scholarly journals Examining the external validity of the CRUZA study, a randomized trial to promote implementation of evidence-based cancer control programs by faith-based organizations

2018 ◽  
Vol 10 (1) ◽  
pp. 213-222 ◽  
Author(s):  
Jennifer Dacey Allen ◽  
Rachel C Shelton ◽  
Lindsay Kephart ◽  
Laura S Tom ◽  
Bryan Leyva ◽  
...  
Keyword(s):  
Cancer Control ◽  
Public Health Research ◽  
Organizational Level ◽  
Evidence Based ◽  
Organizational Setting ◽  
Intervention Trial ◽  
Implementation Climate ◽  
Faith Based ◽  
Change Commitment ◽  
Faith Based Organizations

Abstract The CRUZA trial tested the efficacy of an organizational-level intervention to increase capacity among Catholic parishes to implement evidence-based interventions (EBIs) for cancer control. This paper examines the external generalizability of the CRUZA study findings by comparing characteristics of parishes that agreed to participate in the intervention trial versus those that declined participation. Sixty-five Roman Catholic parishes that offered Spanish-language mass in Massachusetts were invited to complete a four-part survey assessing organization-level characteristics that, based on the Consolidated Framework for Implementation Research (CFIR), may be associated with EBI implementation. Forty-nine parishes (75%) completed the survey and were invited to participate in the CRUZA trial, which randomized parishes to either a “capacity enhancement intervention” or a “standard dissemination” group. Of these 49 parishes, 31 (63%) agreed to participate in the trial, whereas 18 parishes (37%) declined participation. Parishes that participated in the CRUZA intervention trial were similar to those that did not participate with respect to “inner organizational setting” characteristics of the CFIR, including innovation and values fit, implementation climate, and organizational culture. Change commitment, a submeasure of organizational readiness that reflects the shared resolve of organizational members to implement an innovation, was significantly higher among the participating parishes (mean = 3.93, SD = 1.08) as compared to nonparticipating parishes (mean = 3.27, SD = 1.08) (Z = −2.16, p = .03). Parishes that agreed to participate in the CRUZA intervention trial were similar to those that declined participation with regard to organizational characteristics that may predict implementation of EBIs. Pragmatic tools to assess external generalizability in community-based implementation trials and to promote readiness among faith-based organizations to implement EBIs are needed to enhance the reach and impact of public health research. Clinical Trial information: The CRUZA trial identifier number with clinicaltrials.gov is NCT01740219.

scholarly journals Dissemination of evidence-based cancer control interventions among Catholic faith-based organizations: results from the CRUZA randomized trial

2015 ◽  
Vol 11 (1) ◽  
Author(s):  
Jennifer D. Allen ◽  
Maria Idalí Torres ◽  
Laura S. Tom ◽  
Bryan Leyva ◽  
Ana V. Galeas ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Cancer Control ◽  
Evidence Based ◽  
Faith Based ◽  
Catholic Faith ◽  
Faith Based Organizations

scholarly journals Enhancing capacity among faith-based organizations to implement evidence-based cancer control programs: a community-engaged approach

2017 ◽  
Vol 7 (3) ◽  
pp. 517-528 ◽  
Author(s):  
Bryan Leyva ◽  
Jennifer D. Allen ◽  
Hosffman Ospino ◽  
Laura S. Tom ◽  
Rosalyn Negrón ◽  
...  
Keyword(s):  
Cancer Control ◽  
Evidence Based ◽  
Control Programs ◽  
Faith Based ◽  
Faith Based Organizations

scholarly journals Promoting Policy and Environmental Change in Faith-Based Organizations: Organizational Level Findings From a Mini Grants Program

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
April Hermstad ◽  
Kimberly Arriola ◽  
Shauna St. Clair ◽  
Sally Honeycutt ◽  
Michelle Carvalho ◽  
...  
Keyword(s):  
Environmental Change ◽  
Organizational Level ◽  
Faith Based ◽  
Faith Based Organizations

Assessing Organizational Factors in Faith-based Organizations Partnering in Health Promotion Interventions

2013 ◽  
Author(s):  
Erin K. Tagai ◽  
Cheryl L. Holt ◽  
Mary Ann Scheirer ◽  
Sherie Lou Z. Santos ◽  
Nancy Atkinson ◽  
...  
Keyword(s):  
Health Promotion ◽  
Organizational Factors ◽  
Faith Based ◽  
Faith Based Organizations ◽  
Health Promotion Interventions

