Information DisseminationNCT01978054
Disseminating Public Health Evidence to Support State Health Department Prevention of Cancer and Other Chronic Diseases
A study testing Dissemination of public health knowledge in people with Information Dissemination and Evidence-Based Public Health, run by Washington University School of Medicine at 1 site in United States.
Trial summary
The purpose of this study is to identify and evaluate dissemination strategies to promote the uptake of evidence-based cancer and other chronic disease prevention among state-level public health practitioners. Read more about this study
- Who is it for?
- Ages 21 years and olderHealthy volunteers can take part
- Conditions the study is for
- Information Dissemination, Evidence-Based Public Health
- What is being tested?
- Dissemination of public health knowledge
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,703 participants
- Where
- 1 siteUnited States
- Study dates
- Sep 2013to Mar 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 21 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- State Health Department chronic disease units (cluster) in the United States and corresponding public health workforce (individuals within cluster)
Who cannot join
- State health department has received extensive technical assistance and training comparable to our intervention (dissemination activities)
- Origin state has no logical matching pair matched state based on state population size
- Origin state has the lowest excess burden of cancer and other chronic risk and disease
- Origin state health department has lowest or highest capacity for EBDM as determined from previous research
Trial locations and contacts
1 site in 1 country.
United States1 site
Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis
St Louis, Missouri, 63130
About this study
Official title: Disseminating Evidence-Based Interventions to Control Cancer
The purpose of this study is to identify and evaluate dissemination strategies to promote the uptake of evidence-based cancer and other chronic disease prevention among state-level public health practitioners. Dissemination strategies such as multi-day in-person training workshops and electronic information exchange modalities are hypothesized to associate with improved access and use of public health evidence and organizational supports for program and policy decision making based on evidence-based public health.
Read the detailed description
Evidence-based public health approaches to prevent cancer and other chronic diseases have been identified in recent decades and have the potential for high impact. Yet barriers to implement prevention approaches persist as a result of multiple factors including lack of organizational support, limited resources, competing priorities, and limited skill among the public health workforce. The purpose of this study was to learn how best to promote the adoption of evidence based public health practice related to chronic disease prevention. This cluster randomized trial aimed to evaluate the dissemination of public health knowledge about evidence-based prevention of cancer and other chronic diseases and test receptivity and usefulness of dissemination strategies directed toward state health department chronic disease practitioners to enhance capacity and organizational support for evidence-based chronic disease prevention. Twelve state health department chronic disease units were randomly selected and assigned to intervention or control. State health department staff and the university-based study team jointly identified, refined, and selected dissemination strategies. Intervention strategies included multi-day in-person training workshops, remote telephone follow-up and technical assistance, supplemental brief remote trainings, and health department work unit procedural changes to support and strengthen evidence-based decision making. Evaluation methods included pre-post surveys and structured qualitative phone interviews.
- Being tested
- Dissemination of public health knowledge
- Keywords
- Information Dissemination, Information Sharing, Innovation Diffusion, Public Health Practice, Evidence-Based Public Health, Chronic Disease Prevention, Cancer Prevention and Control
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Dissemination of public health knowledgeOther
State health department chronic disease units will be involved with developing and choosing dissemination activities to spread public health knowledge and information on population-based public health strategies that have been shown to reduce risk factors for cancer and other chronic diseases. Example of activities include: multi-day in-person training workshops and electronic information exchange modalities.
