Journal article
Understanding the processes that Federally Qualified Health Centers use to select and implement colorectal cancer screening interventions: a qualitative study
Translational behavioral medicine, Vol.10(2), pp.394-403
04/01/2020
DOI: 10.1093/tbm/ibz023
PMCID: PMC7237542
PMID: 30794725
Abstract
Colorectal cancer (CRC) screening is highly effective at reducing cancer-related morbidity and mortality, yet screening rates remain suboptimal. Evidence-based interventions can increase screening rates, particularly when they target multiple levels (e.g., patients, providers, health care systems). However, effective interventions remain underutilized. Thus, there is a pressing need to build capacity to select and implement multilevel CRC screening interventions. We report on formative research aimed at understanding how Federally Qualified Health Center (FQHC) staff select and implement CRC screening interventions, which will inform development of capacity-building strategies. We report the qualitative findings from a study that used a mixed methods design, starting with a quantitative survey followed by a qualitative study. In-depth interviews were conducted with 28 staff from 14 FQHCs in 8 states. The Consolidated Framework for Implementation Research (CFIR) guided interview questions and data analysis. Related to the CFIR process domain, few respondents described conducting formal assessments of factors contributing to low screening rates prior to
planning
their interventions. Many described
engaging
champions, implementation leaders, and external change agents. Few described a systematic approach to
executing
implementation plans beyond conducting plan-do-study-act cycles.
Reflection and evaluation
consisted primarily of reviewing Uniform Data System performance measures. Findings also include themes related to factors influencing these implementation processes. Although FQHCs are implementing CRC screening interventions, they are not actively targeting the multilevel factors influencing their CRC screening rates. Our findings on gaps in FQHCs’ implementation processes will inform development of strategies to build capacity to select and implement multilevel CRC screening interventions.
Community clinics are not using systematic processes to improve their colorectal cancer screening rates and would benefit from additional training, tools, and technical assistance.
Details
- Title: Subtitle
- Understanding the processes that Federally Qualified Health Centers use to select and implement colorectal cancer screening interventions: a qualitative study
- Creators
- Jennifer Leeman - , Chapel Hill, NC, , Iowa City, IA, , Seattle, WA, , Carrboro, NC, , Philadelphia, PA, , Tampa, Florida, , Columbia, SC, , Philadelphia, PA, , Philadelphia, PA, , Lexington, KYNatoshia Askelson - , Chapel Hill, NC, , Iowa City, IA, , Seattle, WA, , Carrboro, NC, , Philadelphia, PA, , Tampa, Florida, , Columbia, SC, , Philadelphia, PA, , Philadelphia, PA, , Lexington, KYLinda K Ko - , Chapel Hill, NC, , Iowa City, IA, , Seattle, WA, , Carrboro, NC, , Philadelphia, PA, , Tampa, Florida, , Columbia, SC, , Philadelphia, PA, , Philadelphia, PA, , Lexington, KYCatherine L Rohweder - , Chapel Hill, NC, , Iowa City, IA, , Seattle, WA, , Carrboro, NC, , Philadelphia, PA, , Tampa, Florida, , Columbia, SC, , Philadelphia, PA, , Philadelphia, PA, , Lexington, KYJade Avelis - , Chapel Hill, NC, , Iowa City, IA, , Seattle, WA, , Carrboro, NC, , Philadelphia, PA, , Tampa, Florida, , Columbia, SC, , Philadelphia, PA, , Philadelphia, PA, , Lexington, KYAlicia Best - , Chapel Hill, NC, , Iowa City, IA, , Seattle, WA, , Carrboro, NC, , Philadelphia, PA, , Tampa, Florida, , Columbia, SC, , Philadelphia, PA, , Philadelphia, PA, , Lexington, KYDaniela Friedman - , Chapel Hill, NC, , Iowa City, IA, , Seattle, WA, , Carrboro, NC, , Philadelphia, PA, , Tampa, Florida, , Columbia, SC, , Philadelphia, PA, , Philadelphia, PA, , Lexington, KYKaren Glanz - , Chapel Hill, NC, , Iowa City, IA, , Seattle, WA, , Carrboro, NC, , Philadelphia, PA, , Tampa, Florida, , Columbia, SC, , Philadelphia, PA, , Philadelphia, PA, , Lexington, KYLaura Seegmiller - , Chapel Hill, NC, , Iowa City, IA, , Seattle, WA, , Carrboro, NC, , Philadelphia, PA, , Tampa, Florida, , Columbia, SC, , Philadelphia, PA, , Philadelphia, PA, , Lexington, KYLindsay Stradtman - , Chapel Hill, NC, , Iowa City, IA, , Seattle, WA, , Carrboro, NC, , Philadelphia, PA, , Tampa, Florida, , Columbia, SC, , Philadelphia, PA, , Philadelphia, PA, , Lexington, KYRobin C Vanderpool - , Chapel Hill, NC, , Iowa City, IA, , Seattle, WA, , Carrboro, NC, , Philadelphia, PA, , Tampa, Florida, , Columbia, SC, , Philadelphia, PA, , Philadelphia, PA, , Lexington, KY
- Resource Type
- Journal article
- Publication Details
- Translational behavioral medicine, Vol.10(2), pp.394-403
- DOI
- 10.1093/tbm/ibz023
- PMID
- 30794725
- PMCID
- PMC7237542
- NLM abbreviation
- Transl Behav Med
- ISSN
- 1869-6716
- eISSN
- 1613-9860
- Publisher
- Oxford University Press
- Grant note
- ; ; 3 U48 DP005030-01S5; 3 U48 DP005021-01S4; 3 U48 DP005014-01S2; 3 U48 DP005053-01S1; 3 U48 DP005000-01S2; 3 U48 DP005013-01S1A3; 3 U48 DP005017-01S8; 3 U48 DP005017-01S8 / ; ;
- Language
- English
- Date published
- 04/01/2020
- Academic Unit
- Injury Prevention Research Center; Public Policy Center (Archive); Community and Behavioral Health
- Record Identifier
- 9984214663302771
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