Evaluating Uptake of Evidence-Based Interventions in 355 Clinics Partnering With the Colorectal Cancer Control Program, 2015–2018

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Maxwell, Annette E. ; DeGroff, Amy ; Hohl, Sarah D. ; Sharma, Krishna P. ; Sun, Juzhong ; Escoffery, Cam ; Hannon, Peggy A.
• Description:
  Purpose and Objectives
  
  Colorectal cancer screening rates remain suboptimal in the US. The Colorectal Cancer Control Program (CRCCP) of the Centers for Disease Control and Prevention (CDC) seeks to increase screening in health system clinics through implementation of evidence-based interventions (EBIs) and supporting activities (SAs). This program provided an opportunity to assess the uptake of EBIs and SAs in 355 clinics that participated from 2015 to 2018.
  
  Intervention Approach
  
  The 30 funded awardees of CRCCP partnered with clinics to implement at least 2 of 4 EBIs that CDC prioritized (patient reminders, provider reminders, reducing structural barriers, provider assessment and feedback) and 4 optional strategies that CDC identified as SAs (small media, professional development and provider education, patient navigation, and community health workers).
  
  Evaluation Methods
  
  Clinics completed 3 annual surveys to report uptake, implementation, and integration and perceived sustainability of the priority EBIs and SAs.
  
  Results
  
  In our sample of 355 clinics, uptake of 4 EBIs and 2 SAs significantly increased over time. By year 3, 82% of clinics implemented patient reminder systems, 88% implemented provider reminder systems, 82% implemented provider assessment and feedback, 76% implemented activities to reduce structural barriers, 51% implemented provider education, and 84% used small media. Most clinics that implemented these strategies (>90%) considered them fully integrated into the health system or clinic operations and sustainable by year 3. Fewer clinics used patient navigation (30%) and community health workers (19%), with no increase over the years of the study.
  
  Implications for Public Health
  
  Clinics participating in the CRCCP reported high uptake and perceived sustainability of EBIs that can be integrated into electronic medical record systems but limited uptake of patient navigation and community health workers, which are uniquely suited to reduce cancer disparities. Future research should determine how to promote uptake and assess cost-effectiveness of CRCCP interventions.
  
  
• Subjects:
  Centers For Disease Control And Prevention, U.S. Colorectal Neoplasms Early Detection Of Cancer Humans Implementation Evaluation Primary Health Care Safety-net Providers United States
• Source:
  Prev Chronic Dis. 2022; 19
• DOI:
  http://dx.doi.org/http://dx.doi.org/10.5888/pcd19.210395
• ISSN:
  1545-1151
• Pubmed ID:
  35588522
• Pubmed Central ID:
  PMC9165474
• Document Type:
  Journal Article
• Funding:
  U48 DP006398/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP006377/DP/NCCDPHP CDC HHSUnited States/ ; T32 CA092408/CA/NCI NIH HHSUnited States/
• Volume:
  19
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:96dcb953b24eb880714111e854fbbac307ed283d92c3a917033146e5a0cbf134175a230f51714fd5d41cf74f7c3a6a5b419c5e95313bd1e9b7910e69f0e5ef4d
• Download URL:
  https://stacks.cdc.gov/view/cdc/118365/cdc_118365_DS1.pdf
• File Type:
  [PDF - 503.73 KB ]