Portfolio analysis of NCI-funded policy implementation science grants (fiscal years 2014–2023)

Abstract Background The dynamic landscape of cancer implementation science (IS) has seen a significant rise in the use of policy as a tool. This analysis explores the multifaceted nature of policy in IS, not only as a directive to be adopted or implemented but also as context that can influence or a...

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Main Authors: Amira Haidar, Aubrey Villalobos, Cynthia Vinson, Gila Neta
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Implementation Science Communications
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Online Access:https://doi.org/10.1186/s43058-025-00755-4
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author Amira Haidar
Aubrey Villalobos
Cynthia Vinson
Gila Neta
author_facet Amira Haidar
Aubrey Villalobos
Cynthia Vinson
Gila Neta
author_sort Amira Haidar
collection DOAJ
description Abstract Background The dynamic landscape of cancer implementation science (IS) has seen a significant rise in the use of policy as a tool. This analysis explores the multifaceted nature of policy in IS, not only as a directive to be adopted or implemented but also as context that can influence or a strategy that can shape and support effective implementation of cancer control interventions. Methods The NIH Query View Report tool was used to identify National Cancer Institute-funded IS grants related to policy between fiscal years 2014–2023. Three coders reviewed the abstracts and specific aims of the grants to ensure a focus on IS, followed by a secondary review to verify the relation to policy. Eligible grants were then coded to determine policy conceptualization methods, level of policy being targeted, alignment with U.S. National Cancer Institute activities, cancer continuum focus, cancer type(s), and cancer content area. Results Of the 41 IS grants identified, 14 (34.1%) were included in the analysis. More than half (n = 8, 57.1%) of the grants were awarded in FY2020-2023. Most (n = 10, 71.4%) grants conceptualized policy as something to implement, 28.6% (n = 4) each conceptualized policy as a strategy to use or as something to adopt, and 35.7% (n = 5) as context to understand. Ten grants (71.4%) addressed cancer prevention, three grants (21.4%) addressed new innovations, and two grants each (14.3%) addressed expanding access to cancer screenings and supporting cancer survivors and their caregivers. No grants examined policies that address toxic and environmental exposures. Seven grants (50%) addressed the National Cancer Institute activities of increasing access to care. Conclusions The NCI funds policy IS across the cancer continuum and in alignment with several National Cancer Institute activities. However, there remain many opportunities to expand policy IS, especially regarding policies that impact cancer diagnosis, treatment, and survivorship and policies related to environmental exposures. Our study highlights key opportunities to conduct research that will inform the adoption, implementation, and use of policies to address the cancer burden in the U.S.. 
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spelling doaj-art-e49ac79f712a4f118525c0d9c646db4e2025-08-20T03:43:11ZengBMCImplementation Science Communications2662-22112025-07-016111010.1186/s43058-025-00755-4Portfolio analysis of NCI-funded policy implementation science grants (fiscal years 2014–2023)Amira Haidar0Aubrey Villalobos1Cynthia Vinson2Gila Neta3Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of HealthDivision of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of HealthDivision of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of HealthDivision of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of HealthAbstract Background The dynamic landscape of cancer implementation science (IS) has seen a significant rise in the use of policy as a tool. This analysis explores the multifaceted nature of policy in IS, not only as a directive to be adopted or implemented but also as context that can influence or a strategy that can shape and support effective implementation of cancer control interventions. Methods The NIH Query View Report tool was used to identify National Cancer Institute-funded IS grants related to policy between fiscal years 2014–2023. Three coders reviewed the abstracts and specific aims of the grants to ensure a focus on IS, followed by a secondary review to verify the relation to policy. Eligible grants were then coded to determine policy conceptualization methods, level of policy being targeted, alignment with U.S. National Cancer Institute activities, cancer continuum focus, cancer type(s), and cancer content area. Results Of the 41 IS grants identified, 14 (34.1%) were included in the analysis. More than half (n = 8, 57.1%) of the grants were awarded in FY2020-2023. Most (n = 10, 71.4%) grants conceptualized policy as something to implement, 28.6% (n = 4) each conceptualized policy as a strategy to use or as something to adopt, and 35.7% (n = 5) as context to understand. Ten grants (71.4%) addressed cancer prevention, three grants (21.4%) addressed new innovations, and two grants each (14.3%) addressed expanding access to cancer screenings and supporting cancer survivors and their caregivers. No grants examined policies that address toxic and environmental exposures. Seven grants (50%) addressed the National Cancer Institute activities of increasing access to care. Conclusions The NCI funds policy IS across the cancer continuum and in alignment with several National Cancer Institute activities. However, there remain many opportunities to expand policy IS, especially regarding policies that impact cancer diagnosis, treatment, and survivorship and policies related to environmental exposures. Our study highlights key opportunities to conduct research that will inform the adoption, implementation, and use of policies to address the cancer burden in the U.S.. https://doi.org/10.1186/s43058-025-00755-4PolicyImplementation scienceCancer control
spellingShingle Amira Haidar
Aubrey Villalobos
Cynthia Vinson
Gila Neta
Portfolio analysis of NCI-funded policy implementation science grants (fiscal years 2014–2023)
Implementation Science Communications
Policy
Implementation science
Cancer control
title Portfolio analysis of NCI-funded policy implementation science grants (fiscal years 2014–2023)
title_full Portfolio analysis of NCI-funded policy implementation science grants (fiscal years 2014–2023)
title_fullStr Portfolio analysis of NCI-funded policy implementation science grants (fiscal years 2014–2023)
title_full_unstemmed Portfolio analysis of NCI-funded policy implementation science grants (fiscal years 2014–2023)
title_short Portfolio analysis of NCI-funded policy implementation science grants (fiscal years 2014–2023)
title_sort portfolio analysis of nci funded policy implementation science grants fiscal years 2014 2023
topic Policy
Implementation science
Cancer control
url https://doi.org/10.1186/s43058-025-00755-4
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AT cynthiavinson portfolioanalysisofncifundedpolicyimplementationsciencegrantsfiscalyears20142023
AT gilaneta portfolioanalysisofncifundedpolicyimplementationsciencegrantsfiscalyears20142023