2011 Arkansas County Partners in Health Arkansas Foundation for Medical Care Central Arkansas Radiation Therapy Institute Coalition for a Tobacco Free Arkansas Donald W. Reynolds Cancer Support House Madison County Health Coalition Mississippi County Coalition for a Tobacco Free Arkansas Montgomery County Health Education Advisory Board Ouachita County Medical Center University of Arkansas for Medical Sciences Women’s Council on African American Affairs, Inc. Mini-grant Overview The Arkansas Cancer Coalition (ACC) works to strengthen the cancer control network as well as implement the goals and strategies of the state’s only comprehensive cancer plan—the Arkansas Cancer Plan (ACP). In an effort to achieve this aforementioned goal, ACC issued minigrants to partners addressing the cancer burden in line with the ACP. For the 2011 Mini-grant period (March 16, 2011 – June 15, 2011), over 20 programs replied to the call for proposals and applied for $92,808.49 in grant funds. After a competitive review process, ACC awarded mini-grant funds totaling $36,614.40 in support of ACC Partner organization activities, events, and programs that worked to advance the goals and objectives of the Arkansas Cancer Plan. ACC had 11 winning applicants: Arkansas County Partners in Health, Arkansas Foundation for Medical Care, Central Arkansas Radiation Therapy Institute, Coalition for a Tobacco Free Arkansas, Donald W. Reynolds Cancer Support House, Madison County Health Coalition, Mississippi County Coalition for a Tobacco Free Arkansas, Montgomery County Health Education Advisory Board, Ouachita County Medical Center, University of Arkansas for Medical Sciences, and Women’s Council on African American Affairs, Inc. In addition to these mini-grants, ACC partnered with the Arkansas Minority Health Commission, Arkansas Department of Health--- Office of Minority Health and Health Disparities, and the American Cancer Society to issue Minority Cancer Awareness Mini-grants in honor of National Minority Cancer Awareness Week the third week in April. The Minority Cancer Awareness Minigrants were issued to applicants that primarily served disparate populations in Arkansas with creative health interventions that were aligned with Chapter 5 of the ACP (Disparities). ACC had three winning applicants: CARTI, Madison County Health Coalition, and Women’s Council on African American Affairs. Together the three applicants were awarded $14,946.60 to implement various programs as it related to cancer disparities. Each awarded activity met the following criteria: 1) Utilized the expertise of a diverse coalition, which included members of the priority audience and other key stakeholders in the development, implementation, and evaluation phases of the proposed project; 2) Incorporated evidence-based strategies and/or promising practices to support goals and objectives of the Arkansas Cancer Plan; and 3) Leveraged ACC funding to disseminate project outcomes. FY2011 Mini-Grantees 2 Arkansas County Partners In Health Project Name: Worksite Wellness Initiative Funded Amount: $3,057 Cancer Focus: All cancers that can be prevented by maintaining a healthy lifestyle ACP Chapter Goal: Chapter 1: Prevention. Goal F: Create Community Environments That Are Conducive to Physical Activity. Objective 4: Assist businesses interested in implementing a worksite wellness program which addresses smoking, obesity, and physical inactivity. Objective 5: Support businesses in providing an environment friendly to accomplishing individual goals relative to changing behavior. County(s) Served: Arkansas Population Served: AR County businesses and employees Project Description: ACPIH is reaching people in the places and organizations that touch their lives every day and where they spend the majority of their waking hours – worksites. ACPIH implemented a Worksite Wellness Initiative in Arkansas County to assist businesses interested in conducting a worksite wellness program to address smoking, obesity and physical inactivity among employees as well as provide support to businesses in providing an environment friendly to accomplishing individual goals relative to changing behavior. Overall Goal: Improve the health and wellness of working adults in AR County. ACPIH aimed to reach this goal through a community effort at the grassroots level by assisting businesses interested in implementing a worksite wellness program which addresses smoking, obesity, and physical inactivity, and supporting businesses in providing an environment friendly to accomplishing individual goals relative to changing behavior. Outcomes: ACPIH achieved their goal by successfully completing the following activities: 1) ACPIH hosted a Business After Hours on May 5, 2011, to kick-off the Worksite Wellness Initiative. 