1

The EBA Work Group:Development of a conceptual framework to guide use of evidence based cancer control

interventions

Debbie Pfeiffer, MA; Washington University in St. LouisMichelle C. Kegler, DrPH; Emory University

Atlanta, GAOctober 15, 2009

**Adapted from the July 28, 2009 CDC presentation by Maria Fernandez, PhD, University of TX-Houston CPCRN

2

Purpose

• The CPCRN sought to:

– describe a conceptual framework to guide the systematic search, selection and adaptation of EBAs for cancer control

– use the framework to develop/enhance training and technical assistance for community level cancer control planners

3

Methods

• Working alongside community partners the CPCRN determined: – the tacit rules guiding current practices

in using EBAs for cancer control, – steps that community planners take and

need to take to use EBAs, – challenges to using EBAs in community

settings, and – gaps in existing resources and training on

EBAs. 

4

Needs Assessment

• Needs assessment included: – review and inventory of existing

resources, – survey of community partners across

eight CPCRN network sites, and– interviews with community cancer

control planners

Hannon PA, Fernandez ME, Williams R, Mullen PD, Escoffery C, Kreuter M, Pfeiffer D, Kegler M, Reese L, Mistry R, Bowen D Cancer Control Planners’ Perceptions and Use of Evidence-Based Programs, Journal of Public Health Management and Practice, in press.

5

TACTIC

Part 1

Part 2

Part 3

6

TACTIC – PART 1

7

TACTIC – PART 2

8

TACTIC – PART 3

9

TACTIC Vision

• TACTIC formed the basis for the design of a computer-based tool intended to provide decision support and guide planners through the process of selecting and adapting evidence-based approaches

10

TACTIC R25E Proposal

• Aim I - Produce a Web-based, interactive, tailored training and decision support program (TACTIC) to increase the use of EBAs to reduce breast, cervical, and colorectal cancer disparities

• Aim II - Evaluate the process and impact of TACTIC with community-level cancer control planners and their organizations

• Aim III - Disseminate TACTIC nationally through multiple NCI- and CDC-sponsored networks

11

TACTIC R25E Proposal• Texas: Lead and content development

(Mullen, Fernandez, Bartholomew)• Emory: Evaluation (Kegler, Escoffery, Carvalho,

Swan)• WU: Interface (Kreuter, Brownson, Golla,

Pfeiffer) • Coord Ctr, Harvard, Morehouse, UCLA, UNC,

UW: Collaborators, Co-Investigators (Bowen, Hannon, Glenn, Mistry, Reese, Ribisl, Williams)

• CPCRN Steering Committee PIs: Advisory Group (Bastani, Blumenthal, Glanz, Melvin, Sorenson, Taylor)

12

Presentations & Trainings

• CDC Cancer Conference• National Breast & Cervical Cancer Early

Detection Program (NBCCEDP)• Comprehensive Cancer Control Program

(CCCP)• National Association for Chronic Disease

Directors (NACDD)• Society for Public Health Education

(SOPHE)• NIH Conference on the Science of

Dissemination and Implementation

13

Next Steps

• Decision on resubmission

• Combine with face-to-face and other types of training

• Explore opportunity for a CPCRN-NCI CIS collaboration