The quantitative and qualitative contributions of faith based organizations to healthcare: The Kenya case

2017 ◽  
Vol 4 (3) ◽  
pp. 60-71 ◽  
Author(s):  
Alfredo Fort
Keyword(s):  
Health Facility ◽  
Management Practices ◽  
Developing World ◽  
Weighted Average ◽  
Relative Strength ◽  
For Profit ◽  
Faith Based ◽  
Non Governmental Organizations ◽  
Faith Based Organizations ◽  
The Government

Though difficult to ascertain because faith based organizations (FBOs) might keep a low profile, be confused with other non-governmental organizations (NGOs), or survey respondents may not know the nature of facilities attended to, these organizations have a long presence in teaching health personnel and delivering health services in many rural and remote populations in the developing world. It is argued that their large networks, logistics agreements with governments, and mission-driven stance brings them closer to the communities they serve, and their services believed of higher quality than average. Kenya has a long history of established FBOs substantial recent health investment by the government. We aimed to find the quantitative and qualitative contributions of FBOs by analyzing two recent data sources: the live web-based nationwide Master Health Facility List, and the 2010 nationwide Service Provision Assessment (SPA) survey. Using this information, we found that FBOs contribute to 11% of all health facilities’ presence in the country, doubling to 23% of all available beds, indicating their relative strength in owning mid-level hospitals around the country. We also constructed an index of readiness as a weighted average from services offered, good management practices and availability of medicines and commodities for 17 items assessed during the SPA survey. We found that FBOs topped the list of managing authorities, with 70 percent of health facility readiness, followed closely by the government at 69 percent, NGOs at 61 percent and lastly a distant private for profit sector at 50 percent. These results seem to indicate that FBOs continue to contribute to an important proportion of health care coverage in Kenya, and that they do so with a relatively high quality of care among all actors. It would be of interest to replicate the analysis with similar databases for other countries in the developing world.

Trends in the incidence and mortality of oral cancer in Nevada (Preprint)

2020 ◽  
Author(s):  
Kevin Foote ◽  
Karl Kingsley
Keyword(s):  
Public Health ◽  
Oral Cancer ◽  
Cancer Incidence ◽  
Cancer Control ◽  
Cancer Registries ◽  
Public Health Research ◽  
Chi Square ◽  
Incidence And Mortality ◽  
The Us ◽  
Chi Square Analysis

BACKGROUND Reviews of national and state-specific cancer registries have revealed differences in rates of oral cancer incidence and mortality that have implications for public health research and policy. Many significant associations between head and neck (oral) cancers and major risk factors, such as cigarette usage, may be influenced by public health policy such as smoking restrictions and bans – including the Nevada Clean Indoor Act of 2006 (and subsequent modification in 2011). OBJECTIVE Although evaluation of general and regional advances in public policy have been previously evaluated, no recent studies have focused specifically on the changes to the epidemiology of oral cancer incidence and mortality in Nevada. METHODS Cancer incidence and mortality rate data were obtained from the National Cancer Institute (NCI) Division of Cancer Control and Population Sciences (DCCPS) Surveillance, Epidemiology and End Results (SEER) program. Most recently available rate changes in cancer incidence and mortality for Nevada included the years 2012 – 2016 and are age-adjusted to the year 2000 standard US population. Comparisons of any differences between Nevada and the overall US population were evaluated using Chi square analysis. RESULTS This analysis revealed that the overall rates of incidence and mortality from oral cancer in Nevada differs from that observed in the overall US population. For example, although the incidence of oral cancer among Caucasians is increasing in Nevada and the US overall, it is increasing at nearly twice that rate in Nevada, P=0.0002. In addition, although oral cancer incidence among Minorities in the US is declining, it is increasing in Nevada , P=0.0001. Analysis of reported mortality causes revealed that mortality from oral cancer increased in the US overall but declined in Nevada during the same period (2012-2016). More specifically, mortality among both Males and Females in the US is increasing, but is declining in Nevada, P=0.0027. CONCLUSIONS Analysis of the epidemiologic data from Nevada compared with the overall US revealed significant differences in rates of oral cancer incidence and mortality. More specifically, oral cancer incidence increased in Nevada between 2012-2016 among all groups analyzed (Males, Females, White, Minority), while decreases were observed nationally among Females and Minorities. Although mortality in Nevada decreased over this same time period (in contrast to the national trends), the lag time between diagnosis (incidence) and mortality suggests that these trends will change in the near future. CLINICALTRIAL Not applicable

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