Att A-1_CRCCP Framework

3/12/2010

CDC’s Colorectal Cancer Control Program: Logic Model
CDC
Activities

Grantee
Activities

Collaborate with
Federal partners
and participate in
national
partnerships

Engage in public
awareness
activities
(e.g., small media
campaigns)

Support program
integration with
other chronic
disease
programs

Promote patient
reminder systems

Collaborate with
relevant CDC
programs (e.g.,
CCC NPCR
CCC,
NBCCEDP,
WISEWOMAN)
Provide funding
to grantees
Provide technical
assistance and
training to
grantees
Conduct
research,
monitoring, and
evaluation,
including
economic
analyses
Data
management
Surveillance
Policyy
development

Support
program
integration
(e.g.,
NBCCEDP,
WISEWOMAN,
NPCR)

Build
B
ild and
d
maintain
partnerships
y
for systems
change and
policy
development

Increased provider
knowledge about
USPSTF and
USMSTF guidelines
f CRC screening
for
i
and surveillance,
respectively

Promote use of
provider
assessment and
feedback systems

Promote USPSTF
CRC screening
guidelines
Promote USMSTF
CRC surveillance
guidelines
Promote quality
assurance
standards for CRC
screening
Promote increased
access to
t CRC
screening,
diagnostics, and
treatment
Provide CRC
screening and
g
to
diagnostics
underserved
populations

Intermediate
Outcomes

Increased adoption 2
of quality standards
for CRC screening
by health systems
or individual
providers

Promote provider
reminder systems

Reduce structural
barriers (e.g.,
patient navigation)
Collaborate
with CCC
Coalition

Short-Term
Outcomes

1

Stronger and
more
effective
partnerships
to leverage
change for
increased
screening

3

IIncreased
d provider
id 4
knowledge and
improved attitudes
about the
importance of CRC
screening
Increased adoption
p
of patient and
provider reminder
systems by health
care systems

9

Increased 12
patient
adherence
t CRC
to
screening
recommendation and
test/prep
guidelines

5

Increased 13
intention by
patient to be
p
screened

6
Increased
knowledge and
improved attitudes
about need for CRC
screening among
the population

Reduced patient
barriers to CRC
screening

Increased
provider
recommend ti tto
dation
patient for
CRC
g
screening

7

8
New legislative
policies and system
g to support
pp
changes
access to CRC
screening

Increased 10
patient
self-efficacy
for CRC
screening
Increased 11
access to
CRC
screening,
including for
underserved
populations

Increased 14
appropriate
CRC
screening,
i
rescreening,
and
surveillance,
including for
underserved
populations

Long-Term
Outcomes

Increased
detection of
early-stage
CRC

15

Decreased 19
late-stage
CRC disease

Increased
timely
diagnostic
completion

16

Increased
timely CRC
treatment
initiation

21

Decreased
CRC
incidence

22

20

Increased 17
CRC
prevention
via
polypectomy
18

Decreased
disparities in
CRC
screening

Decreased 23
disparities in
CRC
incidence
and mortality

Acronyms:
CCC: Comprehensive Cancer Control
CRC: Colorectal cancer
NBCCEDP: National Breast and Cervical Cancer Earlyy Detection Program
g
NPCR: National Program of Cancer Registries
USMSTF: United States Multi-Society Task Force
USPSTF: United States Preventive Services Task Force
WISEWOMAN: Well-Integrated Screening and Evaluation for Women
Across the Nation

Strategy recommended by Guide to Community Preventive
Services for increasing colorectal cancer screening by FOBT
(http://www thecommunityguide org/cancer/index html)
(http://www.thecommunityguide.org/cancer/index.html)

Contextual Factors: resources, health care access, underunder and uninsured, unemployment, endoscopic capacity, geography, cultural beliefs, CRC
CRC-related
related policies, other CRC screening resources

Program Monitoring and Evaluation

Decreased
CRC
mortality