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Session Title: Systematic Screening and Assessment Method (SSA): The Experiences of the Centers for Disease Control and Prevention (CDC)
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Panel Session 423 to be held in El Capitan A on Thursday, Nov 3, 2:50 PM to 4:20 PM
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Sponsored by the Health Evaluation TIG
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| Chair(s): |
| Laura Kettel Khan, Centers for Disease Control and Prevention, ldk7@cdc.gov
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| Discussant(s):
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| Nicola Dawkins, ICF Macro, ndawkins@icfi.com
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| Abstract:
The Systematic Screening and Assessment (SSA) Method is recognized as an important strategy to bridge the divide between "promising" and "evidence-based" practices. This method identifies and screens a high volume of real-world interventions to select those that are both ready for evaluation and highly promising in terms of their plausible effectiveness, reach to the target population, feasibility, and generalizability (Kettel Khan, Dawkins, & Leviton, 2010). The SSA integrates expert review with evaluability assessment (EA) to identify promising practice-based strategies worthy of more rigorous evaluation studies (Leviton & Gutman 2010). We present three projects implemented across several divisions within CDC utilizing the SSA methodology. The session will grant a cursory review of the SSA methodology as well as highlight similarities and differences in its use to identify interventions and practices best positioned for efficacy studies.
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Promising Practices Assessment of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP)
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| Kimberly Leeks, Centers for Disease Control and Prevention, kleeks@cdc.gov
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| Amy DeGroff, Centers for Disease Control and Prevention, asd1@cdc.gov
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| Karen Cheung, ICF Macro, kcheung@icfi.com
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| Kristine Gabuten, Centers for Disease Control and Prevention, gwf1@cdc.gov
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The NBCCEDP is a 20-year public health program funded by CDC. NBCCEDP grantees are constantly developing unique program practices tailored to the needs of their communities and distinct contexts. Using SSA, CDC is identifying promising practices in three areas: 1) health education/promotion; 2) quality assurance/quality improvement; and, 3) case management/patient navigation. In contrast to direct service provision, these strategies have the potential to achieve greater population-level effects. Recognizing the unique issues and challenges in state-based NBCCEDP programs, nominations were only solicited from NBCCEDP grantees, sub-awardees, or partners that collaborate with the NBCCEDP (e.g., non-profit organizations, state-funded programs). Approximately 60 practices will be identified for further review by an expert panel. This unique variation to the SSA methodology offers an opportunity to provide feedback and technical assistance to grantees about practices assessed through this project. Ultimately, promising practices specific to the NBCCEDP will be identified and prioritized for further evaluation.
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Reflecting Stakeholder Values by Using Tailored Criteria in an SSA Process for Public Health Interventions
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| Jan Losby, Centers for Disease Control and Prevention, kfy9@cdc.gov
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| Diane Dunet, Centers for Disease Control and Prevention, ddunet@cdc.gov
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A guiding principle of the Systematic Screening and Assessment (SSA) method is the use of explicit criteria to judge the potential of promising practices. The Division for Heart Disease and Stroke Prevention at the Centers for Disease Control and Prevention undertook an SSA to identify promising practices to reduce high blood pressure. Published work on the SSA method contains a suggested list of criteria. For this project we adapted and added criteria, for example the health effect size on an individual person and the projected health effect size on the U.S. population. The presenters explain how the SSA criteria were tailored and operationalized to reflect stakeholder values to determine which nominated programs were most promising for this investigation. Particular attention is given to highlighting the adaptability of the SSA method as a useful evaluation approach.
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Using Systematic Screening Assessment Methods to Identify Nutrition, Physical Activity and Obesity Promising Practices
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| John W Gilford Jr, Centers for Disease Control and Prevention, jki7@cdc.gov
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| Jan Jernigan, Centers for Disease Control and Prevention, ddq8@cdc.gov
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| Diane Thompson, Centers for Disease Control and Prevention, ldc2@cdc.gov
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| Marissa Zwald, Centers for Disease Control and Prevention, ipv5@cdc.gov
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The CDC's Division of Nutrition Physical Activity and Obesity (DNPAO) currently funds 25 states to address the problems of obesity and other chronic diseases through statewide efforts coordinated with multiple partners. In addition to these initiatives, supplementary funding has also been provided to all states to support the implementation of large scale policy and environmental based efforts in the areas of tobacco, nutrition and physical activity through the 2009 American Recovery and Reinvestment Act (ARRA). These efforts have resulted in the development and implementation of numerous innovations and policies to address obesity. The Pre Evaluation Assessments of Nutrition, Physical Activity and Obesity Programs and Policies Project was funded in October of 2010 to identify promising environmental and policy level policies and strategies targeting obesity, and to identify those interventions and efforts that are ready for full, rigorous evaluation. A total of 30 interventions will be assessed over the planned 3 year period of the project. This presentation will describe the process used to identify, and assess programs and policies and will include a discussion of challenges addressed in implementing the SSA methodology.
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