title: Colorectal Cancer Control Program grantees' use of evidence-based interventions.
abstract: BACKGROUND
  Colorectal cancer (CRC) screening is recommended for adults aged 50-75 years, yet screening rates are low, especially among the uninsured. The CDC initiated the Colorectal Cancer Control Program (CRCCP) in 2009 with the goal of increasing CRC screening rates to 80% by 2014. A total of 29 grantees (states and tribal organizations) receive CRCCP funding to (1) screen uninsured adults and (2) promote CRC screening at the population level.
  
  
  OBJECTIVE
  CRCCP encourages grantees to use one or more of five evidence-based interventions (EBIs) recommended by the Guide to Community Preventive Services. The purpose of the study was to evaluate grantees' EBI use.
  
  
  METHODS
  A web-based survey was conducted in 2011 measuring grantees' use of CRC screening EBIs and identifying their implementation partners. Data were analyzed in 2012.
  
  
  RESULTS
  Twenty-eight grantees (97%) completed the survey. Most respondents (96%) used small media. Fewer used client reminders (75%); reduction of structural barriers (50%); provider reminders (32%); or provider assessment and feedback (50%). Provider-oriented EBIs were rated as harder to implement than client-oriented EBIs. Grantees partnered with several types of organizations to implement EBIs, many with county- or state-wide reach.
  
  
  CONCLUSIONS
  Almost all grantees implement EBIs to promote CRC screening, but the EBIs that may have the greatest impact with CRC screening are implemented by fewer grantees in the first 2 years of the CRCCP.
authors.affiliation: Health Promotion Research Center, Department of Health Services, School of Public Health, University of Washington, Seattle, Washington. Electronic address: peggyh@uw.edu.
authors.forename: Peggy A
authors.initials: PA
authors.lastname: Hannon
authors.forename: Annette E
authors.initials: AE
authors.lastname: Maxwell
authors.forename: Cam
authors.initials: C
authors.lastname: Escoffery
authors.forename: Thuy
authors.initials: T
authors.lastname: Vu
authors.forename: Marlana
authors.initials: M
authors.lastname: Kohn
authors.forename: Jennifer
authors.initials: J
authors.lastname: Leeman
authors.forename: Michelle L
authors.initials: ML
authors.lastname: Carvalho
authors.forename: Debbie J
authors.initials: DJ
authors.lastname: Pfeiffer
authors.forename: Andrea
authors.initials: A
authors.lastname: Dwyer
authors.forename: Maria E
authors.initials: ME
authors.lastname: Fernandez
authors.forename: Sally W
authors.initials: SW
authors.lastname: Vernon
authors.forename: Lily
authors.initials: L
authors.lastname: Liang
authors.forename: Amy
authors.initials: A
authors.lastname: DeGroff
mesh_terms: D000368:Aged; D002487:Centers for Disease Control and Prevention, U.S.; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000517:prevention & control*; D003625:Data Collection; D019317:Evidence-Based Medicine / Q000191:economics / Q000458:organization & administration*; D005380:Financing, Government; D006293:Health Promotion / Q000191:economics / Q000379:methods; D006801:Humans; D008403:Mass Screening / Q000191:economics / Q000379:methods*; D017057:Medically Uninsured / Q000706:statistics & numerical data; D008875:Middle Aged; D014481:United States