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Selma J. Morris, M.Ed.Breast Health LiaisonGrady Health System
Atlanta, Georgia
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FUNDING
Atlanta 2-Day Walk
“It’s the Journey”
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INTRODUCTION
Address disparities of breast cancer among multicultural populations
Non traditional, non threatening arena
Inconvenience
Timing
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SETTING
Hartsfield-Jackson Atlanta International Airport (under auspices of City of Atlanta)
R. L. Brown, Jr. Health Center (under auspices of the Grady Health Center) located in the Atrium of airport:
- Primary Care
- Occupational Health
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EMPLOYEES/SUPPORT STAFF
Total Employees exceeds 56,000 Concession Outlets – >200 Department of Aviation – 340 Limousine Operators – 86 Hotel/Motel Shuttles – 18 Taxicabs – 300 Airlines – >40
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“A PRINCIPLES”
Acceptability Availability Accessibility Affordability Accountability
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GOALS “E FACTORS”
Grady Health System Administration
FAA Administration Employers Venues:
- Monthly concession meetings
- Presentations at board meetings
ENCOURAGE
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EDUCATE
Employees learn the 3 components of breast health:
Clinical Breast Examination
Mammography
Breast Self-Exam
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ENGAGE
Employees recognize importance of
worksite early detection programs via:
One-on-One
Lunch & Learn
Other Educational Methods
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EMPOWER
Attendees learned how
to take responsibility
for one’s body and oneself!
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EMPLOY
Multicultural & Multilingual Seasoned Community Health Advocates (CHAs)
Two Day Training - Utilizing Cultural Modification of Annie B. Casey Competency Training Modules
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EVALUATE
Process Outcome Impact Feasibility of replication to other
airports nationally/internationally
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CHAs ACTIVITIES Recruitment of Employees/Support Staff
(foot soldiers) Obtain Consent Forms Obtain Knowledge, Attitude, Behavior &
Practice (KABP) pre/post tests Provide Culturally Appropriate BSE
Teaching = brochures, pamphlets, breast models & Liv Kits
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CHAs ACTIVITIES (cont…) Facilitate Referrals for Follow-up and
Other Needs as Identified Reminder Phone Calls Where Appropriate, Accompany
Employees/Support Staff to Mammography and Other Appointments
Document All Activities Participate in Community Activities
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INTERVENTION
Daily - CHAs provide education for those attending clinic
Daily - Clinic staff (MD’s/Nurse Practitioners) perform clinical breast examinations (CBE)
Monthly - Health care providers donate their time to clinic to perform CBE’s and see those designated with abnormal CBE's
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INTERVENTION (cont…) Quarterly - Latino breast health program in
collaboration with Dia de la Mujer Latino:- Latino health care providers
- Latino CHAs
- Latino breast cancer survivor
- Latino music
- Latino food
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FOLLOW-UP
Employees with insurance referred to their PCP for mammography
Employees without insurance given free mammograms via:
- BreasTest & More Program - Georgia CDC & Prevention Program
- Donated mammograms
- Project funds
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RESULTS OUTCOMES
Total Program Participants = >3,500
Total Questionnaires Completed
= >2,000
Clinical Breast Examinations = >200
Mammography Referrals > 150
DNKA’s < 30%
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RESULTS PROCESS
Employee Satisfaction (Sometimes difficult for employees/support staff to keep appointments = airport priorities, etc.)
Employer Satisfaction (Project feedback)
Community Health Advocates (Valuable resources for ongoing health education and health promotion)
Need inclusion of marketing personnel to enhance participation
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IMPACT
Airport staff mirrors diversity of America Provides an arena to address chronic disease
disparities: Cardiovascular Disease Other cancers: cervical, prostate, colorectal, etc. Stroke Hypertension Diabetes Mental Health
Feasibility of replication nationally/internationally
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LESSONS LEARNED
Airports - a community within itself Airport employees - reflect diversity
of America Airports - provide captured audience
for health promotion CHAs - valuable and underutilized
health care personnel
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LESSONS LEARNED (cont…)
Inclusion of men as breast CHAs
Inclusion of marketing expertise to enhance program participation
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NEXT STEPS
Program Continuation CHAs presenting at their annual meeting –
Unity Conference Ongoing participation in health promotion
activities – City of Atlanta, Golds Gym, etc. Seeking ongoing funding Explore feasibility of educating
passengers
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COMMUNITY HEALTH ADVOCATES
- Dorothy Brandon - Shirley Lewis
- Sylvia Clark - Gladys Long
- Jackie Davis - Melissa Luck
- Amanda Hill - Gloria Rollins
- Dana Howard - Christine Smith
- Ruby Johnson - Elsie Stephens
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PROVIDERS - DR. PHILLIP & GROUP
R. L. Brown, Jr. Airport Health Center Providers
Grady Health System Mid-Level Providers
Morehouse School of Medicine Emory School of Medicine Rogsbert Phillips, MD GHS – Avon Foundation
Comprehensive Breast Center
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COLLABORATORS/ PARTNERS
American Cancer Society American Heart Association Association of Black Cardiologists Bosom Buddies Breast Friends Dia de la Mujer Latina
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COLLABORATORS/PARTNERS (cont…)
Food & Drug Administration Liv Kits Men Against Breast Cancer National Black Leadership Initiative On
Cancer Pan Asian Association Sisters By Choice Susan G. Komen Breast Cancer Foundation
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THANK YOU!