32 individuals attended the event. 16 businesses who were represented at the Business After Hours received a Worksite Wellness Tool Kit with a CD of best practices, individual assessment forms, worksite policies, presentations, competition and activities, reproducible handouts and resources. ACPIH Board Members were on-hand to visit with the business and community leaders. There were three educational table-top displays to encourage employees to be physically active, eat healthy food and live tobacco free. A total of 46 tool kits were distributed, primarily through personal visits by volunteers. 2) ACPIH hosted A Worksite Wellness Team Leader Meeting for the individuals designated to implement the Worksite Wellness Initiative on May 25, 2011 at Baptist Health Medical Center-Stuttgart. 16 individuals were present. The group reviewed the Worksite Wellness Tool Kit and listened to a panel of four employees talk about various worksite wellness activities at their worksites. A power point presentation helped Team Leaders learn how to complete an employee interest survey, develop a communications plan, promote the program in the workplace, offer incentives, and measure success of the program through an evaluation component. The Worksite Wellness Team Leaders were asked to complete a survey at the end of the meeting. Upon conclusion of the project, ACPIH was able to develop a project manual utilizing the materials, resources, survey and findings in order for other communities to disseminate the project. 3 Arkansas Foundation for Medical Care Project Name: Arkansas Cancer Treatment Assessment: A Graphic Comparison of AR Cancer Incidences and Mortalities with Existing Hematology/ Oncology Providers Funded Amount: $3,885 Cancer Focus: All Cancers ACP Chapter Goal: Chapter 3: Access to Treatment County(s) Served: All 75 AR Counties Population Served: AR cancer population Project Description: The mission of AFMC is to facilitate education, outreach, and research in the areas of public health and health care quality improvement for the purpose of improving the health of Arkansans. AFMC believes that the lack of access to nearby cancer treatment facilities prevents many Arkansans from getting basic treatment. With this in mind, AFMC implemented a project that involved conducting a needs assessment of cancer treatment providers in AR. The purpose of this project was to identify resource gaps and communicate the findings with ACC partners and members, AR legislators and other government officials, hospitals, medical providers, health care-related stakeholders, and policy makers. Overall Goal: To communicate and bring attention to the gaps in cancer treatment options throughout the state so that health care leaders and cancer partners recognize and support the importance of making treatment accessible to all Arkansans. The overall goal will be achieved by: 1) Conducting a needs assessment to determine the gaps in cancer treatment in AR at the county level; and 2) Making the assessment available to ACC and its partners by publishing a report and communicating assessment results by September 2011. Outcomes: AFMC was able to successfully conduct a needs assessment to determine the gaps in cancer treatment in Arkansas at the county level. In order to achieve this goal, AFMC reviewed 6 data sources to identify cancer facilities/ providers by county. Additionally, AFMC was able to create 7 multi-layered graphics to summarize the findings of county-by-county comparisons of the availability of cancer treatment providers (hematologists/ oncologists) to: 1) new cases of cancer and, 2) mortalities from cancer. A final report will be submitted to ACC and presentations will be made at a future ACC Quarterly meeting. 