Tesla D Dubois, Alison C Brecher, Donna Edmondson, Evelyn Gonzalez, Charnita Zeigler-Johnson, Linda Fleisher, Shannon M Lynch
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Leveraging geospatial data to support an implementation science approach to address lung cancer burden.
The lung cancer mortality rate in Philadelphia is 16% higher than the national rate, making screening and prevention efforts paramount. To support prevention efforts, Fox Chase Cancer Center operates a comprehensive Tobacco Treatment Program (TTP) that employs an Implementation Science (IS) approach and provides over 1000 individuals with various therapeutic strategies to support smoking cessation. Using TTP as a case study, this brief report describes the adaptation of the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework into a geospatial format. Each dimension of the geospatial RE-AIM framework results in a map that can help identify 1) target areas for intervention (Reach), 2) the degree to which the program is serving those areas (Effectiveness), 3) opportunities for partnership to support delivery (Adoption), 4) contextual factors influencing how the intervention is best delivered (Implementation), and 5) strategies for long-term integration of the intervention (Maintenance). This framework supports targeted, sustainable initiatives.
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