Factors supporting sustainable implementation of evidence-based interventions promoting colorectal cancer screening: Lessons Learned from CDC’s Colorectal Cancer Control Program.

Stream: Multi-Level and Complex Evaluations

Thursday, October 24, 2024

5:15 PM - 5:20 PM PST

Location: E147-148

Abstract Information:

Background: In 2020, the Centers for Disease Control and Prevention funded 35 Colorectal Cancer Control Program (CRCCP) recipients to implement evidence-based interventions (EBIs) promoting CRC screening and reducing health disparities through partnerships with primary care clinics. This study explored how CRCCP recipients support their partner clinics to sustain EBIs.

Methods: Using the Evaluation, Preparation, Implementation, Sustainment Framework, we developed interview guides exploring factors supporting EBI sustainability. We purposefully selected nine recipients for study participation and employed an iterative approach to data collection and analysis. We conducted 27 virtual interviews with recipient, implementation, and evaluation staff between March-June 2023 and nine follow-up interviews with recipient staff in December 2023. Interviews were transcribed for qualitative analysis and emergent themes were validated during virtual focus groups with recipient representatives.

Results: Five themes were identified. During Preparation, recipients 1) recruit clinics with staff capacity and leadership support to sustain EBI implementation and 2) assess clinic readiness, including electronic health record functionality, for sustainable EBI implementation. During Implementation, recipients 3) provide ongoing training and technical assistance (TTA) to support clinic partners’ sustainable EBI implementation. During Sustainment, 4) champions ensure that CRC screening remains a focus among competing priorities, and 5) recipients monitor CRC screening prevalence, providing support for sustaining EBIs through clinic changes.

Conclusion: Sustaining EBIs in clinics requires ongoing efforts during program preparation, implementation, and sustainment. Personnel (leadership, champions), TTA, and monitoring, are all critical factors supporting EBI sustainability.

Presenter(s)

Laura C. Arena, MPH

Manager, Community & Workplace Health
RTI International, United States

Author(s)

Laura C. Arena, MPH

Manager, Community & Workplace Health
RTI International, United States

Presenter(s)

DS

Dara Schlueter, MPH

Health Scientist
Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, United States

Author(s)

DS

Dara Schlueter, MPH

Health Scientist
Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, United States
CS

Cynthia Soloe, MPH

Senior Director, Center for Communication & Engagement Research
RTI International, United States
KF

Kate Ferriola-Bruckenstein, BA

Public Health Analyst
RTI International, United States
ES

Esha Shah, BS

Public Health Analyst
RTI International, United States
SH

Sonja Hoover, MPP

Senior Director, Research Operations
Implenomics, United States
SM

Stephanie Melillo, MPH

Health Scientist
Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, United States
AD

Amy DeGroff, PhD

Lead Health Scientist
Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, United States
FT

Florence Tangka, PhD

Health Economist
Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, United States
Sujha Subramanian, PhD

President
Implenomics, United States