Health Promotion to Reduce Lung Cancer: Grant Proposal Template

Topics: Cancer, Health, Health Promotion Words: 1345 Pages: 5

Executive Summary

The grant proposal covers reducing lung cancer among Aboriginal and Torres Strait Islander adults in South Australia. Indigenous people had slightly high rates of lung cancer than non-Indigenous. Hence, the project aims to reduce the rate of lung cancer infection and deaths among Aboriginal and Torres Strait Islander people in South Australia.

The project rationale for funding would result in the best health outcomes for patients, reduce deaths associated with lung cancer, and promote further progress in controlling lung cancer.

The project has three objectives, which include developing an effective educational program, early detection, and tobacco cessation. The project would have positive impacts if these objectives remain core for the entire project life of five years.

There are several actions or strategies for proposed interventions. These would ensure that the project achieves intended results. Strategies require stakeholders’ collaboration, adequate resources, time, and expected outcomes.

The project evaluation outcomes would show validity, reliability, sensitivity, and feasibility features of the instrument, which would be appropriate for indicating the health-related quality of life, patient satisfaction with the quality of care, socioeconomic challenges of cancer, and overall health system performance.

Goal Statement

To reduce the rate of lung cancer infection and deaths among Aboriginal and Torres Strait Islander people in South Australia

In the year 2009, lung cancer became the fifth most diagnosed cancer in Australia (Australian Institute of Health and Welfare & Australasian Association of Cancer Registries, 2012). It accounted for 8.9% of new cases of cancer in the country. The mortality rate due to lung cancer was critically higher among Aboriginal and Torres Strait Islander people (Indigenous) in remote locations, who were medically underserved than non-Indigenous.

Rationale

Improve disparity

Lung cancer continues to pose a significant public health challenge and funding is necessary to improve the disparity of the diseases among Aboriginal and Torres Strait Islander people.

Achieve further progress

Funding can ensure that stakeholders achieve further progress through sustaining current efforts to control lung cancer among Aboriginal and Torres Strait Islander people in South Australia, particularly among populations who are medically underserved and are at the bottom of the socioeconomic bracket.

Improve health outcomes

Funding would result in improved health outcomes, reduce deaths associated with lung cancer, and improve quality of life among Aboriginal and Torres Strait Islander people through early detection, treatment, and reducing risk factors.

Project Objectives and Impact Measures

Objective

Impact Measure

To develop an appropriate education program for Aboriginal and Torres Strait Islander people in South Australia who have lung cancer or are susceptible to lung cancer in order to increase public awareness by 50 percent within the next five years

Early Detection – By 2019, enhance the number of Indigenous adults who get yearly lung cancer screening from 40 percent to 80 percent in South Australia

Tobacco Cessation -By 2019, increase the number of Indigenous people in South Australia who work in a smoke-free environment from 15 percent to 90 percent

1. Increased public awareness about causes of lung cancer, preventive strategies, treatment, and know where to seek help or relevant information about lung cancer (Fotaki et al., 2008; Chong and Roder, 2010)
2. Increased capacity building and collaboration among public health stakeholders because strategic plans for managing cancer need different points of view and resources

2.1 Increased lung cancer screening and adherence to treatment
2.2 Enhanced management of chronic lung cancer and achieving the best health care outcomes (Bernardes, Whop, Garvey, and Valery, 2012)
Patients will work closely with other health care providers to develop the best treatment and care plan that meet specific needs of a given patient like physical activity, healthy diets, reduced smoking
3.1 Reduced cases of smoking tobacco at workplaces, homes, in cars and protect children from secondhand smoke effects
3.2 Reduced future possible cancers and deaths related to tobacco smoking (Moore et al, 2010)

Method – Proposed Intervention

Objective 1: To develop an appropriate education program for Aboriginal and Torres Strait Islander people in South Australia who have lung cancer or are susceptible to lung cancer in order to increase public awareness by 50 percent within the next five years

Action	Partners/ Stakeholders	Time Frame	Required resources	Process Evaluation Indicators
Development of campaign strategies, awareness tools, and health promotion, which are specific to Aboriginal and Torres Strait Islander people	Cancer survivors Patients Health advocates Public health policymakers Health care professionals	Six months 01/2014 – 06/2014	Program managers and facilitators Campaign materials Adequate fund for media and printing posters	The program covers preventive strategies, chronic condition management
Stakeholder partnership	Health care facilities, caregivers, educators, insurers, public health planners, and patients	Six months 01/2014 – 06/2014 A continuous process	Traveling resources, conference facilities, phones	Stakeholders agree on effective methods of combating lung cancer
Capacity building	Trainers, social workers, health care professionals, patients	A 5-year program A continuous process	Training materials, costs associated with psychosocial supports	Patients and other stakeholders demonstrate positive attitudes and knowledge regarding lung cancer

Objective 2: Early Detection – By 2019, enhance the number of Aboriginal and Torres Strait Islander adults who get yearly lung cancer screening from 40 percent to 80 percent in South Australia.

