Emory UniversityRollins School of Public

Health

Principal Investigator: Michelle C. Kegler, DrPH, MPH

Co-PI: Cam Escoffery, PhD, MPH, CHES

Project Coordinator: Michelle Carvalho, MPH

Emor yP r event ionResear chCent er

Emor yP r event ionResear chCent er

1. Maintain and strengthen the Emory CPCRN infrastructure to support and sustain cancer prevention and control research and practice at Emory and in rural communities across Georgia

2. Cultivate and strengthen partnerships to promote community-based participatory approaches to preventing cancer and reducing health disparities

Emory CPCRN Overall Aims

3. Translate evidence-based approaches (EBAs) into cancer prevention and control practice through:

National training and online learning circles on EBAs through cross-center collaboration;

Statewide trainings on EBAs conducted with GA regional cancer coalitions; and

A mini-grants program to disseminate EBAs in our partner community of rural Southwest Georgia

Emory CPCRN Overall Aims

4. Address critical gaps in the evidence-base for selected cancer prevention and control interventions through:

Collaborative research with other CPCRN centers on jointly identified priorities;

Evaluation of “promising practices” in rural Southwest Georgia; and

Collaborative pilot studies that facilitate additional translation and intervention research

Emory CPCRN Overall Aims

Mini-grants Program: -two cycles of two-year grants (8 grantees total)-CBOs adapt and implement an EBI-evaluation focuses on fidelity/adaptation

Regional Trainings-six regional trainings on finding and using EBI

(Years 1 & 2)-six regional trainings on health literacy

(Years 3 & 4)-conduct in collaboration with regional cancer

coalitions

Site-Specific Training/Dissemination Activities

Practice-Based EvidenceIdentify, evaluate and publish 2-4 outcome evaluations of innovative “promising” cancer prevention programs in SW GA

Case Studies of Community Health Centers (CHC)Conduct case studies on how organizational context influences the implementation and maintenance of cancer screening interventions in 4 rural CHC clinics

Smoke-Free Homes Intervention Pilot StudyPilot a community-based intervention to reduce secondhand smoke exposure in the home environment

Site-Specific Research Activities

Further develop existing training content, case studies, tools and other training products

Pursue national training opportunities, increasing recognition of the CPCRN’s translation expertise

Conduct online learning circles as ongoing technical assistance (TA) for training participants and partners

Evaluate training and learning circle methods

Expand CPCRN translation expertise through collective training, TA and practice experiences

Proposed Cross-Center Project:EBA Training Consortium Aims

Training Topics Important Concepts

What do we mean by evidence-based?

•Define evidence-based (EB)•Continuum of evidence•Benefits of using EB strategies/programs

Needs assessment & program planning

•Community and target audience analysis•Determinants of behavior

Finding an evidence-based strategy or program

•Sources of EB strategies & programs•Selecting a strategy or program (“fit”)

Adapting the evidenced-based program to meet your needs

•Define: adaptation, core elements, fidelity•Discuss what can & cannot be changed

Evaluating your program •Process evaluation (e.g., implementation, fidelity, program adaptations)•Outcome evaluation

Designing Prevention Programs That Work

Audience Reach

Health educators – Georgia Federation of Professional Health Educators – A SOPHE Chapter

102

SW GA Mini Grant applicants:Community-based organizations

35

National Breast and Cervical Cancer Early Detection Program (NBCCEDP)/CDC (2 parts)Recruitment & professional development coordinators

116

Comprehensive Cancer Control Program Directors 120

National Association of Chronic Disease Directors 28

REACH US Grant Applicants 62

History of Trainings

2 trainings per year (> 60 participants/year)

Consortium collaborates in the planning, content development and/or delivery of the training sessions

Training goals:

1. Assist cancer control and health planners in adapting and implementing evidence-based program,

2. Apply the CDC’s approach to adapting specific interventions to organizational and community context, and

3. Provide ongoing technical assistance throughout the adoption/adaptation process through learning circles

Training Description

Process evaluation tracking:

# of trainings and trainees, description of trainees, # CPCRN centers involved, reactions to the training

Outcome evaluation:

pre- and post-training EBA-related skills

6 month follow-up: EBA use, maintenance of the competencies, adaptation of the EBA into their practice settings

Evaluation – National Trainings

Purpose: Provide ongoing TA that may support deeper learning or lead to action steps and plans to use and adapt EBAs in the participants’ communities

Training participants will be invited to participate in an online learning circle for translation of EBAs for up to a year

(~6-12 participants)

Discuss and share current work with EBAs for interactive discussion

Participate in instructional learning activities

Online Learning Circles

Process evaluation: # & proportion of trainees who participate in the online learning circles, level of participation, and satisfaction and reactions

Select at least 1 organization from each learning circle per year (10 across the 5 years), to develop descriptive narratives about:

The experience with the transfer of the training and learning circle skills on use of EBAs within their organization

The extent to which they implemented an EBA to program planning

How they selected a specific EBA, considered adaptation, planned for adaptation, and implemented the program

Evaluation – Learning Circles

EBA Training Consortium:

membership from all interested CPCRN centers

collaborate on training proposals, content development, TA efforts/learning circles, evaluation, manuscripts and grant proposals

Cross-Center National Training: include representatives from Emory and at least two members other from CPCRN centers

Learning Circles: CPCRN members will be invited to participate especially those with specific expertise in topics that arise.

Cross-Center Collaboration

Sites for Potential Presentation Proposals

SOPHE/PRC (submitted with UNC & Harvard)

Society for Prevention Research (due Oct. 26)

NIH Dissemination Conference (due Nov. 6)

CDC Cancer Conference

CDC Chronic Disease Conference

American Public Health Association (APHA)

Society for Public Health Education (SOPHE)

Directors of Health Promotion & Education

National Association of County and City Health Officials (NACCHO)

Training repository: curriculum, slides, case studies, decision-making tools, resource lists

National presentations and workshops

national visibility of CPCRN in translation expertise

Manuscripts: evaluation findings with participating CPCRN members as co-authors

Submission of training and translation grant proposals based on evaluation findings and training content

QUESTIONS??