Background: American Indians (AI) experience some of the poorest survival rates from all cancers ... more Background: American Indians (AI) experience some of the poorest survival rates from all cancers combined compared with other racial/ethnic groups. In the NE U.S., few cancer control plans explicitly address AI disparities. Tribes like those in the NE are small and reliable estimates from Behavioral Risk Factor Surveys are often not available, leaving an information gap that limits cancer control planning. Methods: In 2009 a medical anthropologist, public health educators and researchers, and tribal health advocates joined forces and designed a cancer needs assessment using rapid assessment procedures. Community-Based Participatory Research (CBPR) principles were applied in an effort to fully engage various tribes in an equitable manner. Lessons Learned: Tribal approval required many steps, meetings and negotiations. Limited resources at the community level constrained data collection practices but also allowed for creative application of rapid assessment techniques. Data collection...
The few American Indian and Alaska Native tribal cancer control plans that exist come in a variet... more The few American Indian and Alaska Native tribal cancer control plans that exist come in a variety of shapes and sizes, reflecting the concerns, needs, and resources of local state, tribal, academic, and federal agencies. Analysis of the unique tribal comprehensive cancer control plans posted on the Cancer Control P.L.A.N.E.T. web site provides a foundation for the establishment of a cancer control plan for tribes and tribal entities. Moreover, these current plans can serve as a framework to develop a template for possibly streamlining future processes that additional tribes might undertake. For example, the seven established Native cancer control plans might illuminate expedient, culturally sensitive and competent, and cost-effective approaches to collect baseline data on early detection practices or on palliative care resources. Each plan may offer distinct ideas for their populace; some similar information may be revealed in multiple plans. Employing ethnographic, health educatio...
Purpose: Comprehensive Cancer Planning has been carried out by every state and at least seven tri... more Purpose: Comprehensive Cancer Planning has been carried out by every state and at least seven tribal health programs using a well defined community planning process (http://cancercontrolplanet.cancer.gov/) . Such plans are publicly available via Cancer PLANET (http://cancercontrolplanet.cancer.gov/state_plans.jsp). Analyzing plans for tribes and comparing them to the states that they reside in may shed light into tribal best practices for this collaborative community based planning effort. Methods: Five states were chosen for this analysis (Alaska, Oklahoma, Oregon, Washington and Minnesota) because there existed at least one tribal plan publically available and these tribes resided in the above mentioned states. The analysis looked at the content and format of the plans and their recommendations. The composition of the boards who made up the planning groups and any mention of tribal epidemiology or unique needs was also noted. Results: Although there was some variation across state...
Background: American Indians (AI) experience some of the poorest survival rates from all cancers ... more Background: American Indians (AI) experience some of the poorest survival rates from all cancers combined compared with other racial/ethnic groups. In the NE U.S., few cancer control plans explicitly address AI disparities. Tribes like those in the NE are small and reliable estimates from Behavioral Risk Factor Surveys are often not available, leaving an information gap that limits cancer control planning. Methods: In 2009 a medical anthropologist, public health educators and researchers, and tribal health advocates joined forces and designed a cancer needs assessment using rapid assessment procedures. Community-Based Participatory Research (CBPR) principles were applied in an effort to fully engage various tribes in an equitable manner. Lessons Learned: Tribal approval required many steps, meetings and negotiations. Limited resources at the community level constrained data collection practices but also allowed for creative application of rapid assessment techniques. Data collection...
The few American Indian and Alaska Native tribal cancer control plans that exist come in a variet... more The few American Indian and Alaska Native tribal cancer control plans that exist come in a variety of shapes and sizes, reflecting the concerns, needs, and resources of local state, tribal, academic, and federal agencies. Analysis of the unique tribal comprehensive cancer control plans posted on the Cancer Control P.L.A.N.E.T. web site provides a foundation for the establishment of a cancer control plan for tribes and tribal entities. Moreover, these current plans can serve as a framework to develop a template for possibly streamlining future processes that additional tribes might undertake. For example, the seven established Native cancer control plans might illuminate expedient, culturally sensitive and competent, and cost-effective approaches to collect baseline data on early detection practices or on palliative care resources. Each plan may offer distinct ideas for their populace; some similar information may be revealed in multiple plans. Employing ethnographic, health educatio...
Purpose: Comprehensive Cancer Planning has been carried out by every state and at least seven tri... more Purpose: Comprehensive Cancer Planning has been carried out by every state and at least seven tribal health programs using a well defined community planning process (http://cancercontrolplanet.cancer.gov/) . Such plans are publicly available via Cancer PLANET (http://cancercontrolplanet.cancer.gov/state_plans.jsp). Analyzing plans for tribes and comparing them to the states that they reside in may shed light into tribal best practices for this collaborative community based planning effort. Methods: Five states were chosen for this analysis (Alaska, Oklahoma, Oregon, Washington and Minnesota) because there existed at least one tribal plan publically available and these tribes resided in the above mentioned states. The analysis looked at the content and format of the plans and their recommendations. The composition of the boards who made up the planning groups and any mention of tribal epidemiology or unique needs was also noted. Results: Although there was some variation across state...
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