Yale University Art Major, Premed CPRIT Summer Trainee 2012 LINCC

This Summer I…  Worked with the Latinos in a Network for Cancer Control (LINCC) LINCC is a part of a group of Cancer Prevention and Control Research Networks (CPCRNs) A total of 10 CPCRNs are found nationwide and contribute to local cancer prevention efforts, as well as nationwide collaborations in focused workgroups

About LINCC LINCC’s goal is to accelerate the use of evidence based practices among our partners. This involves working with community partners, collaborations with clinics, trainings, and research. LINCC is a part the of cross-CPCRN workgroup for Federally Qualified Health Centers (FQHC)

FQHC Project  FQHC’s provide care for underserved communities, such as migrant communities. They are an important part of the health safety net.  The FQHC Workgroup aims to identify factors influencing the adoption and implementation of evidence based cancer control practices in FQHCs. Survey for each FQHC Qualitative Analysis of interviews and focus groups The eventual goal is to further dissemination and implementation research which will eventually help organizations and agencies better implement cancer control practices, and develop more sustainable interventions.

What I did:  Coding for Qualitative Analysis using ATLAS.ti Coding transcripts of interviews Reviewing coding made by fellow coders  Goal of coding project: Work parallel to survey in identifying factors Confirm, add to, or negate the Consolidated Framework of Implementation Research (CFIR)

What is coding?  Coding is the practice of taking qualitative data and breaking it down into manageable chunks of analyzable text  Different approaches: Deductive: top down approach- start working with framework in mind ○ Faster, but might not get every detail Inductive: bottom up approach- coding “In- vitrovivo” without a framework ○ Very detailed, slow Our approach was a mix of both in that it used the CFIR but also made additions to it.

Our Framework: The CFIR  Based on other models (hence, consolidated)  Framework became basis for code tree, which was then used to code transcripts  Includes domains that play a role in implementation: Intervention Characteristics, Inner Setting, Outer Setting, Individual Characteristics, and Process

Coding Process  Involved multiple coders, reviewing of code, merging data  Problems: Inconsistency because of different coders Level of detail to which coding went to Disagreements about the CFIR definitions Rambling interviews  Next step: analyzing the data cultivated from all the coding sessions

ATLAS qualitative coding software  Adaptable to either process, can be as detailed as you make it

Overall Accomplishments  Coding project Attended training for ATLAS.ti Lead ATLAS troubleshooting for coding project Coded and reviewed many many transcripts  Collaborations with different projects LINCC Research and Project Agenda Clinical Trials and Biobanking Focus Group ○ Designed materials, helped with training

Innovation  Teamwork with fellow coders/reviewers Finding the kinks in the CFIR framework  Striving for consistency to reduce time Quote size guideline made  New codes made Shift frame of CFIR from all that you can code for to the bare minimum, allowing for new codes and discoveries to be made

Personal Impact  What is Public Health? Involves lots of different kinds of relationships with many different fields, and could benefit from inclusion of even more.  How Cancer Prevention affects all of us The importance of disparity research to find causes and solutions to gaps between demographics so that everyone benefits  Innovation in research New perspectives leading to innovation, the push and pull between the new and the established.  New friends!  Thank you to Dr. Fernandez, Glenna Dawson, Barbara Kimmel, Dr. Mullen, everyone from CPRIT!

Contact Info.  Glorili Alejandro 