Evaluating centralized technical assistance as an implementation strategy to improve cancer prevention and control

Moreland-Russell, Sarah; Adsul, Prajakta; Nasir, Seif L.; Fernández, María E.; Walker, Timothy J.; Brandt, Heather M.; Vanderpool, Robin C.; Pilar, Meagan; Cuccaro, Paula; Norton, Wynne E.; Vinson, Cynthia; Chambers, David A.; Brownson, Ross C.

doi:10.1007/s10552-018-1108-y

Cited by 6 publications

(9 citation statements)

References 22 publications

(28 reference statements)

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“… Livet et al (2018) [ 44 ] Planned instructional activity to facilitate knowledge and skill acquisition (as cited in Leeman et al 2015 [ 45 ]). Moreland-Russell et al (2018) [ 46 ] For the purposes of this work, we considered “TA” for HPV and CRC as a multicomponent strategy consisting of in-person sessions supported by subject matter experts, facilitated development of action plans by state team members, and follow-up support calls which included webinars with team members and partners that were involved in the implementation of the specific activities in their respective action plans. Olson, et al (2020) [ 18 ] TA has been defined as an individualized approach that provides implementation support to, and increasing capacity for, continuous quality improvement (CQI) among comparative effectiveness research.…”

Section: Resultsmentioning

confidence: 99%

“…Cerully et al ( 2016) [35] Support to help community-partner organizations execute their efforts (as cited in Mitchell, Florin, [36] and Stevenson, 2002 [37]). [46] For the purposes of this work, we considered "TA" for HPV and CRC as a multicomponent strategy consisting of in-person sessions supported by subject matter experts, facilitated development of action plans by state team members, and follow-up support calls which included webinars with team members and partners that were involved in the implementation of the specific activities in their respective action plans.…”

Section: Rq1b: How Have Ta Outputs and Outcomes Been Conceptualized A...mentioning

confidence: 99%

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A scoping review of the evaluation and effectiveness of technical assistance

Scott

Jillani

Malpert³

et al. 2022

Implement Sci Commun

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Background Although the benefits of evidence-based practices (EBPs) for advancing community outcomes are well-recognized, challenges with the uptake of EBPs are considerable. Technical assistance (TA) is a core capacity building strategy that has been widely used to support EBP implementation and other community development and improvement efforts. Yet despite growing reliance on TA, no reviews have systematically examined the evaluation of TA across varying implementation contexts and capacity building aims. This study draws on two decades of peer-reviewed publications to summarize the evidence on the evaluation and effectiveness of TA. Methods Guided by Arksey and O’Malley’s six-stage methodological framework, we used a scoping review methodology to map research on TA evaluation. We included peer-reviewed articles published in English between 2000 and 2020. Our search involved five databases: Business Source Complete, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education Resources Information Center (ERIC), PsycInfo, and PubMed. Results A total of 125 evaluation research studies met the study criteria. Findings indicate that publications have increased over the last two decades, signaling a growth in the recognition and reporting of TA. Technical assistance is being implemented across diverse settings, often serving socially vulnerable and under-resourced populations. Most evaluation research studies involved summative evaluations, with TA outcomes mostly reported at the organizational level. Only 5% of the studies examined sustainability of TA outcomes. This review also demonstrates that there is a lack of consistent standards regarding the definition of TA and the level of reporting across relevant TA evaluation categories (e.g., cadence of contact, and directionality). Conclusions Advances in the science and practice of TA hinge on understanding what aspects of TA are effective and when, how, and for whom these aspects of TA are effective. Addressing these core questions requires (i) a standard definition for TA; (ii) more robust and rigorous evaluation research designs that involve comparison groups and assessment of direct, indirect, and longitudinal outcomes; (iii) increased use of reliable and objective TA measures; and (iv) development of reporting standards. We view this scoping review as a foundation for improving the state of the science and practice of evaluating TA.

