Factors Involved in the Collaboration Between the National Comprehensive Cancer Control Programs and Tobacco Control Programs: A Qualitative Study of 6 States, United States, 2012
| Autor: | Sonya A. Goode, Sherri L. Stewart, Jennifer Kahende, Antonio Neri, Behnoosh Momin, Lei Zhang, Carol L. Schmitt, Nikie Sarris Esquivel |
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| Rok vydání: | 2015 |
| Předmět: |
Program evaluation
medicine.medical_specialty National Health Programs Psychological intervention Smoking Prevention Preventing Chronic Disease Interviews as Topic Decision Theory Nursing Neoplasms medicine Humans Community Health Services Early Detection of Cancer Qualitative Research Original Research Strategic planning Delivery of Health Care Integrated business.industry Health Policy Public health Smoking Tobacco control Administrative Personnel Health Plan Implementation Public Health Environmental and Occupational Health Tobacco Use Disorder Public relations United States Interinstitutional Relations Smoke-Free Policy Case-Control Studies Grounded Theory Comprehensive Health Care business Program Evaluation State Government Health department Qualitative research |
| Zdroj: | Preventing Chronic Disease |
| ISSN: | 1545-1151 |
| DOI: | 10.5888/pcd12.150012 |
| Popis: | Introduction Historically, federal funding streams to address cancer and tobacco use have been provided separately to state health departments. This study aims to document the impact of a recent focus on coordinating chronic disease efforts through collaboration between the 2 programs. Methods Through a case-study approach using semistructured interviews, we collected information on the organizational context, infrastructure, and interaction between cancer and tobacco control programs in 6 states from March through July 2012. Data were analyzed with NVivo software, using a grounded-theory approach. Results We found between-program activities in the state health department and coordinated implementation of interventions in the community. Factors identified as facilitating integrated interventions in the community included collaboration between programs in the strategic planning process, incorporation of one another's priorities into state strategic plans, co-location, and leadership support for collaboration. Coalitions were used to deliver integrated interventions to the community. Five states perceived high staff turnover as a barrier to collaboration, and all 5 states felt that federal funding requirements were a barrier. Conclusions Cancer and tobacco programs are beginning to implement integrated interventions to address chronic disease. Findings can inform the development of future efforts to integrate program activities across chronic disease prevention efforts. |
| Databáze: | OpenAIRE |
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