4 Central Arkansas Radiation Therapy Institute Project Name: Reducing Disparities in Cancer Treatment Through Transportation Assistance Funded Amount: $5,000 Cancer Focus: Cancers treated through radiation ACP Chapter Goal: Chapter 5 Disparities, Goal A Reduce Cancer Control Disparities in Arkansas, Objective 2 Support and promote the development of healthcare programs designed to reduce cancer disparities among targeted populations in Arkansas County(s) Served: All Population Served: Low income, rural, non-insured and under-insured CARTI patients Project Description: The CARTI transportation assistance program provides fuel voucher assistance to low-income patients, statewide, in an effort to reduce disparities in cancer treatment. The transportation assistance program reaches over 300 rural, low-income, underinsured and uninsured patients of all ages and backgrounds. Overall Goal: To provide fuel vouchers for low-income cancer patients in an effort to reduce disparities in cancer treatment, ensuring access to the same high level of quality cancer treatment as their fellow Arkansans. The goal is to eliminate barriers to radiation treatment for low-income cancer patients. Approximately fifty percent of the patients treated at CARTI are from rural areas of the state, and almost 60 percent are over the age of 55. Outcomes: From the grant 75 low-income, rural, underinsured or uninsured, cancer patients benefitted from the fuel vouches assistance. A survey was conducted and all responded positively about their experience, and 97 percent completed all scheduled radiation treatments. 5 Coalition for a Tobacco Free Arkansas Project Name: Protecting Arkansas’ Kids from Exposure to Secondhand Smoke Funded Amount: $2,875 Cancer Focus: All cancers that can be prevented from smoking/ second-hand smoke ACP Chapter Goal: Chapter 1- I: Prevention. Decrease Tobacco Use and Exposure to Tobacco Smoke. Chapter 5: Disparities. County(s) Served: Pulaski, Jefferson, Lonoke, Faulkner, and Saline Population Served: Workers of color; young women; and individuals from a lower, social, economic background exposed to secondhand smoke in the workplace. Project Description: The CTFA aims to improve the health of Arkansans by reducing the health burden caused by tobacco use and exposure to secondhand smoke by utilizing education, prevention, and policy efforts. The CTFA put their mission into action by creating this project, which was designed to help increase the public’s awareness about the dangers of secondhand smoke exposure, whereby influencing a decrease in the number of children and adults exposed to secondhand smoke. The CTFA educated elected officials and the general public on the effectiveness and benefits of smoke-free workplaces, smoke-free cars and other smoke-free public places, such as city parks. In part, as a result of the mini-grant, Arkansas' smoke-free cars law was strengthen during the 88th General Assembly. Overall Goal: One primary goal is to increase the awareness about the dangers of smoking and the dangers of exposure to secondhand smoke. CFTA hopes to achieve this goal by using the print media to educate the general public in Central and other surrounding areas of AR. Another primary goal is to reduce cancer control disparities in AR. The project intends to achieve these goals by serving as a vehicle to: 1) increase the awareness of cancer health disparities for underserved and workers of color; 2) increase how comprehensive health and safety policies in the workplace can help prevent many forms of cancer; and 3) gain support among policy-makers, at the state level, for a stronger smoke-free workplace law. Outcomes: The main activity of the mini-grant was the placement of an educational ad in the statewide newspaper depicting the message that children and secondhand smoke don’t mix, and they should be protected from secondhand smoke exposure in a motor vehicle. The CFTA also laid the framework for an upcoming press conference to celebrate the 5 th anniversary of Act 8 of 2006 (Arkansas’ smoke-free workplace law) and the celebration of Act 811 (the new smoke-free cars law) that will go into effect on July 27 th. CFTA was able to educate more than 25,000 people in Central AR about the need to protect kids from secondhand smoke exposure in motor vehicles. 6 Donald W. Reynolds Cancer Support House Project Name: Sun SMART 2011: Something to Cheer About Funded Amount: $2,885 Cancer Focus: Melanoma ACP Chapter Goal: Chapter 1-III: Prevention. Promote and Encourage Protective Behaviors from Sun and UV Exposure. Goal G. Objective 2: Increase awareness among youth regarding the dangers of unprotected exposure to UV rays and the corresponding recommended practices for reducing skin cancer risk. County(s) Served: Sebastian and Crawford Population Served: K-12 students and their families Project Description: The Sun SMART program provides preventive education to area youth in order to decrease the incidences of melanoma. The program emphasizes the Sun SMART strategies: Slip on a hat or t-shirt, Move to the shade, Apply sunscreen (at least 