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Health Promot Pract. 2014 Nov;15(6):904-14. doi: 10.1177/1524839914534685. Epub 2014 May 29.

Grounding evidence-based approaches to cancer prevention in the community: a case study of mammography barriers in underserved African American women.

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University of Texas School of Public Health, Houston, TX, USA
University of Texas School of Public Health, Houston, TX, USA.
Episcopal Health Charities, Houston, TX, USA.


When community health planners select an evidence-based intervention that has been developed and tested in one situation and adapt it for use in a different situation or community, best practice suggests needs assessment and formative research in the new setting. Cancer prevention planners who are interested in adopting and adapting evidence-based approaches need to base their choices on a sound understanding of the health or behavioral risk problem in which they mean to intervene. This requires a balancing act of weighing community information against a broader perspective from the scientific literature and using the combination to identify and adapt an evidence-based intervention program that is likely to be effective in the new setting. This report is a case study of a community and organizational assessment conducted as a foundation for selecting and recommending adaptation of an evidence-based intervention for improving mammography appointment attendance. We used an inductive sequential exploratory mixed-methods design to inform this process. The process provides a model for formative research grounding evidence-based practice for cancer control planners. Future studies that incorporate findings from needs assessment into the adaptation of the selected intervention program may promote the effective dissemination of evidence-based programs.


breast cancer; cancer prevention and control; community-based participatory research; formative evaluation; health disparities; health promotion; health research; program planning and evaluation

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