Congress Abstracts 2006

195

CREATING A MOBILE RESOURCE CENTER VAN PROGRAM FOR CANCER PREVENTION, EDUCATION AND SCREENING IN THE COMMUNITY. Susan DeCristofaro, RN, MS, OCN^®, Dana-Farber Cancer Institute, Boston, MA.

In Boston, the mortality rate for prostate cancer is 71.4% in blacks versus 27.5% in Caucasians. Massachusetts has the 10th highest incidence of melanoma in the nation. Studies reveal one in every five children develop skin cancer. Melanoma is common under age 30. Building strong relations with community partners allows the opportunity to provide prostate and skin cancer education and screening, improve disparities including lack of access, quality of health information, screening capacity and effective follow up. Our cancer center uses an innovative nurse-driven approach to cancer prevention and control: a mobile van. The van served 2,000 persons in its first year.

The purpose of the mobile van aims to contribute to early cancer detection as well as impact health disparities related to prostate and skin cancer. This effort targets vulnerable populations not receiving prevention intervention, especially the underserved. Education and screening interventions use the principles of the health belief model to influence cancer prevention behavior.

In collaboration with urban communities, the van provides early detection screenings and education at health fairs, faith-based organizations, community health centers, targeted neighborhoods, beaches and citywide events. The van offers classroom and private exam space. The 39-foot van's friendly exterior presents a moving billboard welcoming effect. Staffed by physician, nurse, outreach coordinator, educator, patient navigator and clinical staff providing services at no cost to the public.

Outcome measures show improved access in underserved neighborhoods by persons seeking education and screening. In 2005, of 750 males educated, 311 received PSA screening with digital rectal exam. 52 (16 %) required patient navigator follow up.1300 adults and children learned sun safe protective behavior. 134 adults received full body skin exams. 2 required follow-up. A need exists for lifeguard and elementary school education on sun protective behavior.

Oncology nurses must consider community partners as a way to improve access to early detection and build strategies to prevent cancer. A mobile van represents a model for nurses working in urban and rural settings, public health, education, economics and ethics. Information and collaboration on van design, program funding and the patient navigator role holds relevance for sharing with other nurses.