title: Grounding evidence-based approaches to cancer prevention in the community: a case study of mammography barriers in underserved African American women.
abstract: When community health planners select an evidence-based intervention that has been developed and tested in one situation and adapt it for use in a different situation or community, best practice suggests needs assessment and formative research in the new setting. Cancer prevention planners who are interested in adopting and adapting evidence-based approaches need to base their choices on a sound understanding of the health or behavioral risk problem in which they mean to intervene. This requires a balancing act of weighing community information against a broader perspective from the scientific literature and using the combination to identify and adapt an evidence-based intervention program that is likely to be effective in the new setting. This report is a case study of a community and organizational assessment conducted as a foundation for selecting and recommending adaptation of an evidence-based intervention for improving mammography appointment attendance. We used an inductive sequential exploratory mixed-methods design to inform this process. The process provides a model for formative research grounding evidence-based practice for cancer control planners. Future studies that incorporate findings from needs assessment into the adaptation of the selected intervention program may promote the effective dissemination of evidence-based programs.
authors.affiliation: University of Texas School of Public Health, Houston, TX, USA linda.d.highfield@uth.tmc.edu.
authors.forename: Linda
authors.initials: L
authors.lastname: Highfield
authors.affiliation: University of Texas School of Public Health, Houston, TX, USA.
authors.forename: L Kay
authors.initials: LK
authors.lastname: Bartholomew
authors.affiliation: University of Texas School of Public Health, Houston, TX, USA.
authors.forename: Marieke A
authors.initials: MA
authors.lastname: Hartman
authors.affiliation: Episcopal Health Charities, Houston, TX, USA.
authors.forename: M Molly
authors.initials: MM
authors.lastname: Ford
authors.affiliation: Episcopal Health Charities, Houston, TX, USA.
authors.forename: Philomene
authors.initials: P
authors.lastname: Balihe
mesh_terms: D001741:Black or African American; D001943:Breast Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D055088:Early Detection of Cancer / Q000191:economics / Q000379:methods / Q000706:statistics & numerical data; D055317:Evidence-Based Practice; D005260:Female; D017144:Focus Groups; D054624:Health Status Disparities; D054625:Healthcare Disparities / Q000191:economics / Q000208:ethnology*; D006801:Humans; D008327:Mammography / Q000191:economics / Q000523:psychology / Q000706:statistics & numerical data*; D017057:Medically Uninsured / Q000208:ethnology / Q000706:statistics & numerical data; D019982:Organizational Case Studies; D010349:Patient Compliance / Q000208:ethnology / Q000523:psychology* / Q000706:statistics & numerical data; D011203:Poverty
keywords: breast cancer; cancer prevention and control; community-based participatory research; formative evaluation; health disparities; health promotion; health research; program planning and evaluation