Inventory and Assessment Inventory and Assessment of NBCCEDP Interventions of NBCCEDP Interventions EvaluationEvaluation

November 1, 2007November 1, 2007

Purpose of StudyPurpose of Study

Inventory NBCCEDP interventions used Inventory NBCCEDP interventions used to recruit women for screening to recruit women for screening

Inventory interventions used for the Inventory interventions used for the professional development of program professional development of program staff and healthcare providersstaff and healthcare providers

Create a database of these interventionsCreate a database of these interventions

Purpose of StudyPurpose of Study

Assess the interventions for their Assess the interventions for their application of evidence-based application of evidence-based cancer prevention practicescancer prevention practices

Disseminate the findings to Disseminate the findings to encourage effective, evidence-encourage effective, evidence-based interventions for recruiting based interventions for recruiting women and the professional women and the professional development of healthcare development of healthcare providersproviders

Research QuestionsResearch Questions

The inventory project will answer the following questions:The inventory project will answer the following questions:

What is theWhat is the range of recruitment and professional range of recruitment and professional development activities conducted by NBCCEDP grantees?development activities conducted by NBCCEDP grantees?

What recruitment and professional development activities What recruitment and professional development activities are perceived to be effective by NBCCEDP grantees?are perceived to be effective by NBCCEDP grantees?

What dissemination strategies for evidence-based What dissemination strategies for evidence-based interventions to increase cancer screening are effective for interventions to increase cancer screening are effective for NBCCEDP grantees?NBCCEDP grantees?

What factors influenced NBCCEDP adoption of interventions What factors influenced NBCCEDP adoption of interventions in general (e.g., intervention, organizational)? What factors in general (e.g., intervention, organizational)? What factors influenced adoption of EBIs?   influenced adoption of EBIs?  

Research QuestionsResearch Questions

What is the knowledge and use of evidence-based What is the knowledge and use of evidence-based resources for increasing cancer screening by NBCCEDP resources for increasing cancer screening by NBCCEDP grantees (i.e., Community Guide, RTIPS)?grantees (i.e., Community Guide, RTIPS)?

To what extent do the recruitment and professional To what extent do the recruitment and professional development activities match evidence-based interventions development activities match evidence-based interventions to increase breast and cervical cancer screening?to increase breast and cervical cancer screening?

To what extent do NBCCEDP grantees implement process To what extent do NBCCEDP grantees implement process steps or core elements from evidence-based interventions steps or core elements from evidence-based interventions for their recruitment and professional development for their recruitment and professional development activities? (intervention fidelity)activities? (intervention fidelity)

Inventory Project ProgressInventory Project Progress

Development of Conceptual ModelsDevelopment of Conceptual Models

Development of Interview GuidesDevelopment of Interview Guides

Feedback from Advisory Committee on Guides in Feedback from Advisory Committee on Guides in AugustAugust

Calls/meetings with CDC/Program Services Branch Calls/meetings with CDC/Program Services Branch staff and representative coordinators to discuss staff and representative coordinators to discuss project promotion and the interview guidesproject promotion and the interview guides

Pilot-testing of the Interview Guides for Recruitment Pilot-testing of the Interview Guides for Recruitment and Professional Development Interventionsand Professional Development Interventions

Grant TimelineGrant TimelinePhase 1Phase 1 Development of Conceptual Development of Conceptual

Frameworks and Interview Frameworks and Interview GuidesGuides

October October 2006-2006-September September 20072007

Phase 2Phase 2 Inventory and Assessment of Inventory and Assessment of InterventionsInterventions

Data AnalysisData Analysis

October October 2007-March 2007-March 20082008

May – July May – July 20082008

Phase 3Phase 3 Dissemination of FindingsDissemination of Findings August -August -September September 20082008

Categories: Categories: Recruitment Recruitment StrategiesStrategies

IndividualIndividual- - Patient Reminders*Patient Reminders*- Educational Materials*- Educational Materials*- One-on-One - One-on-One Education/Counseling*Education/Counseling*

