Searching context-tailored strategies to enhance accessibility to colorectal cancer screening through the use of different types of evidence
- Autores
- Bruzzone, Ariana; Esandi, Maria Eugenia; Schenfeld, Yamila; Dopazo Danieli, Iñaki Manuel; Bellando, María Belén; Picardi, Gonzalo; Schernenco, Joel; Robles, Manuel; Reig, Maria Ernestina
- Año de publicación
- 2023
- Idioma
- español castellano
- Tipo de recurso
- documento de conferencia
- Estado
- versión publicada
- Descripción
- Although colorectal cancer (CRC) ranks second in both incidence and mortality, screening coverage in Argentina is very low, particularly among individuals with low socio- economic status and public health coverage. Screening programs are cost-effective and successful in reducing disease-specific mortality. However, their implementation by health systems is complex and sub-optimal, partly at- tributed to difficulties in strategies design. Using methods and tools from dissemination and implementation sci- ences would contribute to designing evidence-informed strategies tailored to the specific context of the program. Our work aimed to explore how different types of evi- dence, stakeholder involvement, and evidence-informed deliberation contribute to the design of implementation strategies that address accessibility barriers to CRC screening. The study objectives were: 1) to generate lo- cal evidence on accessibility barriers in a programmatic area of Bahía Blanca, 2) to produce empirical evidence on effective strategies for increasing users and health professional adoption and adherence to CRC screening, 3) to design implementation strategies through stake- holder involvement and deliberation, incorporating the- oretical, empirical, and experiential evidence, 4) to an- alyze how these stakeholder-driven strategies address the local barriers to CRC. This research was part of a broader project conducted by an interdisciplinary team from UNS, with the aim of bridging the knowledge-action gap on priority health issues. It consisted in a 4-stage sequential study, using a mixed-method design. 1: Barriers’ assessment through key stakeholders’ interviews based on the consolidated meta-framework of Implementation Research and Michie’s theoretical framework. 2: Sys- tematic review on the effectiveness of implementation strategies targeting to the uptake and adherence of CRC screening. 3: Evidence-informed deliberative dialogue involving key stakeholders aimed at designing contex- tualized implementation strategies. 4: Mapping exercise linking proposed strategies and barriers, considering Garbus’ accessibility dimensions (technical, economic, political or symbolic). Over 80% of the proposed strat- egies focused on the technical accessibility dimension (network organization), while the remaining strategies addressed symbolic barriers (knowledge gaps, fear, underappreciated health issue). However, no strate- gies targeted to barriers related to the political-econom- ic dimensions were proposed, despite being perceived among the most critical ones (limited videocolonoscopy access, no screening policy, fragmented health system). In low-resource contexts, it is crucial to include politi- cal-economic dimensions in the design of strategies in order to advance effective and sustainable guidelines for CRC prevention. While a participatory approach helped lay the groundwork for new strategies, it cannot formalize a screening policy in AP2 alone, as some barriers and accessibility dimensions remain unaddressed.
Fil: Bruzzone, Ariana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto de Investigaciones Bioquímicas de Bahía Blanca. Universidad Nacional del Sur. Instituto de Investigaciones Bioquímicas de Bahía Blanca; Argentina
Fil: Esandi, Maria Eugenia. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina. Universidad Nacional del Sur. Departamento de Economía; Argentina
Fil: Schenfeld, Yamila. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina
Fil: Dopazo Danieli, Iñaki Manuel. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina
Fil: Bellando, María Belén. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina
Fil: Picardi, Gonzalo. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina
Fil: Schernenco, Joel. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina
Fil: Robles, Manuel. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina
Fil: Reig, Maria Ernestina. Municipalidad de Bahía Blanca, Secretaria de Salud; Argentina
LXVIII Reunión Anual de la Sociedad Argentina de Investigación Clínica; XXV Jornadas Anuales de la Sociedad Argentina de Biología; LV Reunión Anual de la Asociación Argentina de Farmacología Experimental y VIII Reunión Científica Regional de la Asociación Argentina de Ciencia y Tecnología de Animales de Laboratorio
Mar del Plata
Argentina
Sociedad Argentina de Investigación Clínica
Sociedad Argentina de Biología
Asociación Argentina de Farmacología Experimental
Asociación Argentina de Ciencia y Tecnología de Animales de Laboratorio - Materia
-
IMPLEMENTACION
TAMIZAJE
CANCER
COLORRECTAL - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
- Repositorio
.jpg)
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/228874
Ver los metadatos del registro completo
