Cancer prevention screening delivering culturally competent care in perth county
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Cancer Prevention & Screening: Delivering Culturally Competent Care in Perth County. Karen Bergin-Payette, Public Health Nurse. Project Purpose. To balance culture, health and research in the context of cancer prevention & screening

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Cancer Prevention & Screening: Delivering Culturally Competent Care in Perth County

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Cancer prevention screening delivering culturally competent care in perth county

Cancer Prevention & Screening:Delivering Culturally Competent Care in Perth County

Karen Bergin-Payette, Public Health Nurse


Project purpose

Project Purpose

  • To balance culture, health and research in the context of cancer prevention & screening

  • To collaborate with community partners to promote provincially approved screening programs related to the early detection of cancers for priority populations


Perth s cultural community

Perth’s Cultural Community

  • The Anabaptist Community is the largest cultural community in Perth County

  • Consists of a number of Amish and Mennonite groups

  • Comprises about 4% of Perth County’s population

  • Mainly located Township of Perth East and the Municipality of North Perth


Development of intervention

Development of Intervention

  • Cancer rates for this community are relatively unknown

  • Informed by face-to-face discussions with Old Order Lay Leaders

    • Individual home visits

    • Group meetings over lunch

  • Formation of planning group

    • Perth District Health Unit

    • Family Health Teams

    • Canadian Cancer Society

    • South West Regional Cancer Program

    • University of Toronto


Identified barriers to cancer screening

Identified Barriers to Cancer Screening

  • Transportation

  • Cost

  • Weather

  • Multiple appointments

  • Childcare

  • Self-care may not be a high family priority


Event promotion

Event Promotion


Women s health event

Women’s Health Event

  • November 2012 – After canning & harvest

    • Old Order Amish and Mennonites with Listowel Family Health Team or Self-Paying

    • 24 women attended

  • April 2013 – Prior to planting

    • Old Order Amish with Milverton Family Health Team or Self-Paying

    • Old Order Amish from Bruce County

    • 26 women attended (5 from Kincardine)


Schedule of events

Schedule of Events

  • Transportation (pick-up and drop-off at home)

  • Blood tests - CBC, ferritin, lipid panel and fasting glucose

  • Breakfast and lunch provided

  • Mammograms, Pap tests and women’s health check-ups

  • At-home colorectal cancer screening kits provided (FOBT kit & requisition)

  • Health education on cancer, healthy eating and mental health

  • Free time to shop in downtown Listowel


Participants

Participants

  • Half women were under 50 years of age

  • Most women decided to attend because of:

    • Women’s health check up (87%)

    • Health teachings (69%)

    • Cancer screening (53%)


Screening test uptake

Screening Test Uptake


Evaluation results

Evaluation Results

  • After teaching:

    • 29% valued cancer screening the same as before

    • 60% valued cancer screening more than before

  • When asked if they would attend another event:

    • 78% agreed that they would attend another event

    • 94% agreed that they would encourage other women to attend

  • When asked if this event made it easier to get screened:

    • 85% agreed screening was made easier

  • Other topics of interest:

    • Healthy Eating

    • Heart Health

    • Mental Health


Evaluation results1

Evaluation Results

  • Results support effectiveness of Women’s Health Day

  • Reached never screened population

  • Partnered cancer screening with other health topics (food safety, nutrition)

  • Integrated prevention messaging

  • Core values at the foundation of intervention been:

    • Relationship

    • Fellowship

    • Respect

    • Humility

    • Flexibility


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