Prioritizing Population Approaches: A Qualitative Evaluation of Policy, Systems, and Environmental Change Initiatives in Cancer Prevention and Control

Details

• Alternative Title:
  Popul Health Manag
• Personal Author:
  Rohan, Elizabeth A. ; Chovnick, Gary ; Rose, John ; Townsend, Julie S. ; Young, Monique ; Moore, Angela R.
• Description:
  Introduction
  
  The development and implementation of policy, systems and environmental (PSE) change is a commonly used public health approach to reduce disease burden. CDC’s National Comprehensive Cancer Control Program conducted a demonstration with 13 programs to determine whether and to what extent dedicated resources would enhance the adoption of PSE strategies. This paper describes results of the qualitative portion of a longitudinal, mixed-methods evaluation of this demonstration.
  
  Methods
  
  We conducted case studies with a diverse subset of the 13 programs, completing 106 in-depth interviews with state/tribal program staff, community partners, and decision-makers. Interviews addressed PSE change planning and capacity building, partnerships, local context, and how programs achieved PSE change.
  
  Results
  
  Dedicated PSE resources, including a policy analyst, helped increase PSE change capacity, intensify focus on PSE change overall, and accomplish specific PSE changes within individual jurisdictions. Stakeholders described PSE change as a gradual process requiring preparation and prioritization, strategic collaboration, and navigation of local context.
  
  Conclusions
  
  Findings suggest that the demonstration program, including PSE-dedicated funds and a policy analyst, was successful in both increasing PSE change capacity and achieving PSE change itself. These results may be useful to other state, tribal, territorial and public health organizations planning or implementing PSE change strategies.
  
  
• Subjects:
  Article Cancer Prevention And Control Case Study Evaluation Public Health Systems Change
• Source:
  Popul Health Manag. 22(3):205-212
• Pubmed ID:
  30160605
• Pubmed Central ID:
  PMC6395543
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Volume:
  22
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:56f1ebb45d35a37941a7463f5e83620c072f515c1c5f9e9c0ae64c4b6fece1e0
• Download URL:
  https://stacks.cdc.gov/view/cdc/76276/cdc_76276_DS1.pdf
• File Type:
  [PDF - 371.17 KB ]