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Translating Cancer Control Research Into Primary Care Practice: A Conceptual Framework

Cancer Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, alg45@ georgetown.edu

Jon F. Kerner, PhD

Division of Cancer Control & Population Sciences, National Cancer Institute, Bethesda, Maryland

Kathleen M. Quinlan, PhD

Concept Systems, Inc, Ithaca, New York

Cynthia Vinson, MPA

Division of Cancer Control & Population Sciences, National Cancer Institute, Bethesda, Maryland

Allan Best, PhD

Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada

Effective dissemination, implementation, and adoption of research-tested lifestyle risk factor interventions within primary care are critical to reduce cancer morbidity and mortality. The objective of this study is to identify short- and long-term action steps within primary care research and practice to bridge the discovery-to-delivery gap in cancer prevention and control. Experts in primary care research and practice from the United States and Canada participated in this qualitative project. Concept mapping was used to synthesize expert input on actions to improve research-practice integration in cancer prevention and control. Results were used to facilitate an action-planning meeting among primary care researchers and practitioners. Five areas were identified as critical to improving the integration of research and practice in cancer prevention and control: (1) stakeholder collaborations, (2) organizational culture and structure, (3) learning infrastructure, (4) incentives and funding, and (5) data and accountability systems. Addressing the discovery-to-delivery gap in primary care requires collaboration among researchers and practitioners throughout the knowledge production cycle. The model developed in this project can be used to stimulate actions at the individual, organizational, and systems level to reduce the burden of cancer related to lifestyle risk factors.

Key Words: cancer • primary care • dissemination • knowledge integration • concept mapping

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