TY - JOUR
T1 - Using the Community Readiness Model to Assess American Indian Communities Readiness to Address Cancer Prevention and Control Programs
AU - Arambula Solomon, Teshia G.
AU - Jones, Desiree
AU - Laurila, Kelly
AU - Ritchey, Jamie
AU - Cordova-Marks, Felina M.
AU - Hunter, Amanda Urbina
AU - Villanueva, Berna
N1 - Funding Information:
Research reported in this publication was supported by the National Cancer Institute of the National Institutes of Health under the awards for the Partnership of Native American Cancer Prevention U54CA143924 (UACC) and U54CA143925 (NAU).
Funding Information:
Another strategy included the development of a newsletter, which was disseminated both in print and through social media. The newsletter told the story of a cancer survivor and shared a story of a current cancer research project in one of the communities. Also, as part of the Outreach program’s community grants initiative, a program to refer a friend was supported to increase mammography screening rates in one community and funded a media campaign in a different community. Another community grant project included one community’s cancer report that was disseminated to tribal leaders and the community at large. A volunteer speaker’s bureau was developed and over 60 individuals trained on public speaking and on key cancer topics including colorectal cancer screening. Table lists the recommended strategies for communities at each stage and the activities NACP conducted to facilitate movement of cancer programming to a more robust stage.
Publisher Copyright:
© 2021, The Author(s) under exclusive licence to American Association for Cancer Education.
PY - 2021
Y1 - 2021
N2 - Cancer disparities continue among American Indian and Alaska Native (AI/AN) populations while they have decreased among other racial and ethnic groups. No studies were found that utilized the Community Readiness Model (CRM) to ascertain the readiness of Tribal and American Indian organizations to participate in cancer research and cancer prevention and control initiatives. The Partnership for Native American Cancer Prevention conducted an assessment of the status of American Indian communities’ readiness to implement activities for prevention, early detection, and treatment to improve AI/AN cancer rates. The assessment was a component of the Community Outreach Core of the grant. Thirty-four key Informants participated in the interview process. The Community Readiness Assessment (CRA) provided a baseline assessment of community partners’ readiness to participate in cancer research and programming. Despite years of cancer intervention programs, the communities were classified as being in the early stages of readiness [1–5] of the nine-stage model. Additionally, findings showed low levels of awareness of previous or ongoing cancer research. The findings in prevention and control efforts indicated a need for technical assistance and funding to support community projects in prevention and control. This supported the implementation of a community grants initiative. They also indicated that communities were not ready to conduct research, despite ongoing cancer related research in at least two communities. Communication tools and social media methods and messages were developed to increase awareness of cancer as a health concern and cancer research in the community. The CRM informed these and other engagement activities to meet the appropriate stage of readiness for each Tribe/community, and to build their capacity to participate in cancer research and programming activities.
AB - Cancer disparities continue among American Indian and Alaska Native (AI/AN) populations while they have decreased among other racial and ethnic groups. No studies were found that utilized the Community Readiness Model (CRM) to ascertain the readiness of Tribal and American Indian organizations to participate in cancer research and cancer prevention and control initiatives. The Partnership for Native American Cancer Prevention conducted an assessment of the status of American Indian communities’ readiness to implement activities for prevention, early detection, and treatment to improve AI/AN cancer rates. The assessment was a component of the Community Outreach Core of the grant. Thirty-four key Informants participated in the interview process. The Community Readiness Assessment (CRA) provided a baseline assessment of community partners’ readiness to participate in cancer research and programming. Despite years of cancer intervention programs, the communities were classified as being in the early stages of readiness [1–5] of the nine-stage model. Additionally, findings showed low levels of awareness of previous or ongoing cancer research. The findings in prevention and control efforts indicated a need for technical assistance and funding to support community projects in prevention and control. This supported the implementation of a community grants initiative. They also indicated that communities were not ready to conduct research, despite ongoing cancer related research in at least two communities. Communication tools and social media methods and messages were developed to increase awareness of cancer as a health concern and cancer research in the community. The CRM informed these and other engagement activities to meet the appropriate stage of readiness for each Tribe/community, and to build their capacity to participate in cancer research and programming activities.
KW - American Indian and Alaska Native
KW - Cancer prevention
KW - Community readiness
KW - Research
UR - http://www.scopus.com/inward/record.url?scp=85119998461&partnerID=8YFLogxK
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U2 - 10.1007/s13187-021-02100-4
DO - 10.1007/s13187-021-02100-4
M3 - Article
AN - SCOPUS:85119998461
JO - Journal of Cancer Education
JF - Journal of Cancer Education
SN - 0885-8195
ER -