Cuaresma Charlene, Mitschke Diane, Robinett Hali
Asian American Network for Cancer Awareness, Research and Training (AANCART), Pacific Health Research Institute, Honolulu, Hawai'i, USA.
Pac Health Dialog. 2007 Mar;14(1):128-34.
Community-based capacity building for cancer awareness, screening, diagnosis, treatment and survivorship is an integral component in addressing existing disparities apparent in many minority and underserved populations. Empowering community leaders within Hawai'i's Filipino immigrant community to increase awareness about cancer was the focus of a collaborative partnership between Asian American Network for Cancer Awareness, Research and Training (AANCART) and the National Cancer Institute's Cancer Information Service. A model curriculum was developed and tailored from existing resources and presented in a series of workshops designed in a "train-the-trainer" format. A total of 35 Filipino community leaders were trained and subsequently hosted community forums, which were designed to increase general awareness about cancer and promote regular cancer screening among Filipinos on the islands of Oahu and Kaua'i. Significant increases in knowledge related to cancer and prevention guidelines were apparent as a result of these community-wide efforts. In addition, the forums provided an opportunity for leaders and stakeholders within the Filipino community to engage in thoughtful inquiry related to existing barriers that prevent the dissemination of accurate cancer information, and also it also enabled them to engage in facilitated discussions about opportunities to empower community members in order to educate others. This collaborative partnership and the resulting community-based intervention created the foundation for future efforts to increase cancer screening rates among Filipino immigrants, with a potential to impact and reduce existing cancer disparities in this population.
基于社区的癌症意识、筛查、诊断、治疗及康复能力建设,是解决许多少数族裔和服务不足人群中明显存在的现有差异的一个重要组成部分。增强夏威夷菲律宾移民社区内社区领袖对癌症的认识,是美国亚裔癌症意识、研究与培训网络(AANCART)与美国国立癌症研究所癌症信息服务部之间合作关系的重点。根据现有资源制定并调整了一份示范课程,并以“培训培训师”的形式在一系列研讨会上进行了讲授。共有35名菲律宾社区领袖接受了培训,随后他们举办了社区论坛,旨在提高对癌症的总体认识,并促进瓦胡岛和考艾岛的菲律宾人定期进行癌症筛查。由于这些全社区范围的努力,与癌症及预防指南相关的知识有了显著增加。此外,这些论坛为菲律宾社区内的领袖和利益相关者提供了一个机会,让他们能够深入探讨阻碍准确癌症信息传播的现有障碍,同时也使他们能够参与有关赋予社区成员权力以教育他人的机会的促进性讨论。这种合作关系以及由此产生的基于社区的干预措施,为今后提高菲律宾移民癌症筛查率的努力奠定了基础,有可能影响并减少该人群中现有的癌症差异。