Education work

Colorectal Cancer Prevention Program Evaluation Design

Kaplan University-PU630-Unit 7

September 20, 2016

Deserie Thomas

Dr. Amy Thompson

COLORECTAL CANCER PREVENTION PROGRAM EVALUATION DESIGN

Engaged Stakeholders What Stakeholders Want to Know

Engaging Stakeholders

Evaluation Stakeholder Group Composition

The composition of the evaluation stakeholders will fund and authorized the continuation or expansion of the Colorectal Cancer Prevention Program. The stakeholders are responsible for day to day implementation of the activities that are part of the program, and has a strong influence on the development of thoughtful evaluation questions that will generate evaluation findings that are useful, relevant, and credible (assuming the evaluation applies the appropriate design and data collection and analysis methods). Ideally, the evaluation stakeholders group consist of individuals who have expertise in evaluation of Colorectal Cancer Prevention Programs; and who will advocate for or authorize changes to the Colorectal Cancer Prevention Program.

Describe the Program

Colorectal cancer is the third most common cancer and the third leading cause of death among men and women

in the United States (American Cancer Society). Colorectal cancer affects men and women in similar proportions. Of the total number of new cancer cases, colorectal cancer represents 9% (72,090 new cases) of the all cancer diagnosed in men and 10% (70,040 new cases) in women and similarly 9% (26,580 deaths in males and 24,790 deaths in females) of the estimated cancer deaths in both men and women (Jemal, Siegel, Xu, Ward,

2010).

In 2010, it was estimated that 142,570 people would be diagnosed and 51,370 people would die from colorectal

cancer (Jemal et al, 2010). Colorectal cancer screening is effective in reducing incidence and mortality rates. Early detection leads to an increase in survival rates and a decrease in healthcare cost. For these reasons, insurance and health care providers should encourage colorectal cancer screening. In an effort to improve health outcomes related to colorectal cancer, the Colorectal Cancer Coalition and Partners has set a goal to increase screening rates to 90% by 2017. Finally, we will measure the costs associated with the program. This will include cost per individual reached, cost per minute and cost to influence an intended colorectal screening.

The Community Colorectal Cancer Prevention Programs is for low-income, underinsured, or uninsured men and women between the ages of 50 and 64 years. The program’s goal is to assess the feasibility of establishing a local and state funded, comprehensive colorectal cancer screening program for an underserved population, and to describe key outcomes that could guide future organized colorectal cancer screening. Program resources are the Colorectal Cancer Coalition, Health Department staff, local legislators, the local community clinic and the American Cancer Society Organization. The Colorectal Cancer Prevention Program will received funding from local and state appropriations, federal agencies and donations.

Key Activities and the Intended Outcomes of the Program

The Colorectal Cancer Prevention Program include training providers and implementing a community-wide social marketing campaign. Tangible products from these activities would include the number of training participants and community members reached by a campaign. Intended outcomes for these activities would include increases in awareness or changes in behavior related to preventing colorectal cancer and encourage behavioral change that can minimize those risks.

PROGRAM ACTIVITY

Goals and objectives

· Improve health system protocols in order to emphasize routine colorectal cancer screening as a standard care for everyone.

· Educate and train patients about easier and cheap ways to be screened for Colorectal Cancer.

· Promote screening guidelines and quality assurance standards for screening colorectal cancer.

· Reducing barriers of accessing colorectal cancer screening locations.

· Establishing standing orders in all primary care practices in order to increase availability of the most sensitivity (FIT) fecal immunochemical test.

EVALUATION MEASURES

Who is the information for?

The information will be used by the stakeholders, medical professional groups and local community clinics, about colorectal cancer and how to minimize risk related with such type of cancer.

Primary purpose of the evaluation

· Determine overall efficiency and effectiveness in meeting program goals and objectives.

· Determine the level of quality being implemented

· Recognize the strengths and weaknesses in program effectiveness and implementation through tools such as surveys, interviews or research analyses among others.

Questions that stakeholders want to be answered

· What are the warning signs of the cancer?

· Which symptoms that can lead to early medical attention?

· What are life style cancer risk reduction methods?

Changes that occurred

There were significant reported changes in the diet of the returners as compared to non-returners in terms of high fiber intake and reduced fat consumption.

DESIGN DATA COLLECTION AND ANALYSIS

Method used to collect evaluation

The data will be analyzed to examine changes in knowledge and intention about colorectal cancer and

colorectal cancer screening, Evaluation was conducted with focus groups, interviews and surveys following screening and educational component of the program.

How data was obtained?

Semi-structured, focus groups, open-ended individual interviews was used. We interviewed 55 stakeholders, 20 primary care givers, 4 program managers and health plan leaders and 100 surveys were conducted.

Were both qualitative and quantitative method used?

Only qualitative method that was used, it helped to gain understanding of underlying opinions, reasons and motivation of different groups.

DEVELOP ACTION PLAN

Who will manage the evaluation?

Stakeholders, program administrators and managers will manage the evaluation and determine if the program is achieving desired results.

What are specific target?

The Colorectal Cancer Preventive Program is for low-socioeconomic status, underinsured, or uninsured men and women between the ages of 50 and 64 years. The major goal of the program is to reduce cancer mortality rate.

Stage of Development

The Colorectal Cancer Prevention Program is in the stage of planning. Program has not completed any major activities. Program is expected to launched, by July, 2017.

Program’s Logic Model