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| ID | Type | Description | Link |
|---|---|---|---|
| R37CA262011 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Cancer Institute (NCI) | NIH |
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The purpose of this study is to understand how to leverage structures and processes of academic health department (AHD) partnerships to facilitate implementation of cancer related evidence-based programs and policies (EBPPs).
The investigators will conduct a group-randomized study (total N=28 AHD partnerships) to evaluate the effect of strategies to increase implementation of cancer control and prevention EBPPs by supporting AHD partnerships. Partnerships will be randomized 1:1 to either an active implementation arm in which they will receive tailored strategies based on prior knowledge of successful partnerships or to an existing set of resources for AHD partnerships. A mixed methods approach will be used to evaluate changes in AHD partnerships and understand how contextual factors may have impacted the AHD partnership's ability to support EBPP adoption.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Implementation Arm | Experimental | The implementation arm will receive tailored, guided support to improve their AHD partnerships. |
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| Control Arm | Active Comparator | The control arm will be referred to existing resources in the Learning Community but will not receive new resources or guided facilitation. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Resources and guided facilitation | Behavioral | Participants in the intervention arm will participate in a planning period at the beginning of the intervention period to establish the goals for the partnership. The investigators will use the prioritized list of AHD partnership features developed in prior research to guide the initial planning period and then assist the partnership members to plan to implement the corresponding strategies focused on their areas of interest (e.g., developing collaborative projects, hiring faculty, staff, or students to conduct data analysis). The investigators will use telephone, email communication, and video conferencing to communicate with AHD partnerships, regularly assess progress towards goals, and adjust goals and strategies based on the progress. One additional in person visit to each AHD partnership in the intervention arm will be made in year 2 of implementation to review goals and progress and provide additional guidance and tailored support as needed. |
| Measure | Description | Time Frame |
|---|---|---|
| Evidence-Based Interventions | Participants will see 5 questions about interventions related to specific public health program areas. They will be asked if their agency or institution has delivered those interventions within the last year. Possible score of 0 to 5. Higher score indicates a better outcome. | Baseline, 2 years post baseline |
| Academic Health Department Evidence-Based Interventions | Participants will see 5 questions about interventions related to specific public health program areas. They will be asked if their academic health department has delivered those interventions within the last year. Possible score of 0 to 5. Higher score indicates a better outcome. | Baseline, 2 years post baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Organizational Collaboration - Aligning strategy | Survey participants will be asked to rate their perceptions of their academic-health department partnership on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." A summary score will be created as an average of the items within the domain. Possible scores 1 to 5. Higher scores indicate a better outcome. Overall, the members of our academic local health department partnership...
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Inclusion Criteria:
Exclusion Criteria:
• Individuals under the age of 18 years old.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Stephanie Mazzucca-Ragan | Contact | 314-935-0117 | smazzucca@wustl.edu | |
| Mary Adams | Contact | 314-935-0115 | madams22@wustl.edu |
| Name | Affiliation | Role |
|---|---|---|
| Stephanie Mazzucca-Ragan | Washington University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Prevention Research Center at Washington University in St. Louis | St Louis | Missouri | 63130 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39994666 | Derived | Mazzucca-Ragan S, Allen P, Amos K, Barker AR, Brewer M, Erwin PC, Gannon J, Gao F, Jacob RR, Lengnick-Hall R, Brownson RC. Improving cancer prevention and control through implementing academic-local public health department partnerships - protocol for a cluster-randomized implementation trial using a positive deviance approach. Implement Sci Commun. 2025 Feb 24;6(1):20. doi: 10.1186/s43058-025-00706-z. |
| Label | URL |
|---|---|
| Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine | View source |
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Plan to share all IPD that underlie results in a publication.
Publications and underlying primary data generated as part of the proposed work will be shared. Publications will be made immediately available to the public without any embargo period.
Electronic copies of publications will be deposited in PubMed Central using proper tagging of metadata to ensure online discoverability and accessibility within four weeks of acceptance by a journal. Underlying primary data (i.e., all survey- and qualitative data collected within grant activities) will be de-identified according to the Department of Health and Human Services (HHS) Regulations for the Protection of Human Subjects and Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and will be reviewed by our Institutional Review Board. De-identified data will be standardized and placed in a data repository that the investigators will develop for data sharing with a broader research community in a timely manner. The data repository will be updated upon publication of manuscripts. No limitations to the immediate and broad release of publication and underlying primary data are anticipated,
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D006295 | Health Resources |
| ID | Term |
|---|---|
| D006285 | Health Planning |
| D004472 | Health Care Economics and Organizations |
| D003695 | Delivery of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
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| Existing resources | Behavioral | Individuals will be referred to existing resources in the Learning Community. |
|
| Baseline, 2 years post baseline |
| Organizational Collaboration - Coordinating Current Work | Survey participants will be asked to rate their perceptions of their academic-health department partnership on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." A summary score will be created as an average of the items within the domain. Possible scores 1 to 5. Higher scores indicate a better outcome. Overall, the members of our academic local health department partnership...
| Baseline, 2 years post baseline |
| Joint Decision Making | Participants will be asked to rate their perceptions of their academic-health department partnership on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." A summary score will be created as an average of the items within the domain. Possible scores 1 to 5. Higher scores indicate a better outcome. Please indicate the extent to which you agree with the following statements about your academic local health department partnership.
