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Selma J. Morris, M.Ed. Breast Health Liaison Grady Health System Atlanta, Georgia

Selma J. Morris, M.Ed. Breast Health Liaison Grady Health System Atlanta, Georgia. FUNDING. Atlanta 2-Day Walk “It’s the Journey”. INTRODUCTION. Address disparities of breast cancer among multicultural populations Non traditional, non threatening arena Inconvenience Timing. SETTING.

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Selma J. Morris, M.Ed. Breast Health Liaison Grady Health System Atlanta, Georgia

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  1. Selma J. Morris, M.Ed.Breast Health LiaisonGrady Health SystemAtlanta, Georgia

  2. FUNDING Atlanta 2-DayWalk “It’s theJourney”

  3. INTRODUCTION • Address disparities of breast cancer among multicultural populations • Non traditional, non threatening arena • Inconvenience • Timing

  4. 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

  5. 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

  6. “A PRINCIPLES” • Acceptability • Availability • Accessibility • Affordability • Accountability

  7. GOALS “E FACTORS” • Grady Health System Administration • FAA Administration • Employers • Venues: - Monthly concession meetings - Presentations at board meetings ENCOURAGE

  8. EDUCATE Employees learn the 3 components of breast health: • Clinical Breast Examination • Mammography • Breast Self-Exam

  9. ENGAGE Employees recognize importance of worksite early detection programs via: • One-on-One • Lunch & Learn • Other Educational Methods

  10. EMPOWER Attendees learned how to take responsibility for one’s body and oneself!

  11. EMPLOY • Multicultural & Multilingual Seasoned Community Health Advocates (CHAs) • Two Day Training - Utilizing Cultural Modification of Annie B. Casey Competency Training Modules

  12. EVALUATE • Process • Outcome • Impact • Feasibility of replication to other airports nationally/internationally

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. RESULTS OUTCOMES

  19. 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

  20. 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

  21. 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

  22. LESSONS LEARNED (cont…) • Inclusion of men as breast CHAs • Inclusion of marketing expertise to enhance program participation

  23. 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

  24. 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

  25. 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

  26. COLLABORATORS/ PARTNERS • American Cancer Society • American Heart Association • Association of Black Cardiologists • Bosom Buddies • Breast Friends • Dia de la Mujer Latina

  27. 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

  28. THANK YOU!

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