title: Assessment of training and technical assistance needs of Colorectal Cancer Control Program Grantees in the U.S.
abstract: BACKGROUND
  Practitioners often require training and technical assistance to build their capacity to select, adapt, and implement evidence-based interventions (EBIs). The CDC Colorectal Cancer Control Program (CRCCP) aims to promote CRC screening to increase population-level screening. This study identified the training and technical assistance (TA) needs and preferences for training related to the implementation of EBIs among CRCCP grantees.
  
  
  METHODS
  Twenty-nine CRCCP grantees completed an online survey about their screening activities, training and technical assistance in 2012. They rated desire for training on various evidence-based strategies to increase cancer screening, evidence-based competencies, and program management topics. They also reported preferences for training formats and facilitators and barriers to trainings.
  
  
  RESULTS
  Many CRCCP grantees expressed the need for training with regards to specific EBIs, especially system-level and provider-directed EBIs to promote CRC screening. Grantees rated these EBIs as more difficult to implement than client-oriented EBIs. Grantees also reported a moderate need for training regarding finding EBIs, assessing organizational capacity, implementing selected EBIs, and conducting process and outcome evaluations. Other desired training topics reported with higher frequency were partnership development and data collection/evaluation. Grantees preferred training formats that were interactive such as on-site trainings, webinars or expert consultants.
  
  
  CONCLUSIONS
  Public health organizations need greater supports for adopting evidence-based interventions, working with organizational-level change, partnership development and data management. Future capacity building efforts for the adoption of EBIs should focus on systems or provider level interventions and key processes for health promotion and should be delivered in a variety of ways to assist local organizations in cancer prevention and control.
authors: Rollins School of Public Health, Emory University, 1518 Clifton Road, 5th Floor, Atlanta, GA, 30322, USA. cescoff@emory.edu.
authors: Cam
authors: C
authors: Escoffery
authors: University of Washington, Health Promotion Research Center, 1107 NE 45th Street, Ste. 200, Seattle, WA, 98105, USA. peggyh@u.washington.edu.
authors: Peggy
authors: P
authors: Hannon
authors: University of California, 650 Charles Young Drive South (A2-125 CHS), Box 956900, Los Angeles, CA, 90095-6900, USA. amaxwell@ucla.edu.
authors: Annette E
authors: AE
authors: Maxwell
authors: University of Washington, Health Promotion Research Center, 1107 NE 45th Street, Ste. 200, Seattle, WA, 98105, USA. thuytvu@u.washington.edu.
authors: Thuy
authors: T
authors: Vu
authors: University of North Carolina at Chapel Hill, School of Nursing, Room 2006, Chapel Hill, NC, 27599, USA. jleeman@ad.unc.edu.
authors: Jennifer
authors: J
authors: Leeman
authors: University of Colorado, 13001 East 17th Bldg 500, Office Number W6104-D, Aurora, CO, 80045, USA. Andrea.Dwyer@ucdenver.edu.
authors: Andrea
authors: A
authors: Dwyer
authors: University of Washington, Department of Health Services, Campus Mail Box 354804, 1107 NE 45th Street, Suite 200, Seattle, WA, 98105, USA. cemason@uw.edu.
authors: Caitlin
authors: C
authors: Mason
authors: Washington University, Campus Box 1009, North Campus, Room 1549, 700 Rosedale Avenue, St. Louis, MO, 63112, USA. ssowles@brownschool.wustl.edu.
authors: Shaina
authors: S
authors: Sowles
authors: Centers for Disease Control and Prevention, Division of Cancer Prevention and Control, 4770 Buford Highway, N.E., MS F-76, Atlanta, GA, 30341, USA. wss1@cdc.gov.
authors: Ketra
authors: K
authors: Rice
authors: Centers for Disease Control and Prevention, Division of Cancer Prevention and Control, 4770 Buford Highway, N.E., MS F-76, Atlanta, GA, 30341, USA. vlp4@cdc.gov.
authors: Lindsay
authors: L
authors: Gressard
mesh_terms: D002487:Centers for Disease Control and Prevention, U.S.; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000517:prevention & control*; D055088:Early Detection of Cancer / Q000379:methods; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D011315:Preventive Medicine / Q000193:education* / Q000379:methods*; D011795:Surveys and Questionnaires; D014481:United States
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