Development, Assessment, and Implementation of an Evaluation for CDC's National Program of Cancer Registries

As part of a national disease prevention strategy, the Center for Disease Control's (CDC's) National Program of Cancer Registries (NPCR) provides funding to establish or enhance state and territorial central registries to reduce cancer mortality. The purpose of this study was to review and revise the evaluation tools used to assess NPCR's progress toward meeting its goals and objectives. An important recommendation was to develop a World Wide Web-based survey system for collecting evaluation data from the registries, and the CDC is already moving forward with this plan. The data collected for this system will receive greater emphasis in achieving cancer control objectives through additional monitoring and financial support of the cancer registries.

AGENCY SPONSOR: National Center for Chronic Disease Prevention and Health Promotion

FEDERAL CONTACT: Simpson, Leah
770-488-4158

PIC ID: 7050

PERFORMER: Battelle Corporation
Arlington, VA

Evaluation of Encarguese De Su Diabetes: Una Guia Para Su Cuidado

The purpose of this guide was to provide information to Hispanics with diabetes who use public sector health services on how to take care of and control their disease. After the preliminary edition of the guide was produced, the Division of Diabetes Translation (DDT) sought to evaluate its understandability, relevance, usefulness and adaptability among diverse U.S. Hispanic populations. The objectives of this study were to identify the types of health information needed for enhancing the day-to-day management of diabetes and to determine additional appropriate methods for communicating information on diabetes self-care. A total of twenty focus groups were held in five locations among Hispanic populations representing Mexican Americans, Central Americans, South Americans, Cuban Americans and Puerto Ricans. A topic guide was developed as a tool to elicit participant perspectives about the guide and additional methods for communicating and disseminating diabetes information. The first phase evaluated the preliminary guide produced by the Centers for Disease Control and Prevention (CDC). The second phase evaluated the revised guide based on the suggested and approved changes and additions made by participants in the first phase, and concentrated on eliciting perspectives on additional methods for communicating information on diabetes self-care. A video concept paper and video script were developed based on information obtained during the focus group discussions. (Note: The final product, "Take Control of Your Diabetes," is available in the PIC Center in both Spanish and English. Or, they can downloaded from the DHHS/CDC web site).

AGENCY SPONSOR: National Center for Chronic Disease Prevention and Health Promotion

FEDERAL CONTACT: Mitchell, Patricia
770-488-5015

PIC ID: 5352

PERFORMER: Casals and Associates
Arlington, VA

Evaluation of the Use of the Code "Probably Benign--Short Term Follow-Up Suggested" to Classify Mammograms

Many breast lesions detected by mammography show features that indicate that they have a high, but not absolute, likelihood of being benign. The American College of Radiology Breast Imaging Reporting and Data System Classification includes "probably benign finding--short interval follow-up suggested" for use in this circumstance. CDC has determined that the use of this code varies across States enrolled in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), a program designed to provide breast and cervical cancer screening and follow-up services to low-income, uninsured women through State health departments. To understand the factors affecting the use of this classification by radiologists, CDC conducted a national survey of these radiologists. The purpose of this study was to understand the range of factors which may impact the use of this code. A series of focus groups of radiologists were conducted in order to determine these factors. Covered in the report are data concerning the background of the radiologist, patient-related factors, practice-related factors, factors external to the clinical setting, and direct information on understanding and use of this code.

AGENCY SPONSOR: National Center for Chronic Disease Prevention and Health Promotion

FEDERAL CONTACT: Caplan, Lee

PIC ID: 7065

PERFORMER: Battelle Corporation
Arlington, VA

Final Report for the Evaluation of the CDC-Supported Technical Assistance Network for Community Planning: Vol. I, Technical Report; Vol. II, Appendices

The purpose of this study was to evaluate for the Centers for Disease Control the HIV/AIDS Technical Assistance Network to: 1) demonstrate the success of the network; 2) recommend ways of strengthening the network; and to 3) develop a design for future evaluations of the TA Network. The methodology consisted of: 1) a process evaluation that involved nine TA partners who were in the TA Network at the time of the evaluation. This process evaluation took the form of face-to-face and telephone discussions and document reviews; and 2) an effectiveness evaluation which consisted of eight case studies of successful TA "experiences." The final report provides a rich description of the TA Network and a list of 12 recommendations for strengthening the TA Network and the community planning process as a whole. Among other things, the TA Network could improve its coordination and establish an identify for itself through logos and common outreach materials. In addition, the TA Network could provide common training and orientation opportunities for TA-providing organizations or among individual TA consultants to ensure consistency throughout the TA Network. [Two volume Final Report: Vol. I, Technical Report; Vol. II, Appendices].

AGENCY SPONSOR: National Center for Chronic Disease Prevention and Health Promotion

FEDERAL CONTACT: Barrington, Tracey
404-639-0953

PIC ID: 6706

PERFORMER: Battelle Corporation
Arlington, VA

Public Health Education Needs for CDC's National Skin Cancer Prevention Education Program

The purpose of this study was to determine parental knowledge, attitudes and behaviors regarding skin cancer prevention for children in a representative sample of the U.S. population. Skin cancer is the most common form of cancer in the United States, with an annual incidence of 700,000 cases and a mortality rate of 9,000 people each year. Major risk factors for skin cancer are skin sensitivity and exposure to ultraviolet radiation. Although the effects of sun exposure are typically not seen until later in life, 50 percent to 80 percent of total lifetime sun exposure occurs before the age of 18 and the average child receives three times the annual exposure of adults. While current estimates suggest that sun protection behaviors are practiced by about half of white American adults, limited research has been done regarding sun protection behaviors of parents for their children. The results of the study are used for two purposes. First, they provide baseline data on knowledge, attitudes and behaviors so that CDC's National Skin Cancer Prevention and Education Program can measure changes over time. Second, they are used to develop effective health education messages as part of the program. A survey was administered over the phone to a nationally representative sample of parents of children aged between six months and eleven years old. A Computer Assisted Telephone Interview (CATI) System was used, and the survey sampling plan targeted households using a dual frame approach. A total of 22,626 phone numbers were included in the survey sample. 13, 675 households were contacted, and of that number, 1, 286 successfully completed the interview.

AGENCY SPONSOR: National Center for Chronic Disease Prevention and Health Promotion

FEDERAL CONTACT: Hall, Irene
770-488-3001

PIC ID: 7066

PERFORMER: Battelle
Durham, NC