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Searching context-tailored strategies to enhance accessibility to colorectal cancer screening through the use of different types of evidenceBruzzone, ArianaEsandi, Maria EugeniaSchenfeld, YamilaDopazo Danieli, Iñaki ManuelBellando, María BelénPicardi, GonzaloSchernenco, JoelRobles, ManuelReig, Maria ErnestinaIMPLEMENTACIONTAMIZAJECANCERCOLORRECTALhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Although colorectal cancer (CRC) ranks second in both incidence and mortality, screening coverage in Argentina is very low, particularly among individuals with low socio- economic status and public health coverage. Screening programs are cost-effective and successful in reducing disease-specific mortality. However, their implementation by health systems is complex and sub-optimal, partly at- tributed to difficulties in strategies design. Using methods and tools from dissemination and implementation sci- ences would contribute to designing evidence-informed strategies tailored to the specific context of the program. Our work aimed to explore how different types of evi- dence, stakeholder involvement, and evidence-informed deliberation contribute to the design of implementation strategies that address accessibility barriers to CRC screening. The study objectives were: 1) to generate lo- cal evidence on accessibility barriers in a programmatic area of Bahía Blanca, 2) to produce empirical evidence on effective strategies for increasing users and health professional adoption and adherence to CRC screening, 3) to design implementation strategies through stake- holder involvement and deliberation, incorporating the- oretical, empirical, and experiential evidence, 4) to an- alyze how these stakeholder-driven strategies address the local barriers to CRC. This research was part of a broader project conducted by an interdisciplinary team from UNS, with the aim of bridging the knowledge-action gap on priority health issues. It consisted in a 4-stage sequential study, using a mixed-method design. 1: Barriers’ assessment through key stakeholders’ interviews based on the consolidated meta-framework of Implementation Research and Michie’s theoretical framework. 2: Sys- tematic review on the effectiveness of implementation strategies targeting to the uptake and adherence of CRC screening. 3: Evidence-informed deliberative dialogue involving key stakeholders aimed at designing contex- tualized implementation strategies. 4: Mapping exercise linking proposed strategies and barriers, considering Garbus’ accessibility dimensions (technical, economic, political or symbolic). Over 80% of the proposed strat- egies focused on the technical accessibility dimension (network organization), while the remaining strategies addressed symbolic barriers (knowledge gaps, fear, underappreciated health issue). However, no strate- gies targeted to barriers related to the political-econom- ic dimensions were proposed, despite being perceived among the most critical ones (limited videocolonoscopy access, no screening policy, fragmented health system). In low-resource contexts, it is crucial to include politi- cal-economic dimensions in the design of strategies in order to advance effective and sustainable guidelines for CRC prevention. While a participatory approach helped lay the groundwork for new strategies, it cannot formalize a screening policy in AP2 alone, as some barriers and accessibility dimensions remain unaddressed.Fil: Bruzzone, Ariana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto de Investigaciones Bioquímicas de Bahía Blanca. Universidad Nacional del Sur. Instituto de Investigaciones Bioquímicas de Bahía Blanca; ArgentinaFil: Esandi, Maria Eugenia. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina. Universidad Nacional del Sur. Departamento de Economía; ArgentinaFil: Schenfeld, Yamila. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; ArgentinaFil: Dopazo Danieli, Iñaki Manuel. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; ArgentinaFil: Bellando, María Belén. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; ArgentinaFil: Picardi, Gonzalo. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; ArgentinaFil: Schernenco, Joel. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; ArgentinaFil: Robles, Manuel. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; ArgentinaFil: Reig, Maria Ernestina. Municipalidad de Bahía Blanca, Secretaria de Salud; ArgentinaLXVIII Reunión Anual de la Sociedad Argentina de Investigación Clínica; XXV Jornadas Anuales de la Sociedad Argentina de Biología; LV Reunión Anual de la Asociación Argentina de Farmacología Experimental y VIII Reunión Científica Regional de la Asociación Argentina de Ciencia y Tecnología de Animales de LaboratorioMar del PlataArgentinaSociedad Argentina de Investigación ClínicaSociedad Argentina de BiologíaAsociación Argentina de Farmacología ExperimentalAsociación Argentina de Ciencia y Tecnología de Animales de LaboratorioFundación Revista Medicina2023info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/conferenceObjectReuniónJournalhttp://purl.org/coar/resource_type/c_5794info:ar-repo/semantics/documentoDeConferenciaapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/228874Searching context-tailored strategies to enhance accessibility to colorectal cancer screening through the use of different types of evidence; LXVIII Reunión Anual de la Sociedad Argentina de Investigación Clínica; XXV Jornadas Anuales de la Sociedad Argentina de Biología; LV Reunión Anual de la Asociación Argentina de Farmacología Experimental y VIII Reunión Científica Regional de la Asociación Argentina de Ciencia y Tecnología de Animales de Laboratorio; Mar del Plata; Argentina; 2023; 42-420025-76801669-9106CONICET DigitalCONICETspainfo:eu-repo/semantics/altIdentifier/url/https://www.saic.org.ar/revista-medicinaNacionalinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-10T13:17:14Zoai:ri.conicet.gov.ar:11336/228874instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-10 13:17:14.889CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