InterpersonalInterpersonal- Group Education*- Group Education*- Social Network- Social Network

CommunityCommunity- Mass Media*- Mass Media*

OrganizationalOrganizational- Cost Reduction*- Cost Reduction*- Financial Incentives*- Financial Incentives*- Access Enhancing*- Access Enhancing*

Multi-componentMulti-component- Multi-component- Multi-component Interventions*Interventions*

*Strategy reviewed in the Community Guide to Preventive Services

Categories: Categories: Professional Professional Development StrategiesDevelopment Strategies

IndividualIndividual- Educational Materials- Educational Materials- Conferences/Courses- Conferences/Courses

InterpersonalInterpersonal- Educational Outreach- Educational Outreach- Local Opinion - Local Opinion LeadersLeaders

Multi-componentMulti-component- Multi-component- Multi-component InterventionsInterventions

OrganizationalOrganizational- Audit and Feedback*- Audit and Feedback*- Provider Reminders*- Provider Reminders*- Financial Interventions*- Financial Interventions*- Regulatory Interventions- Regulatory Interventions- Organizational - Organizational InterventionsInterventions

*Strategy reviewed in the Community Guide to Preventive Services

Project MethodsProject Methods

Study DesignStudy Design– Cross sectional data collection through Cross sectional data collection through

telephone interviewstelephone interviews

PopulationPopulation– Recruitment and professional Recruitment and professional

development coordinators from all 68 development coordinators from all 68 NBCCEDP grantee programsNBCCEDP grantee programs

Section Description

A Program Information Program coordinator’s professional background information

B Professional Development Activities

Brief list of program’s professional development activities or strategies within the last year

C Activity Categories Lists eight professional development activities from which to categorize the specific activity

D Description of the 5 Major Activities

Questions about each activity: types of screening how program learned about and chose the

activity main objectives logistics of how the intervention was carried

outE Implementation of the

Professional Development Activity

Conduct of: needs assessment pilot-testing use of theory conduct of process steps / core elements

Section Description

F Results and Evaluation of Professional Development Activity

Any evaluation results or markers for success

Brief Description of Other Activities

Abbreviated profile of D-F

G General Questions about Professional Development Activities

Challenges in conducting professional development activitiesPerceived level of effectiveness of professional development activitiesCharacteristics important when choosing an activityDissemination strategies

H Evidence-based Cancer Prevention Knowledge and Practices

Knowledge, satisfaction, and use of effective programs from different national cancer resources

Instrument: Interview GuideInstrument: Interview GuideProgram Information (Section A)

List of Activities in Past YearMajor Activities? “Top 5” (Section B)

Major ActivitiesFull Description (C-E)

Other ActivitiesBrief Description

General Questions about Recruitment/Professional Development

(Section G)

Evidence-based Cancer Prevention Knowledge and Practices (Section H)

How learn about

activity

Factors in Choosingactivity

Sources ofEBIs

Use ofEBIs

Potential Areas of Research Potential Areas of Research fromfrom

the Inventory Projectthe Inventory Project Dissemination ResearchDissemination Research

– Grantees will report on how they learned about Grantees will report on how they learned about programs and what EBIs they are usingprograms and what EBIs they are using

– Test strategies to spread knowledge about evidence-Test strategies to spread knowledge about evidence-based public health interventions to achieve greater use based public health interventions to achieve greater use and impact of EBIs and impact of EBIs

Evaluating Promising Program StrategiesEvaluating Promising Program Strategies– Grantees may report “promising intervention strategies” Grantees may report “promising intervention strategies”

that are intervention categories listed as having that are intervention categories listed as having “insufficient evidence” or are not a recommended “insufficient evidence” or are not a recommended strategy in the Community Guide or the intervention strategy in the Community Guide or the intervention literatureliterature

– Collaboratively evaluate “promising strategies”Collaboratively evaluate “promising strategies”