Kuhnley Regina, Cueva Melany
Alaska Native Tribal Health Consortium Anchorage, ANTHC-CHAP, Anchorage, AK 99508, USA.
J Cancer Educ. 2011 Sep;26(3):522-9. doi: 10.1007/s13187-011-0207-1.
In response to Alaska's Community Health Aides/Practitioners (CHA/Ps) request for cancer information, the "Path to Understanding Cancer" course was developed, implemented, and extensively evaluated. Using a qualitative approach as one evaluation component, 128 of 168 course participants engaged in post-course telephone interviews. Of these, 116 (81%) CHA/Ps felt more comfortable in talking about cancer and 57% had increased cancer screening referrals for patients. Additionally, 28% of 110 CHA/P respondents and 21% of 114 CHA/Ps' family members sought and received cancer screening; they had also made lifestyle changes to reduce cancer risk, including tobacco cessation and healthy changes in nutrition and exercise. Through qualitative design, we gained insight into CHA/Ps' lived experience of cancer and an understanding of ways the course made a difference in patient care as well as cancer risk reduction, cancer screening, and prevention for themselves, their families, and people in their communities.
应阿拉斯加社区健康助理/从业者(CHA/Ps)对癌症信息的需求,开发、实施并广泛评估了“了解癌症之路”课程。作为评估的一个组成部分,采用定性方法,对168名课程参与者中的128人进行了课程后的电话访谈。其中,116名(81%)社区健康助理/从业者在谈论癌症时感觉更自在,57%的人增加了为患者的癌症筛查转诊。此外,在110名社区健康助理/从业者受访者中,28%的人以及114名社区健康助理/从业者的家庭成员寻求并接受了癌症筛查;他们还改变了生活方式以降低癌症风险,包括戒烟以及在营养和运动方面做出健康改变。通过定性设计,我们深入了解了社区健康助理/从业者对癌症的实际体验,并理解了该课程在患者护理以及他们自身、家人和社区居民的癌症风险降低、癌症筛查和预防方面所起作用的方式。