Disseminating Evidence-Based Interventions to Control Cancer

描述（由申请人提供）：通过应用现有知识，大部分癌症负担是可以预防的。州一级的从业人员处于理想的位置，可以影响与癌症控制有关的项目和政策。然而，缺乏知识存在关于传播的有效方法，以证据为基础的方案和政策（EBPPs）之间的实践观众。有必要从卫生部门之外应用理论和组织变革方法。目标.我们的主要目标是增加EBPP的传播，以控制癌症，重点是在国家一级的从业者中采用有效的方法。方法.为了推进传播科学，我们的项目应用最先进的方法在公共卫生部门的癌症控制从业人员中传播EBPP。癌症控制从业人员是在机构或社区联盟中指导和实施基于人口的干预计划的人。我们将利用创新的扩散，辅以制度理论，为我们的概念框架，传播活动和措施提供信息。制度理论使用跨学科的方法来理解社会，政府，政治，文化和商业机构如何影响决策。该项目包括两个相互重叠的阶段。在第一阶段，我们将制定、完善和最终确定措施（包括自我报告和客观的措施），以评估我们的传播活动的有效性，以促进对EBPP的吸收。第二阶段采用分组随机有效性试验，以评估在14个州（7个干预，7个对照）已证实的EBPP的积极传播。积极的传播活动包括：举办传播讲习班、促进体制变革和利用知识中介。在整个赠款周期中，我们将与从业者合作，以确保我们的方法是及时的，并与真实的世界环境相关。传播和创新。我们将开展几项活动，以确保我们赠款的工具和干预措施是有用的，相关的，并准备在资金结束时广泛传播。为了准备传播，我们将组建一个咨询小组，收集项目成本，并进行定性案例研究。我们的研究结果可能会通过增强能力来影响该领域 目的：1）在公共卫生实践环境中积极传播，2）加快翻译 将癌症预防知识转化为公共卫生实践; 3）测量EBPP的传播。这项研究是创新的工作在真实的世界设置在一个多状态的规模，应用新的理论从健康（制度理论）之外，并使用社会网络分析，以更好地了解知识的流动。

DESCRIPTION (provided by applicant):. Through application of existing knowledge, much of the cancer burden is preventable. State- level practitioners are in ideal positions to affect programs and policies related to cancer control. Yet sparse knowledge exists regarding effective approaches for dissemination of evidence-based programs and policies (EBPPs) among practice audiences. There is a need to apply theory and organizational change approaches from outside of the health sector. Goal. Our primary goal is to increase the dissemination of EBPPs to control cancer, focusing on the uptake of effective approaches among state-level practitioners. Methods. To advance dissemination science, our project applies state-of-the-art methods in the dissemination of EBPPs among cancer control practitioners in public health departments. Cancer control practitioners are people who direct and implement population-based intervention programs in agencies or in community-based coalitions. We will make use of Diffusion of Innovations, supplemented by Institutional Theory, to inform our conceptual framework, dissemination activities, and measures. Institutional Theory uses an interdisciplinary approach to understand how social, governmental, political, cultural, and commercial institutions influence decision-making. This project includes two overlapping phases. In Phase 1, we will develop, refine and finalize measures (both self-reported and objective) to assess the effectiveness of our dissemination activities to facilitate uptake of EBPPs. Phase 2 uses a group-randomized effectiveness trial to evaluate the active dissemination of already proven EBPPs in 14 states (7 intervention, 7 control). The active dissemination activities include: conducting dissemination workshops, fostering institutional changes, and using knowledge brokers. Throughout the grant cycle, we will engage practitioners as partners to assure our approaches are timely and relevant for real world settings. Dissemination and innovations. We will conduct several activities to ensure that tools and interventions from our grant are useful, relevant, and ready for widespread dissemination when funding ends. To prepare for dissemination, we will assemble and work with an advisory group, capture project costs, and conduct qualitative case studies. Our results are likely to impact the field by enhancing abilities to: 1) conduct active dissemination in public health practice settings, 2) speed up the translation of cancer prevention knowledge into public health practice, and 3) measure dissemination of EBPPs. This research is innovative by working in real world settings on a multi-state scale, applying new theory from outside of health (Institutional Theory), and using social network analysis to better understand the flow of knowledge.