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      Doing What We Know, Knowing What to Do: Californians Linking Action with Science for Prevention of Breast Cancer (CLASP-BC)

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          Abstract

          Given the lack of progress in breast cancer prevention, the California Breast Cancer Research Program (CBCRP) plans to apply current scientific knowledge about breast cancer to primary prevention at the population level. This paper describes the first phase of Californians Linking Action with Science for Prevention of Breast Cancer (CLASP-BC). The foci of Phase 1 are building coalitions and coalition capacity building through community engagement in community-based participatory research (CBPR) and dissemination and implementation (D&I) research training. Based on the successful implementation and evaluation of Phase 1, the foci of Phase 2 (presented separately in this special issue) will be to translate the California Breast Cancer Prevention Plan overarching goal and specific intervention goals for 23 breast cancer risk and protective factors strategies into evidence-informed interventions (EIIs) that are disseminated and implemented across California. CLASP-BC is designed to identify, disseminate and implement high-impact, population-based prevention approaches by funding large scale EIIs, through multi-jurisdictional actions, with the intent to decrease the risk of breast cancer and other chronic diseases (sharing common risk factors), particularly among racial/ethnic minorities and medically underserved populations in California.

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          Most cited references45

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          RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year Review

          The RE-AIM planning and evaluation framework was conceptualized two decades ago. As one of the most frequently applied implementation frameworks, RE-AIM has now been cited in over 2,800 publications. This paper describes the application and evolution of RE-AIM as well as lessons learned from its use. RE-AIM has been applied most often in public health and health behavior change research, but increasingly in more diverse content areas and within clinical, community, and corporate settings. We discuss challenges of using RE-AIM while encouraging a more pragmatic use of key dimensions rather than comprehensive applications of all elements. Current foci of RE-AIM include increasing the emphasis on cost and adaptations to programs and expanding the use of qualitative methods to understand “how” and “why” results came about. The framework will continue to evolve to focus on contextual and explanatory factors related to RE-AIM outcomes, package RE-AIM for use by non-researchers, and integrate RE-AIM with other pragmatic and reporting frameworks.
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            The value and challenges of participatory research: strengthening its practice.

            The increasing use of participatory research (PR) approaches to address pressing public health issues reflects PR's potential for bridging gaps between research and practice, addressing social and environmental justice and enabling people to gain control over determinants of their health. Our critical review of the PR literature culminates in the development of an integrative practice framework that features five essential domains and provides a structured process for developing and maintaining PR partnerships, designing and implementing PR efforts, and evaluating the intermediate and long-term outcomes of descriptive, etiological, and intervention PR studies. We review the empirical and nonempirical literature in the context of this practice framework to distill the key challenges and added value of PR. Advances to the practice of PR over the next decade will require establishing the effectiveness of PR in achieving health outcomes and linking PR practices, processes, and core elements to health outcomes.
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              National Institutes of Health approaches to dissemination and implementation science: current and future directions.

              To address the vast gap between current knowledge and practice in the area of dissemination and implementation research, we address terminology, provide examples of successful applications of this research, discuss key sources of support, and highlight directions and opportunities for future advances. There is a need for research testing approaches to scaling up and sustaining effective interventions, and we propose that further advances in the field will be achieved by focusing dissemination and implementation research on 5 core values: rigor and relevance, efficiency, collaboration, improved capacity, and cumulative knowledge.

                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                14 July 2020
                July 2020
                : 17
                : 14
                : 5050
                Affiliations
                [1 ]California Breast Cancer Research Program, Bethesda, MD 20186, USA
                [2 ]California Breast Cancer Research Program University of California, Office of the President, Oakland, CA 94612, USA; marion.kavanaugh-lynch@ 123456ucop.edu
                [3 ]Preventive Medicine, Community Initiatives, Keck School of Medicine (KSOM), University of California, Los Angeles, CA 90033, USA; baezcond@ 123456usc.edu
                [4 ]Community Engagement, Norris Comprehensive Cancer Center, University of California, Los Angeles, CA 90033, USA
                [5 ]Center for Health Equity in the Americas, KSOM, University of Southern California, Los Angeles, CA 90007, USA
                [6 ]Cancer Screening, Canadian Partnership Against Cancer, Toronto, ON M5H 1J8, Canada; Christopher.Politis@ 123456partnershipagainstcancer.ca
                [7 ]California Pan-Ethnic Health Network, Oakland, CA 94612, USA; aprager@ 123456cpehn.org
                [8 ]Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA; rbrownson@ 123456wustl.edu
                [9 ]Department of Surgery (Division of Public Health Sciences) and Alvin J. Siteman Cancer Center, School of Medicine, Washington University, St. Louis, MO 63110, USA
                Author notes
                [* ]Correspondence: jon.kerner@ 123456gmail.com
                Author information
                https://orcid.org/0000-0002-8792-3830
                https://orcid.org/0000-0002-9568-5684
                Article
                ijerph-17-05050
                10.3390/ijerph17145050
                7399883
                32674312
                34c1c91f-a049-4bb8-9af1-182c8e0ff90a
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 01 June 2020
                : 07 July 2020
                Categories
                Concept Paper

                Public health
                implementation and dissemination,primary prevention,community-based participatory research,breast cancer,population science,action research

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