Evidence-Based Colorectal Cancer Screening Promotion

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Evidence-Based Colorectal Cancer Screening Promotion. Peggy Hannon, PhD, MPH September 24, 2013. - PowerPoint PPT Presentation


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Evidence-Based Colorectal Cancer Screening PromotionPeggy Hannon, PhD, MPHSeptember 24, 2013This presentation was supported by Cooperative Agreement Number U48DP001911 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention. 1Colorectal Cancer Control Program (CRCCP)Goal: Increase CRC screening to 80% by 2014

Provide screening to un/underinsured

Promote screening population-wideCRCCP Grantees

Community Guide Strategies5 strategies to promote CRC screening:

Client-orientedSmall mediaClient remindersReducing structural barriers

Provider-orientedProvider remindersProvider assessment and feedbackOpportunity for CPCRNMission: Accelerate evidence-based intervention (EBI) adoption

Shift in CDCs approach from NBCCEDP to CRCCP

Grantees urged to use Guide-recommended EBIs

CRCCP Workgroup GoalsStudy EBI adoption, implementation, maintenance

Implement Annual Grantee Survey 2011-2014

Develop additional studiesAnnual Grantee Survey2011: 28 grantees participated (96%)

2012: 29 grantees participated (100%)

2012: Unfunded states/tribes: 24 participated (69%)2011: Most Grantees Use >1 EBI2012: EBI Use Increased2012: Grantees Use More EBIs than Unfunded SitesPatient NavigationNavigators perform activities related to EBIs

2011: 18 grantees used PN to promote screening

2012: 21 grantees used PN to promote screening

Most common navigator activities

Patient education

Scheduling appointments

Reminder calls for bowel prep or appointments

2012: Grantees Use Other StrategiesOther StrategiesN (22)Provider education/professional development11Mass media8Quality assurance/quality improvement8Group education7One-to-one education*5Client or provider incentives4Other 5 *Added as a Guide-recommended strategy in 20122012: Grantees Want Training for Provider-Oriented EBIs2012: Other Training/TA Needs40% or more Grantees wanted training/TA re:

Partnerships with private insurers

Relationships with State Medicare/Medicaid Office

CRC screening data from outside sourcesOther Survey TopicsProgram management

CRCCP integration with other programs

CRC screening provision

Data from FQHCs and IHS clinics

CRC screening policies and strategiesWhere Are We Now?2013 Annual Survey in the field (Grantees only)

Preparation for 2014 Annual Survey (Grantees & unfunded sites)

In-depth interview study

In-depth InterviewsExplore:

Policy and systems-level EBIs


Transition from providing to promoting screening

13 of 14 interviews completedCollaboration with CRCCP Program Evaluation TeamDevelop Annual Grantee Survey & additional studies

Data collection, analysis, and interpretation

Integrate survey findings with other evaluation activities

Feedback to grantees (highlights report, webinars)

Broader disseminationPapers and PresentationsPapersGrantees use of EBIs, AJPM, in press Grantees use of patient navigation, under reviewComparison of grantees and unfunded sites, in development Presentations (national meetings)2011 National Colorectal Cancer Roundtable2012 CDC Cancer Conference

CollaboratorsCPCRN SitesEmoryHarvardUCLAU ColoradoUNCU S. CarolinaU TexasWashington U-St. LouisU WashingtonCDCAmy DeGroffLindsay GressardKetra RiceVicki BenardCRCCP Evaluation Team

NCIRuss GlasgowMike SanchezCynthia Vinson

CRCCP Workgroup Co-ChairsPeggy HannonUniversity of Washingtonpeggyh@uw.edu

Cam EscofferyEmory Universitycescoff@emory.edu

Annette MaxwellUniversity of California at Los Angelesamaxwell@ucla.edu