A framework and process for community-engaged, mixed-methods cancer needs assessments

Todd Burus; Jessica R. Thompson; Caree R. McAfee; Lovoria B. Williams; Jennifer Redmond Knight; Bin Huang; Sarojini Kanotra; Natalie P. Wilhite; Elaine Russell; Melinda Rogers; Connie L. Sorrell; Christine Stroebel; Rachael King; Pamela C. Hull

doi:10.1007/s10552-024-01892-2

A framework and process for community-engaged, mixed-methods cancer needs assessments

Todd Burus, Jessica R. Thompson, Caree R. McAfee, Lovoria B. Williams, Jennifer Redmond Knight, Bin Huang, Sarojini Kanotra, Natalie P. Wilhite, Elaine Russell, Melinda Rogers, Connie L. Sorrell, Christine Stroebel, Rachael King, Pamela C. Hull

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Purpose: Community health needs assessments are required for most state and local public health agencies and non-profit hospitals. Typically based on community health improvement planning models, these assessments encompass overall community health and multiple diseases to inform program planning. National Cancer Institute (NCI)-designated Cancer Centers and community-based cancer-focused programs share the goal of reducing cancer burden in the catchment areas they serve. However, to date, no published models exist to guide cancer-specific needs assessments for a determined geographic area that can inform both public health and research initiatives. The purpose of this article is to outline a cancer needs assessment (CNA) framework and community-engaged, mixed-methods process, along with a case study of how we applied it in Kentucky. Methods: We convened a steering committee of key organizational partners to provide input throughout the process. We developed a conceptual framework of multi-level determinants affecting cancer-related outcomes. We incorporated both quantitative and qualitative data gathered through a variety of means, including a novel application of group concept mapping to guide definition of priorities. Results: The resulting CNA has helped guide strategic planning and priorities for Kentucky’s Cancer Action Plan, Markey Cancer Center, state agencies, and community-based organizations. Conclusion: This framework and process can be used collaboratively by cancer center Community Outreach and Engagement offices, public health agencies, oncology programs, and community partners to plan impactful cancer control programs and research in their catchment areas. Universities can also use them to inform the planning of community engagement and health equity research efforts.

Original language	English
Pages (from-to)	1319-1332
Number of pages	14
Journal	Cancer Causes and Control
Volume	35
Issue number	10
DOIs	https://doi.org/10.1007/s10552-024-01892-2
State	Published - Oct 2024

Bibliographical note

Publisher Copyright:
© The Author(s) 2024.

Funding

P.C. Hull, B. Huang and C.R. McAfee were supported by the National Institutes of Health (NIH) grant P30CA177558. P.C. Hull and J.R. Thompson received support from the William Stamps Farish Endowed Chair in Cancer Research. P.C. Hull, E. Russell, J. Redmond Knight, and B. Huang were supported by the Center for Disease Control and Prevention (CDC) Grants NU58DP006313-04-02 and NU58DP007144-01-00. B, Huang received support from the NIH SEER program contract HHSN26100001. S. Kanotra was supported in part by funds from the CDC Cooperative Agreement Number 5 NU58DP006058-05-00. This work was supported by the Cancer Research Informatics Shared Resource Facility and the Biostatistics and Bioinformatics Shared Resource Facility of the University of Kentucky Markey Cancer Center (P30CA177558) and by the NIH National Center for Advancing Translational Sciences through Grant Number UL1TR001998. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or CDC. This work as supported in part by the National Institutes of Health (NIH) (Grant Numbers P30CA177558 and UL1TR001998), the Center for Disease Control and Prevention (CDC) (Grant Numbers NU58DP006313-04-02, NU58DP007144-01-00, NU58DP006058-05-00), and the William Stamps Farish Endowed Chair in Cancer Research. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or CDC. We wish to acknowledge the valuable input of the members of the Kentucky Cancer Needs Assessment Steering Committee, some of whom contributed to this article as co-authors, along with the additional members who represented Kentucky Cancer Registry (Jaclyn McDowell), Kentucky Cancer Program (Elizabeth Westbrook, Jamie Smith), Kentucky Cabinet for Health and Family Services (Janie Cambron, Vivian Lasley-Bibbs, Emily Messerli, Carissa Adams, Carrie Conia, Elizabeth Owen), American Cancer Society (Elizabeth Holtsclaw, Julie Waters), Foundation for a Healthy Kentucky (Allison Adams), and the University of Louisville (Stephanie Boone). We also wish to thank Dr. Eric Durbin, Director of the Kentucky Cancer Registry for his feedback and support of this effort.

