Stakeholder Engagement in Adoption, Implementation, and Sustainment of an Evidence-Based Intervention to Increase Mammography Adherence Among Low-Income Women

J Cancer Educ. 2022 Oct;37(5):1486-1495. doi: 10.1007/s13187-021-01988-2. Epub 2021 Mar 22.


Multi-level organizational stakeholder engagement plays an important role across the research process in a clinical setting. Stakeholders provide organizational specific adaptions in evidence-based interventions to ensure effective adoption, implementation, and sustainability. Stakeholder engagement strategies involve building mutual trust, providing clear communication, and seeking feedback. Using constructs from the Consolidated Framework for Implementation Research and The International Association for Public Participation spectrum, a conceptual framework was created to guide stakeholder engagement in an evidence-based intervention to increase mammography appointment adherence in underserved and low-income women. A document review was used to explore the alignment of the conceptual framework with intervention activities and stakeholder engagement strategies. The results indicate an alignment with the conceptual framework constructs and a real-world application of stakeholder engagement in a mammography evidence-based intervention. The conceptual framework and stakeholder engagement strategies can be applied across a range of community-based cancer programs and interventions, organizations, and clinical settings.

Keywords: Community-based participatory research; Consolidated Framework for Implementation Research; Evidence-based intervention; Mammography; Stakeholder engagement.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Community Participation*
  • Evidence-Based Medicine
  • Female
  • Humans
  • Mammography
  • Poverty
  • Stakeholder Participation*