J Public Health Manag Pract

ContextThe National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides cancer screening to low income, un- and underinsured women through over 11,000 primary care clinics. The program is well-positioned to work with health systems to implement evidence-based interventions (EBIs) to increase screening among all women.ObjectiveTo collect baseline data on EBI use, evaluation of EBIs, and related training needs among NBCCEDP grantees.DesignCDC conducted a web-based survey in late 2013 among NBCCEDP grantees for the period July 2012-June 2013. This was the first systematic assessment of EBIs among NBCCEDP grantees.SettingCDC\ue2\u20ac\u2122s National Breast and Cervical Cancer Early Detection ProgramParticipantsPrimarily program directors/coordinators for all 67 NBCCEDP grantees.Main Outcome MeasuresData captured were used to assess implementation of five EBIs, their evaluation, and related training needs. Frequencies and proportions were determined. Cluster analysis identified grantees with similar patterns of EBI use for NBCCEDP clients and providers.ResultsOn average, 4.1 of 5 EBIs were implemented per grantee for NBCCEDP clients and providers. Four clusters were identified including \ue2\u20ac\u153high overall EBI users,\ue2\u20ac? \ue2\u20ac\u153high provider EBI users,\ue2\u20ac? \ue2\u20ac\u153high EBI users with no provider assessment and feedback,\ue2\u20ac? and \ue2\u20ac\u153high client EBI users.\ue2\u20ac? Only 1.8 EBIs were implemented, on average, with non-NBCCEDP clients and providers. Fewer than half (n= 32, 47.8%) of grantees conducted process or outcome evaluation of one or more EBIs. Overall, 47.6% of grantees reported high or medium training needs for client-oriented EBIs and 54.3% for provider-oriented EBIs.ConclusionsNBCCEDP grantees are implementing EBIs extensively with clients and providers. Increased EBI use among non-NBCCEDP clients/providers is needed to extend the NBCCEDP\ue2\u20ac\u2122s reach and impact. Grantee training and technical assistance is necessary across EBIs. Additionally, grantees\ue2\u20ac\u2122 use of process and outcome evaluation of EBI implementation must be increased to inform effective program implementation.CC999999/Intramural CDC HHS/United States2017-09-01T00:00:00Z26672405PMC496919