ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health Education and Promotion
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1617770
Using the Practical, Robust Implementation and Sustainability Model (PRISM) to inform meaningful partner engagement and the selection of implementation strategies to increase colorectal cancer screening in federally qualified health centers
Provisionally accepted
- 1University of California, San Diego, La Jolla, United States
- 2Washington University in St. Louis, St. Louis, Missouri, United States
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Engaging community partners in research meaningfully can guide effective implementation efforts. This approach is particularly crucial when we work with complex, multilevel programs in low-resource settings that serve diverse populations. The application of dissemination and implementation science theories, models, and frameworks to facilitate the iterative, multilevel engagement of partners in selecting and optimizing implementation strategies is not commonly described in the literature. In collaboration with three federally qualified health centers in San Diego County, we utilized the Practical, Robust Implementation and Sustainability Model (PRISM), which is a contextually expanded version of the widely used Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, to guide partner-engaged data collection on processes, resources, facilitators, and barriers for colorectal cancer (CRC) screening. We gathered implementation-relevant information from each FQHC, including partner introductory meetings, an Agile Science workshop, secondary data collection, surveys, and in-depth interviews. Insights from the PRISM domains led to the development of process maps that guided the selection of implementation strategies to support the use of evidence-based interventions for CRC screening.
Keywords: Pragmatic Robust Implementation and Sustainability Model, re-aim, Colorectal Cancer Screening, Underserved communities, Implementation strategies
Received: 24 Apr 2025; Accepted: 02 Oct 2025.
Copyright: © 2025 Nodora, Gupta, Hurst, James and Rabin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Jesse Nodora, jnodora@health.ucsd.edu
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