Many Moving Parts: Evaluating the Implementation of the Kin KeeperSM Cancer Prevention Intervention

Introduction: This evaluation of the implementation of a cancer preventionintervention includes; intervention fidelity, participant satisfaction, participantretention, and the cost of program implementation. The main purpose of thispaper is to disseminate findings in order to inform and promote similarcommunity health programming.Methods: The evaluation framework integrates several models, including theCenters for Disease Control and Prevention (CDC) Evaluation Framework andthe University of Wisconsin-Extension (UW-EX) Evaluation Model. Thisevaluation process is complex in that it: (1) is community-based participatoryresearch (CBPR); (2) is a Randomized Controlled Trial (RCT); (3) uses anecological approach; and (4) is multicultural.Results: For intervention fidelity, we found that 90% of participants reportedhigh fidelity in the delivery of the intervention as well as strong participantsatisfaction. Likewise, 90% of CHWs also report high fidelity in trainingprovided and intervention integrity. Over 36 months of follow-up, the participantretention rate was 79% or more with no significant differences between theintervention and control groups. The cost to implement and deliver the programto each intervention participant was $151.Conclusion: These outcomes can inform policymakers in order to disseminateand implement quality health communication programming.

Keywords:

Program Evaluation , Cancer Prevention , Kin Keeper SM , Black , Latina , Arab , Women , Health Disparities , Health Communication