CPCRN Presentation Template

CDC Site Visit September 24, 2013

Building Capacity to Employ Evidence-based Approaches Nationally 

Cam Escoffery, PhD, MPH, CHES

Capacity-Building, Technical Assistance and Training

(CBTAT)

A CPCRN national workgroup to increase use of evidence-based approaches for chronic disease

and cancer prevention

Goals of Workgroup

1) Build the capacity of cancer control planners and public health professionals to locate, select, adopt, adapt, implement and evaluate evidence-based cancer prevention program, policies and practices

Goals of Workgroup

2)Conduct research and evaluation on models of capacity building and effects of CPCRN capacity building initiatives

EFFECTIVENESS AND

IMPLEMENTATIONSTUDIES

DECISION to ADOPT

DIFFUSION

NCCDPHP Knowledge To Action FrameworkMay 2009

INSTITUTION-ALIZATION

RESEARCH PHASE TRANSLATION PHASE

EFFICACY STUDIES

PRACTICE

DISCOVERYSTUDIES

DISSEMINATION

ENGAGEMENT

Practice-based Discovery

KNOWLEDGE INTO PRODUCTS

INSTITUTIONALIZATION PHASE

Practice-based Evidence

Translation Supporting StructuresResearch Supporting Structures

DECISION to TRANSLATE

EVALUATION

Insitutional-ization

Supporting Structures

The National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) Knowledge to Action Framework, Centers for Disease Control and Prevention, NCCDPHP Work Group on Translation, May 2009. Adapted from Wilson K & Fridinger F. Focusing on Public Health: A Different Look at Translating Research to Practice. Journal of Women’s Health; 2008;17(2):173-179.

CBTATofRole

Evidence into Action Curriculum

Increases competencies of how tolocate, select, adopt, adapt, implement

and evaluate evidence-based cancer prevention program, policies and practices

among cancer control planners and public health professionals

Evidence into Action Curriculum Contents

• Presentation slides with speakers’ note

• Interactive tools for applying concepts (i.e., worksheets, scavenger hunt)

• Glossary

• Facilitator’s guide

Curriculum Modules

Session

Defining Evidence

Conducting Community Assessments

Defining Evaluation

Finding Evidence

Selecting an Option that Fits Your Community

Adapting an Evidence-based Approach to Fit Your Community

Implementing and Evaluating Evidence-Based Strategies

National CPCRN Cross Center Trainings

Training Audience CPCRNCo-presenters

Participants

Putting Evidence into Practice

SOPHE/PRC Conference

Harvard, UNC,NCI, Emory

36

Providing Technical Assistance for Using Evidence

CDC/NCCDPHP Project Officers

UNC, Emory, UT Houston, CDC

5553

Designing Chronic Disease Prevention Programs That Work

National Association of Chronic Disease Directors (NACDD) Academy – S/LHDs, Chronic Disease Directors

UNC, UCLA, Emory, UT Houston, Univ Wash, CDC

28

2013 National CPCRN Cross Center Trainings

Training Audience CPCRNCo-presenters

Participants

Evaluating Evidence-Based Policy, Systems, and Environmental Interventions2013 SOPHE pre-conference

Health educators, academics

UNC, CDC, Emory, Univ WA

28

Putting Evidence into Action2013 APHA Learning Institute

State and local HDs, academics

NCI, Wash U, UCLA, Emory

Pending

Scaling up of Curriculun

Collaboration with two Federal

Agencies

Linkage or use of curriculum materialsto increase use of evidence-based resources

(Community Guide, RTIPs)

U.S. DEPARTMENT OFHEALTH AND HUMAN SERVICESNational Institutes of HealthNational Cancer Institute

CBTAT Expert Consultation

• CDC’s Community Guide to Preventive Services

• Community Guide Toolbox Committee

• Community Guide Website –Increasing use of Guide strategiesDecision And Implementation Support System (DAISS)

CBTAT Expert Consultation

• National Cancer Institute• Research to Reality Mentoring

Program

• Research to Reality Cyber Seminars

http://cancercontrolplanet.cancer.gov

CBTAT Research Foci• Support evaluation of training and TA

activitiesPublications on the processes involved and evaluations of training, mini-grants, and TA on uptake of evidence

• Tailored Aid for Communities adapting Tested Interventions for Cancer Control–TACTICC

Pat Mullen and Maria Fernandez, PIs, University of Texas, R01 Dissemination & Implementation Grant

CBTAT Publications: Training

Escoffery C, Carvalho M, Kegler M. (2012). Evaluation of the Prevention Programs that Work curriculum to teach use of public health evidence to community practitioners. Health Prom Pract, 13(5), 707-15.

Training lead to the greatest increased in these competencies:- locate evidence-based resources, - narrow search results of potential programs or

strategies to reflect programmatic specifics, - define steps in the adaptation process, and- discuss factors during each phase of implementation

CBTAT Publications: Mini-grants

McCracken JL, Friedman DB, Brandt HM et al. (2013). Findings from the community health intervention program in South Carolina: implications for reducing cancer-related health disparities. J Cancer Educ, 28(3):412-9.

3 community-based organizations were awarded $10,000 each to implement NCI evidence-based interventions: Eat for Life , Witness Project, Walking Trail

Results showed an increase in physical activity, dietary improvements, and screening participation

Collaboration resulted in a common goal of reducing cancer-related health disparities and building greater public health capacity

Linkage with the National Association of County and City Health Officials (NACCHO)

• Technical Assistance - Community Guide Grantee/Local Health Departments (June 2013, Washington DC)

• Training – NACCHO 2013 ConferenceUsing Data to Select and Adapt Evidence-Based Programs, Strategies and Policies (July 2013, Dallas, TX)

CBTAT Strengths

Serving as content experts for CDC/NCI

Efforts lead to increased visibility of CPCRN

Research that informs capacity building processes and evaluates trainings and decision support tools

Development of measures for evaluating training and TA impact

Advancing training and technical assistance for use of evidence

CBTAT Workgroup Contacts

Cam Escoffery, ChairEmory CPCRNcescoff@emory.edu

Michelle Carvalho, Project Coordinatormlcarva@emory.edu

Special thanks to all the CPCRN sites for their contributions to this workgroup.