Presentation Title (IN ALL CAPS)

ADAPTING AND IMPLEMENTING CANCER EDUCATION TO INCREASE SCREENINGS AND VACCINATIONS IN REFUGEE FAMILIES

Departmental Affiliation and City, State, Zip for All Authors

Department of Obstetrics and Gynecology, Fort Worth, Texas, 76107

Classification

UNTHSC Faculty

Research Presentation Category

Community Health and Prevention

Brief Narrative or Summary

The Building Bridges Initiative (BBI) is a program that uses refugee Lay Health Workers (LHWs) to provide culturally and linguistically appropriate breast, cervical and liver cancer education to refugee women living in Tarrant County. Working with Bhutanese, Burmese (Karen ethnic group), Somalian-Bantu, and Congolese refugees, LHWs also connect them to healthcare services. BBI adapted research tested intervention programs (RTIPs) by consulting with the LHWs and other refugee community leaders/experts. This helped incorporate cultural norms and beliefs, as well as accurate presentation and translation of existing educational materials. Consulting community leaders to adapt RTIPs to the refugee community was found to be effective in increasing educational interventions, as well as cervical, liver, and breast cancer screenings. The use of lay health workers from each community provided insight into effective development and implementation of education materials and screenings. By conveying respect for culture, this method can help advance efforts to reach under-served populations and increase support for interventions.

Scientific Abstract

ADAPTING AND IMPLEMENTING CANCER EDUCATION TO INCREASE SCREENINGS AND VACCINATIONS IN REFUGEE FAMILIES Eva Baker MPH, CPH; Amy Raines-Milenkov DrPH; Lucy Smith MPH, CPH, CHES; Raquel Y. Qualls-Hampton PhD, MS; Radhika Subedi, Emelda Thein, Halimo Mudey, Laurette Rudasingwa Department of Obstetrics and Gynecology, UNT Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, Texas 76107 Cancer prevention education and screening among refugees are not standard services provided by resettlement agencies. Complex barriers prevent refugees from accessing health services. The Building Bridges Initiative (BBI) is a program that uses refugee Lay Health Workers (LHWs) to provide culturally and linguistically appropriate breast, cervical and liver cancer education to Bhutanese, Burmese (Karen ethnic group), Somalian-Bantu, and Congolese refugees in Tarrant County. BBI used modified approaches to better educate and connect refugees to healthcare services. Refugee community leaders/experts provided consultation during the adaptation of research tested intervention programs (RTIPs). The process included evaluating existing materials, assessing translated documents for accuracy, incorporating cultural beliefs and norms, and discussing best approaches for presenting the information. During group education, LHWs elicited feedback from participants regarding knowledge of cancer and cancer screening formally through an open-ended data collection tool. The process resulted in the development of four culturally and linguistically appropriate cervical, liver and breast cancer education materials that addressed misperceptions of human anatomy, healthcare system barriers, role of traditional healers, and community influences on participation in education and screening efforts. RTIPs are effective in increasing cervical, liver, and breast cancer screenings. Adapting RTIPs for refugee populations expands the ability to reach under-served populations. The process of partnering with community leaders conveys respect for their culture, improves the ability to reach the target population, and increases support for the intervention. The use of LHWs from each community provides insight into effective development and implementation of education materials and screenings. Keywords: refugees, cancer education, cancer screening

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ADAPTING AND IMPLEMENTING CANCER EDUCATION TO INCREASE SCREENINGS AND VACCINATIONS IN REFUGEE FAMILIES

ADAPTING AND IMPLEMENTING CANCER EDUCATION TO INCREASE SCREENINGS AND VACCINATIONS IN REFUGEE FAMILIES Eva Baker MPH, CPH; Amy Raines-Milenkov DrPH; Lucy Smith MPH, CPH, CHES; Raquel Y. Qualls-Hampton PhD, MS; Radhika Subedi, Emelda Thein, Halimo Mudey, Laurette Rudasingwa Department of Obstetrics and Gynecology, UNT Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, Texas 76107 Cancer prevention education and screening among refugees are not standard services provided by resettlement agencies. Complex barriers prevent refugees from accessing health services. The Building Bridges Initiative (BBI) is a program that uses refugee Lay Health Workers (LHWs) to provide culturally and linguistically appropriate breast, cervical and liver cancer education to Bhutanese, Burmese (Karen ethnic group), Somalian-Bantu, and Congolese refugees in Tarrant County. BBI used modified approaches to better educate and connect refugees to healthcare services. Refugee community leaders/experts provided consultation during the adaptation of research tested intervention programs (RTIPs). The process included evaluating existing materials, assessing translated documents for accuracy, incorporating cultural beliefs and norms, and discussing best approaches for presenting the information. During group education, LHWs elicited feedback from participants regarding knowledge of cancer and cancer screening formally through an open-ended data collection tool. The process resulted in the development of four culturally and linguistically appropriate cervical, liver and breast cancer education materials that addressed misperceptions of human anatomy, healthcare system barriers, role of traditional healers, and community influences on participation in education and screening efforts. RTIPs are effective in increasing cervical, liver, and breast cancer screenings. Adapting RTIPs for refugee populations expands the ability to reach under-served populations. The process of partnering with community leaders conveys respect for their culture, improves the ability to reach the target population, and increases support for the intervention. The use of LHWs from each community provides insight into effective development and implementation of education materials and screenings. Keywords: refugees, cancer education, cancer screening