Keeping it Real: Resources for Implementing

Evidence-based Public Health Programs in the Community:

How Cancer Control P.L.A.N.E.T. and Research to Reality (R2R) are Advancing the Effective Implementation of Public Health Programs, Policies,

and Interventions in Real Word Settings

National Cancer InstituteU.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESNational Institutes of Health

Margaret M. Farrell MPH RD

Public Health Advisor

Implementation Science Team

Division of Cancer Control and Population Sciences

Keeping It Real: Resources for Implementing Evidence-based Public Health Programs in the Community

Presentation given at theNATIONAL HEALTH OUTREACH CONFERENCEPromoting Connections to Create Healthy Individuals, Families and Communities

May 8, 2015

Learning Objectives

Through this workshop, participants will – not only become familiar with how to use the tools they

need to identity and address health outcomes, but – understand the benefits of virtual communities of practice

as a means to engage researchers and practitioners around implementing cancer control programs.

– will introduce participants to the Cancer Control P.L.A.N.E.T portal and the Research to Reality Community of Practice.

The Great DivideThe Great Divide

ResearcherResearcherss

PractitionerPractitionerss

PolicymakePolicymakersrs

What do you think of when you hear “evidence-based”?

Question

Research and Practice Create Evidence

• Evidence derived from research:

– Intervention that has been tested in a research study – Systematic review of multiple studies– Policy analysis

• Evidence derived from practice:

– Intervention or policy developed, implemented and evaluated in an organization, community or geographic region

Different Evidence-based Options for Promoting Public Health

Environment or Behavior

Strategies(recommended after systematic review)

PoliciesPackaged Programs

Evidence-based Approaches

Packaged ProgramsInterventions that include instructions and specify materials needed to implement with success

Pool Coolavailable on RTIPS

and at www.poolcool.org

Body and Soulavailable on RTIPs

Pathways to Freedomavailable on RTIPs and

the CDC’s website

Pool Cool Sun-Safety Program • Aim: Raise awareness, motivation and sun protection practices to reduce

skin cancer

• Setting: swimming pools

• Target audience: children enrolled in swimming lessons

• Program components: • Eight 5-minute lessons during swim class• Five optional sun-safe Poolside Activities • Sun safety signs

• Program materials: • Developed in efficacy and diffusion trials and process evaluations• Available for free, online

Policies

• A system of laws, regulatory measures, courses of action, and funding priorities concerning a given topic– Public policy: regulation set by government or

local authorities (e.g., laws for coverage, ordinances)

– Organizational policy: organizational rule or regulation (e.g., worksite health plans, patient navigation services)

Public Policy

• North Carolina enacted legislation that prohibits the purchase of tobacco products by persons under the age of 18

Evidence-based Strategies• Broad recommendation based on systematic review of

multiple studies

The Community Guide: A Source of Evidence-based Strategies

Aim: Increase physical activity 

Environmental strategy:Point-of-decision prompts

Program Material:

  

Aim: Increase CRC screening

Individual strategy: Small media

Program Material:

So…if evidence-based interventions and strategies are so important, where

can I find some?

http://www.thecommunityguide.org/•Sponsor: Taskforce for Preventive Services, Centers for Disease Control and Prevention

•Health topics: Multiple

•Resources available: Recommendations fromsystematic reviews

http://cancercontrolplanet.cancer.gov/•Sponsor: NCI, CDC, and AHRQ

•Health topics: Multiple cancers & behaviors

•Resources available: Access to data, resources forevaluation, evidence-based programs, cancer plansand budgets and links to potential collaborators

Audience:•Planners, policy makers, and cancer information providers

Data•Collected from public health surveillance systems•National, state and county level dataSponsors:•NCI & CDC

State Cancer ProfilesDynamic Open-Source Cancer Statistics

for Evidence-based Cancer Planning

www.statecancerprofiles.cancer.gov

Audience:•Planners, policy makers and cancer information providersSite Features:•Interactive Maps•Historical Trends•Death/Incidence Rates•Rate/Trend Comparison•Prevalence Projections•5-year Rate Changes•Comparative Data Displays•Supportive Data

State Cancer Profiles (cont.)

http://rtips.cancer.gov/rtips•Sponsor: NCI

•Health topics: Multiple

•Resources available: Evidence-based programs

• Intervention outcome finding(s) must be published in a peer-reviewed journal.

• The study must have produced one or more positive behavioral and/or psychosocial outcomes (p ≤ .05) among individuals, communities, or populations.

• Evidence of these outcomes has been demonstrated in at least one study using an experimental or quasi-experimental design.

• The intervention must have messages, materials, and/or other components that include English and can be disseminated in a U.S. community or clinical setting.

• The intervention has been conducted within the past 10 years.

Research Tested Intervention Programs (RTIPs)

How You Can Get Involved:1.Submit your intervention for RTIPs consideration: http://rtips.cancer.gov/rtips/register/index.do

2.Contact the RTIPs team for questions, comments, additional information: http://rtips.cancer.gov/rtips/contact.do

A dialogue between practitioners and researchers on how to move evidence-based programs into practice

•Launched February, 2011 (NCI)- Linked to Cancer Control

P.L.A.N.E.T.

•Site Features:- Monthly cyber-seminars- Discussion forums- An events calendar- Featured partners- Community profiles- Learning Communities

https://ResearchtoReality.cancer.gov

Research to Reality (R2R): A Virtual Community of Practice

R2R Cyber seminarsUnique format pairs cancer control researchers with practitioners in the field…

Sessions bring together these groups to discuss the evidence base for the programs, interventions, and tools being highlighted and to provide real-world examples from the field on how to adapt, implement, and evaluate evidence-based programs.

Continued discussions give community members a chance to further engage…

Each session is tied to a corresponding discussion so R2R members can continue to interact with the presenters and one another long after the live presentation and Q&A session.

Interesting and timely topics…New and engaging cyber-seminar topics are

featured each month that highlight tools and evidence-based programs and inform and educate R2R members on moving research to practice.

We have a story to share!

• More than 2,300 cancer control practitioners, researchers, students, and clinicians belong to R2R.

• In 2014, R2R had 80,000 page views (3,200 average monthly views)

• R2R is facilitating collaboration:• 33% of discussions are community-driven;• 73% of discussion posts generate comments; • community- generated discussions have increased

62% since 2012!

What differentiates R2R from static websites is the extent to which R2R engages its community in a collaborative effort to implement evidence-based interventions. 

A Reason to ReturnA Reason to Return

R2R: Effectively Communicating Science and Policy

• 871 Registrants• 395 Attendees• 179 Views of the

Archive • 5 questions• 1 discussion post• 119 requests for slides

Our January 2015 cyber-seminar coupled the latest in e-cigarette research findings with actionable insights on existing policy strategies, tools, and resources for community-based tobacco control practitioners.

R2R Featured partners• Offer a window into the “real world” and

insight on existing strategies, tools, and resources to help overcome challenges.

The RTIPs Crosswalk connects community members interested in using Research-tested Intervention Programs directly to the

researcher who developed the program

Join the Conversation! Share your story on R2R!

• Start a discussion• List an event• Featured partner

segment• Watch an

archived cyber seminar – and ask questions of the speakers!

Acknowledgements

• Cynthia Vinson, PhD, M.P.A.• Sarah Bruce Bernal MA• Cancer Prevention and Control Research

Network (CPCRN)– Putting Public Health Evidence in Action

Training Workshop– http://cpcrn.org/pub/evidence-in-action/

•