The final presentation created by myself and my partner for our community health promotion practicum.

1. Development of a Community Outreach Program for the Canadian Cancer Society Peter BearseBScH, BEd, BNSc (Student) Christopher Lacombe BSc(Hon), BNSc (Student) NURS405 Community Health Promotion Practicum

2. Goals Program Adults 50+ in the Kingston region will have increased knowledge regarding cancer, which will translate into increased healthy cancer screening rates resulting in improved health outcomes. Project Adults 50+ in the Kingston region will have an increased knowledge, improved attitude and intention to change colorectal cancer screening behaviours.

3. Objectives By end of August 2012, adults over the age of 50 within the Kingston area will demonstrate:

4. Knowledge increase, attitude, and intention to change colorectal cancer screening behaviour will be measured by a pre-test post-test survey associated with a colorectal cancer educational session. Screening data will be measured through correspondence with local family health teams, and Cancer Care Ontario statistics. Increased colorectal cancer knowledge from cancer society resources and demonstrate increased colorectal cancer screening rates closer to the provincial average, an increase from 30.6% for the Southeast LHIN to 36.3%, the provincial maximum value Will attend Cancer society events, and the knowledge gained pertaining to colorectal cancer will increase colorectal cancer screening rates, an increase from 30.6% for the Southeast LHIN to 36.3%, the provincial maximum value Will have increased access to Canadian Cancer Society educational resources. Will demonstrate an increased knowledge of colorectal cancer information, screening rationale and screening methods

5. Assessment Social, Environmental, Epidemiological, Behavioural, and Health Data

6. Epidemiological Assessment

9. Environmental Assessment Maple FHT Kingston FHT Canadian Cancer Society D D Queen’s FHT KFL&A Public Health

11. Southeast Local Health Integration Network: (Adapted from Cancer Care Ontario, 2011.)

12. Colorectal cancer screening behaviour factors.

13. Summary of Challenges

14. Project Plan Selected interventions for a pilot colorectal cancer screening educational project

15. Colorectal Cancer Pilot Project Overview Advertisement and marketing Canadian Cancer Society Community Partners Participant Recruitment Cancer awareness Screening referrals Program improvement Revenue Kingston Adults Over 50

18. The presentation catalogue, in combination with a form letter, forms an action package marketing Cancer Society Services to potential community partners.

20. Currently, there is one health promotion outreach volunteer. Recruiting prospective volunteers to this initiative, developing a mentoring program and advertising for new volunteers is recommended.

21. Development of an evidence-based pre-test post-test Likert-type survey measuring knowledge gain, attitude, and intention to obtain screening with respect to colorectal cancer.

22. Liasing with community partners, especially local family health teams, to determine the proportion of participants following up with cancer screening behaviours, and following up with willing participants (in the future)

23. Conclusions Lessons learned and recommendations for the future.

24. More education is needed Application of this colorectal cancer pilot project to other topics and audiences Follow-up information is vital Increased volunteership is required

25. Acknowledgement The authors would like to thank the following individuals: Craig Faucette Manager, Canadian Cancer Society (Frontenac, Lennox and Addington Unit) Nicola Thomas Instructor, Queen’s School of Nursing Kathleen Ketchum Volunteer Engagement Coordinator, Canadian Cancer Society Kate Bryson Administrative assistant, Ministry of Health and Long-term Care Larry Cardiff Volunteer, Canadian Cancer Society

26. Works Referenced Anderson, J. C., Fortinsky, R. H., Kleppinger, A., Merz-Beyus, A. B., Huntington, C. G. III, Lagarde, S. (2011.) Predictors of compliance with free endoscopic colorectal cancer screening in uninsured adults. Journal of General Internal Medicine, published online 16 April 2011. Austin, K. L., Power, E., Atkin, W. S., Wardle, J., Robb, K. A. (2009.) Perceived barriers to flexible sigmoidoscopy screening for colorectal cancer among UK ethnic minority groups: a qualitative study. Journal of Medical Screening, 19, 174-179. Canadian Cancer Society (May 17, 2010.) Our Mission, Vision and Values. Retrieved from http://www.cancer.ca/Canada-wide/About%20us/CW-Mission.aspx?sc_lang=en Cancer Care Ontario (October 14, 2009.) Cancer Care Overview. Retrieved from http://www.cancercare.on.ca/pcs/careoverview/ City of Kingston, Planning and Development (2008.) City of Kingston and Kingston Census Metropolitan Area (CMA) Statistical Profile. Kingston, Ontario: Author. Queen’s Family Health Team, Department of Family Medicine. Retrieved from http://www.dfmqueens.ca/family_health/fht.php?id=5 Finney Rutten, L. J., Nelson, D. E., Meissner, H. I. (2004.) Examination of population-wide trends in barriers to cancer screening from a diffusion of innovation perspective. Preventative Medicine, 38, 258-268. Guessous, I., Dash, C., Lapin, P., Doroshenk, M., Smith, R. A., Klabunde, C. N. (2010.) Colorectal cancer screening barriers and facilitators in older persons. Preventative Medicine, 50, 3-10. Larson, K., Levy, J., Rome, M. J., Matte, T. D., Silver, L. D., Freiden, T. R. (2006.) Public Health Detailing: A Strategy to Improve the Delivery of Clinical Preventive Services in New York City. Public Health Reports. 121, 228-234 Liu, C. Fleck, T., Goldfarb, J., Green, C., Porter, E. Attitudes to colorectal cancer screening after reading the prevention information. (2011.) Journal of Cancer Education. Advance publication. Menees, S. B. Inadomi, J. M., Korsnes, S., Elta, G., H. (2005.) Women patients’ preference for women physicians is a barrier to colon cancer screening. Gastrointestinal Endoscopy, 62(2), 219- 224. Stimpson, J. P. Wilson, F. A., Reyes-Ortiz, C. A. (2009.) Influence of number of children on cancer screening among adults in the United States. Journal of Medical Screening, 16, 170-173. Subramanian, S., Klosterman, M., Amonkar, M. M., Hunt, T. L. (2004.) Adherence with colorectal cancer screening guidelines: a review. Preventative Medicine, 38, 536-550. Vincent, J., Hockhalter A. K., Broglio, K., Avots-Avotins, A. E. (2011.) Survey respondents planning to have screening colonoscopy report unique barriers. The Permanente Journal, 15(1), 4- 11. von Wagner, C., Baio, G., Raine, R., Snowball, J., Morris, S., Atkin, W., Obichere, A., Handley, G., Logan, R. F., Rainbow, S., Smith, S., Halloran, S., Wardle, J. (2011.) Inequalities in participation in an organized national colorectal cancer screening programme: results from the first 2.6 million invitations in England. International Journal of Epidemiology, Advance access publication, 1-7. Waller, J., Bartoszek, M., Marlow, L., Wardle, J. (2009.) Barriers to cervical cancer screening attendance in England: a population-based survey. Journal of Medical Screening, 16, 199-204.

27. Thank you.