Overview

This trial is active, not recruiting.

Conditions information dissemination, evidence-based public health
Treatment dissemination of public health knowledge
Sponsor Washington University School of Medicine
Collaborator National Cancer Institute (NCI)
Start date September 2013
End date March 2017
Trial size 960 participants
Trial identifier NCT01978054, 201111105, 5R01CA160327

Summary

The purpose of this study is to identify and evaluate dissemination strategies to promote the uptake of evidence-based cancer and other chronic disease prevention among state-level public health practitioners. Dissemination strategies such as multi-day in-person training workshops and electronic information exchange modalities are hypothesized to associate with improved access and use of public health evidence and organizational supports for program and policy decision making based on evidence-based public health.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking open label
Arm
(Experimental)
Dissemination of public health knowledge: Participating states will help develop and choose 3-5 dissemination strategies they prefer for their state health department chronic disease units to receive. Dissemination strategies may include multi-day in-person training workshops, electronic information exchange modalities, and information on ways to enhance organizational climates favorable to evidence-based chronic disease prevention.
dissemination of public health knowledge
State health department chronic disease units will be involved with developing and choosing dissemination activities to spread public health knowledge and information on population-based public health strategies that have been shown to reduce risk factors for cancer and other chronic diseases. Example of activities include: multi-day in-person training workshops and electronic information exchange modalities.
(No Intervention)
Comparison state health department chronic disease units will be provided links to preexisting sources of public health evidence-based information such as the Community Guide, Cancer Control P.L.A.N.E.T. (Plan, Link, Act, Network, with Evidence-based Tools), and NCI Research to Reality.

Primary Outcomes

Measure
Use of evidence-based decision making (EBDM)
time frame: 18 months post baseline
Use of electronic public health informational resources
time frame: 18 months post baseline
Work unit program evaluation
time frame: 18 months post baseline
Supervisory Support and Expectations for EBDM use
time frame: 18 months post baseline
Work Unit EBDM Resources
time frame: 18 months post baseline
Work Unit Knowledge Transfer and Exchange
time frame: 18 months post baseline
Agency Leadership
time frame: 18 months post baseline

Secondary Outcomes

Measure
EBDM competencies
time frame: 18 months post baseline

Eligibility Criteria

Male or female participants at least 21 years old.

Inclusion Criteria: - State Health Department chronic disease units (cluster) in the United States and corresponding public health workforce (individuals within cluster) Exclusion Criteria: - State health department has received extensive technical assistance and training comparable to our intervention (dissemination activities) - Origin state has no logical matching pair matched state based on state population size - Origin state has the lowest excess burden of cancer and other chronic risk and disease - Origin state health department has lowest or highest capacity for EBDM as determined from previous research

Additional Information

Official title Disseminating Evidence-Based Interventions to Control Cancer
Principal investigator Ross C Brownson, PhD
Description Evidence-based public health approaches to prevent cancer and other chronic diseases have been identified in recent decades and have the potential for high impact. Yet barriers to implement prevention approaches persist as a result of multiple factors including lack of organizational support, limited resources, competing priorities, and limited skill among the public health workforce. The purpose of this study is to learn how best to promote the adoption of evidence based public health practice related to chronic disease prevention. This cluster randomized trial aims to evaluate the dissemination of public health knowledge about evidence-based prevention of cancer and other chronic diseases and will test receptivity and usefulness of dissemination strategies directed toward state health department chronic disease practitioners to enhance capacity and organizational support for evidence-based chronic disease prevention. Twelve state health department chronic disease units were randomly selected and assigned to intervention or control. State health department staff and the university-based study team are jointly identifying, refining and selecting dissemination strategies. Intervention strategies may include multi-day in-person training workshops, electronic information exchange modalities, and remote technical assistance. Evaluation methods include pre-post surveys, structured qualitative phone interviews, and abstraction of state-level chronic disease prevention program plans and progress reports.
Trial information was received from ClinicalTrials.gov and was last updated in November 2016.
Information provided to ClinicalTrials.gov by Washington University School of Medicine.