| Study group | Role | What they receive |
|---|---|---|
| Dissemination | Experimental | Dissemination of public health knowledge: Participating states will help develop and choose 3-5 dissemination strategies they prefer for their state health department chronic disease units to receive. Dissemination strategies may include multi-day in-person training workshops, electronic information exchange modalities, and information on ways to enhance organizational climates favorable to evidence-based chronic disease prevention. Receives: Other: Dissemination of public health knowledge |
| Comparison | No intervention | Comparison state health department chronic disease units will be provided links to preexisting sources of public health evidence-based information such as the Community Guide, Cancer Control P.L.A.N.E.T. (Plan, Link, Act, Network, with Evidence-based Tools), and NCI Research to Reality. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Organizational supports for evidence-based decision making (EBDM)
Self-report Likert scale items in 4 factors: access to evidence and skilled staff, program evaluation, supervisory expectations and incentives for EBDM, and participatory decision-making
Measured: 18-24 months post baseline
Secondary outcomes (2)
EBDM competencies
Self-report Likert scale items measure perceived importance and availability of specific public health practitioner skill sets for EBDM
Measured: 18-24 months post baseline
Use of research evidence for job tasks
Self-report frequency items for 6 job tasks, summary variable creating by calculating the mean frequency across the tasks
Measured: 18-24 months post baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Nov 2013 (estimated)
- Study startSep 2013
- Primary completionNov 2016
- Study completionMar 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Information DisseminationStudies of the same condition, open and under way.
- More trials run by Washington University School of MedicineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,703 participants (actual)
Sponsor and investigators
- Lead sponsor
- Washington University School of Medicine
- Sponsor type
- University, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Responsible party
- Sponsor
- Investigators
- Ross C Brownson, PhD, Principal investigator, Washington University School of Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01978054
- Sponsor's protocol ID
- 201111105
- Other IDs
- 5R01CA160327
- Status last verified
- Jul 2018
- First submitted
- 31 Oct 2013
- Last updated
- 6 Jul 2018
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No: Survey participants were not asked for permission to share their unidentified data when data were first collected in 2014.
Publications
Jacob RR, Baker EA, Allen P, Dodson EA, Duggan K, Fields R, Sequeira S, Brownson RC. Training needs and supports for evidence-based decision making among the public health workforce in the United States. BMC Health Serv Res. 2014 Nov 14;14:564. doi: 10.1186/s12913-014-0564-7.
PubMed 25398652Allen P, Sequeira S, Jacob RR, Hino AA, Stamatakis KA, Harris JK, Elliott L, Kerner JF, Jones E, Dobbins M, Baker EA, Brownson RC. Promoting state health department evidence-based cancer and chronic disease prevention: a multi-phase dissemination study with a cluster randomized trial component. Implement Sci. 2013 Dec 13;8:141. doi: 10.1186/1748-5908-8-141.
PubMed 24330729
Study at a glance
From the registry record, last updated by the sponsor on 6 Jul 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Disseminating Evidence-Based Interventions to Control Cancer
- ClinicalTrials.gov ID
- NCT01978054
- Acronym / sponsor ID
- 201111105
- Keywords
- Information Dissemination, Information Sharing, Innovation Diffusion, Public Health Practice, Evidence-Based Public Health, Chronic Disease Prevention, Cancer Prevention and Control
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,703 participants (actual)
- Lead sponsor
- Washington University School of MedicineUniversity, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Study start
- Sep 2013
- Primary completion
- Nov 2016 (actual)
- Study completion
- Mar 2018 (actual)
- First posted
- 7 Nov 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to identify and evaluate dissemination strategies to promote the uptake of evidence-based cancer and other chronic disease prevention among state-level public health practitioners. Dissemination strategies such as multi-day in-person training workshops and electronic information exchange modalities are hypothesized to associate with improved access and use of public health evidence and organizational supports for program and policy decision making based on evidence-based public health.
Detailed description
Evidence-based public health approaches to prevent cancer and other chronic diseases have been identified in recent decades and have the potential for high impact. Yet barriers to implement prevention approaches persist as a result of multiple factors including lack of organizational support, limited resources, competing priorities, and limited skill among the public health workforce. The purpose of this study was to learn how best to promote the adoption of evidence based public health practice related to chronic disease prevention. This cluster randomized trial aimed to evaluate the dissemination of public health knowledge about evidence-based prevention of cancer and other chronic diseases and test receptivity and usefulness of dissemination strategies directed toward state health department chronic disease practitioners to enhance capacity and organizational support for evidence-based chronic disease prevention. Twelve state health department chronic disease units were randomly selected and assigned to intervention or control. State health department staff and the university-based study team jointly identified, refined, and selected dissemination strategies. Intervention strategies included multi-day in-person training workshops, remote telephone follow-up and technical assistance, supplemental brief remote trainings, and health department work unit procedural changes to support and strengthen evidence-based decision making. Evaluation methods included pre-post surveys and structured qualitative phone interviews.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Dissemination | Experimental | Other: Dissemination of public health knowledgeDissemination of public health knowledge: Participating states will help develop and choose 3-5 dissemination strategies they prefer for their state health department chronic disease units to receive. Dissemination strategies may include multi-day in-person training workshops, electronic information exchange modalities, and information on ways to enhance organizational climates favorable to evidence-based chronic disease prevention. |
| Comparison | No intervention | –Comparison state health department chronic disease units will be provided links to preexisting sources of public health evidence-based information such as the Community Guide, Cancer Control P.L.A.N.E.T. (Plan, Link, Act, Network, with Evidence-based Tools), and NCI Research to Reality. |
Who may qualify
- Ages
- 21 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- State Health Department chronic disease units (cluster) in the United States and corresponding public health workforce (individuals within cluster)
Key exclusion criteria (4 listed)
- State health department has received extensive technical assistance and training comparable to our intervention (dissemination activities)
- Origin state has no logical matching pair matched state based on state population size
- Origin state has the lowest excess burden of cancer and other chronic risk and disease
- Origin state health department has lowest or highest capacity for EBDM as determined from previous research
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Dissemination of public health knowledgeState health department chronic disease units will be involved with developing and choosing dissemination activities to spread public health knowledge and information on population-based public health strategies that have been shown to reduce risk factors for cancer and other chronic diseases. Example of activities include: multi-day in-person training workshops and electronic information exchange modalities. | Other | Dissemination |
Primary outcome
Organizational supports for evidence-based decision making (EBDM)
Time frame: 18-24 months post baseline
Self-report Likert scale items in 4 factors: access to evidence and skilled staff, program evaluation, supervisory expectations and incentives for EBDM, and participatory decision-making
2 secondary outcomes
EBDM competencies
Time frame: 18-24 months post baseline
Use of research evidence for job tasks
Time frame: 18-24 months post baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jul 2018.
- Derived from this study: PubMed 25398652Jacob RR, Baker EA, Allen P, Dodson EA, Duggan K, Fields R, Sequeira S, Brownson RC. Training needs and supports for evidence-based decision making among the public health workforce in the United States. BMC Health Serv Res. 2014 Nov 14;14:564. doi: 10.1186/s12913-014-0564-7.
- Derived from this study: PubMed 24330729Allen P, Sequeira S, Jacob RR, Hino AA, Stamatakis KA, Harris JK, Elliott L, Kerner JF, Jones E, Dobbins M, Baker EA, Brownson RC. Promoting state health department evidence-based cancer and chronic disease prevention: a multi-phase dissemination study with a cluster randomized trial component. Implement Sci. 2013 Dec 13;8:141. doi: 10.1186/1748-5908-8-141.
- Click here for more information about this study: Strategies in Disseminating EvidenceLink provided by the sponsor.
- Study protocol entitled "Promoting state health department evidence-based cancer and chronic disease prevention: a multi-phase dissemination study with a cluster randomized trial component"Link provided by the sponsor.
- Baseline research evidence use among public health practitioners in state health departments, and how practitioners obtain evidenceLink provided by the sponsor.
- Organizational support associations with research evidence use in state public health agency chronic disease prevention unitsLink provided by the sponsor.
- Manager perspectives on organizational supports for evidence-based public health from interviewsLink provided by the sponsor.
- Individual participant dataSharing planned: No. Survey participants were not asked for permission to share their unidentified data when data were first collected in 2014.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ross C Brownson, PhD principal investigator
Washington University School of Medicine
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Dissemination of public health knowledge in people with Information Dissemination and Evidence-Based Public Health, run by Washington University School of Medicine at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Jul 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Organizational supports for evidence-based decision making (EBDM) (time frame: 18-24 months post baseline). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01978054, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jul 2018.