PROGRAMS:
I. Breast Cancer: Lay Health Advisors (LHA) Program in Mid-Western U.S.
Click here for more pictures (Need PDF reader)
LHA Program in China & Taiwan Project title: “Take care of self and help others”: Breast health and breast cancer screening in China and Taiwan
Click here to Watch video 1 - HAAP: Implementation of Breast Cancer Prevention in China or Click here if you are in China/Taiwan Click here to Watch video 2 - HAAP: Implementation of Breast Cancer Prevention in China or Click here if you are in China/Taiwan Click here to Watch video 3 - HAAP: Implementation of Breast Cancer Prevention in China 2012-2018
Evidence-based Strategies for Early Detection of Breast Cancer in China
Physician video 1: overview of physician intervention, please click here Physician video 2: case study #2, please click here Physician video 3: case study #3, please click here
Individually-Tailored Intervention to Promote Mammography Screening Funded by the National Institute of Health/National Cancer Institute, this innovative research study (5R21CA127825-02) developed and tested the feasibility of using individually tailored theoretically-based intervention strategies to promote mammography screening among non-adherent Chinese-American women. During the project period, the following goals were accomplished: 1) Develop a tailored telephone counseling intervention to demonstrate its feasibility and acceptability by Chinese American women, and 2) Evaluate the intervention efficacy in increasing the a) outcome measures, i.e., uptake of mammography screening and stage of mammography adoption, and b) positive changes in mediators, i.e., improved knowledge about breast cancer risk and screening guidelines, increased perceived benefits and self-efficacy, and decreased barriers. Chinese American women who meet the eligibility criteria were randomized into tailored telephone intervention, or control condition. The tailored group received an individually tailored intervention based on the results of the baseline assessment, and the control group received a pamphlet on mammography screening. The intervention group had increased screening to 40% compared with 33% for the control group at 4 months; the difference was not statistically significant. When the subanalyses were performed, the intervention is effective in certain demographic groups (ie, elderly women aged ≥65 years and recent immigrants). The study intervention was well accepted by participants and perceived as feasible and culturally appropriate based on process evaluation.
Cultural Beliefs and Cancer Screening (CBCS) Study: This NCI-R03 study established the psychometric properties of a Chinese-English "Cultural Beliefs and Cancer Screening (CBCS)" questionnaire that measures the full range of concepts derived from prior empirical and promising theoretical work. Guided by culturally-specific adaptations made to the health belief model (HBM) with adaptation of existing instruments when necessary (e.g., Champion’s Breast Cancer Screening Belief Scales and Mood’s Cultural Affiliation Scale), CBCS questionnaire used culturally appropriate qualitative and quantitative research to evaluate the adequacy of study variables in the CBCS questionnaire as predictors of mammography use among Chinese Americans. Lower utilization of breast cancer screening is probably responsible for a greater proportion of tumors found at a later stage among Chinese American women compared to U.S. white women. The CBCS questionnaire facilitates the development future intervention programs in increasing the use of mammography screening. The CBCS questionnaire was also been adopted by several researchers that were interested to use this tool for other minority populations to measure cultural beliefs about cancer and cancer screening practices.
II. Colorectal Cancer:
Michigan Colorectal Cancer Screening Program (MCRCSP): Funded by Michigan Department of Community Health, HAAP has shown that it is feasible to collaborate with one of the state’s large medical systems (i.e., University of Michigan) and community-based organizations to promote colorectal cancer screening in underserved Asian communities in Michigan. Prior long-term collaborations with a UMHS physician and with community organizations contributed to our accomplishments. In 2006-8, HAAP recruited more than 400 Asian Americans to be enrolled in the MCRCSP program by and performed risk assessments. Based on the results, 10% of participants were shown to have above average risk. HAAP also arranged the high-risk participants to undergo colonoscopy.
Click here for more details about the MCRCSP Results
III. Chronic Disease:
Chronic Disease Self-Management Program: Funded by Michigan Department of Community Health in 2007-2008, HAAP implemented evidence-based Chronic Disease Self-Management Program (developed by Stanford University Patient Education Department), also known as Personal Action toward Health (PATH) in Michigan. The implementation is one of the few in the nation that took this evidence-based program to benefit Asian Americans.
As results, HAAP was able to have four bilingual Master Trainers and certified 35 PATH leaders ((from Asian Indians, Chinese, Korean, Filipino groups)
HAAP collaborated with major Asian communities Philippine American Community Center of Michigan (PACCM) in Southfield, Korean American Cultural Center of Michigan (KACCM), Association of Chinese Americans (ACA) in Madison Heights, and the Asian Center in Grand Rapids and conducted workshops in Washtenaw, Wayne, Oakland, and Macomb counties and
IV. Mental Health:
Title: Empowering Immigrant Asian Americans: Community Participatory Approach: Funded by W.K. Kellogg Foundation, the goals of this HAAP’s project are to promote culturally sensitive and community-led solutions and strategies toward racial healing and empower immigrant Asian American (AA) children and adolescents in achieving optimal success. The proposed multi-level project aims to: a. provide a healthy environment that creates caring and mutual understanding and promote dialogue about diversity by empowering AA children, families and communities, b. develop and implement solutions for addressing social and economic environment of inequality experienced in Asian communities, and c. foster connections and collaborations between families, schools, clinical agencies and policy.
Click here for more details about the Preliminary Results
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