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Section: Resultsmentioning

confidence: 99%

Section: Rq1b: How Have Ta Outputs and Outcomes Been Conceptualized A...mentioning

confidence: 99%

A scoping review of the evaluation and effectiveness of technical assistance

Scott

Jillani

Malpert³

et al. 2022

Implement Sci Commun

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“…Despite a substantial investment in cancer control programs by the CDC, there are few published evaluations of comprehensive cancer control TAT [ 9 , 10 ]. Extant evaluations include impact of an online continuing education series to build capacity in cancer survivorship care among clinicians [ 9 ] and the impact of workshops on improving cancer control professional capacity to implement human papilloma virus (HPV) vaccination and colorectal cancer (CRC) screening initiatives [ 10 ]. Other literature has described the broad impact of communication campaigns in cancer control [ 16 ] and CDC investments in training field epidemiologists in low- and middle-income countries [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…While the need for capacity building in cancer control is broadly acknowledged, there are relatively few published evaluations of TAT effectiveness [ 9 , 10 ]. The GW Cancer Center and ACS conducted a structured assessment of CCC program needs by NCCCP priority area, triangulating primary and secondary qualitative and quantitative data collected or published from November 2016 through February 2019 to assess CCC needs.…”

Section: Introductionmentioning

confidence: 99%

Technical Assistance and Training Needs of Comprehensive Cancer Control Programs: a Qualitative Analysis

et al. 2022

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The National Comprehensive Cancer Control Program (NCCCP) was established in 1998 by the Centers for Disease Control and Prevention (CDC) to advance national cancer control implementation across US states and affiliated tribes and territories. To build capacity of NCCCP recipients, technical assistance and training (TAT) is offered in the form of online trainings, webinars, toolkits, workshops, tip sheets, and other products. To determine TAT needs of NCCCP recipients, the George Washington University (GW) Cancer Center conducted a qualitative evaluation to inform TAT planning and implementation. Data on the utilization, applicability, impact, and dissemination of TAT received were collected from comprehensive cancer control practitioners through semi-structured interviews. Detailed memos of interviewee responses were documented and deductively coded based on three themes: promotion of TAT, use of existing TAT, and recommendations for future TAT. Interviewees reported a need for diverse topics, modalities, and TAT reminders. The most widely used TAT resources were social media toolkits, webinars, newsletters, patient navigation resources, and online trainings. Recommendations for future TAT included a focus on coalition support, adaptation and evaluation of evidence-based cancer control strategies, and health equity. Offering a blend of TAT, including educational webinars and trainings, was preferred by CCC professionals and could increase use. Future TAT will provide new opportunities for coalition capacity building, adaptation of evidence-based strategies for cancer control, and center health equity.

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“…This Special Issue highlights the importance of strong and effective partnerships in several articles. “Collaborating to Conquer Cancer: The Role of Partnerships in Comprehensive Cancer Control” [2]; “Advancing Health Equity through the National Comprehensive Cancer Control Program” [3]; “How the Comprehensive Cancer Control National Partnership Shapes the Public Health Workforce” [4]; and “ Evaluating Centralized Technical Assistance as an Implementation Strategy to Improve Cancer Prevention and Control” [5], demonstrate how effective coalitions can be designed and how they can be used to address important issues in cancer control.…”

Section: The Key To Success: Collaborationmentioning

confidence: 99%

Comprehensive cancer control in the U.S.: summarizing twenty years of progress and looking ahead

Hayes

Hohman²,

Vinson

et al. 2018

Cancer Causes Control

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In order to celebrate the accomplishments of the Centers for Disease Control and Prevention’s (CDC) National Comprehensive Cancer Control Program (NCCCP), the Comprehensive Cancer Control National Partners (CCCNP) developed this Special Issue on Cancer Causes and Control. This, the third Special Issue on Comprehensive Cancer Control (CCC), is a reflection of 20 years of building successful partnerships to prevent and control cancer; planning and implementing strategic cancer control; collaborating to address national cancer prevention and control priorities; evaluating efforts; sharing successes; and, in later years, serving as a model for global cancer control planning and implementation. The CDC currently supports cancer control planning and implementation in all 50 states, the District of Columbia, eight tribes or tribal organizations, and seven Pacific Island Jurisdictions and U.S. territories through the NCCCP. CCC is an approach that brings together multi-sector partners to address the cancer burden in a community collectively by leveraging existing resources and identifying and addressing cancer related issues and needs. The Comprehensive Cancer Control National Partnership (CCCNP), a partnership of national organizations, has been committed to supporting comprehensive cancer control efforts since 1999. We summarize the efforts described in this Special Issue. We also describe opportunities and critical elements to continue the momentum for comprehensive cancer control well into the future.

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Evaluating centralized technical assistance as an implementation strategy to improve cancer prevention and control

Cited by 6 publications

References 22 publications

A scoping review of the evaluation and effectiveness of technical assistance

A scoping review of the evaluation and effectiveness of technical assistance

Technical Assistance and Training Needs of Comprehensive Cancer Control Programs: a Qualitative Analysis

Comprehensive cancer control in the U.S.: summarizing twenty years of progress and looking ahead

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