Each step so far has been leading to implementation of your goals and objectives, and thanks to your promotion efforts, stakeholders should now be aware of the need for PSE change. Some may even actively support your initiative and commit to its success.

You are ready to take action! Implement your PSE change intervention, which links directly with goals and objectives in your cancer control plan.

Think about the expected outcomes of the intervention, both in the short term and the long term. To do this, you must keep your partnerships strong, continue scanning the political, social and economic environment surrounding your initiative and keep up with new evidence pertaining to the issue you are addressing. This helps you determine if you need to invite new stakeholders or find new resources to successfully implement and sustain your work.

Data can play an important role when implementing your PSE change intervention. The following tips may be helpful as you consider how to best use information gathered in previous steps to implement the goals and objectives you have created, refined and promoted to stakeholders thus far.

• You previously looked for evidence to identify priorities; now, stay abreast of new data and evidence that may emerge during implementation.
• During your feasibility review, you identified the resources you have and the resources you may still need for your PSE change effort. Have you established sufficient resources since then to ensure successful implementation and sustainability?
• Use information collected during the previous five steps to develop a PSE agenda (sometimes called a policy agenda) and action plan detailing all that needs to take place to meet your objectives. This form can help you develop your own PSE agenda to share with partners and stakeholders.
• While you may have done a lot of awareness-raising among stakeholders before implementation, check to make sure stakeholders are still committed and engaged to ensure successful implementation.
• Reflect on reactions, opposition or commitment resulting from visits with key decision makers, op-eds submitted, town halls and/or community meetings conducted during your promotional efforts.
• As you begin to carry out your planned activities, be sure to collect data that will measure your implementation outputs as well as the short-term, intermediate and long-term outcomes and impact that will result from your PSE change intervention. These data will be important when you evaluate your work in step 7.