2010
DOI: 10.1177/082585971002600104
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Adaptation, Dissemination, and evaluation of A Cancer Palliative Care Curriculum for the Indian Health System

Abstract: In 2006, the Indian Health Service (IHS) and the National Cancer Institute (NCI) collaborated to develop an interdisciplinary palliative training program for health professionals in the Indian health system. Their goal was to improve clinician knowledge and skills in palliative care, to train future trainers, and to increase access to palliative care for American Indians and Alaska Natives. The combined program of participant self-study utilizing a multimedia CD-ROM and train-the-trainer seminars followed the … Show more

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Cited by 11 publications
(10 citation statements)
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“…18 Palliative care cannot be an afterthought to provision of oncology care to diverse cultures, as it is essential to improving quality of life 3334 and early palliative care can actually prolong survival for some patients with advanced cancer. 35 Culturally-appropriate training and tools must be developed, can be effective, 3637 and require community engagement with AI/AN communities—not unlike the efforts that will be required to provide effective palliative care in LMIC settings internationally.…”
Section: Access To Effective Supportive and Palliative Carementioning
confidence: 99%
“…18 Palliative care cannot be an afterthought to provision of oncology care to diverse cultures, as it is essential to improving quality of life 3334 and early palliative care can actually prolong survival for some patients with advanced cancer. 35 Culturally-appropriate training and tools must be developed, can be effective, 3637 and require community engagement with AI/AN communities—not unlike the efforts that will be required to provide effective palliative care in LMIC settings internationally.…”
Section: Access To Effective Supportive and Palliative Carementioning
confidence: 99%
“…An example of an innovative program is a train-the-trainer model using cultural adaptations to EPEC-O (Education in Palliative and End-of-Life Care for Oncology) developed within Indian Health Service in conjunction with the Spirit of EAGLES CNP. 39 From 2006 to 2010, more than 120 interdisciplinary providers nominated from service units within the Indian Health Service have received culturally competent end-of-life care training and are now implementing local programs across the United States (Table 3). Other ethnic and racial minorities face daunting challenges in accessing palliative care and hospice.…”
Section: Spirit Of Eagles Cnpmentioning
confidence: 99%
“…The identified literature provided nine examples of how palliative care was being addressed by Alaska Native or American Indian peoples. These examples included reports on the use of focus groups to form rural palliative care programs (DeCourtney et al, 2010), delivery of palliative care by health care providers (Arenella et al, 2010;DeCourtney et al, 2003;DeCourtney & Mitchell, 2006) THDs' rank-ordered 10 areas of need for palliative care support in terms of their importance. The top five areas of need were pain management services (70%), followed by the need for advance care planning (58%), hospice contracts (54%), care for the dying (53%), and bereavement support (52%).…”
Section: Review Of Literaturementioning
confidence: 99%
“…was developed using a multi-disciplinary approach. Eighty-nine participants attended three conferences that presented the culturally adapted curriculum (Arenella et al, 2010).…”
Section: Review Of Literaturementioning
confidence: 99%
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