Action	Partners/ Stakeholders	Time Frame	Required resources	Process Evaluation Indicators
Screening and detection	Health care providers, professionals, community members, families, patients	A continuous 5-year program	Lung cancer screening equipment, health care professionals, caregivers, families	High response rates to lung cancer screening and management (Roder and Currow, 2009)
Providing facilities to underserved lung cancer patients in remote locations (Glasgow, 2008)	Local government, the federal government, community members, business community, health public policymakers, health professionals, patients	One year program 01/2014 – 12/2014	Clinic construction materials or mobile health facilities, laboratory equipment, drugs, education materials, record-keeping materials	Health care reaches remotely underserved Aboriginal and Torres Strait Islander people in South Australia The number of people who receive medical attention increases significantly
Lung cancer surveillance	Local government, the federal government, community members, health public policymakers, health professionals, patients (Davidson et al., 2013)	A continuous 5-year program	Surveillance equipment, health care staff	Improved lung cancer monitoring and reporting, managing of existing cases (Mirsadraee, Oswal, Alizadeh, Caulo, van Beek, 2012)

Objective 3: Tobacco Cessation – By 2019, increase the number of Aboriginal and Torres Strait Islander people in South Australia who work in a smoke-free environment from 15 percent to 90 percent by encouraging a comprehensive smoke-free air at workplace.

Action	Partners/ Stakeholders	Time Frame	Required resources	Process Evaluation Indicators
Establish South Australia local quitline network for Indigenous people	Patients, care providers, health professionals, families, community members	A continuous 5-year program	Staff, quit smoking training materials, required medication for patients	Reduced future lung cancer infections, lower rates of secondhand smoke infections
Launch a continuous, extensive media campaign targeting Indigenous	Community members, public-private partnership, media house, health care professionals	A continuous 5-year program	Campaign materials and facilitators
A focus on a broad and balanced research strategy	Academics, researchers, governments, patients, families, communities (Fairley et al., 2010)	A continuous 5-year program	Qualified researchers, academic reference materials, printing materials	Periodical publications about lung cancer among Indigenous people (Emery et al., 2013)

Outcome Evaluation

The rate of lung cancer among Aboriginal and Torres Strait Islander in South Australia adults has remained significantly higher relative to non-Indigenous (Australian Institute of Health and Welfare, 2011). Hence, outcome evaluation in this project is extremely critical for lung cancer stakeholders. The project outcome should indicate the improved quality of care, and reduce health disparities.

The situation could be assessed on endpoint measures to set priorities for future lung cancer evaluation. The validity, reliability, sensitivity, and feasibility features of the instrument would be appropriate for indicating the health-related quality of life, patient satisfaction with the quality of care, the socioeconomic challenge of cancer and overall health system performance.

Specifically, outcome measures will concentrate on improved survival. The number of cancer patients who will get relief from the project would reflect the relevance of the intervention.

Overall, the patient experience would show the effectiveness of the program, diversity, and factors that have led to disease tolerance. The study would show causes for patient variations. In addition, the project would aim to improve the quality of life and health outcomes for all (Anisoglou et al., 2013).

References

Anisoglou,S., Asteriou, C., Barbetakis, N., Kakolyris, S., Anastasiadou, G., and Pnevmatikos, I. (2013). Outcome of lung cancer patients admitted to the intensive care unit with acute respiratory failure. Hippokratia, 17(1), 60–63.

Australian Institute of Health and Welfare. (2011). Lung cancer in Australia. Canberra: AIHW.

Australian Institute of Health and Welfare & Australasian Association of Cancer Registries. (2012). Cancer in Australia: an overview, 2012. Cancer series no. 74. Cat. no. CAN 70. Canberra: AIHW.

Bernardes, M., Whop, J., Garvey, G., and Valery, C. (2012). Health service utilization by indigenous cancer patients in Queensland: a descriptive study. International Journal for Equity Health, 11, 57. Web.

Chong, A., and Roder D. (2010). Exploring differences in survival from cancer among Indigenous and non-Indigenous Australians: implications for health service delivery and research. Asian Pacific Journal of Cancer Prevention, 11(4), 953-61.

Davidson, M., Jiwa M., Digiacomo, L., McGrath, J., Newton, J., Durey, J.,…Thompson, C. (2013). The experience of lung cancer in Aboriginal and Torres Strait Islander peoples and what it means for policy, service planning and delivery. Australian Health Review, 37(1), 70-8. Web.

Emery, D., Walter, M., Gray, V., Sinclair, C., Howting, D., Bulsara, M.,…Holman, D. (2013). Diagnosing cancer in the bush: a mixed methods study of GP and specialist diagnostic intervals in rural Western Australia. Family Practice, 30(5), 541-50. Web.

Fairley, T., Tai, E., Townsend, J., Stewart, S., Steele, C., Davis, P., and Underwood, M. (2010). Racial/Ethnic Disparities and Geographic Differences in Lung Cancer Incidence — 38 States and the District of Columbia, 1998–2006. Morbidity and Mortality Weekly Report, 59(44), 1434-1438.

Fotaki, M., Roland, M., Boyd, A., McDonald, R., Scheaff, R., and Smith, L. (2008). What benefits will choice bring to patients? Literature review and assessment of implications. Journal of Health Services Research & Policy, 13(3), 178-84. Web.

Glasgow, N. (2008). Systems for the management of respiratory disease in primary care – an international series: Australia. Primary Care Respiratory Journal, 17(1), 19- 25. Web.

Mirsadraee, S., Oswal, D., Alizadeh, Y., Caulo, A., and van Beek, E. (2012). The 7th lung cancer TNM classification and staging system: Review of the changes and implications. World J Radiol., 4(4), 128–134. Web.

Moore, A., Baumann, F., Foliaki, S., Goodman, T., Haddock, R., Maraka, R.,…Sobue, T. (2010). Cancer epidemiology in the pacific islands – past, present and future. Asian Pacific Journal of Cancer Prevention, 11(Suppl 2), 99-106.

Roder, D., and Currow, D. (2009). Cancer in aboriginal and Torres Strait Islander people of Australia. Asian Pacific Journal of Cancer Prevention, 10(5), 729-33.