TY - JOUR
T1 - Using Implementation Mapping to Develop Implementation Strategies for the Delivery of a Cancer Prevention and Control Phone Navigation Program
T2 - A Collaboration With 2-1-1
AU - Ibekwe, Lynn N.
AU - Walker, Timothy J.
AU - Ebunlomo, Ebun
AU - Ricks, Katharine Ball
AU - Prasad, Sapna
AU - Savas, Lara S.
AU - Fernandez, Maria E.
N1 - Funding Information:
We acknowledge our United Way 2-1-1 partners in Houston, Weslaco, and El Paso for their collaboration and invaluable contributions since the project’s inception, the navigators and information specialists for their input throughout program development and implementation, and Ruth Arya for administrative support in article preparation. This research was funded through the Cancer Prevention Research Institute of Texas: Increasing Breast, Cervical, and Colorectal Cancer Screening and HPV Vaccination Among Underserved Texans: A Collaboration With the United Way’s 2-1-1 Program (Nos. PP100077 and PP120086), a predoctoral fellowship (T32CA057712: Cancer Prevention and Control Research Training and Career Development Program; Mullen, principal investigator) from The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, and a research career development award (K12HD052023: Building Interdisciplinary Research Careers in Women’s Health Program-BIRCWH; Berenson, principal investigator) from the Eunice Kennedy Shriver National Institute of Child Health and Human Development at National Institutes of Health. It was also partially funded by the Department of Health Promotion and Behavioral Sciences and the Center for Health Promotion and Prevention Research at UTHealth School of Public Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health. This study received approval from the Institutional Review Board at UTHealth (Study HSC-SPH-10-0241).
Publisher Copyright:
© 2020 Society for Public Health Education.
PY - 2022/1
Y1 - 2022/1
N2 - Cancer prevention and control (CPC) behaviors, such as cancer screening, human papillomavirus vaccination, and smoking cessation, are critical public health issues. Evidence-based interventions have been identified to improve the uptake of CPC behaviors; however, they are often inconsistently implemented, affecting their reach and effectiveness. Patient navigation is an evidence-based approach to increasing CPC behaviors. Nevertheless, there are few navigation programs that use systematically developed implementation strategies to facilitate adoption, implementation, and maintenance, which affects uptake and outcomes. This article describes the development of a multifaceted implementation strategy designed to facilitate delivery of a CPC phone navigation program to increase breast, cervical, and colorectal cancer screening; human papillomavirus vaccination; and smoking cessation among 2-1-1 Texas helpline callers. Using implementation mapping, a systematic approach for developing implementation strategies, we designed a strategy that involved training 2-1-1 information specialists to deliver the program, developed online tracking and quality-monitoring (audit and feedback) systems, and developed and distributed protocols and other materials to support training and implementation. Through this iterative process and our collaboration with 2-1-1 Texas call centers, our project resulted in a comprehensive training program with a robust curriculum of pertinent program content, for which we identified core components and appropriate delivery modes that are culturally relevant to the population. The results of this study can be applied to the development of more systematic, transparent, and replicable processes for designing implementation strategies. The study also demonstrates a process that can be applied to other contexts and other CPC program implementation efforts.
AB - Cancer prevention and control (CPC) behaviors, such as cancer screening, human papillomavirus vaccination, and smoking cessation, are critical public health issues. Evidence-based interventions have been identified to improve the uptake of CPC behaviors; however, they are often inconsistently implemented, affecting their reach and effectiveness. Patient navigation is an evidence-based approach to increasing CPC behaviors. Nevertheless, there are few navigation programs that use systematically developed implementation strategies to facilitate adoption, implementation, and maintenance, which affects uptake and outcomes. This article describes the development of a multifaceted implementation strategy designed to facilitate delivery of a CPC phone navigation program to increase breast, cervical, and colorectal cancer screening; human papillomavirus vaccination; and smoking cessation among 2-1-1 Texas helpline callers. Using implementation mapping, a systematic approach for developing implementation strategies, we designed a strategy that involved training 2-1-1 information specialists to deliver the program, developed online tracking and quality-monitoring (audit and feedback) systems, and developed and distributed protocols and other materials to support training and implementation. Through this iterative process and our collaboration with 2-1-1 Texas call centers, our project resulted in a comprehensive training program with a robust curriculum of pertinent program content, for which we identified core components and appropriate delivery modes that are culturally relevant to the population. The results of this study can be applied to the development of more systematic, transparent, and replicable processes for designing implementation strategies. The study also demonstrates a process that can be applied to other contexts and other CPC program implementation efforts.
KW - behavior change
KW - cancer prevention and control
KW - community-based participatory research
KW - health education
KW - health promotion
KW - health research
KW - partnerships/coalitions
KW - program planning and evaluation
KW - quality assurance/quality improvement
KW - tobacco prevention and control
KW - training
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U2 - 10.1177/1524839920957979
DO - 10.1177/1524839920957979
M3 - Article
C2 - 33034213
AN - SCOPUS:85092329046
VL - 23
SP - 86
EP - 97
JO - Health Promotion Practice
JF - Health Promotion Practice
SN - 1524-8399
IS - 1
ER -