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http://hpp.sagepub.com/ Health Promotion Practice http://hpp.sagepub.com/content/11/5/654 The online version of this article can be found at: DOI: 10.1177/1524839908325064 2010 11: 654 originally published online 30 December 2008 Health Promot Pract María E. Fernández, Marydale DeBor, Myrna Candreia and Belinda Flores Community-Based Organizations Dissemination of a Breast and Cervical Cancer Early Detection Program Through a Network of Published by: http://www.sagepublications.com On behalf of: Society for Public Health Education can be found at: Health Promotion Practice Additional services and information for http://hpp.sagepub.com/cgi/alerts Email Alerts: http://hpp.sagepub.com/subscriptions Subscriptions: http://www.sagepub.com/journalsReprints.nav Reprints: http://www.sagepub.com/journalsPermissions.nav Permissions: http://hpp.sagepub.com/content/11/5/654.refs.html Citations: at BRIGHAM YOUNG UNIV on September 13, 2010 hpp.sagepub.com Downloaded from
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Dissemination of a Breast and Cervical Cancer Early Detection Program Through a Network of Community-Based Organizations María E. Fernández, PhD Marydale DeBor, JD Myrna Candreia, MA Belinda Flores, MPH, CHES adopted, implemented, and maintained over time. Nevertheless, a gap continues to exist in translating dif- fusion models and research findings into evidence based public health practice (Kerner et al., 2005). The purpose of this article is to describe the dissemination of ENCOREplus, an evidence-based breast and cervical cancer screening promotion program targeting minority women 40 and older. This article illustrates a unique collaborative partnership and describes the use of theory-based methods and strategies to enhance the program’s adoption, implementation, and maintenance in community settings. The effectiveness of breast and cervical cancer screening in improving treatment outcomes and sur- vival is well established (Elmore, Armstrong, Lehman, & Fletchet, 2005; Etzioni et al., 2003; Shapiro, Venet, Strax, Venet, & Roeser, 1982). Rates of women reporting compliance with breast cancer screening guidelines have increased overall in the past decade (American Cancer Society, 2008). However, among low-income women, older women, women of low educational lev- els, uninsured women, and women who have immi- grated to the United States in the past 10 years, the reported utilization of mammography and cervical can- cer screening continues to be significantly lower when compared to women in other groups (Anderson & May, 1995; National Center for Health Statistics, 2006; Swan, Breen, Coates, Rimer, & Lee, 2003). ENCORE plus , a breast and cervical cancer outreach, edu- cation, and screening referral program, was implemented by the YWCA of the United States and funded by Avon’s Breast Cancer Awareness Crusade. ENCORE plus was designed to address the educational and access needs of low socioeconomic status and minority women who experience substantial barriers to breast and cervical cancer screening. This article describes the dissemina- tion of ENCORE plus to 78 YWCAs in 30 states. It illus- trates the application of social cognitive theory and
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