Publications by authors named "Mary Wangen"

Background: The Centers for Disease Control and Prevention (CDC)-funded Cancer Prevention and Control Research Network (CPCRN) has been a leader in cancer-related dissemination & implementation (D&I) science. Given increased demand for D&I research, the CPCRN Scholars Program launched in 2021 to expand the number of practitioners, researchers, and trainees proficient in cancer D&I science methods.

Methods: The evaluation was informed by a logic model and data collected through electronic surveys.

View Article and Find Full Text PDF
Article Synopsis
  • Implementation science helps get effective programs into real-life use faster by focusing on how to do it better.
  • A team sorted different strategies for implementing these programs into three main categories: what to do during the process, ways to improve knowledge and skills, and methods to tackle specific challenges.
  • They created a simple five-step plan to help organizations use these strategies effectively, making it easier to put new health programs into practice.
View Article and Find Full Text PDF
Article Synopsis
  • Pharmacies can help people get screened for colon cancer more easily, but starting this new service can be challenging.* -
  • Pharmacists in Washington and North Carolina talked about how they feel ready to provide these tests and suggested ideas to improve the process.* -
  • To make pharmacy screening successful, it’s important to provide training, clear guidelines, and better communication between pharmacists and doctors.*
View Article and Find Full Text PDF

The National Comprehensive Cancer Control Program, a Centers for Disease Control and Prevention funded program, supports cancer coalitions across the United States (US) in efforts to prevent and control cancer including development of comprehensive cancer control (CCC) plans. CCC plans often focus health equity within their priorities, but it is unclear to what extent lesbian, gay, bisexual, transgender, queer/questioning, plus (LGBTQ+) populations are considered in CCC plans. We qualitatively examined to what extent LGBTQ+ populations were referenced in 64 U.

View Article and Find Full Text PDF

Background: Colorectal cancer (CRC) screening can reduce CRC morbidity and mortality. Community pharmacies could be a viable option for delivering home-based CRC screening tests such as fecal immunochemical tests (FITs). However, little is known about community pharmacists' knowledge about CRC screening guidelines.

View Article and Find Full Text PDF

Background: Telehealth (telemedicine and telepharmacy) services increase access to patient services and ensure continuity of care. However, few studies have assessed factors that influence patients' willingness to use telehealth services, and we sought to investigate this.

Objective: This study aims to examine respondents' (aged between 45 and 75 years) willingness to use telehealth services (telepharmacy and telemedicine) and the correlates of the willingness to use telehealth services.

View Article and Find Full Text PDF

Background: We aimed to understand U.S. adults' willingness to use a pharmacy-based fecal immunochemical test (FIT) distribution service for routine colorectal cancer screening called PharmFIT using Diffusion of Innovation Theory, evaluating patient's appraisals of the program's relative advantage, compatibility, and complexity.

View Article and Find Full Text PDF

Colorectal cancer (CRC) is a common and preventable cancer. CRC screening is underutilized, particularly within medically underserved communities. Most interventions aimed at increasing CRC screening are delivered through primary care clinics.

View Article and Find Full Text PDF
Article Synopsis
  • The text talks about how different factors affect the way new healthcare methods are used in organizations, not just by individual providers.
  • The authors created a new framework called OTIS to help understand these organizational factors better by organizing ideas from various organization theories.
  • They involved experts in a mapping exercise to group these ideas, leading to six main domains which describe important characteristics of organizations, governance, processes, and learning.
View Article and Find Full Text PDF

Purpose: Lung cancer is the leading cause of cancer death, but the advent of lung cancer screening using low-dose computed tomography offers a tremendous opportunity to improve lung cancer outcomes. Unfortunately, implementation of lung cancer screening has been hampered by substantial barriers and remains suboptimal. Specifically, the commentary emphasizes the intersectionality of smoking history and several important sociodemographic characteristics and identities that should inform lung cancer screening outreach and engagement efforts, including socioeconomic considerations (e.

