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    Research Grants Awarded

    Demonstration of effective Native American breast health promotion strategies in the Great Lakes Region

    Study Section:
    Population Specific

    Scientific Abstract:
    The Northern Plains region has the highest Native American breast cancer mortality rate nationwide, yet little research has been conducted in this area. Only 45.9% of Native women aged 50 and over report having a mammogram and Clinical Breast Exam within the past year, compared to 64.1% of the general population. Heavy alcohol use, poor diet, and obesity are prominent. Michigan tribes are located in rural provider shortage areas lacking access to quality services. None of the local Komen affiliates in Michigan , include counties where rural, reservation based Native women reside. Objectives: 1) Develop, pretest, revise and evaluate 4 new regionally specific modules to be added to the Native American Cancer Research (NACR) Get On the Path to Breast Health Education Curriculum , among at least 100 women over 40; 2) Increase knowledge by 20% among participants exposed to the Curriculum; 3) Develop and evaluate strategies to increase access to screening by 20%. Aims : 1) By9/30/06, Adapt the NACR Curriculum to be specific to the Great Lakes Region. 2) By 1/31/07, Implement the Curriculum in two tribal communities; 3) By 9/30/07, document the effectiveness of tested strategies that increase access to screening among Native women in this region. The existing modules of NACR curriculum will be adapted to incorporate data, language, graphics, resources, and concerns specific to this region. Modules will be pretested and refined through focus groups and key informant interviews. Effectiveness will be evaluated using pre and post knowledge tests during educational workshops and 3 month follow up phone interviews. Advocates will be at 2 sites to lead workshops, administer Risk Assessments (validated NACR tool) and provide facilitation to screening, genetic counseling, and diagnostic services. Evaluation will include review of 2 year screening rates and participant satisfaction compared to baseline interviews. Proven effective, this model can be replicated among other tribes. Data collected will add to the national knowledge base needed to halt the current increase in breast cancer that American Indian women are experiencing.

    Lay Abstract:
    The Northern Plains region has the highest Native American breast cancer mortality rate nationwide, yet little research has been conducted in this area. Only 45.9% of Native women aged 50 and over report having a mammogram and Clinical Breast Exam within the past year, compared to 64.1% of the general population. Heavy alcohol use, poor diet, and obesity are widespread. Michigan tribes are located in rural provider shortage areas without access to quality services. None of the local Komen affiliates in Michigan , include counties where rural, reservation based Native women live. Objectives: 1) Develop, pretest, revise and evaluate 4 new regionally specific modules to be added to the Native American Cancer Research (NACR) Get On the Path to Breast Health Education Curriculum , among at least 100 women over 40; 2) Increase knowledge by 20% among participants exposed to the Curriculum; 3) Develop and evaluate strategies to increase access to screening by 20%. Aims : 1) By9/30/06, Adapt the NACR Curriculum to be specific to the Great Lakes Region. 2) By 1/31/07, Implement the Curriculum in two tribal communities; 3) By 9/30/07, document the effectiveness of tested strategies that increase access to screening among Native women in this region. The existing parts of NACR curriculum will be changed to incorporate data, language, graphics, resources, and concerns specific to this region. Modules will be pretested and polished through focus groups and key informant interviews. Effectiveness will be evaluated using pre and post knowledge tests during educational workshops and 3 month follow up phone interviews. Advocates will be at 2 sites to lead workshops, administer Risk Assessments (validated NACR tool) and provide assistance to screening, genetic counseling, and diagnostic services. Evaluation will include review of 2 year screening rates and participant satisfaction compared to baseline interviews. Proven effective, this model can be used among other tribes. Data collected will add to the knowledge base needed to stop the increase in breast cancer that American Indian women are experiencing.