- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01978054
Disseminating Public Health Evidence to Support State Health Department Prevention of Cancer and Other Chronic Diseases
July 3, 2018 updated by: Washington University School of Medicine
Disseminating Evidence-Based Interventions to Control Cancer
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.
Study Overview
Status
Completed
Intervention / Treatment
Detailed 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 was to learn how best to promote the adoption of evidence based public health practice related to chronic disease prevention.
This cluster randomized trial aimed to evaluate the dissemination of public health knowledge about evidence-based prevention of cancer and other chronic diseases and 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 jointly identified, refined, and selected dissemination strategies.
Intervention strategies included multi-day in-person training workshops, remote telephone follow-up and technical assistance, supplemental brief remote trainings, and health department work unit procedural changes to support and strengthen evidence-based decision making.
Evaluation methods included pre-post surveys and structured qualitative phone interviews.
Study Type
Interventional
Enrollment (Actual)
1703
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Missouri
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Saint Louis, Missouri, United States, 63130
- Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
21 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
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
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: OTHER
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Dissemination
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.
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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.
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NO_INTERVENTION: Comparison
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.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Organizational supports for evidence-based decision making (EBDM)
Time Frame: 18-24 months post baseline
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Self-report Likert scale items in 4 factors: access to evidence and skilled staff, program evaluation, supervisory expectations and incentives for EBDM, and participatory decision-making
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18-24 months post baseline
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
EBDM competencies
Time Frame: 18-24 months post baseline
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Self-report Likert scale items measure perceived importance and availability of specific public health practitioner skill sets for EBDM
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18-24 months post baseline
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Use of research evidence for job tasks
Time Frame: 18-24 months post baseline
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Self-report frequency items for 6 job tasks, summary variable creating by calculating the mean frequency across the tasks
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18-24 months post baseline
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Jacob RR, Baker EA, Allen P, Dodson EA, Duggan K, Fields R, Sequeira S, Brownson RC. Training needs and supports for evidence-based decision making among the public health workforce in the United States. BMC Health Serv Res. 2014 Nov 14;14:564. doi: 10.1186/s12913-014-0564-7.
- Allen P, Sequeira S, Jacob RR, Hino AA, Stamatakis KA, Harris JK, Elliott L, Kerner JF, Jones E, Dobbins M, Baker EA, Brownson RC. Promoting state health department evidence-based cancer and chronic disease prevention: a multi-phase dissemination study with a cluster randomized trial component. Implement Sci. 2013 Dec 13;8:141. doi: 10.1186/1748-5908-8-141.
Helpful Links
- Click here for more information about this study: Strategies in Disseminating Evidence
- Study protocol entitled "Promoting state health department evidence-based cancer and chronic disease prevention: a multi-phase dissemination study with a cluster randomized trial component"
- Baseline research evidence use among public health practitioners in state health departments, and how practitioners obtain evidence
- Intervention effects primary and secondary outcomes from pre-post survey data
- Organizational support associations with research evidence use in state public health agency chronic disease prevention units
- Manager perspectives on organizational supports for evidence-based public health from interviews
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
September 1, 2013
Primary Completion (ACTUAL)
November 1, 2016
Study Completion (ACTUAL)
March 1, 2018
Study Registration Dates
First Submitted
October 31, 2013
First Submitted That Met QC Criteria
October 31, 2013
First Posted (ESTIMATE)
November 7, 2013
Study Record Updates
Last Update Posted (ACTUAL)
July 6, 2018
Last Update Submitted That Met QC Criteria
July 3, 2018
Last Verified
July 1, 2018
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 201111105
- 5R01CA160327 (NIH)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
Survey participants were not asked for permission to share their unidentified data when data were first collected in 2014.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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