| dc.title.none.fl_str_mv |
Searching context-tailored strategies to enhance accessibility to colorectal cancer screening through the use of different types of evidence |
| title |
Searching context-tailored strategies to enhance accessibility to colorectal cancer screening through the use of different types of evidence |
| spellingShingle |
Searching context-tailored strategies to enhance accessibility to colorectal cancer screening through the use of different types of evidence Bruzzone, Ariana IMPLEMENTACION TAMIZAJE CANCER COLORRECTAL |
| title_short |
Searching context-tailored strategies to enhance accessibility to colorectal cancer screening through the use of different types of evidence |
| title_full |
Searching context-tailored strategies to enhance accessibility to colorectal cancer screening through the use of different types of evidence |
| title_fullStr |
Searching context-tailored strategies to enhance accessibility to colorectal cancer screening through the use of different types of evidence |
| title_full_unstemmed |
Searching context-tailored strategies to enhance accessibility to colorectal cancer screening through the use of different types of evidence |
| title_sort |
Searching context-tailored strategies to enhance accessibility to colorectal cancer screening through the use of different types of evidence |
| dc.creator.none.fl_str_mv |
Bruzzone, Ariana Esandi, Maria Eugenia Schenfeld, Yamila Dopazo Danieli, Iñaki Manuel Bellando, María Belén Picardi, Gonzalo Schernenco, Joel Robles, Manuel Reig, Maria Ernestina |
| author |
Bruzzone, Ariana |
| author_facet |
Bruzzone, Ariana Esandi, Maria Eugenia Schenfeld, Yamila Dopazo Danieli, Iñaki Manuel Bellando, María Belén Picardi, Gonzalo Schernenco, Joel Robles, Manuel Reig, Maria Ernestina |
| author_role |
author |
| author2 |
Esandi, Maria Eugenia Schenfeld, Yamila Dopazo Danieli, Iñaki Manuel Bellando, María Belén Picardi, Gonzalo Schernenco, Joel Robles, Manuel Reig, Maria Ernestina |
| author2_role |
author author author author author author author author |
| dc.subject.none.fl_str_mv |
IMPLEMENTACION TAMIZAJE CANCER COLORRECTAL |
| topic |
IMPLEMENTACION TAMIZAJE CANCER COLORRECTAL |
| purl_subject.fl_str_mv |
https://purl.org/becyt/ford/3.3 https://purl.org/becyt/ford/3 |
| dc.description.none.fl_txt_mv |
Although colorectal cancer (CRC) ranks second in both incidence and mortality, screening coverage in Argentina is very low, particularly among individuals with low socio- economic status and public health coverage. Screening programs are cost-effective and successful in reducing disease-specific mortality. However, their implementation by health systems is complex and sub-optimal, partly at- tributed to difficulties in strategies design. Using methods and tools from dissemination and implementation sci- ences would contribute to designing evidence-informed strategies tailored to the specific context of the program. Our work aimed to explore how different types of evi- dence, stakeholder involvement, and evidence-informed deliberation contribute to the design of implementation strategies that address accessibility barriers to CRC screening. The study objectives were: 1) to generate lo- cal evidence on accessibility barriers in a programmatic area of Bahía Blanca, 2) to produce empirical evidence on effective strategies for increasing users and health professional adoption and adherence to CRC screening, 3) to design implementation strategies through stake- holder involvement and deliberation, incorporating the- oretical, empirical, and experiential evidence, 4) to an- alyze how these stakeholder-driven strategies address the local barriers to CRC. This research was part of a broader project conducted by an interdisciplinary team from UNS, with the aim of bridging the knowledge-action gap on priority health issues. It consisted in a 4-stage sequential study, using a mixed-method design. 1: Barriers’ assessment through key stakeholders’ interviews based on the consolidated meta-framework of Implementation Research and Michie’s theoretical framework. 2: Sys- tematic review on the effectiveness of implementation strategies targeting to the uptake and adherence of CRC screening. 3: Evidence-informed deliberative dialogue involving key stakeholders aimed at designing contex- tualized implementation strategies. 