diverse backgrounds

Dissemination Forum (cont.)

AUDIENCE:Community partners, funders, researchers, students and health practitioners from the Boston area CPCRN researchers and community partners from other network centers

OBJECTIVES: Review and compare available frameworks to guide dissemination researchDebate the appropriateness of a range of research designs and methods to the key research questions for dissemination research Identify and discuss challenges to conducting dissemination research across settingsDiscuss implications for funding of dissemination research  

Dissemination Forum (cont.)Products in progress:

(1)process for review of dissemination research proposals, instituted following the forum

(2)discussion of a plan for a dissemination research resource center; and

(3)CPCRN sessions (January 2009): Society for Behavioral Medicine

(SBM) meeting the National Cancer Institute (NCI)

Dissemination Research meeting

Multi-center Study“A sustainable approach to increasing

cancer screening in community health centers” (Emmons, PI, Bastani, Co-PI)

Collaboration between Harvard and UCLA

Funded by the National Cancer Institute

Goal: develop, implement, and evaluate a telephone reminder system to increase cancer screening rates

Guided by the Chronic Care Model

Multi-center Study (cont.) “A sustainable approach to increasing cancer

screening in community health centers” (Emmons, PI, Bastani, Co-PI)

Outcomes: decrease no-show rates at scheduled

primary care/screening visits increase screening rates for breast, cervical,

colorectal cancer, and IDM for prostate CA screening.

disseminate Ix to CHCs in Boston and Los Angeles

Evalution of factors influencing adoption and implementation in the dissemination phase

Fills the evidence gap by examining the dissemination of evidence from the Guide

Community Guide Cancer Screening Evidence

Review Update Co-leads: Karen Glanz, PhD, MPH

(Emory)Randy Elder, PhD (CDC)

Updating cancer screening intervention evidence reviews (breast, cervical, colorectal) for the Guide to Community Preventive Services

Evidence review update spans 2004-2008

Coordination Team and Consultation Teams include representatives from all 8 CPCRN network centers

Community Guide Cancer Screening

Evidence Review Update There may be more evidence on invasive

procedures for colorectal cancer screening

3 abstractors are working on preliminary search strategies

Using TrialStats software for abstractions/ review management

Using Base Camp knowledge management system for team planning

THE GUIDE TO

Community

PREVENTIVE

Services

Questions?