Grant Details
Grant Number: |
5R01CA214530-04 Interpret this number |
Primary Investigator: |
Brownson, Ross |
Organization: |
Washington University |
Project Title: |
Mis-Implementation in Cancer Prevention and Control |
Fiscal Year: |
2020 |
Abstract
PROJECT SUMMARY
BACKGROUND: Through application of existing knowledge, much of the cancer burden is preventable. State-
level practitioners are in ideal positions to affect programs and policies related to cancer control. Mis-
implementation refers to ending effective programs and policies or continuing ineffective ones. Greater
attention to mis-implementation should lead to use of effective interventions and more efficient expenditure of
resources, which in the long term, will lead to positive cancer outcomes.
GOAL: This proposal seeks to describe the extent of cancer control mis-implementation and to identify
leverage points for addressing mis-implementation in the United States.
AIMS AND METHODS: This is a three-phase study that takes a comprehensive approach, leading to the
elucidation of tactics for addressing mis-implementation. Phase 1: The first aim seeks to assess the extent to
which mis-implementation is occurring among state cancer control programs in public health. This initial phase
will involve a survey of 800 practitioners representing all states. The programs represented will span the full
continuum of cancer control (from prevention to survivorship). Phase 2: Using data from Phase 1 to identify
organizations in which mis-implementation is high or low, we will conduct eight comparative case studies to
understand contextual differences. These case studies will highlight lessons learned about mis-implementation
and identify hypothesized drivers. Phase 3: The 3rd aim seeks to build agent-based models to identify dynamic
interactions between individual, organizational, and contextual (external) factors driving mis-implementation.
Agent-based modeling will be used to determine the most effective potential approaches for reducing mis-
implementation. We will translate and disseminate findings from Phases 1-3 to practitioners and practice-
related stakeholders in order to support the reduction of mis-implementation. All study phases will rely on an
Advisory Group of public health practitioners and close collaboration with key practice partners.
INNOVATIONS AND IMPACT: This study is innovative and impactful because it will: 1) be the first to refine
and further develop reliable and valid measures of mis-implementation of public health programs; 2) bring
together a strong, transdisciplinary team with significant expertise in practice-based research; 3) use agent-
based modeling to address cancer control implementation; and 4) use a participatory, evidence-based,
stakeholder-driven approach that will identify key leverage points for addressing mis-implementation among
state public health programs. This research is expected to result in a replicable model that can significantly
impact mis-implementation in cancer control and can be applied to other health areas.
Publications
Understanding Misimplementation in U.S. State Health Departments: An Agent-Based Model.
Authors: Kasman M.
, Hammond R.A.
, Purcell R.
, Saliba L.F.
, Mazzucca-Ragan S.
, Padek M.
, Allen P.
, Luke D.A.
, Moreland-Russell S.
, Erwin P.C.
, et al.
.
Source: American Journal Of Preventive Medicine, 2022-12-09 00:00:00.0; , .
EPub date: 2022-12-09 00:00:00.0.
PMID: 36509634
Related Citations
Leading the way: competencies of leadership to prevent mis-implementation of public health programs.
Authors: Moreland-Russell S.
, Farah Saliba L.
, Rodriguez Weno E.
, Smith R.
, Padek M.
, Brownson R.C.
.
Source: Health Education Research, 2022-09-07 00:00:00.0; , .
EPub date: 2022-09-07 00:00:00.0.
PMID: 36069114
Related Citations
The power of partnerships: state public health department multisector collaborations in major chronic disease programme areas in the United States.
Authors: Tsai E.
, Allen P.
, Saliba L.F.
, Brownson R.C.
.
Source: Health Research Policy And Systems, 2022-07-08 00:00:00.0; 20(1), p. 80.
EPub date: 2022-07-08 00:00:00.0.
PMID: 35804420
Related Citations
"It's good to feel like you're doing something": a qualitative study examining state health department employees' views on why ineffective programs continue to be implemented in the USA.
Authors: Mazzucca S.
, Saliba L.F.
, Smith R.
, Weno E.R.
, Allen P.
, Padek M.
, Brownson R.C.
.
Source: Implementation Science Communications, 2022-01-15 00:00:00.0; 3(1), p. 4.
EPub date: 2022-01-15 00:00:00.0.
PMID: 35033206
Related Citations
Program adaptation by health departments.
Authors: Farah Saliba L.
, Allen P.
, Mazzucca S.L.
, Rodriguez Weno E.
, Moreland-Russell S.
, Padek M.
, Brownson R.C.
.
Source: Frontiers In Public Health, 2022; 10, p. 892258.
EPub date: 2022-09-12 00:00:00.0.
PMID: 36172214
Related Citations
Patterns and correlates of mis-implementation in state chronic disease public health practice in the United States.
Authors: Padek M.M.
, Mazzucca S.
, Allen P.
, Rodriguez Weno E.
, Tsai E.
, Luke D.A.
, Brownson R.C.
.
Source: Bmc Public Health, 2021-01-28 00:00:00.0; 21(1), p. 101.
EPub date: 2021-01-28 00:00:00.0.
PMID: 33504338
Related Citations
Approaches for Ending Ineffective Programs: Strategies From State Public Health Practitioners.
Authors: Rodriguez Weno E.
, Allen P.
, Mazzucca S.
, Farah Saliba L.
, Padek M.
, Moreland-Russell S.
, Brownson R.C.
.
Source: Frontiers In Public Health, 2021; 9, p. 727005.
EPub date: 2021-08-20 00:00:00.0.
PMID: 34490203
Related Citations
Use and Awareness of The Community Guide in State and Local Health Department Chronic Disease Programs.
Authors: Rodriguez Weno E.
, Mazzucca S.
, Parks R.G.
, Padek M.
, Allen P.
, Brownson R.C.
.
Source: Preventing Chronic Disease, 2020-10-22 00:00:00.0; 17, p. E133.
EPub date: 2020-10-22 00:00:00.0.
PMID: 33092684
Related Citations
Rugged landscapes: complexity and implementation science.
Authors: Ornstein J.T.
, Hammond R.A.
, Padek M.
, Mazzucca S.
, Brownson R.C.
.
Source: Implementation Science : Is, 2020-09-29 00:00:00.0; 15(1), p. 85.
EPub date: 2020-09-29 00:00:00.0.
PMID: 32993756
Related Citations
Going beyond the individual: how state-level characteristics relate to HPV vaccine rates in the United States.
Authors: Franco M.
, Mazzucca S.
, Padek M.
, Brownson R.C.
.
Source: Bmc Public Health, 2019-02-28 00:00:00.0; 19(1), p. 246.
EPub date: 2019-02-28 00:00:00.0.
PMID: 30819149
Related Citations
Toward optimal implementation of cancer prevention and control programs in public health: a study protocol on mis-implementation.
Authors: Padek M.
, Allen P.
, Erwin P.C.
, Franco M.
, Hammond R.A.
, Heuberger B.
, Kasman M.
, Luke D.A.
, Mazzucca S.
, Moreland-Russell S.
, et al.
.
Source: Implementation Science : Is, 2018-03-23 00:00:00.0; 13(1), p. 49.
EPub date: 2018-03-23 00:00:00.0.
PMID: 29566717
Related Citations
The Association Between Evidence-Based Decision Making and Accreditation of State Health Departments.
Authors: Erwin P.C.
, Padek M.M.
, Allen P.
, Smith R.
, Brownson R.C.
.
Source: Journal Of Public Health Management And Practice : Jphmp, 2020 Sep/Oct; 26(5), p. 419-427.
PMID: 32732714
Related Citations