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2011 CRCCP Grantee Survey of Program Implementation
CRCCP Cross Center Workgroup
CRCCP Committee Members
CPCRN CDC Peggy Hannon Jennifer Allen Andrea Dwyer Michelle Carvalho Cam Escoffery James Hebert Matt Kreuter Annette Maxwell Cathy Melvin Sandra Morones Debbie Pfeiffer Sally Vernon Thuy Vu Rebecca Williams And others!
Amy DeGroff Vicki Bernard Kathi Wilson And others!
Colorectal Cancer Cancer of the colon or rectum is the second
leading cause of cancer-related deaths in the United States
Screening Finds precancerous polyps (abnormal growths in
the colon or rectum) so that they can be removed before turning into cancer.
Detects colorectal cancer at an early stage, when treatment often leads to a cure.
About 9 / 10 people whose colorectal cancer is found early and treated are still alive five years later
CDC's Colorectal Cancer Control Program (CRCCP) Goal: to increase colorectal (colon) cancer
screening rates among men and women aged 50 years and older from about 64%1 to 80% in the funded states by 2014
Program has two components: screening promotion and screening provision
CRCCP Grantees
CDC’s Colorectal Cancer Control Program:Simplified Logic Model
Program Monitoring and Evaluation
State and Tribal Grantees, in Collaboration with CCC Coalitions and
Other Partners, Conduct These Activities…
In Order to Achieve Population-Level Program Outcomes
To Create These Changes that Improve or Increase…
Provider Practices that Promote High Quality CRC Screening
Social Norms that Support
CRC Screening
Proportion of Adults Seeking CRC Screening
as Recommended
Increased CRC Prevention via Polypectomy
Increased, Appropriate CRC
Screening
Increased Detection of Early
Stage CRC
Decreased Disparities in CRC
Screening and Detection
Policy-Level
Influence Policy/Legislation
Community-Level
Increase General Population Awareness
Organizational-Level
Influence Health Care Systems, Insurers, Workplaces, CBOs, Professional Organizations
Individual-Level
Provide and/or Facilitate Screening for Medically Underserved
Policies & Systems that Promote CRC
Screening
Population and Provider
Knowledge, Attitudes, & Intentions
about CRC Screening
5/25/2010
CRCCP Workgroup
A unique opportunity for CPCRN
Natural laboratory for dissemination
Defined set of cancer control EBIs
Large-scale practice settings
Perfect timing
Overall Workgroup GoalsCRCCP workgroup will implement the Annual Grantee Survey, 2011-2014
CRCCP workgroup will develop and implement additional research projects to assess details of
Adoption Implementation Context Technical support and Resources needed/available Organizational Characteristics
Annual Grantee Survey Goals1. Understand how grantees are implementing
CDC’s Colorectal Cancer Control Program (CRCCP),
2. Establish a baseline to assess how implementation changes each year, and
3. Collect information related to technical assistance and training needs.
Methods Audience: person responsible for day-to-day
management of the CRCCP should complete this survey
Sample: 29 programs (25 states and 4 tribes) across the U.S.
Design: Cross-sectional online survey (Qualtrics) over 4 years
Sections of the Grantee Survey CRCCP Management and Integration with Other
Programs Adoption and implementation of 5 Guide EBIs and
patient navigation CRC Screening Provision CRC Screening Promotion
CRC Screening Data from FQHCs, IHS Clinics, etc. Screening Policies & Strategies Training and Technical Assistance for Evidence-
Based Interventions General Program Management (i.e. Monitoring &
Evaluation, Administrative Issues) Respondent characteristics
D&I Frameworks Guiding Survey Topics Conceptual Model
RE-AIM with focus on Adoption, Implementation and Maintenance of 5 Community Guide evidence-based strategies Client reminders Small media Reduce structural barriers Provider reminders Provide provider assessment and feedback
Interactive Systems Framework for Dissemination and Implementation (ISF) Prevention Support System (training and technical
assistance)
Implementation Research Questions Adoption Topics
Which of the 5 evidence-based strategies do the grantees adopt?
How do the grantees translate the evidence-based strategies into interventions? What are these sources of interventions? What resources
does it take?
Implementation Topics Which of the 5 strategies do the grantees implement? What implementation barriers and facilitators do
grantees encounter for each of the strategies they implement?
What type of training or technical assistance do they receive or provide to their contractors in using evidence?
Maintenance What strategies are consistently adopted over time?
Implementation Research QuestionsConstruct Conceptua
lFramework
Sample Questions
Adoption RE-AIM Does your organization use [small media] to promote colorectal cancer screening?
Adoption Facilitators
RE-AIM What are the top reasons your organizations chose to use [small media] to promote CRC screening?
Implementation
RE-AIM Please indicate where your organization uses each of the small media types listed in the table below, to promote CRC screening (e.g., video, flyers/posters, brochures, newsletters)
Implementation Ease
RE-AIM Thinking about the evidence-based interventions (EBI) that your organization implements currently, rate the following EBIs by the level of difficulty it took to implement from 1=Easiest to 5=Most difficult to implement.
Implementation Research QuestionsConstruct Conceptua
lFramework
Sample Questions
Implementation Barrier
RE-AIM For the evidence-based strategies that were the most difficult to implement, what made it difficult?
Implementation Facilitator
RE-AIM For the evidence-based strategies that were the easiest to implement, what made it easy?
Training needs for use of evidence
ISF - Training and Technical Assistance
Rate your desire for training in the following areas (e.g., find EBI, adapt a strategy)For which of the evidence-based strategies would you like to receive more training or technical assistance?
Technical assistance
ISF - Technical Assistance
Do you have access to someone who can help you interpret and apply research evidence?
Survey Next Steps Approvals for all IRBs (+ CDC) are in!! Finalize survey administration in Qualtrics Pilot-test survey Administration in October/November 2011
Breakout Discussion Topics Initial survey administration ideas Case studies with high and low-implementing
grantees Assessing quality of what they implement Surveying/interviewing grantees’ implementation
partners Offering training or other resources to meet
grantees’ needs Examining registry data More with MIYO How can our data inform:
Future D&I projects CRCCP program improvement
2011-2012 Workplan Grantee survey
1st administration – November 2011 Analysis – December 2011-February 2012
Report back to grantees & CDC Submit abstract to CDC Cancer Conference
Revise survey for 2012 2nd administration – July 2012
2011-2012 Workplan, continued Case studies with high and low-implementers
Identify cases & topics – February 2012 Design case study methods – February-March
2012 Conduct case studies/interviews – April-May 2012 Analyze findings – June-July 2012 Write paper(s)/abstracts – July-September 2012
Develop workplan/research questions for 2012-2013
