Colorectal Cancer Control Program Grantees’ Use of Evidence-Based Interventions
Published Date:Nov 2013
Source:Am J Prev Med. 45(5):644-648.
Pubmed Central ID:PMC4618374
Funding:CC999999/Intramural CDC HHS/United States
U48DP000059/DP/NCCDPHP CDC HHS/United States
U48DP001903/DP/NCCDPHP CDC HHS/United States
U48DP001909/DP/NCCDPHP CDC HHS/United States
U48DP001911/DP/NCCDPHP CDC HHS/United States
U48DP001934/DP/NCCDPHP CDC HHS/United States
U48DP001938/DP/NCCDPHP CDC HHS/United States
U48DP001949/DP/NCCDPHP CDC HHS/United States
Intramural NIH HHS/United States
Colorectal cancer (CRC) screening is recommended for adults aged 50–75 years, yet screening rates are low, especially among the uninsured. The CDC initiated the Colorectal Cancer Control Program (CRCCP) in 2009 with the goal of increasing CRC screening rates to 80% by 2014. A total of 29 grantees (states and tribal organizations) receive CRCCP funding to (1) screen uninsured adults and (2) promote CRC screening at the population level.
CRCCP encourages grantees to use one or more of five evidence-based interventions (EBIs) recommended by the Guide to Community Preventive Services. The purpose of the study was to evaluate grantees’ EBI use.
A web-based survey was conducted in 2011 measuring grantees’ use of CRC screening EBIs and identifying their implementation partners. Data were analyzed in 2012.
Twenty-eight grantees (97%) completed the survey. Most respondents (96%) used small media. Fewer used client reminders (75%); reduction of structural barriers (50%); provider reminders (32%); or provider assessment and feedback (50%). Provider-oriented EBIs were rated as harder to implement than client-oriented EBIs. Grantees partnered with several types of organizations to implement EBIs, many with county- or state-wide reach.
Almost all grantees implement EBIs to promote CRC screening, but the EBIs that may have the greatest impact with CRC screening are implemented by fewer grantees in the first 2 years of the CRCCP.
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