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系统地传播和应用——州级政策制定者处于影响与癌症控制相关的项目和服务的位置。环境和政策干预显示出减轻癌症负担的巨大希望。的目标。我们的主要目标是加强以证据为基础的干预措施的传播，以控制癌症，主要侧重于在州一级政策制定者中采用有效的环境和政策方法。方法与评价。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。以数据为基础的方法由通常受过训练的卫生专家使用，以利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基石，展示以证据为基础的干预措施如何影响人们的日常生活。这些叙事形式的交流正在成为癌症预防和控制的重要工具。这个项目将分为两部分。第一阶段的研究涉及一个个体随机实验，在三个关键的政策制定者群体中比较交付方法（数据与叙述）：立法者，立法人员和行政部门的行政领导人。第二阶段建立在第一阶段的基础上，在10个州（以及10个对照州）积极推广循证癌症控制干预措施。在第2阶段，我们将我们的工作扩展到从业者，他们是立法部门领导和行政部门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，传播研讨会）和应用（例如，增强对循证干预措施的认识）。第二阶段干预措施的评估将依赖于三个数据来源：1)基于从业人员自我报告调查的传播措施；2)国家级癌症控制记录的审查与提取；3)相关州级立法的内容分析（包括引入和制定的法案）。我们也会进行过程评估。传播和创新。在第二阶段的同时，我们将开始为传播而设计。这些活动的目的是确保我们的奖助金的研究结果是有用的，相关的，并准备好在资助结束时广泛传播。我们将召集并与一个咨询小组合作，掌握项目成本，进行定性案例研究，并主办一次传播会议。以证据为基础的实践的与政策有关的传播具有高度创新性，但在很大程度上仍是一个未知的领域。我们的项目通过更好地理解叙事传播在制定政策中的作用，推动了这一领域的发展。的相关性。该项目与公共卫生相关，因为它涉及导致显著过早癌症发病率和死亡率的行为。关于在“现实世界”的政策受众中传播经过研究检验的干预措施的有效方法，存在的知识很少。研究完成后，我们将提供与政策相关的传播策略，这些策略可以适应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.