Challenges to Replicating Evidence-Based Research in Real-World Settings: Training African-American peers as Patient Navigators for Colon Cancer Screening

Many cancer-prevention interventions have demonstrated effectiveness in diverse populations, but these evidenced-based findings slowly disseminate into practice. The current study describes the process of disseminating and replicating research (i.e., peer patient navigation for colonoscopy screening...

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Bibliographic Details
Published in:Journal of cancer education 2012-12, Vol.27 (4), p.680-686
Main Authors: Sly, Jamilia R., Jandorf, Lina, Dhulkifl, Rayhana, Hall, Diana, Edwards, Tiffany, Goodman, Adam J., Maysonet, Elithea, Azeez, Sulaiman
Format: Article
Language:English
Subjects:
Academic Achievement
African Americans
African Americans - education
Attrition (Research Studies)
Biomedical and Life Sciences
Biomedicine
Cancer
Cancer Research
Colonic Neoplasms - diagnosis
Colonic Neoplasms - ethnology
Colonic Neoplasms - prevention & control
Colorectal cancer
Early Detection of Cancer
Education
Evidence
Evidence-based medicine
Evidence-Based Medicine - education
Health Education - methods
Health Personnel - education
Health Promotion
Health Services
Hospitals
Humans
Medical screening
Mental Health
Navigation
Oncology
Outreach Programs
Patients
Pharmacology/Toxicology
Population Distribution
Researchers
Scheduling
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Summary:Many cancer-prevention interventions have demonstrated effectiveness in diverse populations, but these evidenced-based findings slowly disseminate into practice. The current study describes the process of disseminating and replicating research (i.e., peer patient navigation for colonoscopy screening) in real-world settings. Two large metropolitan hospitals collaborated to replicate a peer patient navigation model within their existing navigation systems. Six African-American peer volunteers were recruited and trained to navigate patients through colonoscopy scheduling and completion. Major challenges included: (1) operating within multiple institutional settings; (2) operating within nonacademic/research infrastructures; (3) integrating into an established navigation system; (4) obtaining support of hospital staff without overburdening; and (5) competing priorities and time commitments. Bridging the gap between evidence-based research and practice is critical to eliminating many cancer health disparities; therefore, it is crucial that researchers and practitioners continue to work to achieve both diffusion and fusion of evidence-based findings. Recommendations for addressing these challenges are discussed.
ISSN:0885-8195
1543-0154
DOI:10.1007/s13187-012-0395-3