Champions for Colorectal Cancer Screening in South Carolina

Transcription

1 Champions for Colorectal Cancer Screening in South Carolina Hiluv S. Johnson, MSW Program Coordinator Colorectal Cancer Screening Program in South Carolina University of South Carolina This is a program of the Colorectal Cancer Screening Program in South Carolina (CCSPSC). The CCSPSC is funded by the Centers for Disease Control and Prevention (Grant #: NU58DP006137). The grant is awarded to Dr. Heather Brandt in the Arnold School of Public Health and Dr. Frank Berger in the Center for Colon Cancer Research at the University of South Carolina. Contact: Hiluv Johnson, program coordinator, hsjohnso@mailbox.sc.edu

2 Colorectal Cancer Screening Program in South Carolina Long-term Outcome: Decreased CRC mortality through increased participation in CRC screening The purpose of the Colorectal Cancer Screening Program in South Carolina (CCSPSC) is to increase participation in CRC screening by working with partner health systems to implement priority evidence-based strategies. CDC Colorectal Cancer Control Program:

3 CCSPSC Partners South Carolina Primary Health Care Association American Cancer Society Colorectal Cancer Prevention Network Eight FQHC systems in South Carolina: CareSouth Carolina Carolina Health Centers Eau Claire Cooperative Health Centers HopeHealth Little River Medical Center New Horizon Family Health Services ReGenesis Health Care Sandhills Medical Foundation Advisory Council Evaluation Committee Other partners

4 CCSPSC Phased Approach to Implementation with Partners Phase 1 Building Partnerships Building Partnership with FQHC System MOA Complete Sites Selection Phase 2 Collecting Baseline Data and Planning Collect Baseline Data Develop Implementation Plan Phase 3 Implementing Evidence-based Strategies Conduct Professional Education Conduct Training Go Live! Phase 4 Supporting and Monitoring Implementation Support Implementation of Evidence-based Strategies Monitor Implementation Conduct Technical Assistance (TA) Collect Annual Data Evaluation-Activities Phase 5 Sustainability and Maintenance Annual Review Process Ongoing TA Focus on Sustainability Collect Annual Data Evaluation Activities

5 Champions for CRC Screening in South Carolina

6 Purpose of Champions Training Experience To cultivate a cadre of proponents of colorectal cancer screening in FQHC settings who lead efforts to increase CRC screening and work to address and overcome barriers to CRC screening in their sites and among their clients

7 Champions Training Experience One-and-a-half day in-person training (June 18-19, 2018) Monthly s (July 2018-June 2019) Two learning community webinars (January 2019, June 2019) Engage in CCSPSC programmatic activities Shared resources (Dropbox) Individual consultation and support, as needed

8 Learning Objectives: In-person Training By the end of the in-person training, participants will be able to: Explain and discuss CRC screening recommendations; Discuss the importance of applying evidence-based strategies to increase CRC screening; Describe ways in which a champion can help increase CRC screening, such as through supporting, marketing, and driving CRC screening, overcoming organizational indifference or resistance; Provide examples of activities in which to engage as a champion to increase CRC screening; Understand available resources to support being a champion, including engaging others to support efforts to increase CRC screening; and Plan activities to serve as a champion for CRC in the next six months and in the next year.

9 Content: In-person Training Presentations (In-person and recorded), e.g., What is a champion In-depth overview of CRC screening Using what works Activities, e.g., Why I am a champion How can I be an advocate What is my plan Champions Plan Letter

10 In-person Presenters

11 Recorded Presentations

12 Focus on Advocacy The Hook: About you The Line: Why the issue is important The Sinker: Making the ask

13 Interactive Activities

14 Monthly s

15 Evaluation Impact evaluation Before and after in-person training January 2019 (~6 months) July 2019 (~12 months) Process evaluation Real time evaluation during in-person training Webinar evaluation (post only) Monitor requests for assistance

16 Preliminary Results: In-person Training "At this time I am confident in my ability to..." Plan activities to serve as a champion for colorectal cancer screening in the next year. Plan activities to serve as a champion for colorectal cancer screening in the next six months Organize activities to raise awareness about colorectal cancer screening Communicate with elected officials about colorectal cancer screening. Lead or co-lead an educational program on colorectal cancer screening in my community. Lead or co-lead a professional education program on colorectal cancer screening in my community. Understand available resources to support being a champion, including engaging others to support efforts to increase colorectal cancer screening. Access available resources to support being a champion. Provide examples of activities in which to engage as a champion to increase colorectal cancer screenings. Describe ways in which a champion can help increase colorectal cancer screening. Discuss the importance of applying evidence-based strategies to increase colorectal cancer screening. Explain and discuss colorectal cancer screening recommendations Pre-Training AVG (n=24) Post-Training AVG (n=17) 1 = less confident 4 = more confident

17 Preliminary Results: In-person Training "Please provide your overall feedback on the in-person champions training." How well do you feel that the in-person champions training has been helpful to prepare you to serve as a champion for colorectal cancer screening? 3.44 There was too much information covered in the champions training Overall, the presenters were well prepared There was sufficient opportunity to ask questions during the champions training The information presented in the champions training session was very clear = strongly disagree 4 = strongly agree Post- Training AVG (n=17)

18 Preliminary Results: In-person Training Real time evaluation during the in-person training More in-depth review of screening options Engaging speakers Strategies for success Best ways to motivate patients Continuously use clinical information Recorded presentations (good info, but video was not ideal delivery) More time for questions More time for interactions with other sites

19 Acknowledgments Hiluv Johnson, Cindy Calef, Ranina Outing, Minjee Lee, Maria Zubizarreta Core for Applied Research and Evaluation (CARE), Arnold School of Public Health, University of South Carolina (led by Dr. Lauren Workman) South Carolina Primary Health Care Association American Cancer Society Colorectal Cancer Prevention Network of the Center for Colon Cancer Research Eight federally-qualified health center (FQHC) systems in South Carolina (15 FQHC sites across the eight systems) Advisory Council Evaluation Committee Other partners The Colorectal Cancer Screening Program in South Carolina is funded by the Centers for Disease Control and Prevention (Grant #: NU58DP006137). The grant is awarded to Dr. Heather Brandt in the Arnold School of Public Health and Dr. Frank Berger of the Center for Colon Cancer Research at the University of South Carolina. Contact: Hiluv Johnson, program coordinator,