Supporting Implementation of Evidence-based Strategies

4CNC focuses on creating better ways to provide guidance to public health practitioners about how to find, adapt, implement and evaluate evidence-driven programs.


Partnership with the NC Institute for Public Health, Center for Public Health Quality, and the Center for Healthy North Carolina

This study, led by Dr. Jennifer Leeman, PI, builds on work from the previous 5-year funding cycle to develop and refine a training curriculum to build practitioners' general capacity to adopt and implement evidence-based strategies. The current study recognizes that training is a good first step but generally is not sufficient to change practice. Moving beyond a one-size-fits-all approach, 4CNC is testing how best to tailor training and other implementation supports for practitioners implementing different types of evidence-based strategies. The study focuses on public health practitioners who want to implement specific obesity prevention strategies in their communities. The study will:

  • Develop and test the effectiveness of supplementing training with ongoing technical assistance aimed at improving team-level completion of the stages of EBS implementation in the community, and
  • Assess the feasibility of delivering technical assistance via live webinars that walk practitioners through a staged implementation process. 


Partnership with the Oregon Health & Science University

Training and technical assistance strategies will be tested with grantees of the Knight Cancer Institute's Community Partnership Program, through which the Knight Cancer Institute has made a 10-year commitment to provide $1 million annually for community-based cancer prevention in Oregon. The OHSU Training and Technical Assistance Project aims are: 

  • Develop EBS-specific implementation support that supplements the existing curriculum with EBS-specific implementation support that supplements the existing curriculum with EBS-specific training, technical assistance, and tools.
  • Test the effectiveness of EBS-specific implementation support at improving team-level completion and quality of the stages of implementing an EBS (engage team, select and adapt EBI, develop and implement action pal, and evaluate).


Continue to partner with Dr. Cam Escoffery of Emory University

In partnership,we are disseminating and providing training on Putting Public Health Evidence in Action, an interactive curriculum to support community program planners and health educators in developing skills in using evidence-based approaches and learning about new tools for planning and evaluating community health interventions. Drs. Leeman and Escoffery's training and dissemination activities include: 

  • Posting the training curriculum to the Cancer Prevention and Control Research Network website.
  • Developing an eighth curriculum module on Quality Assurance.
  • Presenting the training curriculum as part of the National Cancer Institute's Research 2 Reality webinar series and as a workshop at the 2015 APHA annual meeting.

Leeman, J., Calancie, L., Hartman, M, Escoffery, C. Herrmann, A., Tague, L., et al., (2015). What strategies are used to build practitioners' capacity to implement community-based interventions and are they effective?: A systematic review. Implementation Science, 10:80.

Leeman, J., Calancie, L., Kegler, M., Escoffery, C., Herrmann, A., Thatcher, E., Hartman, M., & Fernandez, M. (2015). Developing a theory to guide the design of strategies to build practitioners' capacity to adopt and implement evidence-based interventions. Health Education & Behavior.

After providing technical assistance (TA), the study team will assess how practitioners used the TA that they received, the TA formats they preferred, and their evaluation of the TA experience. The study will assess the adoption, implementation fidelity, reach and impact of the obesity prevention EBS with the goal of learning what is needed to effectively increase practitioners capacity to implement EBS in the field.