# Presentation: 241831

## 3rd National Prevention SummitOctober 25, 2005Washington, D.C.

- “Don’t Let Cancer Silence You: A Case Study in Community-Based Efforts to Reduce Health Disparities”
- Presented by
- Velonda Thompson, PhD

## Don’t Let Cancer Silence You

## Improving Cancer Outcomes of African Americans in Michigan (ICOAA) is:

- A collaboration
- Faith Access to Community Economic Development (F.A.C.E.D.)
- The Michigan Department of Community Health
- A multifaceted programmed designed to mobilize African Americans in designing appropriate methods to promote a greater understanding of the disparity of cancer illness and death in the African American community.
- This initiative focuses on the five cities
- Detroit, Flint, Lansing, Pontiac, and Saginaw.

**Notes:**
These 5 cities constitute 81.3% of Michigan’s African American population

## IMPROVING CANCER OUTCOMES OF AFRICAN AMERICANS IN MICHIGANLOGIC MODEL (2001-2006)

- Initial Planning Group
- (2002)

- Key Leaders

- Community

- Community Engagement

- Expanded Planning Group

**Notes:**
The Michigan Cancer Consortium – coalition of public, private and voluntary organizations committed to reducing the human and economic impact of cancer in Michigan

## ICOAA Purpose

- In each community, stakeholders have come together as Community Design Teams charged with developing interventions that achieve five primary goals:
- Decrease myths about cancer in the African American Community
- Increase awareness about cancer in the African American Community
- Increase knowledge about cancer in the African American Community
- Increase communication about cancer in the African American Community
- Increase utilization of cancer screening programs in the African American Community

**Notes:**
In each community African American leaders were identified to form Design Teams to assist in developing a plan to engage their communities. Additionally Implementation Teams were developed to assist the Design Teams in carrying out their work plans

## Community Cancer Outreach Intervention

- Community Cancer Advocate model
- A 7-step process based on the recruitment and training of volunteers
- Implementation strategy focuses on engaging faith-based stakeholders throughout a given city.

**Notes:**
Recruit volunteers that are motivated to teach community members the importance of prevention in the fight against cancer.

## Community Cancer Outreach Intervention ADVOCATES IN ACTION 7-STEP PROCESS

- Recruit Project Coordinator
- Staff
- Recruit Planning Team
- Community Stakeholders
- Recruit Implementation Team
- Volunteers
- Plan and Conduct Advocate Training
- Phase I - Planning
- Phase II - Conducting
- Implementing the Intervention
- Schedule Advocates to Intervention Activity

## Recruit Project Coordinator

- It is recommended that this position be filled by a paid staff member
- _Role:_
- Organize and coordinate the work of the planning and implementation teams.
- _Responsibilities:_
- Facilitate recruitment of planning team
- Schedule relevant planning meetings
- Follow-up on assignments between meetings to ensure timelines are met
- Identify cancer resources in the community

**Notes:**
Staff member to dedicate a minimum of 10 hours per week to the project. Planning and advocate training steps may require 20 hour a week allocation.
assigned to dedicate a minimum of 10 hours per week to the project. Planning and advocate training steps may require 20 hour a week allocation.
assigned to dedicate a minimum of 10 hours per week to the project. Planning and advocate training steps may require 20 hour a week allocation.

## Recruit Planning Team

- Community Stakeholders – can be anyone or any organization (church, business, etc.) that is interested in being a “community champion” in spreading the word about disease prevention.
- _Responsibilities:_
- Identify resources such educational materials and attendee giveaways that support the education intervention
- Recruit volunteers for advocate training (Implementation Team).
- Develop intervention budget (Identify sources for in-kind donations)
- Develops an intervention evaluation plan.

**Notes:**
In most cases, Community Stakeholders are members of organizations that are vested in the idea of disease prevention, and/or members of churches and schools with community health promotion as part of their business plan. 
The success of the intervention is highly dependant on the implementation team. Planning team members are in the best position to identify individuals suited for the advocate position. 
Evaluation - The team chooses what is to be evaluated based on what they want to see if they can change in their community.  The pre/post test approach is an effective technique for gathering project evaluation data. This data also helps to quantify plainly your success in reaching intervention goals (i.e. educate 100 residents in the 48207 zipcode). 

## Recruit Implementation Team

- The project coordinator and the planning team, recruits volunteers to participate in the Community Cancer Advocate Training.
- _Recruiting Tips_:
- Develop recruitment flyer
- Each planning team member recruit volunteers
- Distribute flyers at community events

## SAMPLE ADVOCATE RECRUITMENT FLYER

_**Free Community Cancer Advocate Training**_
- Sponsored by the
- Improving Cancer Outcomes for African Americans in Michigan
- Detroit Design Team
**Are you:**
- Interested in learning more about cancer?
- Apart of or starting a health ministry?
- Interested in the health of your community?
- Willing to inform your organization or church about cancer?
**If you answered “yes” to any of the questions **
**then becoming a Community Cancer Advocate is right for you! **
- _“__Don’t Let Cancer Silence You”  Call 1-866-322-3301_
_**Help create cancer awaren**__**ess and action in our community!**_
- _For more information:_
- _Name: __________________________________________________
- _Address: _________________________ Zip Code _______________
- _Email: ____________________________ Phone: _______________

## Planning and Conducting An Advocate TrainingPhase I (Planning)

- This phase is best when given a 60 day roll-out period.
- 	_Planning Tips_:
- Select trainer
- Develop specific education presentation
- Develop trainers binders
- Secure training dates
- Determine menu for attendees
- Secure notebooks, pens and certificates for expected attendees (donated or budgeted?)
- Determine advocate appreciation awards

**Notes:**
The trainer should be the project coordinator; otherwise the planning team should work collectively to select a trainer.

## Planning and Conducting An Advocate TrainingPhase II (Conducting)

_**Sample agenda**_
- Community Cancer Advocate Training
- February 23, 2005
- 6-8:00 pm
- Karmanos Cancer Institute
- Welcome and Introductions
- Review of  Agenda
- About Community Cancer Outreach
- Project History
- Planning Team
- How Volunteers Can Help
- Outreach Presentation
- Review of  “Toolkit”
- Materials
- Resource sheet
- Pre/Post test
-             d.   Material order form
- Project implementation timeline
-  Project Evaluation
- Resources and contacts
- Remarks
- Adjournment

## Implementing the Intervention

- The timeline for the intervention should be developed and regularly updated by the Planning Team.
- Allowing 60 – 90 days to get you to this point
- Implementation time will depend on the original education goal. While recruited advocates are expected to secure educating opportunities, 75% of the intervention activity opportunity will be secured by the project coordinator.
- The coordinator will ensure that advocates have sets of resource material to distribute to attendees.
- _Implementation Tip:_
- A large measure of success is added when the coordinator is available to attend and/or assist advocate at first time presentation.

**Notes:**
The question becomes how long does your organization want to allow to educate 200 area residents (where 2 advocates conduct 2 education sessions per month reaching 20 resident each time you can reach your goal in 5 months). 
Other materials to be secured are pens, incentive items (i.e., promotional items from American Red Cross, American Cancer Society, and American Dairy Council) to encourage attendees to complete any survey or other evaluation forms. 

## Project Management

- This phase focuses on maintenance
-  Managing the materials (education brochures, handouts, incentive items)
- Tracking data (pre/post surveys).
- Revise timeline
- Include summary reporting periods
- Include interim meetings with Community Advocates.

## Don’t Let Cancer Silence You