A Process Evaluation of the Alaska Native Colorectal Cancer Family Outreach Program

被引:9
|
作者
Redwood, Diana [1 ]
Provost, Ellen [1 ]
Lopez, Ellen D. S. [2 ]
Skewes, Monica [3 ]
Johnson, Rhonda [4 ]
Christensen, Claudia [1 ]
Sacco, Frank [1 ]
Haverkamp, Donald [5 ]
机构
[1] Alaska Native Tribal Hlth Consortium, Alaska Native Epidemiol Ctr, Anchorage, AK 99508 USA
[2] Univ Alaska Fairbanks, Fairbanks, AK USA
[3] Montana State Univ, Bozeman, MT 59717 USA
[4] Univ Alaska Anchorage, Anchorage, AK USA
[5] Ctr Dis Control & Prevent, Div Canc Prevent & Control, Albuquerque, NM USA
关键词
Alaska Native people; colorectal cancer prevention; colorectal cancer screening; data-sharing protocols; family history; patient navigators; program sustainability; HISTORY; RELATIVES; RISK; SURVEILLANCE; GUIDELINES; BARRIERS; BEHAVIOR;
D O I
10.1177/1090198115590781
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This article presents the results of a process evaluation of the Alaska Native (AN) Colorectal Cancer (CRC) Family Outreach Program, which encourages CRC screening among AN first-degree relatives (i.e., parents, siblings, adult children; hereafter referred to as relatives) of CRC patients. Among AN people incidence and death rates from CRC are the highest of any ethnic/racial group in the United States. Relatives of CRC patients are at increased risk; however, CRC can be prevented and detected early through screening. The evaluation included key informant interviews (August to November 2012) with AN and non-AN stakeholders and program document review. Five key process evaluation components were identified: program formation, evolution, outreach responses, strengths, and barriers and challenges. Key themes included an incremental approach that led to a fully formed program and the need for dedicated, culturally competent patient navigation. Challenges included differing relatives' responses to screening outreach, health system data access and coordination, and the program impact of reliance on grant funding. This program evaluation indicated a need for more research into motivating patient screening behaviors, electronic medical records systems quality improvement projects, improved data-sharing protocols, and program sustainability planning to continue the dedicated efforts to promote screening in this increased risk population.
引用
收藏
页码:35 / 42
页数:8
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