Inventory and Assessment of NBCCEDP Interventions Evaluation November 1, 2007

Purpose of Study Inventory NBCCEDP interventions used to recruit women for screening Inventory NBCCEDP interventions used to recruit women for screening Inventory interventions used for the professional development of program staff and healthcare providers Inventory interventions used for the professional development of program staff and healthcare providers Create a database of these interventions Create a database of these interventions

Purpose of Study Assess the interventions for their application of evidence-based cancer prevention practices Assess the interventions for their application of evidence-based cancer prevention practices Disseminate the findings to encourage effective, evidence-based interventions for recruiting women and the professional development of healthcare providers Disseminate the findings to encourage effective, evidence-based interventions for recruiting women and the professional development of healthcare providers

Research Questions The inventory project will answer the following questions: What is the range of recruitment and professional development activities conducted by NBCCEDP grantees? What is the range of recruitment and professional development activities conducted by NBCCEDP grantees? What recruitment and professional development activities are perceived to be effective by NBCCEDP grantees? What recruitment and professional development activities are perceived to be effective by NBCCEDP grantees? What dissemination strategies for evidence-based interventions to increase cancer screening are effective for NBCCEDP grantees? What dissemination strategies for evidence-based interventions to increase cancer screening are effective for NBCCEDP grantees? What factors influenced NBCCEDP adoption of interventions in general (e.g., intervention, organizational)? What factors influenced adoption of EBIs? What factors influenced NBCCEDP adoption of interventions in general (e.g., intervention, organizational)? What factors influenced adoption of EBIs?

Research Questions What is the knowledge and use of evidence-based resources for increasing cancer screening by NBCCEDP grantees (i.e., Community Guide, RTIPS)? What is the knowledge and use of evidence-based resources for increasing cancer screening by NBCCEDP grantees (i.e., Community Guide, RTIPS)? To what extent do the recruitment and professional development activities match evidence-based interventions to increase breast and cervical cancer screening? To what extent do the recruitment and professional development activities match evidence-based interventions to increase breast and cervical cancer screening? To what extent do NBCCEDP grantees implement process steps or core elements from evidence-based interventions for their recruitment and professional development activities? (intervention fidelity) To what extent do NBCCEDP grantees implement process steps or core elements from evidence-based interventions for their recruitment and professional development activities? (intervention fidelity)

Inventory Project Progress Development of Conceptual Models Development of Conceptual Models Development of Interview Guides Development of Interview Guides Feedback from Advisory Committee on Guides in August Feedback from Advisory Committee on Guides in August Calls/meetings with CDC/Program Services Branch staff and representative coordinators to discuss project promotion and the interview guides Calls/meetings with CDC/Program Services Branch staff and representative coordinators to discuss project promotion and the interview guides Pilot-testing of the Interview Guides for Recruitment and Professional Development Interventions Pilot-testing of the Interview Guides for Recruitment and Professional Development Interventions

Grant Timeline Phase 1 Development of Conceptual Frameworks and Interview Guides October September 2007 Phase 2 Inventory and Assessment of Interventions Data Analysis October March 2008 May – July 2008 Phase 3 Dissemination of Findings August - September 2008

Categories: Recruitment Strategies Individual Individual - Patient Reminders* - Educational Materials* - One-on-One Education/Counseling* Education/Counseling* Interpersonal Interpersonal - Group Education* - Social Network Community Community - Mass Media* Organizational Organizational - Cost Reduction* - Financial Incentives* - Access Enhancing* Multi-component Multi-component - Multi-component Interventions* Interventions* *Strategy reviewed in the Community Guide to Preventive Services

Categories: Professional Development Strategies Individual Individual - Educational Materials - Conferences/Courses Interpersonal Interpersonal - Educational Outreach - Local Opinion Leaders Multi-component Multi-component - Multi-component Interventions Interventions Organizational Organizational - Audit and Feedback* - Provider Reminders* - Financial Interventions* - Regulatory Interventions - Organizational Interventions *Strategy reviewed in the Community Guide to Preventive Services

Project Methods Study Design Study Design –Cross sectional data collection through telephone interviews Population Population –Recruitment and professional development coordinators from all 68 NBCCEDP grantee programs

SectionDescription A Program InformationProgram coordinator’s professional background information B Professional Development Activities Brief list of program’s professional development activities or strategies within the last year C Activity CategoriesLists eight professional development activities from which to categorize the specific activity D Description of the 5 Major Activities Questions about each activity: types of screening how program learned about and chose the activity main objectives logistics of how the intervention was carried out E Implementation of the Professional Development Activity Conduct of: needs assessment pilot-testing use of theory conduct of process steps / core elements

SectionDescription F Results and Evaluation of Professional Development Activity Any evaluation results or markers for success Brief Description of Other Activities Abbreviated profile of D-F G General Questions about Professional Development Activities Challenges in conducting professional development activities Perceived level of effectiveness of professional development activities Characteristics important when choosing an activity Dissemination strategies H Evidence-based Cancer Prevention Knowledge and Practices Knowledge, satisfaction, and use of effective programs from different national cancer resources

Instrument: Interview Guide Program Information (Section A) List of Activities in Past Year Major Activities? “Top 5” (Section B) Major Activities Full Description (C-E) Other Activities Brief Description General Questions about Recruitment/ Professional Development (Section G) Evidence-based Cancer Prevention Knowledge and Practices (Section H) How learn about activity Factors in Choosing activity Sources of EBIs Use of EBIs

Potential Areas of Research from the Inventory Project Dissemination Research Dissemination Research –Grantees will report on how they learned about programs and what EBIs they are using –Test strategies to spread knowledge about evidence-based public health interventions to achieve greater use and impact of EBIs Evaluating Promising Program Strategies Evaluating Promising Program Strategies –Grantees may report “promising intervention strategies” that are intervention categories listed as having “insufficient evidence” or are not a recommended strategy in the Community Guide or the intervention literature –Collaboratively evaluate “promising strategies”