Factors that support readiness to implement integrated evidence-based practice to increase cancer screening

Area of Science:

• Public Health
• Implementation Science
• Health Services Research

Background:

• The Centers for Disease Control and Prevention (CDC) established the Colorectal Cancer Control Program (CRCCP) in 2015 to boost colorectal cancer (CRC) screening rates.
• This program collaborates with healthcare systems and primary care clinics to integrate CRC screening with other health management activities.

Purpose of the Study:

• To explore factors influencing primary care clinic readiness for implementing integrated evidence-based interventions (EBIs) for CRC screening.
• To understand how to promote CRC screening alongside chronic disease management and other screenings.

Main Methods:

• Utilized the Consolidated Framework for Implementation Research (CFIR) for a literature review and data analysis.
• Conducted interviews with stakeholders from four purposively selected CRCCP awardees.
• Employed systematic coding with NVivo software to identify emergent themes and analyzed screening outcome data.

Main Results:

• Four key factors identified: funding environment, clinic governance, information sharing, and leadership support.
• CRCCP sites facilitated readiness through coordinated funding, technical assistance, and integration into existing workflows.
• These efforts supported the integration of EBIs for CRC screening with other health activities.

Conclusions:

• CRCCP sites successfully supported clinic readiness for integrated CRC screening EBIs.
• Integration increased CRC screening uptake and improved patient care coordination.
• Flexible funding, data sharing, staff coordination, and leadership are crucial for integrated, patient-centered care.