30 spf), Reapply sunscreen every few hours, and Tell your friends to be Sun SMART. Overall Goal: Promote and encourage protective behaviors from sun and UV exposure by carrying out the following objectives: 1)Reach Arkansas River Valley kids with the Sun SMART message through presentations; 2) Get families to take the Sun SMART pledge; 3) Make sunscreen available to hundreds of swimmers by providing specific designated city pools with sunscreen; 4) Educate lifeguards about skin cancer prevention and sun safety; 5) Provide skin cancer awareness program for designated number of adults; and 6) Provide free skin cancer screening to a designated number of individuals. Outcomes: The program was a success in that each objective was carried out: 1) the sun smart message reached over 4,000 kids; 2) 119 families took the Sun SMART pledge; 3) the program provided 2 gallons of sunscreen to Creekmore Park pool; 4) 23 lifeguards at Creekmore Park received training on skin cancer prevention and sun safety; 5) 36 individuals attended an inhouse skin cancer education and awareness program; and 6) 57 individuals received a free skin cancer screening. 7 Madison County Health Coalition Project Name: Butterball Health Fair, Kingston Fair on the Square, Breast Friends Breast Cancer Support Group Funded Amount: $4,946.60 Cancer Focus: Brest Cancer ACP Chapter Goal: Chapter 2: Screening and Detection. Section I: Breast Cancer. Goal A: Promote and Increase the appropriate utilization of high quality breast cancer screening and follow-up services County(s) Served: Madison Population Served: Hispanic, rural, and breast cancer survivors Project Description: Provide breast cancer awareness education to Madison County citizens in an effort to promote early detection and treatment, decrease breast cancer health disparities, and enhance the quality of life for breast cancer survivors. Overall Goal: To provide breast cancer awareness education to Madison County citizens in an effort to promote early detection and treatment, decrease breast cancer health disparities, and enhance the quality of life for breast cancer survivors. Outcomes: Madison County Health Coalition performed breast cancer education outreach at the Butterball Health Fair and the Kingston Fair on the Square. At informational booths, the Madison County Health Coalition provided 325 employees at the Butterball Health Fair and 200 women at the Kingston Fair on the Square with breast cancer education. Over 60 percent of the employees at the Butterball Health Fair were Hispanic, therefore a Hispanic interpreter assisted in sessions. Madison County utilized breast models to demonstrate breast self exams and referred uninsured or underinsured women to BreastCare and Susan G. Komen. The UAMS Mammovan also provided mammography services to 50 women at the Butterball Health Fair. Kingston is a rural community—the nearest mammography center is over 30 miles away. The Madison County Health Coalition also met monthly with the Breast Friends cancer support group—the only cancer support group in Madison County. Madison County Health Coalition facilitated meetings and provided education on lymphedema to survivors, as well as made referrals for lymphedema treatment. 8 Mississippi County Coalition for a Tobacco Free Arkansas Project Name: Saving the Lives of Arkansas Children Funded Amount: $2,500 Cancer Focus: All cancers that can be prevented from smoking/ second-hand smoke ACP Chapter Goal: Chapter 1- I: Prevention. Decrease Tobacco Use and Exposure to Tobacco Smoke County(s) Served: Mississippi, Craighead, Poinsett, Crittenden Population Served: Underserved and economically disadvantaged adult smokers and their families, especially their children. Project Description: The mission of MCCTFA is to decrease tobacco use and exposure to tobacco smoke. In an effort to put this mission in action, MCCTFA implemented a project that increased awareness of the importance of smoke free public policies, and demonstrated public support for smoke-free policies. Overall Goal: Reduce involuntary exposure to secondhand smoke. Outcomes: 1) MCCTFA was able to increase understanding of the need for cessation services/ support; 2) increase knowledge and skills to participate in 100% smoke-free public policy change; 3) increase commitment, support, and demand for 100% smoke-free environments; 4) increase knowledge of 100% smoke-free benefits and options; 5) increase awareness of the importance of 100% smoke-free public policies; and 6) increase demonstrations of public support for 100% smoke-free public policies. 