Abstract
Purpose
Despite the potential for reducing the cancer burden via state policy change, few data exist on how best to disseminate research information to influence state legislators’ policy choices. We explored: (1) the relative importance of core framing issues (source, presentation, timeliness) among policymakers who prioritize cancer and those who do not prioritize cancer and (2) the predictors of use of research in policymaking.
Methods
Cross-sectional data were collected from US state policymakers (i.e., legislators elected to state houses or senates) from January through October 2012 (n = 862). One-way analysis of variance was performed to investigate the association of the priority of cancer variable with outcome variables. Multivariate logistic regression models examined predictors of the influence of research information.
Results
Legislators who prioritized cancer tended to rate characteristics that make research information useful higher than those who did not prioritize cancer. Among differences that were statistically significant were three items in the “source” domain (relevance, delivered by someone respected, supports one’s own position), one item in the “presentation” domain (telling a story related to constituents) and two items in the “timeliness” domain (high current state priority, feasible when information is received). Participants who prioritized cancer risk factors were 80 % more likely to rate research information as one of their top reasons for choosing an issue on which to work.
Conclusions
Our results suggest the importance of narrative forms of communication and that research information needs to be relevant to the policymakers’ constituents in a brief, concise format.
References
Colditz GA, Samplin-Salgado M, Ryan CT, Dart H, Fisher L, Tokuda A, Rockhill B (2002) Harvard report on cancer prevention, volume 5: fulfilling the potential for cancer prevention: policy approaches. Cancer Causes Control 13(3):199–212
Selig WK, Jenkins KL, Reynolds SL, Benson D, Daven M (2005) Examining advocacy and comprehensive cancer control. Cancer Causes Control 16(Suppl 1):61–68. doi:10.1007/s10552-005-0485-1
Steger C, Daniel K, Gurian GL, Petherick JT, Stockmyer C, David AM, Miller SE (2010) Public policy action and CCC implementation: benefits and hurdles. Cancer Causes Control 21(12):2041–2048. doi:10.1007/s10552-010-9668-5
McGinnis JM, Williams-Russo P, Knickman JR (2002) The case for more active policy attention to health promotion. Health Aff (Millwood) 21(2):78–93
Chriqui JF, O’Connor JC, Chaloupka FJ (2011) What gets measured, gets changed: evaluating law and policy for maximum impact. J Law Med Ethics 39(Suppl 1):21–26. doi:10.1111/j.1748-720X.2011.00559.x
Kerner JF, Guirguis-Blake J, Hennessy KD, Brounstein PJ, Vinson C, Schwartz RH, Myers BA, Briss P (2005) Translating research into improved outcomes in comprehensive cancer control. Cancer Causes Control 16(Suppl 1):27–40
Kerner J, Tajima K, Yip CH, Bhattacharyya O, Trapido E, Cazap E, Ullrich A, Fernandez M, Qiao YL, Kim P, Cho J, Sutcliffe C, Sutcliffe S (2012) Knowledge exchange–translating research into practice and policy. Asian Pac J Cancer Prev 13(4 Suppl):37–48
Nykiforuk CI, Wild TC, Raine KD (2014) Cancer beliefs and prevention policies: comparing Canadian decision-maker and general population views. Cancer Causes Control 25(12):1683–1696. doi:10.1007/s10552-014-0474-3
Colditz GA, Gortmaker SL (1995) Cancer prevention strategies for the future: risk identification and preventive intervention. Milbank Q 73(4):621–651
Grunfeld E, Zitzelsberger L, Evans WK, Cameron R, Hayter C, Berman N, Stern H (2004) Better knowledge translation for effective cancer control: a priority for action. Cancer Causes Control 15(5):503–510. doi:10.1023/B:CACO.0000036448.40295.1d
Brownson RC, Haire-Joshu D, Luke DA (2006) Shaping the context of health: a review of environmental and policy approaches in the prevention of chronic diseases. Annu Rev Public Heal 27:341–370
Frieden TR, Myers JE, Krauskopf MS, Farley TA (2008) A public health approach to winning the war against cancer. Oncologist 13(12):1306–1313. doi:10.1634/theoncologist.2008-0157
