A conceptual framework and metrics for evaluating multicomponent interventions to increase colorectal cancer...

Area of Science:

• Public Health
• Cancer Prevention
• Health Services Research

Background:

• Multicomponent, evidence-based interventions are crucial for achieving national colorectal cancer (CRC) screening targets.
• These interventions address complex care pathways across individual, health system, and community levels.

Purpose of the Study:

• To develop a framework for evaluating multicomponent interventions in the Colorectal Cancer Control Program (CRCCP).
• To identify metrics and data elements for assessing implementation, effectiveness, and cost-effectiveness of CRC screening interventions.

Main Methods:

• Presented process measures to evaluate intervention implementation for increasing demand, access, and provider delivery of CRC screening.
• Identified performance measures for the screening, diagnosis, and treatment continuum.
• Included intermediate and long-term outcome and cost measures to assess intervention impact.

Main Results:

• Detailed process measures for evaluating the implementation of interventions aimed at boosting CRC screening.
• Defined performance measures across the care continuum for screening, diagnosis, and treatment.
• Presented outcome and cost measures to evaluate the impact of interventions.

Conclusions:

• Understanding the effectiveness of multicomponent interventions is essential for increasing screening and reducing CRC burden.
• A common evaluation framework and methods will enable comparative assessments to identify best practices for CRC screening, especially in underserved populations.