An Integrated Framework for Assessing the Value of Community-Based Prevention: A Report of the Institute of Medicine

Pronk, Nicolaas P.; Hernandez, Lyla M.; Lawrence, Robert S.

doi:10.5888/pcd10.120323

Cited by 16 publications

(13 citation statements)

References 5 publications

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“…Community-based approach for disease prevention is effective in disseminating information on public health. 28 Our findings for baseline BC awareness levels of the study population are consistent with the other studies conducted in UAE. Limitations include pre-post study design (randomized controlled trial is ideal for evaluating interventions), inability to select random sample may have introduced selection bias, results may not be generalized and lack of evidence on long-term impact of the intervention.…”

Section: Discussionsupporting

confidence: 91%

Impact of community-based educational intervention on breast cancer and its screening awareness among Arab women in the United Arab Emirates

Rabbani

Marzooqi

Srouji

et al. 2019

Clinical Epidemiology and Global Health

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Breast cancer (BC) is the most common cancer in women worldwide as well as in United Arab Emirates (UAE). Improving awareness is an important aspect of BC control. Our study explored whether a community-based educational intervention was an effective approach for improving the awareness of BC and its screening procedures and promoting health behavior change. Methods: The study was carried out as a pre-post-test design among 250 Arab women. Baseline awareness (preintervention) regarding BC and its screening procedures was assessed using a validated structured questionnaire adapted from the Breast Module of Cancer Awareness Measure. Educational intervention on BC was administered after baseline knowledge assessment. The impact of this intervention was evaluated through the postintervention questionnaire after four weeks. Results: Statistically significant improvement was observed in all the BC knowledge domains after the educational intervention. Highest percentage change in knowledge (56.4%) between pre-and post-intervention was seen for BC risk factors. Stratified analyses revealed that the intervention proved more beneficial to the women with no formal education as compared to those with formal education (mean difference: 7.27 ± 5.29; p = 0.001). Post-intervention the women were more positive towards medical help-seeking and acknowledged the fact that BC diagnosed early is more treatable (% change: 24.0, p < 0.001). Conclusion: The community-based educational intervention, aimed at improving the knowledge of Arab women towards BC, proved to be effective in raising awareness of the study population. Further efforts are required to ascertain that this augmented awareness is retained in the long term and translated into required health behavior changes.

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Section: Discussionsupporting

confidence: 91%

Impact of community-based educational intervention on breast cancer and its screening awareness among Arab women in the United Arab Emirates

Rabbani

Marzooqi

Srouji

et al. 2019

Clinical Epidemiology and Global Health

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“…(6,50–51). These factors present unique challenges in defining the perspective, individual preferences versus effects of treatment of one person on unaffected persons (i.e., herd effects), and time horizon for a value framework.…”

Section: Value Taxonomymentioning

confidence: 99%

Evaluating Frameworks That Provide Value Measures for Health Care Interventions

et al. 2017

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The recent acceleration of scientific discovery has led to greater choices in health care. These new technologies, diagnostic tests, and pharmaceuticals have widely varying impact on patients and populations in terms of benefits, toxicities, and costs, stimulating a resurgence of interest in the creation of frameworks intended to measure value in health. Many of these are offered by providers and/or advocate organizations with expertise and interest in specific diseases (e.g., cancer, heart disease). To help assess the utility of and potential biases embedded in these frameworks, we created an evaluation taxonomy with seven basic components: (1) define the purpose; (2) detail the conceptual approach, including perspectives, methods for obtaining preferences of decision makers (e.g., patients), and ability to incorporate multiple dimensions of value; (3) discuss inclusions and exclusions of elements included in the framework, and whether the framework assumes clinical intervention or offers alternatives such as palliative care or watchful waiting; (4) evaluate data sources and their scientific validity; (5) assess the intervention’s effect on total costs of treating a defined population; (6) analyze how uncertainty is incorporated; and (7) illuminates possible conflicts of interest among those creating the framework. We apply the taxonomy to four representative value frameworks recently published by professional organizations focused on treatment of cancer and heart disease and vaccine use. We conclude that each of these efforts has strengths and weaknesses when evaluated using our taxonomy, and suggest pathways to enhance the utility of value-assessing frameworks for policy and clinical decision-making.

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“…T4 research involves evaluation of practices once they have been implemented in the community or with the general public (13). …”

Section: Changing Population Health Outcomes Requires Extraordinary Mmentioning

confidence: 99%

Toward a Modern Science of Obesity at Washington University: How We Do It and What is the Payoff?

Colditz

Gehlert

Bowen

et al. 2016

Cancer Prevention Research

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In our Cancer Prevention Program at Washington University in Saint Louis (WUSTL) we have made extraordinary efforts to create the kind of cancer prevention and control program that is both translational (TS) and transdisciplinary (TD) in nature, to accelerate the march from basic discoveries to population change. Here we present an overview of our obesity related research currently ongoing in our Center, paying particular attention to both the translational transdisciplinary process and to community-based participatory research. We end with our future directions for improving obesity related cancer outcomes research.

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An Integrated Framework for Assessing the Value of Community-Based Prevention: A Report of the Institute of Medicine

Cited by 16 publications

References 5 publications

Impact of community-based educational intervention on breast cancer and its screening awareness among Arab women in the United Arab Emirates

Impact of community-based educational intervention on breast cancer and its screening awareness among Arab women in the United Arab Emirates

Evaluating Frameworks That Provide Value Measures for Health Care Interventions

Toward a Modern Science of Obesity at Washington University: How We Do It and What is the Payoff?

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