Translating Evidencebased Recommendations

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Translating Evidence-based Recommendations

• Whats a community to do?
• Maria E. Fernandez, PhD, Patricia Dolan Mullen,
  DrPH, Michelle Kegler, DrPH Matthew W. Kreuter,
  PhD, MPH
• CDC Cancer Conference, Atlanta, GA
• August 15, 2007

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Session Objectives

• Tour the main features of 5 Internet resources
  for evidence-based cancer prevention and control
  programs
• Use electronic polling devices to provide
  your real-time opinions
• Learn about a CPCRN collaboration to increase use
  of evidence based programs for cancer control

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Our Mission

• To accelerate the adoption of evidence-based
  cancer prevention and control in communities.

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Cancer Prevention andControl ResearchNetwork
Matt Kreuter
Michelle Kegler

• Maria Fernandez Patricia Mullen

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What Do We Mean by an Evidence-Based Program
(EBP)?
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Answer

• Evidence-based cancer control programs are
  programs that

have been shown to have a positive effect on
behavior or health
in the populations and settings, in which they
were studied
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What Is Evidence?

• Systematic reviews of multiple intervention
  studies
• An intervention research study
• Program evaluation
• Expert opinion
• Personal experience

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Using your ResponseCard

• Questions will be displayed along with the
  available answers
• When the countdown clock appears, press and
  release the button that best represents your
  answer
• There is no need to press GO or ?
• Please leave the ResponseCard on the
• table at the end of this session.

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?Audience Response Device Test
Whose arms are these?

• Eddie Reed
• Maria Fernandez
• Kevin Brady

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?Audience Characteristics
At what level is most of your cancer control work?

• Federal
• State
• Local

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?Audience Characteristics
What sort of organization do you work for?

• Health Department
• Health Care Delivery
• University / Research
• Community-Based
• Voluntary Health Agency
• Federal Health Agency
• Other

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?Audience Characteristics
How much of your job involves planning
implementing Cancer Control Programs?

• All of it
• Most of it
• About Half
• Some of it
• None of it

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Q1. EBPs lack real world evidence.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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Q2. EBPs are easy to find or get.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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Q3. Using an EBP keeps us from getting the credit
we could get for developing a new program.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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Q4. Our funding agency encourages us to use EBPs.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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Q5. People in our community have more confidence
in a program that has worked somewhere else.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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Q6. EBPs don't come with very much information
about how to implement them.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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Q7. EBPs are easy for us to adapt for use in our
community.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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Q8. EBPs require more resources than other
programs.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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How should we approach this?
Has someone else already created a program we
could replicate or adapt? (We dont want to
recreate the wheel.)
Can it work for my community?
Which should we choose?
How well did it work?
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Shopping for an EBP
The Guide to Community Preventive Services
Cancer Control PLANET
Google Scholar
RTIPs
Cochrane Collaboration
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Have you used Google Scholar to search for EBPs?
Was it useful?
Google Scholar

• Yes, it was very useful
• Yes, it was somewhat useful
• Yes, it wasnt at all useful
• No

http//scholar.google.com/
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mammography intervention
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Have you used The Cochrane Collaboration website?
Was it useful?
The Cochrane Collaboration

• Yes, it was very useful
• Yes, it was somewhat useful
• Yes, it wasnt at all useful
• No

http//www.cochrane.org/index.htm
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Have you used The Community Guide website? Was
it useful?
The Community Guide

• Yes, it was very useful
• Yes, it was somewhat useful
• Yes, it wasnt at all useful
• No

(http//www.thecommunityguide.org/ )
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Summary of Recommended Strategies
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Multicomponent Interventions that include Media,
Education, and Enhanced Access
Client Reminders
vs
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Have you used the Cancer Control P.L.A.N.E.T.
website? Was it useful?
Cancer Control P.L.A.N.E.T.

• Yes, it was very useful
• Yes, it was somewhat useful
• Yes, it wasnt at all useful
• No

http//cancercontrolplanet.cancer.gov
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Have you used the RTIPs website? Was it useful?
RTIPs(Research-tested Intervention Programs)

• Yes, it was very useful
• Yes, it was somewhat useful
• Yes, it wasnt at all useful
• No

http//cancercontrol.cancer.gov/rtips/
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Other Resources

• Your local and state ACS representatives
• Universities
• Members and staff of your states Comprehensive
  Cancer Control Coalition
• CDC EBP Adaptation Special Issue (HIV/AIDS)

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Your experience with . . .

• Your responses and discussion of EBP Resources

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?Audience Characteristics
At what level is most of your cancer control work?

• Federal
• State
• Local

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?Audience Characteristics
What sort of organization do you work for?

• Health Department
• Health Care Delivery
• University / Research
• Community-Based
• Voluntary Health Agency
• Federal Health Agency
• Other

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?Audience Characteristics
How much of your job involves planning
implementing Cancer Control Programs?

• All of it
• Most of it
• About Half
• Some of it
• None of it

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Have you used Google Scholar to search for EBPs?
Was it useful?
Google Scholar

• Yes, it was very useful
• Yes, it was somewhat useful
• Yes, it wasnt at all useful
• No

http//scholar.google.com/
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Have you used The Cochrane Collaboration website?
Was it useful?
The Cochrane Collaboration

• Yes, it was very useful
• Yes, it was somewhat useful
• Yes, it wasnt at all useful
• No

http//www.cochrane.org/index.htm
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Have you used The Community Guide website? Was
it useful?
The Community Guide

• Yes, it was very useful
• Yes, it was somewhat useful
• Yes, it wasnt at all useful
• No

(http//www.thecommunityguide.org/ )
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Have you used the Cancer Control P.L.A.N.E.T.
website? Was it useful?
Cancer Control P.L.A.N.E.T.

• Yes, it was very useful
• Yes, it was somewhat useful
• Yes, it wasnt at all useful
• No

http//cancercontrolplanet.cancer.gov
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Have you used the RTIPs website? Was it useful?
RTIPs(Research-tested Intervention Programs)

• Yes, it was very useful
• Yes, it was somewhat useful
• Yes, it wasnt at all useful
• No

http//cancercontrol.cancer.gov/rtips/
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And now what youve all been waiting for . . .

• Your opinions about EBPs.

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Q1. EBPs lack real world evidence.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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Q2. EBPs are easy to find or get.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

62
Q3. Using an EBP keeps us from getting the credit
we could get for developing a new program.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

63
Q4. Our funding agency encourages us to use EBPs.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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Q5. People in our community have more confidence
in a program that has worked somewhere else.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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Q6. EBPs don't come with very much information
about how to implement them.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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Q7. EBPs are easy for us to adapt for use in our
community.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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Q8. EBPs require more resources than other
programs.

• Strongly Agree
• Agree
• Neutral
• Disagree
• Strongly Disagree

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CPCRN Next Steps

• The Consumers Guide to EBP Planning Resources
• What is there
• How it performs
• Training Program Planning Tool

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Our Vision

• To increase the capacity of community cancer
  control planners for finding, choosing, and
  adapting evidence-based approaches.

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Features

• Web-based/CD-based
• User driven
• Real-time links
• Supports the best use of existing resources
• Guidance both when there is and when there isnt
  a recommendation

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Design
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Our vote on the value of your response is . . .

• not at all
• moderately
• extremely

Thanks!
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Please leave the ResponseCard on the table when
leaving the room.
Thank you for participating in this session.

• Thank You.