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Cancer Prevention Through Scaling-Up the Process of Evidence-Based Decision-Making in a State Health Department 

Cancer Prevention Through Scaling-Up the Process of Evidence-Based Decision-Making in a State Health Department
Chapter:
Cancer Prevention Through Scaling-Up the Process of Evidence-Based Decision-Making in a State Health Department
Author(s):

Peg M. Allen

, Linda J. Ahrendt

, Kiley A. Hump

, and Ross C. Brownson

DOI:
10.1093/med/9780190647421.003.0010
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date: 16 July 2019

This case study provides an example of a collaboration between a university and a public health agency to build organizational capacity to spread data-driven decision-making, implementation, and evaluation of evidence-based cancer prevention strategies. The Office of Chronic Disease Prevention and Health Promotion at the South Dakota Department of Health provided the key management practices for scale-up of evidence-based decision-making (EBDM): leadership support, training, a supportive organizational climate and culture, inclusion of partners, and outcomes-based contracting with partnering organizations. A pre–post survey showed increased use of research evidence for several job tasks, including selection of interventions and evaluation. Perceived work unit access to skills in prioritization and adapting interventions also increased. The 16 staff and partners interviewed perceived leadership support, federal funding requirements, and an initial multi-day training as the key facilitators for spreading EBDM.

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