Cancer Control Dissemination Research Among State-Level Policy Makers

国家级政策制定者的癌症控制传播研究

• 批准号: 7291324
• 负责人: Ross C Brownson
• 金额: $ 49.9万
• 依托单位: SAINT LOUIS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-27 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7291324
• 关键词: Address; Administrator; Adoption; Affect; Area; Arts; Attention; Audience Research; Awareness; Behavior; Budgets; Calculi; Cancer Burden; Cancer Control; Caring; Case Study; Characteristics; Communication; Communications Media; Cues; Daily; Data; Data Sources; Databases; Doctor of Philosophy; Educational Background; Educational workshop; Effectiveness; Ensure; Environment; Environmental Policy; Evaluation; Evidence based intervention; Evidence based practice; Funding; Goals; Grant; Health; Individual; Intervention; Judgment; Knowledge; Lead; Life; Life Style; Malignant Neoplasms; Measures; Methods; Monitor; Morbidity - disease rate; Patient Self-Report; Phase; Policies; Policy Maker; Population; Positioning Attribute; Process; Public Health; Randomized; Randomized Controlled Clinical Trials; Rate; Records; Research; Research Personnel; Resources; Risk Factors; Role; Science; Services; Shapes; Statutes and Laws; Surveys; Testing; Training; Trust; Work; authority; base; cancer prevention; cost; design; dissemination research; effectiveness trial; innovation; mortality; programs; research study; skills; statistics; symposium; therapy design; tool; tool development; uptake

DESCRIPTION (provided by applicant): Background. Existing cancer control knowledge is not systematically disseminated and applied-state-level policy makers are in positions to affect programs and services related to cancer control. Environmental and policy interventions show great promise for reducing the cancer burden. Goal. Our primary goal is to increase the dissemination of evidence-based interventions to control cancer, primarily focusing on the uptake of effective environmental and policy approaches among state-level policy makers. Methods and evaluation. To advance dissemination science, our approach evaluates data ("usual care") and narrative approaches. Data-based approaches are used by health experts typically trained to summarize scientific information using empirical statistics and facts. Narrative dissemination turns scientific data into compelling stones showing how evidence-based interventions can affect the daily lives of people. These narrative forms of communication are emerging as important tools for cancer prevention and control. This project will occur in two parts. Phase 1 research involves an individually-randomized experiment in which delivery methods (data versus narrative) are compared among three key groups of policy makers: legislators, legislative staffers, and executive branch administrative leaders. Phase 2 builds on Phase 1, using a group-randomized effectiveness experiment to actively disseminate evidence-based cancer control interventions in 10 states (along with 10 control states). In Phase 2, we extend our work to practitioners, who are important conduits to legislative branch leaders and senior administrators in the executive branch. Dissemination activities in Phase 2 include tool development (e.g., policy briefs), skill enhancement (e.g., dissemination workshops), and application (e.g., enhanced awareness of evidence-based interventions). Evaluation of Phase 2 interventions will rely on three sources of data: 1) measures of dissemination based on self-reported surveys from practitioners; 2) review and abstraction of state-level cancer control records; and 3) a content analysis of relevant state-level legislation (both introduced and enacted bills). We also will conduct process evaluation. Dissemination and innovations. Concurrent with Phase 2, we will begin efforts to design for dissemination. The intent of these activities is to ensure that findings from our grant are useful, relevant, and ready for widespread dissemination when funding ends. We will assemble and work with an advisory group, capture project costs, conduct qualitative case studies, and sponsor a dissemination conference. Policy-relevant dissemination of evidence-based practice is highly innovative yet is an area that remains largely uncharted. Our project advances the field by better understanding the role of narrative communication in shaping policy. Relevance. This project is relevant to public health because it addresses behaviors that lead to significant premature cancer morbidity and mortality. Sparse knowledge exists regarding effective approaches for dissemination of research-tested interventions among "real world" policy audiences. Upon completion, our study will provide policy-relevant dissemination strategies that can be adapted to other settings and risk factors.

描述（由申请人提供）：背景。现有的癌症控制知识没有系统地传播，并且应用国家级别的决策者处于影响与癌症控制有关的计划和服务的位置。环境和政策干预措施显示出减轻癌症负担的巨大希望。目标。我们的主要目的是增加对控制癌症的基于证据的干预措施的传播，主要集中于国家一级政策制定者对有效的环境和政策方法的吸收。方法和评估。为了推进传播科学，我们的方法评估了数据（“常规护理”）和叙事方法。基于数据的方法通常受过培训的卫生专家使用，以使用经验统计和事实来汇总科学信息。叙事传播将科学数据变成了引人注目的石头，表明基于证据的干预措施如何影响人们的日常生活。这些叙事形式的交流形式正在成为预防癌症和控制的重要工具。该项目将分为两个部分。第1阶段的研究涉及一个单独的实验，其中三个关键的政策制定者组比较了交付方法（数据与叙述）：立法者，立法工作人员和行政部门行政领导人。第2阶段是在第1阶段建立的，使用群体随机有效性实验，在10个状态（以及10个对照状态）中积极传播基于证据的癌症控制干预措施。在第2阶段，我们将工作扩展到从业人员，他们是行政部门的立法部门领导人和高级管理人员的重要渠道。第2阶段的传播活动包括工具开发（例如，政策摘要），技能增强（例如，传播研讨会）和应用（例如，对基于证据的干预措施的认识提高）。评估第二阶段的干预措施将依靠三个数据源：1）基于从业人员的自我报告的调查进行传播的度量； 2）审查和抽象的状态级癌症控制记录； 3）对相关州级立法的内容分析（均引入和制定法案）。我们还将进行过程评估。传播和创新。与第2阶段同时，我们将开始努力为传播设计。这些活动的目的是确保我们赠款的发现有用，相关，并准备好在资金结束时广泛传播。我们将与咨询小组组装并合作，捕获项目成本，进行定性案例研究以及赞助传播会议。与政策相关的循证实践的传播具有很高的创新性，但在很大程度上尚未大致有的。我们的项目通过更好地理解叙事沟通在塑造政策中的作用来推进该领域。关联。该项目与公共卫生有关，因为它解决了导致重大早产发病率和死亡率的行为。关于在“现实世界”政策受众之间传播研究测试干预措施的有效方法的知识稀疏。完成后，我们的研究将提供与政策相关的传播策略，可以适应其他环境和风险因素。