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Grant Details

Grant Number: 4R01CA163526-05 Interpret this number
Primary Investigator: Fernandez, Maria
Organization: University Of Texas Hlth Sci Ctr Houston
Project Title: Increasing Reach and Implementation of Evidence Based Programs for Cancer Control
Fiscal Year: 2016


DESCRIPTION (provided by applicant): The preventable burden of cancer will persist until we close the gap between what is known about prevention and early detection and what we do in communities. Resources such as Cancer Control P.L.A.N.E.T., Research Tested Intervention Programs, The Community Guide, and the Canadian Best Practices Portal provide numerous evidence-based approaches and programs (EBAs). Despite knowledge about what works and availability of EBAs, however, they are often not used in communities. Many community-based cancer control planners ("planners") don't know where to find EBAs and don't know how to match EBAs to their community's needs; they need more specific guidance for adapting an EBA to fit their local settings and populations, and they need assistance in planning implementation. A central problem with existing resources and models is that they are not tools. They are not responsive to user needs, they make the planner do more work than they reasonably can do, and they do not offer timely, relevant, science-based assistance. This study will deliver and evaluate a tool that will fill these needs. The long term goal is to reduce cancer morbidity and mortality by expanding the reach, implementation, and maintenance of effective programs in communities. The project objective, to increase the capacity of cancer control planners to find, adapts and implements EBAs, is a major step toward this goal. Specific Aim 1 is to develop and validate an online, interactive, decision support and program planning tool (Tailored Aid for Communities adapting Tested Interventions for Cancer Control -TACTICC). This study will be guided by a new conceptual model that integrates four frameworks: a) RE-AIM to identify the longer range outcomes of this study, b) Interactive Systems Framework to guide the focus for enhancing implementation capacity for EBA use, c) Intervention Mapping to provide a systematic process for program adaptation, and d) Social Cognitive Theory to inform identification of determinants and intermediate processes, e.g., self-efficacy, for adoption and implementation behaviors. Specific Aim 2 is to evaluate the effectiveness of TACTICC in increasing EBA adoption, adaptation, and implementation, by randomizing community planners representing 430 organizational units to TACTICC or usual dissemination practice with measures of behavioral indicators at baseline, 6- and 12-months. The proposed study is significant in that it 1) fills a critical gap in cancer control practice by building capacity among planners to adopt, adapt and implement EBAs in communities; and 2) fills a conceptual gap in existing dissemination and implementation frameworks by developing and applying a conceptual framework that extends existing models and explicitly defines specific tasks and determinants of pro- gram adoption, adaptation and implementation.


