Using Evidence-based Interventions to Improve Cancer Screening in the National Breast and Cervical Cancer Early Detection Program
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CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners. As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.
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Using Evidence-based Interventions to Improve Cancer Screening in the National Breast and Cervical Cancer Early Detection Program

Filetype[PDF-343.06 KB]


English

Details:

  • Alternative Title:
    J Public Health Manag Pract
  • Personal Author:
  • Description:
    Context

    The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides cancer screening to low income, un- and underinsured women through over 11,000 primary care clinics. The program is well-positioned to work with health systems to implement evidence-based interventions (EBIs) to increase screening among all women.

    Objective

    To collect baseline data on EBI use, evaluation of EBIs, and related training needs among NBCCEDP grantees.

    Design

    CDC conducted a web-based survey in late 2013 among NBCCEDP grantees for the period July 2012-June 2013. This was the first systematic assessment of EBIs among NBCCEDP grantees.

    Setting

    CDC’s National Breast and Cervical Cancer Early Detection Program

    Participants

    Primarily program directors/coordinators for all 67 NBCCEDP grantees.

    Main Outcome Measures

    Data captured were used to assess implementation of five EBIs, their evaluation, and related training needs. Frequencies and proportions were determined. Cluster analysis identified grantees with similar patterns of EBI use for NBCCEDP clients and providers.

    Results

    On average, 4.1 of 5 EBIs were implemented per grantee for NBCCEDP clients and providers. Four clusters were identified including “high overall EBI users,” “high provider EBI users,” “high EBI users with no provider assessment and feedback,” and “high client EBI users.” Only 1.8 EBIs were implemented, on average, with non-NBCCEDP clients and providers. Fewer than half (n= 32, 47.8%) of grantees conducted process or outcome evaluation of one or more EBIs. Overall, 47.6% of grantees reported high or medium training needs for client-oriented EBIs and 54.3% for provider-oriented EBIs.

    Conclusions

    NBCCEDP grantees are implementing EBIs extensively with clients and providers. Increased EBI use among non-NBCCEDP clients/providers is needed to extend the NBCCEDP’s reach and impact. Grantee training and technical assistance is necessary across EBIs. Additionally, grantees’ use of process and outcome evaluation of EBI implementation must be increased to inform effective program implementation.

  • Subjects:
  • Source:
  • Pubmed ID:
    26672405
  • Pubmed Central ID:
    PMC4969195
  • Document Type:
  • Funding:
  • Name as Subject:
  • Place as Subject:
  • Volume:
    22
  • Issue:
    5
  • Collection(s):
  • Main Document Checksum:
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