View Article and Find Full Text PDF

Background: The United States Preventive Services Task Force (USPSTF) lists 32 grade A or B recommended preventive services for non-pregnant United States (US) adults, including colorectal cancer screening (CRC). Little guidance is given on how to implement these services with consistency and fidelity in primary care. Given limited patient visit time and competing demands, primary care providers (PCPs) tend to prioritize a small subset of these recommendations.

View Article and Find Full Text PDF

Problem Statement: Better understanding of oncology nurses' perspectives about how interventions should be designed can promote physical activity (PA) in clinical settings.

Design: 75 oncology nurses completed online surveys.

Data Sources: A published survey, guided by the Consolidated Framework for Implementation Research, was used to assess multilevel factors that influence implementation of evidence-based interventions.

View Article and Find Full Text PDF

Purpose: A diverse workforce trained in dissemination & implementation (D&I) science is critical for improving cancer outcomes and reducing cancer-related health disparities. This study aims to describe and evaluate impact of the Cancer Prevention and Control Research Network (CPCRN) Scholars Program in preparing scholars for collaborative careers in cancer control and implementation research and practice, and offers evaluation-driven recommendations for program improvements.

Methods: The CPCRN Scholars Workgroup conducted a sequential, mixed methods evaluation.

View Article and Find Full Text PDF

Purpose: To assess preferences for design of a pharmacy-based colorectal cancer (CRC) screening program (PharmFIT™) among screening-eligible adults in the United States (US) and explore the impact of rurality on pharmacy use patterns (e.g., pharmacy type, prescription pick-up preference, service quality rating).

View Article and Find Full Text PDF

Purpose: To improve population health, community members need capacity (i.e., knowledge, skills, and tools) to select and implement evidence-based interventions (EBIs) to fit the needs of their local settings.

View Article and Find Full Text PDF

Background: Organization theories offer numerous existing, highly relevant, yet largely untapped explanations of the organizational dynamics underlying evidence-based intervention (EBI) implementation. Rooted in ideas regarding power, autonomy, and control, organization theories can explain how and why organizations adopt, implement, and sustain EBI use. Although they have gained visibility, organization theories remain underused in implementation research, perhaps due to their inaccessibility to implementation scientists.

View Article and Find Full Text PDF

Despite its widely acknowledged influence on implementation, limited research has been done on how the external environment (i.e., outer setting) determines when organizations adopt and implement new interventions.

View Article and Find Full Text PDF

Background: Implementation of effective interventions into clinical practice is slow, in large part, because researchers do not sufficiently attend to the realities of nurses who implement interventions.

Objectives: The aim of the study was to provide an exemplar of how cognitive interviewing-an important and underused method for developing nursing research-can be used to design survey items and assess multilevel implementation factors.

Methods: We utilized the Consolidated Framework for Implementation Research to create a survey to assess factors that influence how oncology nurses deliver physical activity interventions.

View Article and Find Full Text PDF
Article Synopsis
  • Quality improvement collaboratives (QICs) help healthcare groups work together to learn and use effective methods for things like cancer screening.
  • A study looked at a specific QIC for colorectal cancer screening in community health centers and found that many centers improved their screening rates by using new strategies and tools.
  • Participants shared their thoughts on how well these strategies worked, showing that the QIC helped health centers increase their capacity and improve patient care.*
View Article and Find Full Text PDF

Healthcare settings and systems have been slow to adopt and implement many effective cancer prevention and control interventions. Understanding the factors that determine successful implementation is essential to accelerating the translation of effective interventions into practice. Many scholars have studied the determinants of implementation, and much of this research has been guided by the Consolidated Framework for Implementation Research (CFIR).

View Article and Find Full Text PDF
Article Synopsis
  • The US tobacco industry spends a lot of money (about $8.2 billion a year) on marketing their products at stores, which makes more people want to smoke.
  • Organizations are trying to help communities reduce this marketing by using smart strategies and working together.
  • A program called Counter Tools helps these community partnerships become stronger by giving them training and tools to tackle local tobacco issues, but after a year, communities only made slow progress in changing policies to reduce tobacco marketing.
View Article and Find Full Text PDF