Task Force on Community Preventive Services (2015) Guide to Community Preventive Services. Centers for Disease Control and Prevention. www.thecommunityguide.org. Accessed 15 Nov 2015
National Cancer Institute (2015) Cancer Control Continuum. National Cancer Institute, US National Institutes of Health. http://cancercontrol.cancer.gov/od/continuum.html. Accessed 15 Nov 2015
McGowan A, Brownson R, Wilcox L, Mensah G (2006) Prevention and control of chronic diseases. In: Goodman R, Rothstein M, Hoffman R, Lopez W, Matthews G (eds) Law in public health practice, 2nd edn. Oxford University Press, New York
Eyler A, Chriqui J, Moreland-Russell S, Brownson R (eds) (2016) Prevention, policy, and public health. Oxford University Press, New York
CDC (1994) State cancer registries: status of authorizing legislation and enabling regulations–United States, October 1993. MMWR Morb Mortal Wkly Rep 43(4):71–75
Izquierdo JN, Schoenbach VJ (2000) The potential and limitations of data from population-based state cancer registries. Am J Public Heal 90(5):695–698
Black BL, Cowens-Alvarado R, Gershman S, Weir HK (2005) Using data to motivate action: the need for high quality, an effective presentation, and an action context for decision-making. Cancer Causes Control 16(Suppl 1):15–25
Lightwood J, Glantz SA (2013) The effect of the California tobacco control program on smoking prevalence, cigarette consumption, and healthcare costs: 1989-2008. PLoS ONE 8(2):e47145. doi:10.1371/journal.pone.0047145
Cokkinides V, Bandi P, Shah M, Virgo K, Ward E (2011) The association between state mandates of colorectal cancer screening coverage and colorectal cancer screening utilization among US adults aged 50 to 64 years with health insurance. BMC Heal Serv Res 11:19. doi:10.1186/1472-6963-11-19
Akl EA, Oxman AD, Herrin J, Vist GE, Terrenato I, Sperati F, Costiniuk C, Blank D, Schunemann H (2011) Framing of health information messages. Cochrane Database Syst Rev (12):CD006777. doi:10.1002/14651858.CD006777.pub2
Brownson RC, Chriqui JF, Stamatakis KA (2009) Understanding evidence-based public health policy. Am J Public Heal 99(9):1576–1583. doi:10.2105/AJPH.2008.156224
Jones E, Kreuter M, Pritchett S, Matulionis RM, Hann N (2006) State health policy makers: what’s the message and who’s listening? Heal Promot Pract 7(3):280–286. doi:10.1177/1524839906289583
Rothman AJ, Salovey P (1997) Shaping perceptions to motivate healthy behavior: the role of message framing. Psychol Bull 121(1):3–19
Brownson RC, Dodson EA, Stamatakis KA, Casey CM, Elliott MB, Luke DA, Wintrode CG, Kreuter MW (2011) Communicating evidence-based information on cancer prevention to state-level policy makers. J Natl Cancer Inst 103(4):306–316. doi:10.1093/jnci/djq529
Fox D (2010) The convergence of science and governance: research, health policy, and American states. University of California Press, Berkeley
Kingdon JW (2010) Agendas, alternatives, and public policies. Updated 2nd edn. Longman, Boston
McDonough J (2000) Experiencing politics. A legislator’s stories of government and health care. University of California Press, Berkeley
Dodson EA, Stamatakis KA, Chalifour S, Haire-Joshu D, McBride T, Brownson RC (2012) State legislators’ work on public health-related issues: what influences priorities? J Public Heal Manag Pract 19(1):25–29. doi:10.1097/PHH.0b013e318246475c
Bogenschneider K, Coorbett T (2010) Evidence-based policymaking: insights from policy-minded researchers and research-minded policy makers. Routledge, New York
Lavis JN, Robertson D, Woodside JM, McLeod CB, Abelson J (2003) How can research organizations more effectively transfer research knowledge to decision makers? Milbank Q 81(2):221–248
Choi BC, Li L, Lu Y, Zhang LR, Zhu Y, Pak AW, Chen Y, Little J (2016) Bridging the gap between science and policy: an international survey of scientists and policy makers in China and Canada. Implement Sci 11(1):16. doi:10.1186/s13012-016-0377-7
Bogenschneider K, Little O, Johnson K (2013) Policymakers’ use of social science research: looking within and across policy actors. J Marriage Fam 75(2):263–275
Moreland-Russell S, Barbero C, Andersen S, Geary N, Dodson EA, Brownson RC (2015) “Hearing from all sides” How legislative testimony influences state level policy-makers in the United States. Int J Heal Policy Manag 4(2):91–98. doi:10.15171/ijhpm.2015.13