9 Montgomery County Health Education Advisory Board Project Name: Project Pink Awareness 2011 Hike for the Cure Funded Amount: $2,278.80 Cancer Focus: All cancers that can be prevented by maintaining a healthy lifestyle ACP Chapter Goal: Chapter 1: Prevention. Section II: Promote Cancer Prevention Through Nutrition and Physical Activity. Goal F: Create Community Environments that are Conducive to Physical Activity. Objective 6: Establish Community Level Interventions that Promote Health Eating, Encourage Appropriate Exercise and Discourage Smoking among Aging Arkansans. Chapter 2: Screening and Detection. Section I: Breast Cancer. Objective 1: Public Education for Breast Cancer Screening – Increase knowledge and improve attitudes of all women with regards to the importance of breast cancer screening County(s) Served: Montgomery, Polk, Pike and Garland Population Served: Women 18 and older in Montgomery and Polk County Project Description: The 4th Annual Hike for the Cure to promote breast cancer education in Montgomery County is a 4 mile kike on the Lake Ouachita Vista Trail to promote cancer prevention and healthy lifestyles through nutrition and physical activity. Overall Goal: To increase the number of participants in the Hike for the Cure and to be able to educate more women and men about breast cancer and Project Pink Awareness. It is an opportunity to bring more awareness to prevention, early detection, mammography screenings and services available in the area as well as increase physical activity. Outcomes: Progress of the event was tracked by the number of participants and informational bags handed out at the event. There were 92 participants which is an increase of 29 people from the previous year. MCHEAB learned that being able to advertise outside of our area is the key to increase participation each year. 10 Ouachita County Medical Center Project Name: The Visual Side of Nutrition Funded Amount: $1,187 Cancer Focus: All cancers that can be prevented by maintaining a healthy lifestyle ACP Chapter Goal: Chapter 1: Prevention. Section II: Promote Cancer Prevention Through Nutrition and Physical Activity. Goal F: Create Community Environments that are Conducive to Physical Activity. Objective 2: Utilize worksites as health promotion venues, reaching adult Arkansans for the purpose of creating a culture of health, and changing unhealthy behavior around smoking, obesity, and physical inactivity. County(s) Served: Ouachita and surrounding counties Population Served: Nutritional Risk Patients Project Description: Provide dietary consults made for nutritional deficits related to malnutrition, diabetes, unplanned weight gain or loss, MI, high cholesterol, anemia, COPD, eating disorders, and more. After the consultation dieticians change the patient’s diets. Overall Goal: The goal of the project is to utilize visual aides to better educate patients screened for nutritional risk to help them better understand the risks of poor nutrition. Outcomes: Through the use of visual aids patients were able to have a better understanding of what poor nutrition has done to them and how better nutrition can benefit them. Every consultation was performed unique to each specific situation, because no two patients are alike, which matches the mission of the Ouachita County Medical Center. The dietician was able to see an increased positive response from patients who were able to have the visual aids used during consultation as opposed to those who just received handouts. 11 University of Arkansas for Medical Sciences Project Name: UAMS 3rd Annual Colonel William “Randy” Holland Memorial Speaker Series on Melanoma: 2011- A Banner Year for Melanoma Funded Amount: $3,000 Cancer Focus: Melanoma ACP Chapter Goal: Chapter 9: Professional Education. Goal A: Enhance Healthcare County(s) Served: All 75 AR Counties Population Served: UAMS faculty practicing physicians; resident & intern physicians; upper class medical, pharmacy, & nursing students; practicing nurses & pharmacists; and faculty & students in the UAMS Graduate School. Project Description: The Colonel William “Randy” Holland Memorial professional education lecture series is in honor of the life of Randy Holland and the many physicians, nurses and other medical professionals who helped him fight malignant melanoma for three years. This lecture series, the “Colonel William R. (Randy) Holland Memorial Speaker Series on Melanoma”, annually rotates between the UAMS departments of Internal Medicine and