Evaluating centralized technical assistance as an implementation strategy to improve cancer prevention and control
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In 2015–2016, the Comprehensive Cancer Control National Partnership provided technical assistance workshops to support 22 cancer coalitions in increasing human papillomavirus (HPV) vaccination uptake and increasing colorectal cancer (CRC) screening in their local communities. As national efforts continue to invest in providing technical assistance, there is a current gap in understanding its use as a strategy to accelerate implementation of evidence-based interventions (EBIs) for cancer prevention. The objective of this study was to evaluate the impact of technical assistance on the participants’ knowledge, attitudes, and skills for implementing EBIs in their local context and enhancing state team collaboration.
Data were collected August-November 2017 using web-based questionnaires from 44 HPV workshop participants and 66 CRC workshop participants.
Both HPV vaccination and CRC screening workshop participants reported changes in knowledge, attitudes, and skills related to implementing EBIs in their local state context. Several participants reported increased abilities in communicating and coordinating with partners in their states and utilizing additional implementation strategies to increase HPV vaccination uptake and CRC screening rates.
Findings from this study suggest that providing technical assistance to members of comprehensive cancer control coalitions is useful in promoting collaborations and building capacity for implementing EBIs for cancer prevention and control.
KeywordsCancer Dissemination Implementation Evaluation Partnerships Technical assistance
This study was funded by NIH (Grant No. 5U54CA155496-05S1).
- 2.Walboomers JM, Jacobs MV, Manos MM, Bosch FX, Kummer JA, Shah KV, Snijders PJ, Peto J, Meijer CJ, Munoz N (1999) Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. J Pathol 189(1):12–19. https://doi.org/10.1002/(sici)1096-9896(199909)189:1%3C12::aid-path431%3E3.0.co;2-f CrossRefPubMedGoogle Scholar
- 3.Rimer B, Harper H, Witte O (2014) Accelerating HPV vaccine uptake: urgency for action to prevent cancer; a report to the President of the United States from the President’s Cancer Panel. National Cancer Institute, BethesdaGoogle Scholar
- 4.Society AC (2016) Key statistics for colorectal cancer. http://www.cancer.org/cancer/colonandrectumcancer/detailedguide/colorectal-cancer-key-statistics. Accessed 20 Oct 2016
- 6.Centers for Disease Control and Prevention (CDC) (2013) Vital signs: colorectal cancer screening test use–United States, 2012. MMWR Morb Mortal Wkly Rep 62(44):881–888Google Scholar
- 7.Honein-AbouHaidar GN, Kastner M, Vuong V, Perrier L, Daly C, Rabeneck L, Straus S, Baxter NN (2016) Systematic review and meta-study synthesis of qualitative studies evaluating facilitators and barriers to participation in colorectal cancer screening. Cancer Epidemiology and Prevention BiomarkersGoogle Scholar
- 13.Roundtable NCC (2014) Steps for increasing colorectal cancer screening rates: a manual for community health centersGoogle Scholar
- 15.Stetler CB, Legro MW, Rycroft-Malone J, Bowman C, Curran G, Guihan M, Hagedorn H, Pineros S, Wallace CM (2006) Role of” external facilitation” in implementation of research findings: a qualitative evaluation of facilitation experiences in the Veterans Health Administration. Implement Sci 1(1):23CrossRefGoogle Scholar
- 17.Snow J, Mann M (2013) Qualtrics survey software: handbook for research professionals. Qualtrics Labs Inc., ProvoGoogle Scholar
- 18.Neuendorf KA (2016) The content analysis guidebook. Sage, Los AngelesGoogle Scholar
- 22.Townsend JS, Steele CB, Hayes N, Bhatt A, Moore AR (2017) Human papillomavirus vaccine as an anticancer vaccine: collaborative efforts to promote human papillomavirus vaccine in the national comprehensive cancer control program. J Womens Health (Larchmt) 26(3):200–206. https://doi.org/10.1089/jwh.2017.6351 CrossRefGoogle Scholar
- 26.Leeman J, Calancie L, Hartman MA, Escoffery CT, Herrmann AK, Tague LE, Moore AA, Wilson KM, Schreiner M, Samuel-Hodge C (2015) What strategies are used to build practitioners’ capacity to implement community-based interventions and are they effective?: a systematic review. Implement Sci 10(1):80CrossRefGoogle Scholar