Glorili AlejandroPreceptor: Dr. Maria

FernandezYale University

Art Major, Premed

CPRIT Summer Trainee 2012

LINCC

This Summer I… Worked with the Latinos

in a Network for Cancer Control (LINCC)LINCC is a part of a

group of Cancer Prevention and Control Research Networks (CPCRNs)

A total of 10 CPCRNs are found nationwide and contribute to local cancer prevention efforts, as well as nationwide collaborations in focused workgroups

About LINCCLINCC’s goal is to accelerate the use of evidence

based practices among our partners. This involves working with community partners, collaborations with clinics, trainings, and research.

LINCC is a part the of cross-CPCRN workgroup for Federally Qualified Health Centers (FQHC)

FQHC Project FQHC’s provide care for underserved communities,

such as migrant communities. They are an important part of the health safety net.

The FQHC Workgroup aims to identify factors influencing the adoption and implementation of evidence based cancer control practices in FQHCs. Survey for each FQHCQualitative Analysis of interviews and focus groupsThe eventual goal is to further dissemination and

implementation research which will eventually help organizations and agencies better implement cancer control practices, and develop more sustainable interventions.

What I did:

Coding for Qualitative Analysis using ATLAS.tiCoding transcripts of interviewsReviewing coding made by fellow coders

Goal of coding project:Work parallel to survey in identifying factorsConfirm, add to, or negate the Consolidated

Framework of Implementation Research (CFIR)

What is coding? Coding is the practice of taking qualitative

data and breaking it down into manageable chunks of analyzable text

Different approaches:Deductive: top down approach- start working

with framework in mind○ Faster, but might not get every detail

Inductive: bottom up approach- coding “In-vitrovivo” without a framework○ Very detailed, slow

Our approach was a mix of both in that it used the CFIR but also made additions to it.

Our Framework: The CFIR Based on other models (hence,

consolidated) Framework became basis for code tree,

which was then used to code transcripts Includes domains that play a role in

implementation: Intervention Characteristics, Inner Setting, Outer Setting, Individual Characteristics, and Process

Coding Process

Involved multiple coders, reviewing of code, merging data

Problems:Inconsistency because of different codersLevel of detail to which coding went toDisagreements about the CFIR definitionsRambling interviews

Next step: analyzing the data cultivated from all the coding sessions

ATLAS qualitative coding software Adaptable to either process, can be as

detailed as you make it

Overall Accomplishments Coding project

Attended training for ATLAS.tiLead ATLAS troubleshooting for coding

projectCoded and reviewed many many transcripts

Collaborations with different projectsLINCC Research and Project AgendaClinical Trials and Biobanking Focus Group

○ Designed materials, helped with training

Innovation

Teamwork with fellow coders/reviewersFinding the kinks in the CFIR framework

Striving for consistency to reduce timeQuote size guideline made

New codes made Shift frame of CFIR from all that you can

code for to the bare minimum, allowing for new codes and discoveries to be made

Personal Impact What is Public Health?

Involves lots of different kinds of relationships with many different fields, and could benefit from inclusion of even more.

How Cancer Prevention affects all of us The importance of disparity research to find causes and

solutions to gaps between demographics so that everyone benefits

Innovation in research New perspectives leading to innovation, the push and pull

between the new and the established. New friends! Thank you to Dr. Fernandez, Glenna Dawson, Barbara

Kimmel, Dr. Mullen, everyone from CPRIT!

Contact Info. Glorili Alejandro glorili.alejandro@yale.edu