Transcript Slide 1

The Deep South Network
for Cancer Control:
Eliminating Cancer Disparities
Through Community/Academic
Collaboration
University of Alabama at Birmingham
University of Southern Mississippi
University of Alabama
Demographics
Per Capita
Income
% Poverty
Black Belt
$12,612
34%
64%
Delta
$12,650
31%
60%
% AA
Established an Academic - Community
based Organizational Structure
Links UAB / USM / UA to the community
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883 CHARP’s trained (volunteer)
County coordinators (part-time paid)
Regional coordinators (full-time paid)
Program managers
Claudia Hardy
Freddie White-Johnson
Investigators
Established Relationships with
National, State, and Local Partners
National Partnership

American Cancer Society
State Partnerships
 Alabama and Mississippi Department of
Public Health Breast and Cervical Cancer
Early Detection Programs
 Alabama Quality Assurance Foundation,
Mississippi Information and Quality
Healthcare (IQH)
To Do What!
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Promote cancer awareness
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Clinical trial recruitment
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Assist with community
based research
Results from Alabama Breast and
Cervical Cancer Early Detection Program
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72,670 Screened
 820 Breast Cancer Detected
 1/89 Mammograms Detected Cancer
Reduction in Disparity of
Mammography Screening (98-06)
20
% Disparities
17%
14%
15
11%
10
5%
5
0
97-99
99-01
01-03
Years
03-06
Disparities in Mammography Utilization Between African
American and White Women In
Black Belt Counties
Counties
(1997-1998)
(1999 – 2001)
(2001-2003)
(4/1/04 –
3/31/06)
Choctaw
11%
10%
8%
- 7%
Dallas
20%
17%
14%
0%
Lowndes
19%
18%
14%
11%
Macon
15%
7%
8%
1%
Marengo
20%
18%
7%
1%
Sumter
17%
14%
12%
11%
Montgomery
17%
18%
15%
10%
Tuscaloosa
16%
13%
9%
2%
Average %
Disparity
17%
14%
11%
5%
Based on Alabama Medicare Data
Deep South Network for
Cancer Control as
Community Network Partnership
Goals
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Improve access to and utilization of proven
beneficial cancer interventions
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Develop a cadre of well-trained
investigators who will continue to address
elimination of cancer health disparities
Guided by the Concepts/Principles
of
Community-based Participatory
Research, Education, and Training
Stage 1
Network Expansion
(3 months)
Community Network Partners
12 Counties in Alabama
Business
Education
Faith-Based
Government
Healthcare
Local Non-profit
Media
No Category
Other Agencies
Total
02
15
23
19
34
19
08
05
34
159
Community Network Partners
10 Counties in Mississippi
Education
Civil Organizations
Government
City Government
County Government
State Government
Business
Faith-Based
Healthcare
Local Non-profit
Media
Other Agencies
03
04
Total
77
07
01
01
11
15
18
11
02
04
Stage 2
Capacity Building
(3 months)
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Retrain Staff (CBPR)
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Retrain CHA’s (add colorectal
cancer)
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551 Recommitted to DSN II
Stage 3
Needs/Assets Assessment
(6 months)
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Discussion Groups (like Focus Groups)
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CHARP’s
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Community Network Partners
One group in each county
Perceptions From Discussion Groups
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Top five disparities in cancer
breast, colorectal, cervical, prostate, lung
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Health disparities
hypertension, heart disease, obesity,
diabetes and cancer
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Problems in community
physical activity, obesity/overweight,
tobacco, substance abuse, risky sexual
behavior, mental health/stress,
environment, access to care
Perceptions From Discussion Groups
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Problems and solutions seen at
individual, provider, and systems level
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Greatest success
increase in screening
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More needs to be done
diet, exercise, smoking
Stage 4
Community Action Plan
Development
(6 months)
Working Groups to Recommend
Component of CAP
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Individual
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Provider
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Systems
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Advocacy/Policy
Nutrition/
physical activity
Screening for
breast, cervix
and colorectal
No direct activity with tobacco
control or prostate screening
Working Groups Charge
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Review literature for effective programs
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Review current programs/activities of DSN
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Review existing programs/resources in the
community
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Make
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Primary recommendations
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Secondary recommendations
for inclusion in CAP
Community Action Plan (CAP)
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Nutrition – Body and Soul
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Physical Activity – Walk Campaign
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Advocacy – Direct Action Organizing
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Cancer Awareness – continue current
awareness programs, add colorectal cancer
screening
CAP
Approved by all County CNPs
(in principle)
Training (Train the Trainers)
(2 days training)
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Body and Soul – Cancer Information Service
Walk Campaign – UAB Minority Health and
Research Center
Advocacy – Direct Action Organizing
Cancer Awareness
Continue current activity
 Target Body and Soal and Walk Teams
 Target low compliance areas
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CAP Implementation
(30 months)
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Overview of implementation
requirements to each CNP group
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Select team leaders
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In depth training of team leaders
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Implement CAP incrementally
Metrics of Successs
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Baseline Wellness Questionnaire
(repeat at 12 and 24 months)
All Body and Soul churches and Walk
teams
County level Medicare utilization data
County level BCCEDP utilization data