Congress Abstracts 2004

73

LOGIC MODEL USE FOR BREAST HEALTH IN RURAL COMMUNITIES. Adrianne Lane, BSN, MSN, EdD, University of Cincinnati, Cincinnati, OH, and Madeleine Martin, BSN, MSN, EdD, University of Cincinnati College of Nursing, Cincinnati, OH.

Breast cancer is the second leading cause of cancer death in the United States. Over 204,000 women are expected to be diagnosed with this disease in 2003. Rural and uninsured women are particularly at risk because they do not take advantage of screening procedures that have been shown to decrease breast cancer morbidity and mortality. Oncology nurses are in a key position to create educational and screening programs to meet the special needs of this population.

The purpose of this project was to create a model-based program to meet the breast screening needs of women in a rural community. A logic model methodology was used to create the program. This model addressed the factors of accessibility, affordability, and trust. The logic model specifically provided a framework for the development of a comprehensive program integrating research, service, and practice.

Using the logic model, program objectives were identified as (1) develop the necessary infrastructure for the Breast Health Network, (2) provide annual screening opportunities including education and referral information, and (3) identify and secure ongoing funding for sustaining annual screening activities. Overall project outcomes were identified, and process and outcome evaluation plans were developed. Through the use of the logic model, key elements of a community program were clearly outlined, and strategies for attainment planned.

The outcomes of this project include (1) schemata and description of the Breast Health Program using the logic model, (2) demographic data specific to educational and screening programs provided in 2003 (n > 250), (3) creation of a not-for-profit organization for the provision of breast cancer education and screening, and (4) perception data regarding factors that affect breast cancer screening practices of rural women (n > 250).

In conclusion, the logic model was key to the development and ongoing implementation of a comprehensive program for breast cancer screening and breast health education for this population. The program developed provides a framework and trajectory for continuing research and service activities for promotion of breast health of women in rural communities. The project can serve as a model strategy in underserved populations as well as in other types of cancer education and screening activities.