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APHA Scientific Session and Event Listing

Recorded presentation

Nancy Fahrenwald, PhD, RN, College of Nursing, Assistant Professor, South Dakota State University, Box 2275, Brookings, SD 57007, 605-688-4098, Nancy.Fahrenwald@sdstate.edu

This qualitative study was designed to obtain feedback from diverse South Dakota (SD) residents on a draft plan for Comprehensive Cancer Control (CCC). Approximately 500 adult men and women (age 19 and older) from 22 different communities and 32 different community groups participated in the discussions. Nearly 20% of participants were American Indian (80% Caucasian). Approximate age range of participants was 20-85 years. The 60 to 90 minutes sessions were conducted by trained facilitators using a structured but open-ended guide. Participants received a summary of the draft CCC plan. Based upon noted from participant perceptions of the plan, content analysis was used to identify themes and sub-themes under each of the CCC plan components. In order to strengthen the evidence based application of the CCC plan, there was a need to improve the breadth and depth of cancer prevention strategies to include emphasis on children and youth, changes in health policy and consideration of other prevalent cancers or cancer risk factors. Early detection efforts needed to include education on the seven warning signs of cancer and promotion of screening for men. Education was desired on age-appropriate cancer screenings and cost issues. Better access to cancer screenings and promotion of existing programs was perceived as critical. Cancer data and research was viewed as essential. Participants desired clear communication about comparative cancer statistics and cancer research. Protection of privacy related to a cancer registry was a concern. Cancer treatment and survivorship components of the plan were not viewed as separate issues. Efforts to improve access to local care, retain qualified local primary care providers and reduce barriers to care are needed for rural and reservation dwellers. Culturally competent care is needed by American Indian people. People desire cancer care that bridges the medical model with complementary care or traditional medicine among the American Indian people. Efforts to reduce cancer quackery are desired. End of life care programs like hospice are desired in rural and reservation communities. In summary, CCC efforts are needed to address the unique issues of rural and reservation dwellers in particular.

Learning Objectives:

• Describe the qualitative approach to exploring perceptions of a statewide cancer control plan by community members.
• Illustrate modification of a statewide cancer control plan based upon thematic findings from community members.
• Describe a relevant, evidence-based comprehensive cancer control plan for a predominantly rural and reservation state.

Keywords: Cancer, Evidence Based Practice

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation