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Developmental milestones across the programmatic life cycle: Implementing the CDC's Colorectal Cancer Screening Demonstration Program.
MedLine Citation:
PMID:  23868487     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: In 2005 through 2009, the Centers for Disease Control and Prevention (CDC) funded 5 sites to implement a colorectal cancer screening program for uninsured, low-income populations. These 5 sites composed a demonstration project intended to explore the feasibility of establishing a national colorectal cancer screening program through various service delivery models.
METHODS: A longitudinal, multiple case study was conducted to understand and document program implementation processes. Using metaphor as a qualitative analytic technique, evaluators identified stages of maturation across the programmatic life cycle.
RESULTS: Analysis rendered a working theory of program development during screening implementation. In early stages, program staff built relationships with CDC and local partners around screening readiness, faced real-world challenges putting program policies into practice, revised initial program designs, and developed new professional skills. Midterm implementation was defined by establishing program cohesiveness and expanding programmatic reach. In later stages of implementation, staff focused on sustainability and formal program closeout, which prompted reflection about personal and programmatic accomplishments.
CONCLUSIONS: Demonstration sites evolved through common developmental stages during screening implementation. Findings elucidate ways to target technical assistance to more efficiently move programs along their maturation trajectory. In practical terms, the time and cost associated with guiding a program to maturity may be potentially shortened to maximize return on investment for both organizations and clients receiving service benefits. Cancer 2013;119(15 suppl):2926-39. © 2013 American Cancer Society.
Authors:
Rebecca Glover-Kudon; Amy Degroff; Elizabeth A Rohan; Judith Preissle; Jennifer E Boehm
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cancer     Volume:  119 Suppl 15     ISSN:  1097-0142     ISO Abbreviation:  Cancer     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0374236     Medline TA:  Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2926-39     Citation Subset:  AIM; IM    
Copyright Information:
© 2013 American Cancer Society.
Affiliation:
University Health Center, University of Georgia, Athens, Georgia; Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
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