Development and Feasibility of Methods for Stakeholder and Equity Data-Driven Implementation in Cancer Control and Prevention

Project summary

To advance equitable implementation of evidence-based interventions (EBIs), researchers need pragmatic tools and applied approaches to identify and prioritize health equity targets and rapidly design and test promising solutions to addressing gaps in service access and outcomes of EBIs. Our team is conducting formative research on the development of a Stakeholder and Equity Data-Driven Implementation (SEDDI) process where healthcare partners use their own clinic data to identify patient groups that experience gaps in outreach, use, access and or benefits from EBIs and adapt EBIs and evaluate adaptations to address gaps in care. We applied SEDDI in a pilot hybrid implementation-effectiveness trial of a dual colorectal cancer (CRC) and social needs screening intervention at four federally qualified community health centers (FQHCs). An external facilitator partnered with FQHC implementation teams over eight months supporting a base implementation phase followed by the SEDDI phase delivered in bi-weekly or monthly sessions. Preliminary evaluation of SEDDI involved concurrent mixed methods with post-implementation surveys and focus groups. Results from this formative research will inform further development of methods for providing stakeholder and data-driven implementation facilitation to identify and prioritize equity targets and guiding adaptations to improve implementation and health outcomes.

Project Leads: Kelly Aschbrenner and Steve Bartels 

Publication

Aschbrenner KA, Kruse G, Emmons K, Singh D, Barber-Dubois ME, Miller A, Thomas A, Bartels S. Stakeholder and Equity Data-Driven Implementation: a Mixed Methods Pilot Feasibility Study. Prevention Science. 2022. Published 2022 Oct 4. https://doi.org/10.1007/s11121-022-01442-9