BACKGROUND: Cancer mortality continues to be higher in Native Hawaiians than whites, and research has identified numerous barriers to good cancer care. Cancer navigator programs provide individualized assistance to patients and family members to overcome barriers, promoting early diagnosis and timely and complete treatment. OBJECTIVES: Our purpose was to design a training curriculum to provide community-based outreach workers serving Native Hawaiians with cancer patient navigator skills. METHODS: The Ho'okele i ke Ola (Navigating to Health) curriculum was informed by data gathered from Native Hawaiian cancer patients and their family members, outreach workers in Native Hawaiian communities, and cancer care providers. Based on findings, the 48-hour curriculum focused on cancer knowledge, cancer resources, and cancer communications. Three versions were developed: (1) six days of training and on-site tours in urban Honolulu; (2) four days of training on a neighbor island, with 2 days of on-site tours in Honolulu; and (3) a 3-credit community college independent study course. Graduates were interviewed after each session and 3 months after graduation about application of navigation skills. RESULTS: In 18 months, 62 health workers from community-based, clinical, and community college settings were trained -31 in Honolulu-based trainings, 29 in neighbor island trainings where earlier graduates served as co-faculty, and 2 through Maui Community College (MCC). Follow-up data suggest increased knowledge, skills, capacity, and feelings of competence among trainees. CONCLUSIONS: All three versions of the Ho'okele i ke Ola curriculum, developed with community input, have proven successful in increasing cancer patient navigation skills of trainees.
BACKGROUND:Cancer mortality continues to be higher in Native Hawaiians than whites, and research has identified numerous barriers to good cancer care. Cancer navigator programs provide individualized assistance to patients and family members to overcome barriers, promoting early diagnosis and timely and complete treatment. OBJECTIVES: Our purpose was to design a training curriculum to provide community-based outreach workers serving Native Hawaiians with cancerpatient navigator skills. METHODS: The Ho'okele i ke Ola (Navigating to Health) curriculum was informed by data gathered from Native Hawaiian cancerpatients and their family members, outreach workers in Native Hawaiian communities, and cancer care providers. Based on findings, the 48-hour curriculum focused on cancer knowledge, cancer resources, and cancer communications. Three versions were developed: (1) six days of training and on-site tours in urban Honolulu; (2) four days of training on a neighbor island, with 2 days of on-site tours in Honolulu; and (3) a 3-credit community college independent study course. Graduates were interviewed after each session and 3 months after graduation about application of navigation skills. RESULTS: In 18 months, 62 health workers from community-based, clinical, and community college settings were trained -31 in Honolulu-based trainings, 29 in neighbor island trainings where earlier graduates served as co-faculty, and 2 through Maui Community College (MCC). Follow-up data suggest increased knowledge, skills, capacity, and feelings of competence among trainees. CONCLUSIONS: All three versions of the Ho'okele i ke Ola curriculum, developed with community input, have proven successful in increasing cancerpatient navigation skills of trainees.
Authors: Mark B Dignan; Linda Burhansstipanov; Judy Hariton; Lisa Harjo; Terri Rattler; Rose Lee; Mondi Mason Journal: Cancer Control Date: 2005-11 Impact factor: 3.302
Authors: Judith S Kaur; Kathryn Coe; Julia Rowland; Kathryn L Braun; Francisco A Conde; Linda Burhansstipanov; Sue Heiney; Marjorie Kagawa-Singer; Qian Lu; Catherine Witte Journal: Cancer Date: 2012-03-20 Impact factor: 6.860
Authors: Chanita Hughes Halbert; Vanessa Briggs; Marjorie Bowman; Brenda Bryant; Debbie Chatman Bryant; Ernestine Delmoor; Monica Ferguson; Marvella E Ford; Jerry C Johnson; Joseph Purnell; Rodney Rogers; Benita Weathers Journal: Health Educ Res Date: 2013-10-29
Authors: Kathryn L Braun; Marjorie Kagawa-Singer; Alan E C Holden; Linda Burhansstipanov; Jacqueline H Tran; Brenda F Seals; Giselle Corbie-Smith; JoAnn U Tsark; Lisa Harjo; Mary Anne Foo; Amelie G Ramirez Journal: J Health Care Poor Underserved Date: 2012-02
Authors: Jessie Kimbrough Marshall; Olive M Mbah; Jean G Ford; Darcy Phelan-Emrick; Saifuddin Ahmed; Lee Bone; Jennifer Wenzel; Gary R Shapiro; Mollie Howerton; Lawrence Johnson; Qiana Brown; Altovise Ewing; Craig Evan Pollack Journal: J Gen Intern Med Date: 2015-08-11 Impact factor: 5.128