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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.

Author information

1
University of Texas School of Public Health, Houston, TX, USA linda.d.highfield@uth.tmc.edu.
2
University of Texas School of Public Health, Houston, TX, USA.
3
Episcopal Health Charities, Houston, TX, USA.

Abstract

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.

KEYWORDS:

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

PMID:
24876632
PMCID:
PMC4216624
DOI:
10.1177/1524839914534685
[Indexed for MEDLINE]
Free PMC Article
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