Cueva Katie, Revels Laura, Cueva Melany, Lanier Anne P, Dignan Mark, Viswanath K, Fung Teresa T, Geller Alan C
Institute of Social and Economic Research, University of Alaska Anchorage, 3211 Providence Dr, Anchorage, AK, 99508, USA.
Clinical & Research Services, Alaska Native Tribal Health Consortium, Anchorage, AK, USA.
J Cancer Educ. 2018 Oct;33(5):1102-1109. doi: 10.1007/s13187-017-1217-4.
To address a desire for timely, medically accurate cancer education in rural Alaska, ten culturally relevant online learning modules were developed with, and for, Alaska's Community Health Aides/Practitioners (CHA/Ps). The project was guided by the framework of Community-Based Participatory Action Research, honored Indigenous Ways of Knowing, and was informed by Empowerment Theory. A total of 428 end-of-module evaluation surveys were completed by 89 unique Alaska CHA/Ps between January and December 2016. CHA/Ps shared that as a result of completing the modules, they were empowered to share cancer information with their patients, families, friends, and communities, as well as engage in cancer risk reduction behaviors such as eating healthier, getting cancer screenings, exercising more, and quitting tobacco. CHA/Ps also reported the modules were informative and respectful of their diverse cultures. These results from end-of-module evaluation surveys suggest that the collaboratively developed, culturally relevant, online cancer education modules have empowered CHA/Ps to reduce cancer risk and disseminate cancer information. "brought me to tears couple of times, and I think it will help in destroying the silence that surrounds cancer".
为满足阿拉斯加农村地区对及时、医学准确的癌症教育的需求，与阿拉斯加社区健康助理/从业者（CHA/Ps）合作并为他们开发了十个与文化相关的在线学习模块。该项目以社区参与式行动研究框架为指导，尊重本土认知方式，并受赋权理论影响。2016年1月至12月期间，89名阿拉斯加CHA/Ps共完成了428份模块结束评估调查。CHA/Ps表示，通过完成这些模块，他们有能力与患者、家人、朋友和社区分享癌症信息，并采取降低癌症风险的行为，如更健康饮食、进行癌症筛查、增加锻炼和戒烟。CHA/Ps还报告说，这些模块内容丰富且尊重他们的多元文化。模块结束评估调查的这些结果表明，合作开发的、与文化相关的在线癌症教育模块使CHA/Ps有能力降低癌症风险并传播癌症信息。“几次让我落泪，我认为它将有助于打破围绕癌症的沉默”。
