Implementation Studio, an Innovative, Structured Approach to Facilitate Rural Community-Based Organizations' Adaptation and Implementation of Evidence-Based Interventions
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 35
- 试验地点
- 2
- 主要终点
- Develop the structural program
研究概览
简要总结
This pilot trial study uses a structural support program for adoption of cancer screening interventions at a rural community-based organization. Rural communities face unique barriers in implementation of evidence-based interventions due to a lack of infrastructure, community capacity, and expertise as academic and research centers are often clustered in urban areas. The support program may help a rural community-based organization select, adapt, and implement cancer prevention and control evidence-based interventions.
详细描述
OUTLINE:
Community-based organizations participate in the support program, consisting of 2 half-day training workshops over 2 weeks, and 30-minute bi-weekly consultations in order to adapt and implement the cancer screening intervention for community members.
After completion of study, participants are followed up at 3 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Objective II COMMUNITY-BASED ORGANIZATION: Located in the Yakima Valley of Washington State
- •Objective II COMMUNITY-BASED ORGANIZATION: Serve community members who are 18 and older
- •Objective II COMMUNITY-BASED ORGANIZATION: Willing to commit to the 6-month program
- •Objective II PARTICIPANTS: Receiving services from the recruited community-based organization
- •Objective III PARTICIPANTS: Not up-to-date for breast, cervical, and colorectal cancer screening according to current U.S. Preventive Services Tasks Force (USPSTF) guidelines. The current USPSTF recommendations for breast, cervical, and colorectal cancer are:
- •Breast Cancer Screening: Women ages 50-74 should be screened for breast cancer with mammography every 2 years.
- •Cervical Cancer Screening: Women ages 21-29 should be screened for cervical cancer every 3 years with cervical cancer cytology alone. For women ages 30-65, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years or every 5 years with high risk human papillomavirus (hrHPV) testing in combination of cytology.
- •Colorectal Cancer Screening: Individuals ages 50-75 should be screened for colorectal cancer with guaiac-based fecal occult blood tests (gFOBT) or fecal immunochemical test (FIT) once a year, or colonoscopy every 10 years (USPSTF approves additional screening tests, but these are the most commonly used).
- •Objective III PARTICIPANTS: If the community-based organization selects breast cancer screening, we will recruit women ages 50-
- •Objective III PARTICIPANTS: If the community-based organization selects cervical cancer screening, we will recruit women ages 21-
- •Objective III PARTICIPANTS: If the community-based organization selects colorectal cancer screening, we will recruit women and men ages 50-
- •Objective III PARTICIPANTS: Average risk for breast, cervical, or colorectal cancer
排除标准
- 未提供
结局指标
主要结局
Develop the structural program
时间窗: 3 months
Development of the structural training program and accompanying tools
Implementation Monitoring
时间窗: 4 months
Implementation of the evidence-based intervention by the community-based organization including 1) dosage (how many interventions were delivered to the participants), 2) types (for which cancer), 3) length of exposure (for how long), and 4) who is involved in the implementation (by whom).
Intention to get screened for cancer (type of cancer will be determined by the community-based organization) pre- and post-intervention
时间窗: Up to 3 months
Difference in the proportion of intention to get screened for cancer pre- and post-intervention using chi-square analyses
次要结局
未报告次要终点