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Breast cancer is one of the leading cancer diagnoses for women in the United States. Certain vulnerable populations are at an increased risk for breast cancer mortality, including homeless and African American women. Providing healthcare navigation, cancer education, and connecting with faith-based communities has shown to increase cancer screening rates and knowledge in these vulnerable populations. The purpose of this QI project was to provide breast cancer screening education and access to care with the goal of increasing breast cancer screening rates and breast self-awareness among at-risk women in a midwestern Michigan community attending faith-based organizations. The project was implemented at three different faith-based communities, including a community soup kitchen serving homeless people and two predominantly African American churches. An educational presentation was created to deliver tailored breast cancer information. Participants were also provided the opportunity to be enrolled for a free mammogram. The intervention was delivered virtually via a PowerPoint presentation on a secure zoom session. Enrollment forms were provided for eligible participants to be screened with a mammogram. Participant's attitudes, knowledge, and confidence towards breast cancer screening were measured before and after the intervention with surveys. A statistically significant increase in participant's knowledge regarding breast cancer screening was found among the 15 total participants. This project demonstrates that education in conjunction with faith-based communities can increase breast cancer knowledge and screening in vulnerable populations to reduce breast cancer mortality.
In this report The Breast Cancer Research Foundation (BCRF) and the Institute of Medicine (IOM) present a one-day symposium that was held at the IOM to further disseminate the conclusions and recommendations of the joint IOM and National Research Council report, Saving Women's Lives: Strategies for Improving Breast Cancer Detection and Diagnosis. The committee assembled for this event was asked to share insights and consider ways in which the objectives of the report could be achieved from the standpoint of what women need to know, the best models of screening programs, manpower, risk stratification, basic research, and payment. This symposium seeks to provide continuing food for thought and ideas for actions in support of breast cancer detection and diagnosis and saving women's lives.
Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates.
Breast cancer is the most commonly diagnosed cancer in women; however, African American women have the lowest survival rates compared to other ethnic groups and the lowest rate of mammogram screening. To increase awareness for breast cancer screenings in underserved populations, researchers partnered with Carin' and Sharin' Breast Cancer Education and Support Group, to enhance an existing health promotion and outreach program to include a complimentary "Lunch and Play" in Memphis, Tennessee. The expansion of the program was a 45-min skit, Hats off to Cancer, which used storytelling to honor and incorporate five different cultural experiences with breast cancer prevention and diagnosis.To ensure the success of this project, community-based participatory research (CBPR) was the research methodology chosen. The choice to utilize CBPR was in large part because the goal of the project was to ensure that the importance of shared cultural backgrounds, beliefs, and experiences unique to underserved African American women was included in the planning, design, and implementation of a community-based cancer screening and prevention program.
"Breast cancer mortality rates differ among racial/ethnic groups in the United States and currently are about 16% higher in black women than in white women. The reason for this racial/ethnic difference is unknown. Due to the low rate of breast cancer screening practices in this population, an educational program was developed to increase the participants' knowledge about breast cancer, including the need for breast self-examination (BSE) and mammograms. The plan is to increase the awareness of breast cancer in African American women, and access of routine breast screening in collaboration with community-based organizations such as churches, among low-income and uninsured women. This educational program consists of African American women watching a seven minute educational video. The movie is about breast cancer and the importance of early detection, clinical breast examinations by professionals, yearly mammograms, and demonstrates how to perform breast self examination. This educational program will be guided by a systematic process for the change to evidence-based practice. The program will increase the participant's knowledge of breast cancer risks and screening practices among middle-aged African American women. Breast cancer screening offers the greatest potential for reducing deaths in the African American population. Increased knowledge and changing beliefs associated with breast cancer screening are important when attempting to increase mammography and BSE among African American women. Nurses can make a difference in the education and decrease in mortality rate of these women if they recognize how a woman's cultural beliefs and attitudes can adversely affect health promotion and disease prevention behaviors." -- from Introduction.
According to the American Cancer Society (2004), breast cancer is the most common malignancy (other than lung cancer), and ranks second among causes of cancer death among African-American women. Mortality rates are attributed to increased poverty among African Americans, differences in cultural beliefs, and a lack of access to medical care. Getting women in earlier for first time screening and annual mammograms is imperative. This research utilization project took place in Harnett County, North Carolina, at Cutts Baptist Church. The purpose of this research utilization project was to develop and implement an educational program for African-American women about the importance of mammograms for members of Cutts Baptist church. Women who participated in the project were encouraged to have mammography screenings. Participants completed a mammogram pre-questionnaire prior to the educational program and a mammogram post-questionnaire one week after the educational program to determine mammogram compliance, mammogram facilities used, motivational factors and inhibiting factors reported by the attendees. Eight of the twelve women reported they had already had a mammogram since the session or had one scheduled for the near future. The mean score on the pre-test Breast Cancer Knowledge Test (BCKT) was 55% pre-education, and increased to 85% after the educational session. Respondents all reported that thay enjoyed the comfortable familiar church atmosphere, the convenience of the location, tthe information gained from the session, and the realization that regular screening can help protect them for undetected brast cancer.