Funders	Funder number
University of Kentucky Markey Cancer Center
Cancer Research Informatics Shared Resource Facility
Centers for Disease Control and Prevention	NU58DP007144-01-00, NU58DP006058-05-00, 5 NU58DP006058-05-00, NU58DP006313-04-02, HHSN26100001
Centers for Disease Control and Prevention
National Center for Advancing Translational Sciences (NCATS)	UL1TR001998
National Center for Advancing Translational Sciences (NCATS)
National Institutes of Health (NIH)	P30CA177558
National Institutes of Health (NIH)

Keywords

Catchment area
Community outreach
Needs assessment
Qualitative research
Quantitative evaluation

ASJC Scopus subject areas

Oncology
Cancer Research

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1007/s10552-024-01892-2

Cite this

Burus, T., Thompson, J. R., McAfee, C. R., Williams, L. B., Knight, J. R., Huang, B., Kanotra, S., Wilhite, N. P., Russell, E., Rogers, M., Sorrell, C. L., Stroebel, C., King, R., & Hull, P. C. (2024). A framework and process for community-engaged, mixed-methods cancer needs assessments. Cancer Causes and Control, 35(10), 1319-1332. https://doi.org/10.1007/s10552-024-01892-2

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abstract = "Purpose: Community health needs assessments are required for most state and local public health agencies and non-profit hospitals. Typically based on community health improvement planning models, these assessments encompass overall community health and multiple diseases to inform program planning. National Cancer Institute (NCI)-designated Cancer Centers and community-based cancer-focused programs share the goal of reducing cancer burden in the catchment areas they serve. However, to date, no published models exist to guide cancer-specific needs assessments for a determined geographic area that can inform both public health and research initiatives. The purpose of this article is to outline a cancer needs assessment (CNA) framework and community-engaged, mixed-methods process, along with a case study of how we applied it in Kentucky. Methods: We convened a steering committee of key organizational partners to provide input throughout the process. We developed a conceptual framework of multi-level determinants affecting cancer-related outcomes. We incorporated both quantitative and qualitative data gathered through a variety of means, including a novel application of group concept mapping to guide definition of priorities. Results: The resulting CNA has helped guide strategic planning and priorities for Kentucky{\textquoteright}s Cancer Action Plan, Markey Cancer Center, state agencies, and community-based organizations. Conclusion: This framework and process can be used collaboratively by cancer center Community Outreach and Engagement offices, public health agencies, oncology programs, and community partners to plan impactful cancer control programs and research in their catchment areas. Universities can also use them to inform the planning of community engagement and health equity research efforts.",

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doi = "10.1007/s10552-024-01892-2",

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AU - Huang, Bin

AU - Kanotra, Sarojini

AU - Wilhite, Natalie P.

AU - Russell, Elaine

AU - Rogers, Melinda

AU - Sorrell, Connie L.

AU - Stroebel, Christine

AU - King, Rachael

AU - Hull, Pamela C.

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AB - Purpose: Community health needs assessments are required for most state and local public health agencies and non-profit hospitals. Typically based on community health improvement planning models, these assessments encompass overall community health and multiple diseases to inform program planning. National Cancer Institute (NCI)-designated Cancer Centers and community-based cancer-focused programs share the goal of reducing cancer burden in the catchment areas they serve. However, to date, no published models exist to guide cancer-specific needs assessments for a determined geographic area that can inform both public health and research initiatives. The purpose of this article is to outline a cancer needs assessment (CNA) framework and community-engaged, mixed-methods process, along with a case study of how we applied it in Kentucky. Methods: We convened a steering committee of key organizational partners to provide input throughout the process. We developed a conceptual framework of multi-level determinants affecting cancer-related outcomes. We incorporated both quantitative and qualitative data gathered through a variety of means, including a novel application of group concept mapping to guide definition of priorities. Results: The resulting CNA has helped guide strategic planning and priorities for Kentucky’s Cancer Action Plan, Markey Cancer Center, state agencies, and community-based organizations. Conclusion: This framework and process can be used collaboratively by cancer center Community Outreach and Engagement offices, public health agencies, oncology programs, and community partners to plan impactful cancer control programs and research in their catchment areas. Universities can also use them to inform the planning of community engagement and health equity research efforts.

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A framework and process for community-engaged, mixed-methods cancer needs assessments

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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Cite this