Roxboro, Person County : a community diagnosis including secondary data analysis and qualitative data collection

A group of six, first year Masters students from the School of Public Health at the University of North Carolina at Chapel Hill, Department of Health Behavior and Health Education (HBHE) conducted a community diagnosis of the city of Roxboro. A Community Diagnosis involves working with a community in order to discover its strengths and assess areas that may need future attention. Information about the community is compiled through a review of previously gathered data and by talking with residents and service providers about what it is like to live in their community. This is a seven-month process, which is a requirement of Masters students in the HBHE Department at the University of North Carolina at Chapel Hill. The Community Diagnosis process initially focused on collecting and summarizing pre-existing data also called secondary data. Sources of secondary data include but are not limited to census data, maps, previously existing documents and newspapers. Each of these sources provided a broader understanding of life in Roxboro. This information also allowed the community diagnosis team to define and describe the geography (location), history, economy, health status and sociodemographic characteristics of Roxboro. Although these data sources are extensive, there are some notable limitations. For example, the most recent data available are from 1990 and therefore do not reflect current changes within the county, city and state. Another limitation is that the most current data for Roxboro does not include the increased population and demographic information from newly annexed land in July 1998 (The Courier Times, 1998). After the pre-existing data were compiled and summarized, the qualitative data collection process began and consisted of interviewing community members and service providers. Qualitative data collection was essential in compiling a complete picture of what life is like in Roxboro. Separate interview guides were created for community members and service providers. In total, 36 interviews were completed: twenty-one community members and fifteen service providers. Through these interviews and our continuous presence in Roxboro, we became more familiar with the community and the residents. Community members also became more comfortable and welcoming of us. Located in Person County, Roxboro is an area of approximately 6.45 square miles in the Northern Piedmont. The city is both urban and rural with a population of 7,332 residents that is relatively evenly distributed among African Americans and Caucasians. There is a long history and lineage of the residents. Many families are descendents of those who have lived in Roxboro for hundreds of years. However, the city has also attracted many newcomers. Community members and service providers described Roxboro as a community of many strengths. For example, Roxboro is a safe, small, close-knit, quiet and friendly community; it is a good place to raise your family and flee from the chaos of a larger city. The residents of Roxboro are friendly, warm, down-to-earth individuals who care about their neighbors. One community member summed it up by saying “I wouldn’t be anywhere else, I wouldn’t live anywhere else.” Community members and service providers also expressed some concerns about Roxboro. Suggested areas of improvement included recreation, health services, transportation and Latino services. In February of 1999, with the help of the community and sponsors, the student team held a community forum in which the strengths and concerns of community members and service providers were presented to the community. The purpose of this meeting was to summarize what the team had found through both pre-existing data and interviews. It was also an opportunity for community members and services providers to further develop relationships, and to discuss common goals and future directions. Health and recreation were major areas of concern expressed by those who attended the forum.Master of Public Healt

Collaborative Development of Clinical Trials Education Programs for African-American Community-Based Organizations

This paper describes the use of a unique ”Learning and Feedback” approach to tailor cancer clinical trials education programs for Community Bridges, a peer training intervention designed for African American communities in North Carolina. Generic community education modules were demonstrated with key community leaders who were designated as trainers. Quantitative and qualitative assessments were provided on understanding of content, comfort with material and cultural relevance. The generic materials were adapted into three revised modules, all featuring key messages about cancer clinical trials, discussion regarding distrust of medical research, common misconceptions about trials, patient protections, and a call to action to prompt increased inquiry about locally available trials. The revised modules were then used as part of a train-the-trainer program with 12 African American community leaders. ENACCT’s use of the Learning and Feedback process is an innovative method for culturally adapting clinical trials education

Evaluating a Community-Partnered Cancer Clinical Trials Pilot Intervention with African American Communities

Cancer Clinical Trial (CCT) accrual and retention rates remain disproportionately low among African Americans. Awareness and access to trials are crucial facilitators of trial participation. Strategies developed within a community-based participatory framework (CBPR) are potential solutions to increase awareness and access to CCTs. In this study, we describe the pilot phase of three innovative community-centered modules to improve basic CCT knowledge, awareness of locations to access CCT information, and opportunities to participate in CCTs

Church-Based Health Promotion Interventions: Evidence and Lessons Learned

Church-based health promotion (CBHP) interventions can reach broad populations and have great potential for reducing health disparities. From a socioecological perspective, churches and other religious organizations can influence members’ behaviors at multiple levels of change. Formative research is essential to determine appropriate strategies and messages for diverse groups and denominations. A collaborative partnership approach utilizing principles of community-based participatory research, and involving churches in program design and delivery, is essential for recruitment, participation, and sustainability. For African Americans, health interventions that incorporate spiritual and cultural contextualization have been effective. Evidence indicates that CBHP programs have produced significant impacts on a variety of health behaviors. Key elements of CBHP are described with illustrations from the authors’ research projects

Collaborative Development of Clinical Trials Education Programs for African-American Community-Based Organizations

This paper describes the use of a unique ”Learning and Feedback” approach to tailor cancer clinical trials education programs for Community Bridges, a peer training intervention designed for African American communities in North Carolina. Generic community education modules were demonstrated with key community leaders who were designated as trainers. Quantitative and qualitative assessments were provided on understanding of content, comfort with material and cultural relevance. The generic materials were adapted into three revised modules, all featuring key messages about cancer clinical trials, discussion regarding distrust of medical research, common misconceptions about trials, patient protections, and a call to action to prompt increased inquiry about locally available trials. The revised modules were then used as part of a train-the-trainer program with 12 African American community leaders. ENACCT’s use of the Learning and Feedback process is an innovative method for culturally adapting clinical trials education