Are Training and Experience Adapting Evidence-Based Interventions Associated With Self-Efficacy and Attitudes? A Cross-Sectional Survey of Students and Practitioners With Varying Levels of Adaptation Experience.
Authors: Escoffery C. , Foster M. , Fernández M.E. , Haardörfer R. , Mullen P.D. .
Source: Health promotion practice, 2022 Nov; 23(6), p. 1105-1115.
EPub date: 2021-04-27.
PMID: 33906509
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Evidence-Based Intervention (EBI) Mapping: a systematic approach to understanding the components and logic of EBIs.
Authors: Walker T.J. , Foster M. , Szeszulski J. , Craig D.W. , Mullen P.D. , Fernández M.E. .
Source: BMC public health, 2022-07-07; 22(1), p. 1300.
EPub date: 2022-07-07.
PMID: 35794615
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Optimisation: defining and exploring a concept to enhance the impact of public health initiatives.
Authors: Wolfenden L. , Bolsewicz K. , Grady A. , McCrabb S. , Kingsland M. , Wiggers J. , Bauman A. , Wyse R. , Nathan N. , Sutherland R. , et al. .
Source: Health research policy and systems, 2019-12-30; 17(1), p. 108.
EPub date: 2019-12-30.
PMID: 31888666
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Implementation Mapping: Using Intervention Mapping to Develop Implementation Strategies.
Authors: Fernandez M.E. , Ten Hoor G.A. , van Lieshout S. , Rodriguez S.A. , Beidas R.S. , Parcel G. , Ruiter R.A.C. , Markham C.M. , Kok G. .
Source: Frontiers in public health, 2019; 7, p. 158.
EPub date: 2019-06-18.
PMID: 31275915
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A scoping study of frameworks for adapting public health evidence-based interventions.
Authors: Escoffery C. , Lebow-Skelley E. , Udelson H. , Böing E.A. , Wood R. , Fernandez M.E. , Mullen P.D. .
Source: Translational behavioral medicine, 2019-01-01; 9(1), p. 1-10.
PMID: 29346635
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Evaluating centralized technical assistance as an implementation strategy to improve cancer prevention and control.
Authors: Moreland-Russell S. , Adsul P. , Nasir S. , Fernandez M.E. , Walker T.J. , Brandt H.M. , Vanderpool R.C. , Pilar M. , Cuccaro P. , Norton W.E. , et al. .
Source: Cancer causes & control : CCC, 2018 Dec; 29(12), p. 1221-1230.
EPub date: 2018-12-07.
PMID: 30535940
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A systematic review of adaptations of evidence-based public health interventions globally.
Authors: Escoffery C. , Lebow-Skelley E. , Haardoerfer R. , Boing E. , Udelson H. , Wood R. , Hartman M. , Fernandez M.E. , Mullen P.D. .
Source: Implementation science : IS, 2018-09-26; 13(1), p. 125.
EPub date: 2018-09-26.
PMID: 30257683
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Using Intervention Mapping to Develop and Adapt Two Educational Interventions for Parents to Increase HPV Vaccination Among Hispanic Adolescents.
Authors: Rodriguez S.A. , Roncancio A.M. , Savas L.S. , Lopez D.M. , Vernon S.W. , Fernandez M.E. .
Source: Frontiers in public health, 2018; 6, p. 164.
EPub date: 2018-06-15.
PMID: 29963542
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Impact of the Cancer Prevention and Control Research Network: Accelerating the Translation of Research Into Practice.
Authors: Ribisl K.M. , Fernandez M.E. , Friedman D.B. , Hannon P.A. , Leeman J. , Moore A. , Olson L. , Ory M. , Risendal B. , Sheble L. , et al. .
Source: American journal of preventive medicine, 2017 Mar; 52(3 Suppl 3), p. S233-S240.
PMID: 28215371
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Developing Theory to Guide Building Practitioners' Capacity to Implement Evidence-Based Interventions.
Authors: Leeman J. , Calancie L. , Kegler M.C. , Escoffery C.T. , Herrmann A.K. , Thatcher E. , Hartman M.A. , Fernandez M.E. .
Source: Health education & behavior : the official publication of the Society for Public Health Education, 2017 Feb; 44(1), p. 59-69.
EPub date: 2016-07-10.
PMID: 26500080
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A taxonomy of behaviour change methods: an Intervention Mapping approach.
Authors: Kok G. , Gottlieb N.H. , Peters G.J. , Mullen P.D. , Parcel G.S. , Ruiter R.A. , Fernández M.E. , Markham C. , Bartholomew L.K. .
Source: Health psychology review, 2016 Sep; 10(3), p. 297-312.
EPub date: 2015-10-15.
PMID: 26262912
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What strategies are used to build practitioners' capacity to implement community-based interventions and are they effective?: a systematic review.
Authors: Leeman J. , Calancie L. , Hartman M.A. , Escoffery C.T. , Herrmann A.K. , Tague L.E. , Moore A.A. , Wilson K.M. , Schreiner M. , Samuel-Hodge C. .
Source: Implementation science : IS, 2015-05-29; 10, p. 80.
EPub date: 2015-05-29.
PMID: 26018220
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Intervention Mapping to Adapt Evidence-Based Interventions for Use in Practice: Increasing Mammography among African American Women.
Authors: Highfield L. , Hartman M.A. , Mullen P.D. , Rodriguez S.A. , Fernandez M.E. , Bartholomew L.K. .
Source: BioMed research international, 2015; 2015, p. 160103.
EPub date: 2015-10-26.
PMID: 26587531
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How pragmatic is it? Lessons learned using PRECIS and RE-AIM for determining pragmatic characteristics of research.
Authors: Gaglio B. , Phillips S.M. , Heurtin-Roberts S. , Sanchez M.A. , Glasgow R.E. .
Source: Implementation science : IS, 2014-08-28; 9, p. 96.
EPub date: 2014-08-28.
PMID: 25163664
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Balancing fidelity and adaptation: implementing evidence-based chronic disease prevention programs.
Authors: Carvalho M.L. , Honeycutt S. , Escoffery C. , Glanz K. , Sabbs D. , Kegler M.C. .
Source: Journal of public health management and practice : JPHMP, 2013 Jul-Aug; 19(4), p. 348-56.
PMID: 23462111
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Designing a valid randomized pragmatic primary care implementation trial: the my own health report (MOHR) project.
Authors: Krist A.H. , Glenn B.A. , Glasgow R.E. , Balasubramanian B.A. , Chambers D.A. , Fernandez M.E. , Heurtin-Roberts S. , Kessler R. , Ory M.G. , Phillips S.M. , et al. .
Source: Implementation science : IS, 2013-06-25; 8, p. 73.
EPub date: 2013-06-25.
PMID: 23799943
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Evaluation of the prevention programs that work curriculum to teach use of public health evidence to community practitioners.
Authors: Escoffery C. , Carvalho M. , Kegler M.C. .
Source: Health promotion practice, 2012 Sep; 13(5), p. 707-15.
EPub date: 2012-07-09.
PMID: 22781402
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