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Grant Details

Grant Number: 4R01CA147313-06 Interpret this number
Primary Investigator: Holt, Cheryl
Organization: Univ Of Maryland, College Park
Project Title: Implementation of Evidence-Based Cancer Early Detection in Black Churches
Fiscal Year: 2016
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Abstract

DESCRIPTION (provided by applicant): African Americans suffer a disproportionate burden of incidence and mortality from breast, prostate, and colorectal cancer. Though the causes of these cancer disparities are likely multi-factorial in nature, there are no doubt disparities in early detection that contribute to the mortality disparities. Community-based approaches have been increasing in the effort to raise awareness and early detection for these cancers. However, more often than not, such interventions are tested in randomized controlled trials, become evidence- based, and then fail to reach further implementation in the community. The aim of the proposed project is to identify an optimal implementation strategy using a set of evidence-based interventions that aim to increase early detection of breast, prostate, and colorectal cancer among African Americans as a model. These three interventions will be packaged and interwoven into a single "Cancer Early Detection Ministry" (CEDM), which will be delivered through trained Community Health Advisors in church settings. The implementation and sustainability will be evaluated using the RE-AIM Framework. Fourteen local African American churches will be randomized to a high or a low community autonomy implementation strategy, in which the level of technical assistance is varied (monitoring and evaluation only vs. monitoring/evaluation plus technical assistance and training, respectively). By varying the level of technical assistance, we will be able to determine what level of technical assistance leads to successful implementation and sustainability. We will also identify church organizational capacity characteristics that lead to successful implementation and sustainability. The specific aims of this research are to: (1) Package the three interventions into a single Cancer Early Detection Ministry (CEDM), develop a local cancer screening resource guide, and pilot test the materials and training. (2) Implement the CEDM in 14 churches in Prince George's County, Maryland. We will evaluate the implementation outcomes involving treatment fidelity and identify church organizational capacity characteristics that led to successful implementation. We will compare the two implementation strategies (high vs. low community autonomy) to determine the optimal level of technical assistance necessary for successful implementation. (3) Evaluate the sustainability of the CEDM over a two-year period of time. We will identify church organizational capacity characteristics that led to sustainability, and compare the two implementation strategies (high vs. low community autonomy) to determine the optimal level of technical assistance for successful sustainability.

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Publications

Correlates of Health Promotion in a Community Sample of African American Churches.
Authors: Woodard N. , Williams R.M. , Fryer C.S. , Wang M.Q. , Zhang J. , Knott C.L. .
Source: Journal of community health, 2020 Aug; 45(4), p. 828-835.
PMID: 32107711
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An Approach to Adapting a Community-Based Cancer Control Intervention to Organizational Context.
Authors: Knott C.L. , Bowie J. , Mullins C.D. , Santos S.L.Z. , Slade J. , Rosenberg E. , Woodard N. , Williams R. , Williams R.M. .
Source: Health promotion practice, 2020 Mar; 21(2), p. 168-171.
EPub date: 2020-01-20.
PMID: 31959002
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Customer discovery as a tool for moving behavioral interventions into the marketplace: insights from the NCI SPRINT program.
Authors: Oh A. , Gaysynsky A. , Knott C.L. , Nock N.L. , Erwin D.O. , Vinson C.A. .
Source: Translational behavioral medicine, 2019-11-25; 9(6), p. 1139-1150.
PMID: 31313817
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Planning for Community Scale-Up of Project HEAL: Insights From the SPRINT Initiative.
Authors: Jones L.P. , Slade J.L. , Davenport F. , Santos S.L.Z. , Knott C.L. .
Source: Health promotion practice, 2019-01-24; , p. 1524839918824087.
EPub date: 2019-01-24.
PMID: 30678512
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Development of tailored feedback reports on organizational capacity for health promotion in African American churches.
Authors: Holt C.L. , Shelton R.C. , Allen J.D. , Bowie J. , Jandorf L. , Zara Santos S.L. , Slade J. .
Source: Evaluation and program planning, 2018 10; 70, p. 99-106.
EPub date: 2018-07-21.
PMID: 30041105
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Web-based versus in-person methods for training lay community health advisors to implement health promotion workshops: participant outcomes from a cluster-randomized trial.
Authors: Holt C.L. , Tagai E.K. , Santos S.L.Z. , Scheirer M.A. , Bowie J. , Haider M. , Slade J. .
Source: Translational behavioral medicine, 2019-07-16; 9(4), p. 573-582.
PMID: 29955889
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The role of perceived benefits and barriers in colorectal cancer screening in intervention trials among African Americans.
Authors: Williams R.M. , Wilkerson T. , Holt C.L. .
Source: Health education research, 2018-06-01; 33(3), p. 205-217.
PMID: 29757376
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Recruitment of African American Churches to Participate in Cancer Early Detection Interventions: A Community Perspective.
Authors: Slade J.L. , Holt C.L. , Bowie J. , Scheirer M.A. , Toussaint E. , Saunders D.R. , Savoy A. , Carter R.L. , Santos S.L. .
Source: Journal of religion and health, 2018 Apr; 57(2), p. 751-761.
PMID: 29488060
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Assessing Capacity of Faith-Based Organizations for Health Promotion Activities.
Authors: Tagai E.K. , Scheirer M.A. , Santos S.L.Z. , Haider M. , Bowie J. , Slade J. , Whitehead T.L. , Wang M.Q. , Holt C.L. .
Source: Health promotion practice, 2018 09; 19(5), p. 714-723.
EPub date: 2017-10-23.
PMID: 29058956
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The Role of Leadership Support in a Church-Based Cancer Education Implementation Study.
Authors: Williams R.M. , Tagai E.K. , Santos S.L.Z. , Slade J.L. , Carter R.L. , Holt C.L. .
Source: Journal of religion and health, 2018 Feb; 57(1), p. 146-156.
PMID: 28597333
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Dimensions of sustainability for a health communication intervention in African American churches: a multi-methods study.
Authors: Scheirer M.A. , Santos S.L. , Tagai E.K. , Bowie J. , Slade J. , Carter R. , Holt C.L. .
Source: Implementation science : IS, 2017-03-28; 12(1), p. 43.
EPub date: 2017-03-28.
PMID: 28351405
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Adoption, reach, and implementation of a cancer education intervention in African American churches.
Authors: Santos S.L. , Tagai E.K. , Scheirer M.A. , Bowie J. , Haider M. , Slade J. , Wang M.Q. , Holt C.L. .
Source: Implementation science : IS, 2017-03-14; 12(1), p. 36.
EPub date: 2017-03-14.
PMID: 28292299
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Feasibility of a web-based training system for peer community health advisors in cancer early detection among african americans.
Authors: Santos S.L. , Tagai E.K. , Wang M.Q. , Scheirer M.A. , Slade J.L. , Holt C.L. .
Source: American journal of public health, 2014 Dec; 104(12), p. 2282-9.
EPub date: 2014-10-16.
PMID: 25320894
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Translating evidence-based interventions for implementation: Experiences from Project HEAL in African American churches.
Authors: Holt C.L. , Tagai E.K. , Scheirer M.A. , Santos S.L. , Bowie J. , Haider M. , Slade J.L. , Wang M.Q. , Whitehead T. .
Source: Implementation science : IS, 2014-05-31; 9, p. 66.
EPub date: 2014-05-31.
PMID: 24885069
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