Details:

Alternative Title:
Health Promot Pract
Publisher's site:
http://dx.doi.org/10.1177/15248399221091999
Personal Author:
Schlueter, Dara ; DeGroff, Amy ; Soloe, Cindy ; Arena, Laura ; Melillo, Stephanie ; ... More +
Schlueter, Dara ; DeGroff, Amy ; Soloe, Cindy ; Arena, Laura ; Melillo, Stephanie ; Tangka, Florence ; Hoover, Sonja ; Subramanian, Sujha Less -
Description:
Background.

From 2015 to 2020, the Centers for Disease Control and Prevention’s Colorectal Cancer Control Program (CRCCP) supported 30 awardees in partnering with primary care clinics to implement evidence-based interventions (EBIs) and supporting activities (SAs) to increase colorectal cancer (CRC) screening. This study identified factors that facilitated early implementation and sustainability within partner clinics.

Methods.

We conducted longitudinal qualitative case studies of four CRCCP awardees and four of their partner clinics. We used the Consolidated Framework for Implementation Research (CFIR) to frame understanding of factors related to implementation and sustainability. A total of 41 semi-structured interviews were conducted with key staff and stakeholders exploring implementation practices and facilitators to sustainability. Qualitative thematic analysis of interview transcripts identified emerging themes across awardees and clinics.

Results.

Qualitative themes related to six CFIR inner setting constructs—structural characteristics, readiness for implementation, networks and communication, culture, and implementation climate—were identified. Themes related to early implementation included conducting readiness assessments to tailor implementation, providing moderate funding to clinics, identifying clinic champions, and coordinating EBIs and SAs with existing clinic practices. Themes related to sustainability included the importance of ongoing electronic health record (EHR) support, clinic leadership support, team-based care, and EBI and SA integration with clinic policies, workflows, and proce- dures.

Implications.

Findings help to inform future scale-up of and decision-making within CRC screening programs and other chronic disease prevention programs implementing EBIs and SAs within primary care clinics and also highlight factors that maximize sustainability within these programs.


Subjects:
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Article Colorectal Cancer Screening Colorectal Neoplasms Communication Consolidated Framework For Implementation Research (CFIR) Early Detection Of Cancer Evidence-based Intervention (EBI) Humans Primary Care Clinic Primary Health Care Program Evaluation Qualitative Research Sustainability
Source:
Health Promot Pract. 24(4):755-763
Pubmed ID:
35582930
Pubmed Central ID:
PMC9672135
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:0353685345ef0f2053801f54d2bdb55dc44a97e835aa42ff4f99c8e24d697102
File Type:

• Supporting Files:
  No Additional Files

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