A Community-Academic Partnership to Plan and Implement an Evidence-Based Lay Health Advisor Program for Promoting Breast Cancer Screening

Teal, Randall; Moore, Alexis; Long, Debra G.; Vines, Anissa I.; Leeman, Jennifer

doi:10.1353/hpu.2012.0076

Cited by 18 publications

(32 citation statements)

References 26 publications

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“…These efforts originated through local community and academic partnerships and were supported by grants from foundations, the North Carolina Office of Minority Health and Health Disparities, and research programs such as the CCN [26]. Despite improvement among some measures in recent years, the apparent progress may be short-lived given the variation in findings among other measures and the declines in funding for community-based health promotion and prevention.…”

Section: Resultsmentioning

confidence: 99%

“…Among community efforts (see Table 1), a lay health advisor program—initiated in the early 2000s based in local beauty shops and more recently enhanced through grant funding [26]—has sought to overcome cultural barriers by providing information on breast cancer in general and increasing people’s awareness of breast cancer screening specifically, including by referring people to the health department and elsewhere for screening. Throughout the 2000s, several other efforts were funded by agencies like the North Carolina Office of Minority Health and Health Disparities, the Susan G. Komen Foundation, and even the CCN, and the community was introduced to new levels of detail regarding breast cancer, including the existence of different disease subtypes and AA women’s differential susceptibility to more aggressive subtypes like hormone receptor negative disease.…”

Section: Discussionmentioning

confidence: 99%

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Responding to a Community's Concern

Vines

Carpenter

Chen

et al. 2017

North Carolina Medical Journal

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background A 2007 national report identified North Carolina’s Edgecombe County as having among the highest breast cancer incidence and mortality rates nationally, motivating the initiation of a task force and other local efforts to address the problem. The goal of this study is to examine county breast cancer characteristics before and after the report, including whether geographic variation may mask racial disparities in this majority African American community. method With guidance from community partners, breast cancer cases from 2000 to 2012 in Edgecombe, Nash, and Orange Counties (N = 2,641) were obtained from the North Carolina Central Cancer Registry. Bivariate and trend analyses of tumor and treatment characteristics were examined by county and race. results Women in Edgecombe and Nash Counties were diagnosed with more advanced stage, higher grade tumors. African Americans in Edgecombe and Nash Counties were diagnosed with advanced disease more often than African Americans in Orange County. Average time-to-treatment was well within guideline recommendations. Incidence and mortality rates appear to have declined, with variation in measures of racial differences over time. limitations Changes in coding standards across the observation period required reliance on coarse measures that may partially mute useful findings. conclusions Racial disparities remain a concern in North Carolina; however, they appear to be less profound than in the 2007 national report. The portentous statistics in the report represent an all-time high, after which some, but not all, measures reflect positive change amidst ongoing local efforts to improve breast cancer knowledge and care.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Responding to a Community's Concern

Vines

Carpenter

Chen

et al. 2017

North Carolina Medical Journal

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“…CPCRN researchers from Emory, UTH, Texas A&M, UCLA, and USC have instituted minigrant programs (ranging from $3,500–$12,000/participating organization) as another approach to supporting CBOs’ implementation of specific EBIs that have proven to be effective at changing diet, physical activity, and screening behaviors (37, 39, 42, 43). The training and technical assistance offered typically focused on several of the GTO steps, including goal setting, addressing capacity, planning, implementing, and evaluating.…”

Section: Resultsmentioning

confidence: 99%

The Cancer Prevention and Control Research Network: An Interactive Systems Approach to Advancing Cancer Control Implementation Research and Practice

Fernández

Melvin

Leeman

et al. 2014

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background Although cancer research has advanced at a rapid pace, a gap remains between what is known about how to improve cancer prevention and control (CPC) and what is implemented as best practices within health care systems and communities. The Cancer Prevention and Control Research Network (CPCRN), with more than 10 years of dissemination and implementation research experience, aims to accelerate the uptake and use of evidence-based CPC interventions. Methods The collective work of the CPCRN has facilitated the analysis and categorization of research and implementation efforts according to the Interactive Systems Framework for Dissemination and Implementation (ISF), providing a useful heuristic for bridging the gap between prevention research and practice. The ISF authors have called for examples of its application as input to help refine the model. Results We provide examples of how the collaborative activities supported by the CPCRN, using community-engaged processes, accelerated the synthesis and translation of evidence, built both general and innovation-specific capacity, and worked with delivery systems to advance cancer control research and practice. Conclusions The work of the CPCRN has provided real-world examples of the application of the ISF and demonstrated that synthesizing and translating evidence can increase the potential that evidence-based CPC programs will be used and that capacity building for both the support system and the delivery system is crucial for the successful implementation and maintenance of evidence-based cancer control. Impact Adoption and implementation of CPC can be enhanced by better understanding ISF systems and intervening to improve them.

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“…Various studies have shown the usefulness of training community health advisors to provide psychosocial support and act as a liaison between clinicians and individuals they seek to serve [25][26][27]. By sharing similar cultural, social and economic characteristics as the populations of interest, they are more inclined to connect and understand the subtle distinctions that influence health behaviors [26].…”

Section: Discussionmentioning

confidence: 99%

Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women

Hall¹,

Guidry²,

Jones³

2017

AJHR

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Among women globally, breast cancer is the most frequently diagnosed malignancy and the leading cause of cancer mortality. Moreover, for racial/ethnic minorities and those of low socioeconomic status (SES), these groups experience a poorer quality of life and diminished survival. This is due, in part, to underutilization of mammography screening and a lack of adherence to subsequent follow-up guidelines. The purpose of this study is to gain insight on perceptions of and interest in mobile mammography unit (MMU) utilization among African American (AA) women, primarily of low SES; as well as obtain strategies for effective information dissemination. Researchers partnered with local grocery stores, community centers, churches, shopping centers and hair salons to act as recruitment sites. Each establishment was within a 10 mile radius of the multi-service center being used to conduct the focus groups. Participant eligibility included: (a) the individual must be female, (b) between 35 and 65 years of age, (c) a current resident of Harris County, Texas, (d) self-identified as AA and (e) had no previous cancer history. Sixty-one AA women participated across six focus groups. The focus groups revealed that participants perceived the availability of MMUs as an effective strategy to increase guideline adherence. In addition, all participants stated MMUs would be of interest to women in their communities. Various suggestions to strengthen engagement were conveyed by participants as well. Specifically, offering services during non-traditional hours and in highly accessible locations; and partnering with community venues and incorporating principles of social support were conveyed.

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A Community-Academic Partnership to Plan and Implement an Evidence-Based Lay Health Advisor Program for Promoting Breast Cancer Screening

Cited by 18 publications

References 26 publications

Responding to a Community's Concern

Responding to a Community's Concern

The Cancer Prevention and Control Research Network: An Interactive Systems Approach to Advancing Cancer Control Implementation Research and Practice

Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women

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