| Baseline, 2 years post baseline |
| Joint Operation | Survey participants will be asked to rate their perceptions of their academic-health department partnership on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." An overall operation score will be calculated by taking the average of the 2 characteristics. Higher scores indicate stronger partnerships. Overall, the members of our academic local health department partnership...
| Baseline, 2 years post baseline |
| Reduced Autonomy | Participants will be asked to rate their perceptions of their academic-health department partnership on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." A summary score will be created as an average of the items within the domain. Possible scores 1 to 5. Lower scores indicate a better outcome. Please indicate the extent to which you agree with the following statements about your academic local health department partnership.
| Baseline, 2 years post baseline |
| Resource Sharing | Participants will be asked to rate their perceptions of their academic-health department partnership on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." A summary score will be created as an average of the items within the domain. Possible scores 1 to 5. Higher scores indicate a better outcome. Please indicate the extent to which you agree with the following statements about your academic local health department partnership.
| Baseline, 2 years post baseline |
| Perceived Collaboration Outcomes | Participants will be asked to rate their perceptions of their academic-health department partnership on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." A summary score will be created as an average of the items within the domain. Possible scores 1 to 5. Higher scores indicate a better outcome. Our academic local health department partnership…
| Baseline, 2 years post baseline |
| Awareness of Evidence-Based Decision Making Culture Supportive of Evidence-Based Decision Making | Participants will be asked to rate their perceptions of opportunities to learn about and apply evidence-based decision making on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." A summary score will be created as an average of the items within the domain. Possible scores 1 to 5. Higher scores indicate a better outcome. Please indicate the extent to which you agree with the following statements.
| Baseline, 2 years post baseline |
| Capacity and Expectations for Evidence-based Decision Making | Participants will be asked to rate their perceptions of opportunities to learn about and apply evidence-based decision making on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." Possible scores 1 to 5. Higher scores indicate a better outcome. Please indicate the extent to which you agree with the following statements. 1. Top leadership in my agency encourages use of evidence-based decision-making | Baseline, 2 years post baseline |
| Resource Availability | Participants will be asked to rate their perceptions of resource availability in their agency on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." A summary score will be created as an average of the items within the domain. Possible scores 1 to 5. Higher scores indicate a better outcome. Please indicate the extent to which you agree with the following statements.
| Baseline, 2 years post baseline |
| Evaluation Capacity | Participants will be asked to rate their perceptions of evaluation capacity in their agency on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." A summary score will be created as an average of the items within the domain. Possible scores 1 to 5. Higher scores indicate a better outcome. Please indicate the extent to which you agree with the following statements.
| Baseline, 2 years post baseline |
| Individual Skills | Participants will be asked to rate their perceptions of their individual public health skills on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." Scores for each of the 6 characteristics will be dichotomized into strongly agree/agree (1) and neither disagree or agree/disagree/strongly disagree (0). Higher scores indicate a better outcome. Please indicate the extent to which you agree with each statement.
| Baseline, 2 years post baseline |
| Organizational Capacity for Evidence-Based Decision Making/Leadership | Participants will be asked to rate their perceptions of leadership in their agency on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." Scores for each of the 7 characteristics will be dichotomized into strongly agree/agree (1) and neither disagree or agree/disagree/strongly disagree (0). Higher scores indicate a better outcome.
| Baseline, 2 years post baseline |
| Individual Skills for Health Equity | Participants will be asked to rate their perceptions of health equity within their agency on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." A summary score will be created as an average of the items within the domain. Possible scores 1 to 5. Higher scores indicate a better outcome. Please indicate the extent to which you agree with each statement.
| Baseline, 2 years post baseline |
| Leadership | Participants will be asked to rate their perceptions of leadership in their agency on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." Scores for each of the 7 characteristics will be dichotomized into strongly agree/agree (1) and neither disagree or agree/disagree/strongly disagree (0). Leadership in my agency....
| Baseline, 2 years post baseline |
| Organizational Climate and Culture | Participants will be asked to rate their perceptions of organizational climate and culture within their agency on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." A summary score will be created as an average of the items within the domain. Possible scores 1 to 5. Higher scores mean a better outcome. | Baseline, 2 years post baseline |
| Organizational Characteristics Related to Health Equity | Participants will be asked to rate their perceptions of organizational climate and culture within their agency on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." A summary score will be created as an average of the items within the domain. Possible scores 1 to 5. Higher scores indicate a better outcome.
| Baseline, 2 years post baseline |
| Environmental Support | Participants will be asked to rate their perceptions of their agency on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." An overall environmental support score will be calculated by taking the average of the 3 characteristics. Possible score of 1 to 5. Higher score indicates a better outcome. For each statement, select the option that best indicates the extent to which you agree with the following statements about your agency.
| Baseline, 2 years post baseline |
| Funding Stability | Participants will be asked to rate their perceptions of their agency on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." An overall funding stability score will be calculated by taking the average of the 5 characteristics. Possible score of 1 to 5. Higher score indicates a better outcome. For each statement, select the option that best indicates the extent to which you agree with the following statements about your agency.
| Baseline, 2 years post baseline |
| Strategic Planning | Participants will be asked to rate their perceptions of their agency on a 5-point ordered scale from "Strongly disagree" to "Strongly agree." An overall strategic planning score will be calculated by taking the average of the 3 characteristics. Possible score of 1 to 5. Higher score indicates a better outcome. For each statement, select the option that best indicates the extent to which you agree with the following statements about your agency.
| Baseline, 2 years post baseline |