Dermatology and addresses the topics related to the diagnosis and treatment of malignant melanoma. Overall Goal: 1) Provide cutting-edge, professional education, including where appropriate, CME credit, on a statewide level, for a wide variety of senior physicians, upper-class medical students, etc. 2) Bring the latest data on the treatment of malignant melanoma in human patients to UAMS and the state of AR; 3) Foster clinical collaboration between AR physicians and the guest expert on malignant melanoma; and 4) Expose AR physicians and other health professionals to the latest treatment modalities for melanoma. Outcomes: Organizers brought to UAMS a leading clinical researcher, Kim Margolin, M.D., in the field of treating malignant melanoma. Organizers were able to provide nursing continuing education credit along with continuing medical education credit. Organizers deemed the project an effective, clinical research presentation and were able to reach an in house and telecommunication audience of over 100 physicians and registered nurses. Data from the satisfaction survey indicated a high level of satisfaction with the program activity. The organizers learned that this is an exceptional educational experience for members of the audience to hear the latest, even unpublished, data on new clinical approaches to the treatment of malignant melanoma. The information gained from this experience will help AR physicians and nurses better treat, or refer for treatment, this disease. 12 Women’s Council on African American Affairs, Inc Project Name: Pampered Ladies Lunch and Wellness Expo Funded Amount: $5,000 Cancer Focus: Breast Cancer and all cancers prevented through nutrition and physical activity ACP Chapter Goal: Chapter 2: Screening and Detection. Section I: Breast Cancer. Goal A: Promote and increase the appropriate utilization of high-quality breast cancer screening and follow-up services. Objective 1: Public Education for breast cancer screening – increase knowledge and improve attitudes of all women with regards to the importance of breast cancer screening County(s) Served: Pulaski Population Served: African American Project Description: The full day Pampered Ladies Lunch and Wellness expo consisted of tabletop exhibitors and other health consultants, presentations from cancer survivors, clinicians and experts in the area of cancer research, and an informational luncheon. Participants were treated to wellness screenings and were provided with referrals for follow-up for mammograms and a full day of pampering at no cost. A personal trainer and masseuse was also on hand to address issues such as obesity increasing the risk of cancers of the breast (postmenopausal). Overall Goal: Provide educational and wellness outreach to 250 women to decrease their chances of receiving a diagnosis of breast, cervical, and lung cancer. Participants provided with heart, blood, glucose, and cholesterol screenings and taught to do self-breast exams. Outcomes: The WCAAA utilized pre-surveys and on-site post participants forms, tobacco free and home surveys, vendor visitation forms, health screening forms for blood pressure, blood glucose, and cholesterol screening. 146 participated in the on-site post survey. 132 indicated that they gained new information that would lead them to adopt a healthier lifestyle. 116 indicated that they knew their numbers as a result of screenings. Five currently suffered from breast cancer, 18 diabetes, 56 high blood pressure, 32 high cholesterol, 12 gastrointestinal problems, 3 sickle cell and 6 heart disease. Five were tobacco users and 137 were not. 109 participated in self breast exam classes provided at the event. The WCAAA gained knowledge of what was best practice from this event and what should be the next steps. The value of conducting a second wellness forum and the need for more clinicians to assist with the screening was evident in post evaluation. 13 FY11 Mini-Grantee Dispersion 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. MS. Co. for a Tobacco Free AR – Blytheville UAMS – Little Rock Coalition for a Tobacco Free AR – Little Rock AR Foundation for Medical Care – Little Rock AR County Partners in Health – Stuttgart Donald W. Reynolds Cancer Support House – Fort Smith Our Promise Cancer Resources – Hot Springs Ouachita County Medical Center – Camden Montgomery County Health Education Advisory Board – Mount Ida Madison County Health Coalition – Huntsville CARTI Foundation – Little Rock 12. Women’s Council on African American Affairs, Inc – Little Rock 14