Davis JR, Kern TG, Perry MC, Brownson RC, Harmon RG (1989) Survey of cancer control attitudes among Missouri state legislators. Mo Med 86(2):95–98
Oliver K, Innvar S, Lorenc T, Woodman J, Thomas J (2014) A systematic review of barriers to and facilitators of the use of evidence by policymakers. BMC Heal Serv Res 14:2. doi:10.1186/1472-6963-14-2
Brownson RC, Royer C, Ewing R, McBride TD (2006) Researchers and policymakers: travelers in parallel universes. Am J Prev Med 30(2):164–172
Green M (2006) Narratives and cancer communication. J Commun 56:S163–S183
Hinyard LJ, Kreuter MW (2007) Using narrative communication as a tool for health behavior change: a conceptual, theoretical, and empirical overview. Heal Educ Behav 34(5):777–792. doi:10.1177/1090198106291963
Stamatakis K, McBride T, Brownson R (2010) Communicating prevention messages to policy makers: the role of stories in promoting physical activity. J Phys Act Heal 7(Suppl 1):S00–S107
Dahlstrom MF (2014) Using narratives and storytelling to communicate science with nonexpert audiences. Proc Natl Acad Sci US A 111(Suppl 4):13614–13620. doi:10.1073/pnas.1320645111
Dodson EA, Geary NA, Brownson RC (2015) State legislators’ sources and use of information: bridging the gap between research and policy. Heal Educ Res. doi:10.1093/her/cyv044
Kreuter MW, Green MC, Cappella JN, Slater MD, Wise ME, Storey D, Clark EM, O’Keefe DJ, Erwin DO, Holmes K, Hinyard LJ, Houston T, Woolley S (2007) Narrative communication in cancer prevention and control: a framework to guide research and application. Ann Behav Med 33(3):221–235
McDonough JE (2001) Using and misusing anecdote in policy making. Heal Aff (Millwood) 20(1):207–212
Jewell CJ, Bero LA (2008) “Developing good taste in evidence”: facilitators of and hindrances to evidence-informed health policymaking in state government. Milbank Q 86(2):177–208
Nelson D, Hesse B, Croyle R (2009) Making data talk. Communicating public health data to the public. Oxford University Press, New York
Wallack L, Woodruff K, Dorfman L, Diaz I (1999) News for a change an advocate’s guide to working with the media, vol 3. Sage, Thousand Oaks
Slater MD, Kelly KJ, Thackeray R (2006) Segmentation on a shoestring: health audience segmentation in limited-budget and local social marketing interventions. Heal Promot Pract 7(2):170–173
Otten JJ, Cheng K, Drewnowski A (2015) Infographics and public policy: using data visualization to convey complex information. Heal Aff (Millwood) 34(11):1901–1907. doi:10.1377/hlthaff.2015.0642
Tabak RG, Eyler AA, Dodson EA, Brownson RC (2015) Accessing evidence to inform public health policy: a study to enhance advocacy. Public Heal 129(6):698–704. doi:10.1016/j.puhe.2015.02.016
Mokdad AH (2009) The behavioral risk factors surveillance system: past, present, and future. Annu Rev Public Heal 30:43–54
Jervis KJ (2005) A review of state legislation and a state legislator survey related to not-for-profit hospital tax exemption and health care for the indigent. J Heal Care Finance 32(2):36–71
Sorian R, Baugh T (2002) Power of information: closing the gap between research and policy. When it comes to conveying complex information to busy policy-makers, a picture is truly worth a thousand words. Heal Aff (Millwood) 21(2):264–273
Acknowledgments
The authors are grateful for the assistance from the National Conference of State Legislatures. This research was funded in part by the National Cancer Institute at the National Institutes of Health (Grant Numbers 1R01CA124404-015, R25CA171994-02, and P30 CA09184); the National Institute of Diabetes and Digestive and Kidney Diseases (Grant Number 1P30DK092950); and Washington University Institute of Clinical and Translational Sciences (Grant Numbers UL1 TR000448 and KL2 TR000450) from the National Center for Advancing Translational Sciences.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Brownson, R.C., Dodson, E.A., Kerner, J.F. et al. Framing research for state policymakers who place a priority on cancer. Cancer Causes Control 27, 1035–1041 (2016). https://doi.org/10.1007/s10552-016-0771-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10552-016-0771-0