Disseminating Public Health Evidence to Support State Health Department Prevention of Cancer and Other Chronic Diseases

NCT01978054 | Completed

• 2 other identifiers: 2011111055R01CA160327
• Study Type: interventional
• Target: 1,703
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to identify and evaluate dissemination strategies to promote the uptake of evidence-based cancer and other chronic disease prevention among state-level public health practitioners. Dissemination strategies such as multi-day in-person training workshops and electronic information exchange modalities are hypothesized to associate with improved access and use of public health evidence and organizational supports for program and policy decision making based on evidence-based public health.

Conditions

Information Dissemination; Evidence-Based Public Health

Keywords

Information Dissemination; Information Sharing; Innovation Diffusion; Public Health Practice; Evidence-Based Public Health; Chronic Disease Prevention; Cancer Prevention and Control

Outcome Measures

Primary Outcomes (1)

• Organizational supports for evidence-based decision making (EBDM)

  Self-report Likert scale items in 4 factors: access to evidence and skilled staff, program evaluation, supervisory expectations and incentives for EBDM, and participatory decision-making

  18-24 months post baseline

Secondary Outcomes (2)

• EBDM competencies

  18-24 months post baseline

• Use of research evidence for job tasks

  18-24 months post baseline

Study Arms (2)

Dissemination

EXPERIMENTAL

Dissemination of public health knowledge: Participating states will help develop and choose 3-5 dissemination strategies they prefer for their state health department chronic disease units to receive. Dissemination strategies may include multi-day in-person training workshops, electronic information exchange modalities, and information on ways to enhance organizational climates favorable to evidence-based chronic disease prevention.

Other: Dissemination of public health knowledge

Comparison

NO INTERVENTION

Comparison state health department chronic disease units will be provided links to preexisting sources of public health evidence-based information such as the Community Guide, Cancer Control P.L.A.N.E.T. (Plan, Link, Act, Network, with Evidence-based Tools), and NCI Research to Reality.

Interventions

Dissemination of public health knowledge OTHER

State health department chronic disease units will be involved with developing and choosing dissemination activities to spread public health knowledge and information on population-based public health strategies that have been shown to reduce risk factors for cancer and other chronic diseases. Example of activities include: multi-day in-person training workshops and electronic information exchange modalities.

Dissemination

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• State Health Department chronic disease units (cluster) in the United States and corresponding public health workforce (individuals within cluster)

You may not qualify if:

• State health department has received extensive technical assistance and training comparable to our intervention (dissemination activities)
• Origin state has no logical matching pair matched state based on state population size
• Origin state has the lowest excess burden of cancer and other chronic risk and disease
• Origin state health department has lowest or highest capacity for EBDM as determined from previous research

Sponsors & Collaborators

• Washington University School of Medicine: lead
• National Cancer Institute (NCI): collaborator

Study Sites (1)

Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis

St Louis, Missouri, 63130, United States

Location

Related Publications (2)

• Jacob RR, Baker EA, Allen P, Dodson EA, Duggan K, Fields R, Sequeira S, Brownson RC. Training needs and supports for evidence-based decision making among the public health workforce in the United States. BMC Health Serv Res. 2014 Nov 14;14:564. doi: 10.1186/s12913-014-0564-7.

  PMID: 25398652 DERIVED

• Allen P, Sequeira S, Jacob RR, Hino AA, Stamatakis KA, Harris JK, Elliott L, Kerner JF, Jones E, Dobbins M, Baker EA, Brownson RC. Promoting state health department evidence-based cancer and chronic disease prevention: a multi-phase dissemination study with a cluster randomized trial component. Implement Sci. 2013 Dec 13;8:141. doi: 10.1186/1748-5908-8-141.

  PMID: 24330729 DERIVED

Related Links

• Click here for more information about this study: Strategies in Disseminating Evidence
• Study protocol entitled "Promoting state health department evidence-based cancer and chronic disease prevention: a multi-phase dissemination study with a cluster randomized trial component"
• Intervention effects primary and secondary outcomes from pre-post survey data
• Organizational support associations with research evidence use in state public health agency chronic disease prevention units
• Manager perspectives on organizational supports for evidence-based public health from interviews

Study Officials

• Ross C Brownson, PhD

  Washington University School of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 31, 2013
• First Posted: November 7, 2013
• Study Start: September 1, 2013
• Primary Completion: November 1, 2016
• Study Completion: March 1, 2018
• Last Updated: July 6, 2018

Record last verified: 2018-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)