Goal 4. Objective 4: Leverage translational research, dissemination and implementation science, and evaluation investments to support adoption of evidence-informed practices
Translational research, dissemination, and implementation science help increase understanding about how best to support knowledge, adoption, and faithful implementation of best practices in the community. Selecting and adopting evidence-based approaches to tackle health, public health, and human services challenges can be a complex undertaking. HHS programs balance requirements to implement high-quality programs with fidelity, while acknowledging the unique needs of specific individuals or target populations, recognizing differences in program and community settings and resources, and respecting linguistic or cultural differences. Understanding threats to successful implementation of a promising practice can help the Department prevent and mitigate those risks early.
The Office of the Secretary leads this objective. The following divisions are responsible for implementing programs under this strategic objective: ACF, ACL, AHRQ, CDC, FDA, HRSA, NIH, OASH, and SAMHSA. In consultation with OMB, HHS has determined that performance toward this objective is progressing. The narrative below provides a brief summary of progress made and achievements or challenges, as well as plans to improve or maintain performance.
Objective 4.4: Table of Related Performance Measures
Increase the percentage of Community-Based Child Abuse Prevention (CBCAP) total funding that supports evidence-based and evidence-informed child abuse prevention programs and practices (Lead Agency - ACF; Measure ID - 7D)
|FY 2014||FY 2015||FY 2016||FY 2017||FY 2018||FY 2019||FY 2020||FY 2021|
|Target||71.4 %||64.1 %||62.4 %||57.3%||56.4%||64.5%||Prior Result +3PP||Prior Result +3PP|
|Result||61.1 %||59.4 %||53.4%||53.4%||61.5%||10/31/20||10/30/21||10/30/22|
|Status||Target Not Met||Target Not Met||Target Not Met||Target Not Met||Target Exceeded||Pending||Pending||Pending|
Currently, the Children's Bureau and its National Center for CBCAP are working closely with the states to promote more rigorous evaluations of their funded programs. The Children's Bureau defines evidence-based and evidence-informed programs and practices along a continuum. The continuum includes four categories of programs or practices: Emerging and Evidence Informed; Promising; Supported; and Well-Supported.
The FY 2018 result represented an increase with grantees reporting 61.5 percent of funds directed at evidence-based practices. ACF will continue to promote evaluation and innovation to expand the availability and use of evidence-informed and evidence-based practice over time. In FY 2020 and FY 2021, ACF is committed to continuing to work with CBCAP grantees to invest in known evidence-based practices, as well as to focus on one-on-one and peer learning technical assistance on increased accuracy of data reporting for this measure.
By 2020, develop and test the effectiveness of two strategies for translating cancer knowledge, clinical interventions, or behavioral interventions to underserved communities in community-based clinical settings (Lead Agency - NIH; Measure ID - SRO-5.1)
|FY 2017||Develop two strategies for translating validated basic knowledge, clinical interventions, or behavioral interventions to diverse communities and clinical practice through establishing the Partnerships to Advance Cancer Health Equity (PACHE) program between Minority Serving Institutions (MSI) and NCI-designated Cancer Centers (CC).||Several U54 PACHE Partnerships have developed and/or validated evidence-based interventions and tools to help reduce the burden of cancer disparities in underserved communities across the United States. They are working with various community-based organizations (including faith-based organizations and community-based clinical practices and organizations) to disseminate/translate the interventions and tools in the diverse communities.||Target Met|
|FY 2018||Develop and support two partnerships to test validated basic cancer knowledge, clinical or behavioral interventions to diverse communities in clinical practice.||The U54 PACHE Partnerships, through 2 new efforts, developed and/or validated evidence-based interventions and tools to help reduce the burden of cancer disparities in underserved communities across the United States. These partnerships continued to work with various community-based organizations (including faith-based organizations and community-based clinical practices and organizations) to disseminate/translate the interventions and tools for use in diverse communities.||Target Met|
|FY 2019||Finalize testing and validating the strategies to translate basic cancer knowledge, clinical or behavioral interventions to underserved communities and into clinical practice.||Two U54 PACHE partnerships finalized testing and validating evidence-based interventions and tools to help translate basic cancer knowledge and clinical or behavioral interventions to underserved communities across the United States. They continue to work with various community-based organizations to disseminate these interventions and tools.||Target Met|
|FY 2020||Finalize testing and validating the strategies to translate basic cancer knowledge, clinical or behavioral interventions to underserved communities and into clinical practice.||12/31/20||In Progress|
NIH's Partnerships to Advance Cancer Health Equity (PACHE) is a program that fosters partnerships among institutions serving underserved health disparity populations, underrepresented students, and National Cancer Institute-designated Cancer Centers. PACHE partnerships train scientists from diverse backgrounds in cancer research and to effectively deliver knowledge on cancer to underserved communities.
PACHE partnerships continued to flourish in FY 2019. For example, one partnership promoted cancer screening awareness and recruitment in several clinical trials in African American and Latino communities in the South Los Angeles area. This partnership continues to develop a cancer survivorship and caregiving program to equip nursing students with tools to assist aging underrepresented minority cancer survivors. Another example involves a different partnership that conducted community training and worked with community-based organizations to disseminate educational materials on cancer prevention and screening and HPV vaccination to underserved Micronesian and Pacific Islander populations. This partnership developed a training curriculum and provided informational tools to help healthcare providers serving these populations. These efforts resulted in raised awareness about cancer and cancer prevention related topics of regional relevance.
In FY 2020 PACHE partnerships are finalizing the testing and validation of strategies for translating basic cancer knowledge, and clinical or behavioral interventions to underserved communities and into clinical practice. Although this measure is scheduled to discontinue beginning in FY 2021, NIH is committed to funding future projects to develop and assess new strategies to help bring cancer advances to underserved communities.