4: Mapping exercise linking proposed strategies and barriers, considering Garbus’ accessibility dimensions (technical, economic, political or symbolic). Over 80% of the proposed strat- egies focused on the technical accessibility dimension (network organization), while the remaining strategies addressed symbolic barriers (knowledge gaps, fear, underappreciated health issue). However, no strate- gies targeted to barriers related to the political-econom- ic dimensions were proposed, despite being perceived among the most critical ones (limited videocolonoscopy access, no screening policy, fragmented health system). In low-resource contexts, it is crucial to include politi- cal-economic dimensions in the design of strategies in order to advance effective and sustainable guidelines for CRC prevention. While a participatory approach helped lay the groundwork for new strategies, it cannot formalize a screening policy in AP2 alone, as some barriers and accessibility dimensions remain unaddressed. Fil: Bruzzone, Ariana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto de Investigaciones Bioquímicas de Bahía Blanca. Universidad Nacional del Sur. Instituto de Investigaciones Bioquímicas de Bahía Blanca; Argentina Fil: Esandi, Maria Eugenia. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina. Universidad Nacional del Sur. Departamento de Economía; Argentina Fil: Schenfeld, Yamila. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina Fil: Dopazo Danieli, Iñaki Manuel. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina Fil: Bellando, María Belén. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina Fil: Picardi, Gonzalo. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina Fil: Schernenco, Joel. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina Fil: Robles, Manuel. Universidad Nacional del Sur. Departamento de Ciencias de la Salud; Argentina Fil: Reig, Maria Ernestina. Municipalidad de Bahía Blanca, Secretaria de Salud; Argentina LXVIII Reunión Anual de la Sociedad Argentina de Investigación Clínica; XXV Jornadas Anuales de la Sociedad Argentina de Biología; LV Reunión Anual de la Asociación Argentina de Farmacología Experimental y VIII Reunión Científica Regional de la Asociación Argentina de Ciencia y Tecnología de Animales de Laboratorio Mar del Plata Argentina Sociedad Argentina de Investigación Clínica Sociedad Argentina de Biología Asociación Argentina de Farmacología Experimental Asociación Argentina de Ciencia y Tecnología de Animales de Laboratorio |
| description |
Although colorectal cancer (CRC) ranks second in both incidence and mortality, screening coverage in Argentina is very low, particularly among individuals with low socio- economic status and public health coverage. Screening programs are cost-effective and successful in reducing disease-specific mortality. However, their implementation by health systems is complex and sub-optimal, partly at- tributed to difficulties in strategies design. Using methods and tools from dissemination and implementation sci- ences would contribute to designing evidence-informed strategies tailored to the specific context of the program. Our work aimed to explore how different types of evi- dence, stakeholder involvement, and evidence-informed deliberation contribute to the design of implementation strategies that address accessibility barriers to CRC screening. The study objectives were: 1) to generate lo- cal evidence on accessibility barriers in a programmatic area of Bahía Blanca, 2) to produce empirical evidence on effective strategies for increasing users and health professional adoption and adherence to CRC screening, 3) to design implementation strategies through stake- holder involvement and deliberation, incorporating the- oretical, empirical, and experiential evidence, 4) to an- alyze how these stakeholder-driven strategies address the local barriers to CRC. This research was part of a broader project conducted by an interdisciplinary team from UNS, with the aim of bridging the knowledge-action gap on priority health issues. It consisted in a 4-stage sequential study, using a mixed-method design. 1: Barriers’ assessment through key stakeholders’ interviews based on the consolidated meta-framework of Implementation Research and Michie’s theoretical framework. 2: Sys- tematic review on the effectiveness of implementation strategies targeting to the uptake and adherence of CRC screening. 3: Evidence-informed deliberative dialogue involving key stakeholders aimed at designing contex- tualized implementation strategies. 4: Mapping exercise linking proposed strategies and barriers, considering Garbus’ accessibility dimensions (technical, economic, political or symbolic). Over 80% of the proposed strat- egies focused on the technical accessibility dimension (network organization), while the remaining strategies addressed symbolic barriers (knowledge gaps, fear, underappreciated health issue). However, no strate- gies targeted to barriers related to the political-econom- ic dimensions were proposed, despite being perceived among the most critical ones (limited videocolonoscopy access, no screening policy, fragmented health system). In low-resource contexts, it is crucial to include politi- cal-economic dimensions in the design of strategies in order to advance effective and sustainable guidelines for CRC prevention. While a participatory approach helped lay the groundwork for new strategies, it cannot formalize a screening policy in AP2 alone, as some barriers and accessibility dimensions remain unaddressed. |
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