Support to Intervention Research & the RTIPs Database of Interventions Présentation de Cynthia Vinson au colloque "Recherche interventionnelle contre le cancer : Réunir chercheurs, décideurs et acteurs de terrain » - 17 et 18 novembre 2014, BnF, Paris

1. Support to Intervention Research &
the RTIPs Database of Interventions
Recherche Interventionnelle contre le cancer : réunir
chercheurs, décideurs et acteurs de terrain
Paris, France │ November 17, 2014
Cynthia A. Vinson, PhD, MPA
Senior Advisor for Implementation Science
Division of Cancer Control and Population Sciences
National Cancer Institute

2. Session Objectives
1. Describe NCI support for intervention
research
2. Understand importance of utilizing
evidence-based interventions and
approaches in cancer planning.
3. Access tools and resources that help
identify evidence-based interventions and
approaches and provide guidance for
adapting and implementing them in real
world settings.

3. Behavioral Intervention Research
at the National Cancer Institute
• In FY 2013, the budget of the NCI was $4.79 billion.
• The NCI funding portfolio in behavioral and social science
exceeded $310 million in FY13.
– More than $155 million of the FY13 NCI-funded research in
behavioral and social science was attributed to the Division
of Cancer Control and Population Sciences (DCCPS).
• Through innovative behavioral and psychosocial research
initiatives, DCCPS supports the development, testing, and
dissemination of interventions in areas such as tobacco use,
diet and physical activity, sun and viral protection,
appropriate cancer screening and treatment adherence and
survivorship.
http://fundedresearch.cancer.gov/

4. Selection of Current Funding Programs in
Behavioral Intervention Research
• Behavioral and Social Science Research on Understanding and Reducing
Health Disparities [PA-13-292 (R01), PA-13-288 (R21)]
• Examination of Survivorship Care Planning Efficacy and Impact [PA-12-
274 (R21), PA-12-275 (R01)]
• Innovative Research Methods: Prevention and Management of Symptoms
in Chronic Illness [PA-13-165 (R01), PA-13-166 (R15), PA-13-167 (R21)]
• Interventions for Health Promotion and Disease Prevention in Native
American Populations [PAR-14-260 (R01)];
• Physical Activity and Weight Control Interventions Among Cancer
Survivors: Effects on Biomarkers of Prognosis and Survival [PAR-12-228
(R01), PAR-12-229 (R21)]
• Research to Characterize and Reduce Stigma to Improve Health [PA-13-
246 (R21), PA-13-247 (R03), PA-13-248 (R01)]
• Understanding and Promoting Health Literacy [PAR-13-130 (R01), PAR-13-
131 (R03), PAR-13-132 (R21)].

6. Question
What do you think of
when you hear the term
“evidence-based”?

7. What is Evidence?
“ the available body of facts or information
indicating whether a belief or proposition
is true or valid”
In public health practice, a collection of
• Data or scientific evidence (guidelines)
• Input from community members
• Input from other stakeholders
• Professional experience
Brownson RC, Baker EA, Leet TL, Gillespie KN, Evidence-Based Public Health. New York: Oxford University Press; 2003

8. What Is Evidence?
• Surveillance Data
• Systematic Reviews of Multiple
Intervention Studies
• An Intervention Research Study
• Program Evaluation
• Word of Mouth
• Personal Experience
Practice Based Research Based

9. Different Types of Public Health
Approaches
Strategies
Policies
Environment Programs

10. Strategy
• Broad intervention that changes individual, systems within
organizations, or the community
• Infrastructure strategies: changes to the
organization or system
– patient reminders for screening with electronic
medical records
• Environmental strategies: alter the physical
or social environment
– walking trails

11. Program
• A specific intervention and its components
• Smart Moves: a manual-driven, family-based weight
management program that offers periodic exercise and nutrition
education or cognitive behavioral skill training to obese children
and adolescents (aged 8-18 years) and their caregivers.
• Specific components:
– Exercise education
– Nutrition education
– Cognitive behavioral skill
training to obese children
and adolescents
– peer support
– Parents participate in
separate cognitive behavioral
skill sessions

12. • A system of laws, regulatory measures, courses of action, and
funding priorities concerning a given topic
– Policy: regulation set by government or local authorities
(e.g., laws, ordinances)
– policy: organizational rule or regulation
(e.g., worksite)
Policy

13. Question
What do you think of
when you hear the term
“evidence-based”?

14. The Simple Answer
An evidence-based program has been:
• Implemented
• Evaluated
• Found to be effective

15. What is Evidence-Based
Cancer Control?
“...the development, implementation, and
evaluation of effective cancer education
and screening programs and policies
through systematic uses of data and
research information, and appropriate use
of theory-based program planning
models.”
Adapted from Brownson et al., J Public Health Management Practice
1999,5:86-97

16. Question
What are the advantages to using
evidence-based programs?

17. Advantages of “EBPs”
• Demonstrated to work in the study
populations
• Cost-effective
• Shortens development time
• Can reduce research time
• Can help focus the evaluation

18. Question
What are some perceived barriers to
using evidence-based programs?

19. Perceived disadvantages to adopting
Evidence-Based Programs
Perceived barriers Possible solutions
Ownership/creativity limits • Customize/Brand
• Do less formative
research
Cost • Pick a program that fits
your budget
Too scientific • Use the evaluation of
evidence-based
intervention (EBI)
My community is unique, an
EBI will not be appropriate
for this audience
• Adapt, Adapt, Adapt!

20. www.cancercontrolplanet.cancer.gov

21. http://rtips.cancer.gov/rtips/index.do

27. http://rtips.cancer.gov/rtips/index.do

28. Research Tested Intervention Programs (RTIPs)
• Intervention outcome finding(s) must be published in a peer-reviewed
journal.
• The study must have produced one or more positive behavioral and/or
psychosocial outcomes (p ≤ .05) among individuals, communities, or
populations.
• Evidence of these outcomes has been demonstrated in at least one study
using an experimental or quasi-experimental design.
• The intervention must have messages, materials, and/or other components
that include English and can be disseminated in a U.S. community or clinical
setting. (Interventions conducted in other countries are welcome.)
• The intervention has been conducted within the past 10 years.
How You Can Get Involved:
1. Submit your intervention for RTIPs consideration:
http://rtips.cancer.gov/rtips/register/index.do
2. Contact the RTIPs team for questions,
comments, additional information:
http://rtips.cancer.gov/rtips/contact.do

29. Key Take Aways: Evidence-based
Cancer Control
• Evidence-based interventions have been proven to
work
• There are resources available online for you to locate
evidence-based interventions that meet your goals
• You can save time and money in implementing
previously developed evidence-based interventions