Senior Research Assistant, Comprehensive Cancer Control. The George Washington ... Photo courtesy of National Area Healt
Using Community Roundtables to Improve Cancer and Chronic Disease Integration Kanako Kashima Senior Research Assistant, Comprehensive Cancer Control The George Washington University Cancer Center
Funding Disclaimer This work was supported by cooperative agreement #1U38DP004972-03 from the United States Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.
Learning Objectives • Explain the process and structure of the Community Roundtables • Describe the value of convening Community Roundtables to integrate cancer and chronic disease efforts • Identify areas for programmatic improvement and adaptation
Community Roundtables Goal Convene key cancer and chronic disease stakeholders and strengthen relationships at the community, state or regional level to promote increased integration efforts
Cancer
Collaboration
Chronic Disease
Community Roundtables Intended Outcomes Deeper and common understanding of chronic disease integration Commitments from Area Health Education Centers, CCC coalitions, chronic disease groups and community stakeholders Consensus on an initial plan of action to address the selected chronic disease
Partnership with Area Health Education Centers
Photo courtesy of National Area Health Education Center Organization
Partnership with Area Health Education Centers 10
9
8
6
6
6
4 2 0
1
Very unengaged
2
3
Neutral
0
0
4
5
Very engaged
Partnership with Area Health Education Centers
Topics • Nutrition, physical activity and obesity • Tobacco and alcohol use and substance abuse • Access to health services • Mental and emotional wellbeing
Static across 3 years
Strategies • Epidemiology, surveillance and IT • Policy, systems and environmental approaches • Prevention and detection • Communication, education and training • Coordination between health professionals • Community-clinical linkages • Workforce improvement Changes every year
Inputs • Roundtable member staff time • Programmatic resources with similar goals and objectives Activities over three years • Yearly in-person meeting; Semi-annual conference call • Regular workgroup meetings and activities
Outputs - Planning worksheets - Implementation - Published report from GW
Short-term • Increased communication between members and knowledge of cancer and chronic disease landscape Intermediate • Increased shared resources • Increased joint and collaborative projects Lower the burden of chronic diseases
Long-term • Improved delivery of cancer and chronic disease programs
Outputs - Conference presentations - Joint-funding applications
Evaluation Methods
PreRoundtable
• Demographics • Participant’s perceived capability to address chronic disease risk factors; expectations; belief that they will be able to make a difference in the field; perceived support and reinforcement of their activities; and confidence to address the chronic disease topic • Social network data
Evaluation Methods
PostRoundtable
• Participant’s perceived capability to address chronic disease risk factors; expectations; belief that they will be able to make a difference in the field; perceived support and reinforcement of their activities; and confidence • Process outcomes and satisfaction
Activities: Northeast Kentucky Topic: Tobacco • Identified local and national smoking cessation resources • Incorporated into St. Claire Regional Medical Center’s EMR for easy referrals • Offering tobacco treatment specialist program
Northeast Kentucky
Pre-Roundtable 2015
Pre-Roundtable 2016
Northeast Kentucky Pre-Roundtable 2015
Pre-Roundtable 2016
Average Degree 6.61 5.44 Average Distance 1.89 2.03 Dyad Reciprocity 0.12 0.40
Activities: Champlain Valley Topic: Nutrition and Physical Activity • Partnered with Vermont Department of Health to amplify communication campaign
Champlain Valley
Pre-Roundtable 2015
Pre-Roundtable 2016
Champlain Valley Pre-Roundtable 2015
Average Degree 4.97 9.31 Average Distance 2.17 2.06 Dyad Reciprocity 0.38 0.21
Pre-Roundtable 2016
Activities: Florida
Topic: Nutrition and Physical Activity • Mapped resources • Incorporated chronic disease slant to the South West Cancer Control Collaborative’s two-year strategic plan
Florida
Pre-Roundtable 2015
Pre-Roundtable 2016
Florida Pre-Roundtable 2015
Pre-Roundtable 2016
Average Degree 2.83 4.43 Average Distance 2.12 1.99 Dyad Reciprocity 0.42 0.62
Activities: South Dakota Topic: Nutrition and Physical Activity • Mapped resources • Collaborating with cancer clinics for referrals to Diabetes Prevention Program
South Dakota
Pre-Roundtable 2016 Pre-Roundtable 2015
South Dakota Pre-Roundtable 2015
Pre-Roundtable 2016
Average Degree 6.50 6.15 Average Distance 1.52 1.66 Dyad Reciprocity 0.86 0.64
Areas for Improvement • Additional funding for workgroups activities • Emphasize that integration ≠ more work • Maximize strong ties
Adaptation • Process in place • Tailor to community needs and relationship structure • Use social network analysis to gauge integration changes
Community Roundtable Evaluation Report – Year 1 • Outlines process and evaluation • Highlights successes and challenges • Includes materials used for potential replication • Year 2 report forthcoming http://bit.ly/RT2015Report
Acknowledgments
Aubrey Villalobos, MPH, MEd
Mandi Pratt-Chapman, MA
Thank You!
Kanako Kashima
[email protected]
www.CancerControlTAP.org • Free online learning modules on: • Patient navigation • Cancer survivorship • Communication and Media • Comprehensive Cancer Control toolkits and guides • Webinars and Ask-the-Expert sessions • …and more!