Center for Health Promotion and Prevention Research

Salud en Mis Manos Dissemination and Implementation Assistance (SEMM-DIA)

Salud en Mis Manos Dissemination and Implementation Assistance (SEMM-DIA) is CHPPR's PRC Core Research Study. SEMM-DIA is an implementation support system for Salud en Mis Manos (SEMM), an evidence-based breast and cervical education and navigation program for Latinas. SEMM-DIA includes a set of implementation strategies to facilitate program implementation and maintenance.

Overview

Despite the availability and effectiveness of evidence-based interventions (EBIs), like Salud en Mis Manos (SEMM), a community health worker (CHW)-delivered intervention proven to increase breast and cervical cancer screening among low-income Latinas, their implementation and dissemination have been slow, resulting in limited reach, and missed opportunities for public health impact.

Challenges to adoption, implementation, and maintenance of EBIs are multifactorial and multilevel, relating to environmental and organization-level factors (e.g., resources and capacity), as well as individual implementer-level factors (e.g., skills or self-efficacy). Implementation support strategies designed to address the complex factors that influence EBI adoption, implementation, and maintenance can promote the translation of behavioral intervention research to effective public health practice.

The Salud en Mis Manos- Dissemination and Implementation Assistance (SEMM-DIA) project uses Implementation Mapping, a framework for planning implementation strategies, to build the capacity of clinic leadership, intervention champions, and CHWs to plan, manage, deliver, and maintain SEMM. The Implementation Mapping framework involved in this project incorporates perspectives and experiences of multiple stakeholders and uses evidence and theory to inform intervention development and support broad uptake and use of SEMM clinic settings.

Priority outcomes of the SEMM-DIA research project include long-term Outcomes: (I) widespread, sustained, and scaled-up use of evidence-based programs and system-wide population health strategies in cancer control, (II) Increased cancer screening (e.g., mammography, FIT, colonoscopy, Pap test) and HPV vaccination rates, (III) reduced cancer morbidity and mortality (e.g., breast, colorectal, cervical), and (IV) reduced health disparities related to cancer. Intermediate outcomes: (I) increased translation of evidence-based cancer control research into practice, (II) increased adoption of evidence-based cancer control programs and policies, and (III) increased implementation of effective system-wide strategies that improve population health outcomes in cancer prevention and control. Short-term outcomes: (I) increased capacity of community partners to become active collaborators in cancer control implementation research.

Funding sources for this work derived from the Centers for Disease Control (CDC) Prevention Research Center grant (1U48DP006408-01-00) and the Cancer Prevention and Research Institute of Texas (CPRIT) SEMM Award (6 U48DP006408-01-02).

SEMM-DIA Partners

Publications 

Savas LS, Loomba P, Shegog R, Alaniz A, Costa C, Adlparvar E, Allicock M, Chenier R, Goetz M, Markham CM, Fernandez ME (2023). Using Implementation Mapping to increase uptake and use of Salud en Mis Manos: A breast and cervical cancer screening and HPV vaccination intervention for Latinas.?Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.966553

Savas, L.S., Loomba, P., Shegog, R., Allicock, M., Costa, C, Hendrick, A.M., English, A.S., Chenier, R.S., Markham, C.M., Fernandez, M.E. Using Implementation Mapping to Increase the Adoption and Implementation of Salud en Mis Manos (SEMM-DIA) a Breast and Cervical Cancer Screening and HPV Vaccination Intervention for Latinas. Poster Presentation at the 14th Annual Conference on the Science of Dissemination and Implementation in Health, Virtual Conference, December 14-16, 2021; Virtual? 

Savas, L.S., Loomba, P., Shegog, R., Allicock, M., Costa, C, Hendrick, A.M., English, A.S., Chenier, R.S., Markham, C.M., Fernandez, M.E. Using Implementation Mapping to Increase the Adoption and Implementation of Salud en Mis Manos (SEMM), a Breast and Cervical Cancer Screening and HPV Vaccination Intervention for Medically Underserved Latinas. Poster Presentation at the 24th Annual Conference of the International Union for Health Promotion and Education (IUHPE), Virtual Conference, May 15-19, 2022; Virtual? 

Costa, C., Loomba, P., Chenier, R.S., Savas, L.S., Fernandez, M.E. Using a rapid qualitative approach to identify facilitators and barriers to implementation of an evidence-based breast and cervical cancer screening and HPV vaccination intervention. Texas Public Health Association Conference. Oral presentation. May 20, 2022.? 

Savas LS, Alaniz A, Loomba P, Shegog R, Costa C, Adlparvar E, Chenier RS, Fernandez ME.?Salud en Mis Manos-Dissemination and Implementation Assistance (SEMM-DIA): Developing Online Implementation Strategy Using the Systematic Implementation Mapping Approach.?American Society of Preventative Oncology Conference (ASPO); Poster Presentation. March 12-14, 2023.? 

Costa, C., Allicock, M.A., McKenzie, A.H., Loomba, P., Chenier, R.S., Shegog, R., Savas, L.S., Fernandez, M.E. Enhancing implementation of an evidence-based breast and cervical cancer prevention and early detection intervention: A qualitative study guided by CFIR. American Public Health Association (APHA) Conference; Oral Presentation. November 12-15,2023. 

Alaniz, A., Savas, LS., Valero, A., Costa, C., Shegog, R., Adlparvar, E., Goetz, M., Valdes, A., Morales P., Estrada, C., Cowley, B., Chenier, R., Fernandez, M.E. Development of a Project ECHO Program to Provide Technical Assistance as Part of the Salud en Mis Manos Dissemination and Implementation Assistance (SEMM-DIA) Multicomponent Implementation Support Strategy. 16th Annual Conference on the Science of Dissemination and Implementation in Health, Virtual Conference, December 10-13, 2023. Abstract.