Cancer Control Dissemination Research Among State-Level Policy Makers

描述（由申请人提供）：背景。现有的癌症控制知识没有得到系统的传播，国家一级的政策制定者能够影响与癌症控制有关的计划和服务。环境和政策干预对减少癌症负担大有希望。目标.我们的主要目标是增加循证干预措施的传播，以控制癌症，主要侧重于在州一级的政策制定者中采用有效的环境和政策方法。方法和评价。为了推进传播科学，我们的方法评估数据（“常规护理”）和叙述方法。基于数据的方法是由卫生专家使用的，他们通常受过训练，使用经验统计和事实总结科学信息。叙事传播将科学数据转化为令人信服的石头，展示基于证据的干预措施如何影响人们的日常生活。这些叙事形式的沟通正在成为癌症预防和控制的重要工具。该项目将分两部分进行。第一阶段的研究包括一个单独的随机实验，在三个关键群体的政策制定者：立法者，立法人员和行政分支行政领导人之间的交付方法（数据与叙述）进行比较。第二阶段建立在第一阶段的基础上，使用分组随机有效性实验，在10个州（沿着10个对照州）积极传播循证癌症控制干预措施。在第二阶段，我们将工作扩展到从业人员，他们是立法分支领导人和行政分支高级管理人员的重要渠道。第二阶段的传播活动包括工具开发（例如，政策简报），技能提高（例如，传播讲习班）和应用（例如，提高对循证干预措施的认识）。II期干预措施的评价将依赖于三个数据来源：1）基于从业者自我报告调查的传播措施; 2）审查和提取州级癌症控制记录; 3）相关州级立法（包括提出和颁布的法案）的内容分析。我们还将进行过程评估。传播和创新。在第二阶段的同时，我们将开始努力进行传播设计。这些活动的目的是确保我们资助的研究结果是有用的，相关的，并准备在资助结束时广泛传播。我们将召集一个咨询小组并与之合作，获取项目成本，进行定性案例研究，并赞助一个传播会议。与政策相关的循证做法传播具有很高的创新性，但这是一个基本上尚未涉足的领域。我们的项目通过更好地理解叙事传播在塑造政策中的作用来推进该领域。本案无关该项目与公共卫生有关，因为它解决了导致显着的过早癌症发病率和死亡率的行为。关于在“真实的世界”政策受众中传播经过研究检验的干预措施的有效办法，人们知之甚少。研究完成后，我们将提供与政策相关的传播战略，这些战略可适用于其他环境和风险因素。

DESCRIPTION (provided by applicant): Background. Existing cancer control knowledge is not systematically disseminated and applied-state-level policy makers are in positions to affect programs and services related to cancer control. Environmental and policy interventions show great promise for reducing the cancer burden. Goal. Our primary goal is to increase the dissemination of evidence-based interventions to control cancer, primarily focusing on the uptake of effective environmental and policy approaches among state-level policy makers. Methods and evaluation. To advance dissemination science, our approach evaluates data ("usual care") and narrative approaches. Data-based approaches are used by health experts typically trained to summarize scientific information using empirical statistics and facts. Narrative dissemination turns scientific data into compelling stones showing how evidence-based interventions can affect the daily lives of people. These narrative forms of communication are emerging as important tools for cancer prevention and control. This project will occur in two parts. Phase 1 research involves an individually-randomized experiment in which delivery methods (data versus narrative) are compared among three key groups of policy makers: legislators, legislative staffers, and executive branch administrative leaders. Phase 2 builds on Phase 1, using a group-randomized effectiveness experiment to actively disseminate evidence-based cancer control interventions in 10 states (along with 10 control states). In Phase 2, we extend our work to practitioners, who are important conduits to legislative branch leaders and senior administrators in the executive branch. Dissemination activities in Phase 2 include tool development (e.g., policy briefs), skill enhancement (e.g., dissemination workshops), and application (e.g., enhanced awareness of evidence-based interventions). Evaluation of Phase 2 interventions will rely on three sources of data: 1) measures of dissemination based on self-reported surveys from practitioners; 2) review and abstraction of state-level cancer control records; and 3) a content analysis of relevant state-level legislation (both introduced and enacted bills). We also will conduct process evaluation. Dissemination and innovations. Concurrent with Phase 2, we will begin efforts to design for dissemination. The intent of these activities is to ensure that findings from our grant are useful, relevant, and ready for widespread dissemination when funding ends. We will assemble and work with an advisory group, capture project costs, conduct qualitative case studies, and sponsor a dissemination conference. Policy-relevant dissemination of evidence-based practice is highly innovative yet is an area that remains largely uncharted. Our project advances the field by better understanding the role of narrative communication in shaping policy. Relevance. This project is relevant to public health because it addresses behaviors that lead to significant premature cancer morbidity and mortality. Sparse knowledge exists regarding effective approaches for dissemination of research-tested interventions among "real world" policy audiences. Upon completion, our study will provide policy-relevant dissemination strategies that can be adapted to other settings and risk factors.