Using Community Roundtables to Improve Cancer and Chronic ...

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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!