THE HEALTH BELIEF MODEL
Indigenous Breast Cancer
The creation of the infographic presented is to help promote the issue of increased later stage diagnosis of breast cancer and poorer outcomes from breast cancer for Indigenous women in Ontario, such as higher rates of mortality, when compared to their non-Indigenous peers (Mazereeuw et al., 2017; Sheppard et al., 2010).
Breast cancer is closely connected to the colour pink as this was the reason behind choosing pink as the main colour. Incorporating Indigenous aspects such as icons that reflect Indigenous women and Indigenous items, like a feather, were also used. A poster that is easy to follow and shares the required important information as a task due to space constraints. Ultimately, creating an Infographic that would resonate with Indigenous people would best be created with Indigenous people, but as a first step, attempts were made to be mindful of aspects that would resonate with this group of targeted persons for intervention.
The focus of this health promotion initiative is really centred on working with the Indigenous community to have shared decision making in creating strategies that are likely to increase uptake of breast cancer screening in Indigenous women between the ages of 50-74. Strategies that incorporate shared decision making are more likely to be successful within the Indigenous community (Mazereeuw et al., 2017).
Reference
Mazereeuw, M., Yurkiewich, A., Jamal, S., Cawley, C., Jones, C., & Marrett, L. (2017). Cancer risk factors and screening in First Nations in Ontario. Health Promotion and Chronic Disease Prevention in Canada. 37(6). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5650013/
Sheppard, A., Chiarelli, A., Marrett, L., Mirea, L., Nishri, E. D., Trudeau, M., & Aboriginal Breast Cancer Study Group. (2010). Detection of Later Stage Breast Cancer in First Nations Women in Ontario, Canada. Canadian Journal of Public Health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6973584/
Infographic References
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Canadian Cancer Society. (2022). Breast cancer statistics. https://cancer.ca/en/cancer-information/cancer-types/breast/statistics
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Cole, K., Hutton, B., Hamel, C., Bourque, J., Arnaout, A., & Clemons, M. (2021). Breast cancer in Indigenous women living in Canada: a scoping review protocol. JBI Evidence Synthesis 19(12). p 3412-3422. doi: 10.11124/JBIES-20-00522
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Ahmed, S., Shahid, R., & Episkenew, J. (2015). Disparity in cancer prevention and screening in aboriginal populations: recommendations for action. Current Oncology. 22(6). 427-426. http://content.ebscohost.com/ContentServer.asp?T=P&P=AN&K=111953754&S=R&D=a9h&EbscoContent=dGJyMNHX8kSeqLE4yNfsOLCmsEmep7FSs6u4Sa%2BWxWXS&ContentCustomer=dGJyMPGrrk2zr7FJuePfgeyx43zx
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Breault, P., Nault, J., Audette, M., Echaquan, S., Ottawa, J., Szafran, O., Bell, N., Dickinson, J., Grad, R., Theriault, G., Singh, H., & Waugh, E. (2021). Improving preventive screening with Indigenous peoples. Canadian Family Physician. 67. https://www.cfp.ca/content/cfp/67/8/588.full.pdf
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Boskey, E. (2022 January 27). What is the Health Belief Model? Verywell mind. https://www.verywellmind.com/health-belief-model-3132721
Community Engagement Framework
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This is a review of the health promotion project ‘Healthy Kids Community Challenge’ using the National Collaborating Centre for Determinants of Health. (2013) Community Engagement Framework tool.
Community Engagement Framework
Organization
Public Health Ontario
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URL
https://www.publichealthontario.ca/en/health-topics/health-promotion/child-youth-health/hkcc
Area (s) of Focus
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Healthy Kids
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Supporting parents to create healthy behaviours in their kids
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Relevance to social determinants of health and health equity
Moderate
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Intended Use
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Public health Ontario worked with 45 communities to improve children’s health for children 0-12 years old by promoting healthy behaviours
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Six communities’ groups were funded via Aboriginal health centres
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Principles/Values
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To reduce the prevalence of and prevent childhood obesity in communities that participated in the intervention
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Tools/Guides
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Public Engagement
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Community linkages and partnerships
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Toolkits
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Infographic
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Videos
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Logic model created
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Strategies
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Community partnerships
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Collaborations with Health providers
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Media campaign
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Barriers/Risks
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Not mentioned
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Success Factors
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Many groups working together to share ideas
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Ability to cater the implementation to each communities’ specific needs
Evaluation
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Outcome evaluation completed
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Process implementation evaluation completed
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Aboriginal Stream Communities Evaluation completed
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Other Comments
None
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References
National Collaborating Centre for Determinants of Health. (2013). A guide to community engagement frameworks for action on the social determinants of health and health equity. Antigonish, NS: National Collaborating Centre for Determinants of Health, St. Francis Xavier University.http://nccdh.ca/images/uploads/Community_Engagement_EN_web.pdf
Public Health Ontario. (2022). Healthy Kids Community Challenge (HKCC). https://www.publichealthontario.ca/en/health-topics/health-promotion/child-youth-health/hkcc?tab=0