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Developmental milestones across the programmatic life cycle: implementing the CDC's Colorectal Cancer Screening
Rebecca Glover-Kudon1, Amy DeGroff, Elizabeth A Rohan
1University Health Center, University of Georgia, Athens, Georgia, USA. RGloverKudon@cdc.gov
Cancer
|July 23, 2013
Summary
Colorectal cancer screening programs for low-income, uninsured populations evolve through distinct developmental stages. Targeted technical assistance can accelerate program maturity, improving efficiency and maximizing return on investment.
Area of Science:
- Public Health
- Health Services Research
- Program Implementation Science
Background:
- Centers for Disease Control and Prevention (CDC) funded a 5-site demonstration project (2005-2009).
- Project focused on colorectal cancer screening for uninsured, low-income populations.
- Explored feasibility of national screening programs via diverse service delivery models.
Purpose of the Study:
- To understand and document the implementation processes of colorectal cancer screening programs.
- To identify common developmental stages and challenges during program maturation.
- To inform strategies for efficient program development and technical assistance.
Main Methods:
- Longitudinal, multiple case study design.
- Qualitative analysis using metaphor as an analytic technique.
- Examined program life cycle and maturation stages.
Main Results:
- A working theory of program development emerged during screening implementation.
- Early stages: relationship building, policy challenges, skill development.
- Mid-stages: program cohesiveness, expanded reach.
- Later stages: sustainability, closeout, reflection.
Conclusions:
- Demonstration sites exhibited common developmental trajectories.
- Findings suggest targeted technical assistance can optimize program maturation.
- Potential to reduce time and cost, enhancing organizational and client benefits.
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