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Behavioral Health Aides in Rural Alaska: Their Experience in Caring for Alaska Native Cancer Survivors

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Abstract

The Alaska Native Tribal Health Consortium conducted a statewide survey of rural community behavioral health aides (BHAs) within the tribal health system to assess their need for psychological and emotional support training for their work with cancer survivors. An electronic survey was distributed to all 114 rural BHAs in Alaska. They were asked about cancer survivors living in their community, whether they had been called to provide counseling to those survivors and about their comfort level in addressing cancer-related emotional issues and concerns experience by the patients and their families. Sixty-one (54 %) BHAs responded, 62 % knew of cancer survivors in their community, and 88 % of whom agreed that it is their job to provide support to those cancer survivors. Of the 47 % of BHAs who had provided counseling to cancer survivors, 63 % noted a lack of adequate training about how to provide that counseling. Dealing with “emotional concerns” was reported as the most difficult issue. Almost all (98 %) reported that they would likely participate in training to improve counseling skills. Most BHAs in rural Alaska know of a cancer survivor in their community and may be called on to provide mental health services, but few report adequate training in how to provide these services. Given the remote locations in which many BHAs work and the lack of local resources to guide them, more education is needed about how to support cancer survivors. This study provides information to help guide development of content of that education.

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References

  1. Kelly JJ, Schade TL, Starkey MB, White S, Ashokkumor R, Lanier AP (2012) Cancer in Alaska Native People, 1969–2008; 40-Year Report. Alaska Native Tribal Health Consortium, Alaska Native Epidemiology Center. Available at: http://www.anthctoday.org/epicenter/ Accessed Jan 6, 2014

  2. Lanier AP, Kelly JJ, Maxwell J, McEvoy T, Homan C (2006) Cancer in Alaska native people, 1969–2003. Alaska Med 48(2):30–59

    PubMed  Google Scholar 

  3. American Cancer Society (2012) Cancer treatment and survivorship facts and figures 2012–2013. American Cancer Society, Inc., Atlanta

    Google Scholar 

  4. U.S. Department of Commerce: U.S. Census Bureau (2012) State and Country Quick Facts. Available at: http://quickfacts.census.gov/qfd/states/02000.html Last Revised: June 27, 2013

  5. Centers for Disease Control and Prevention and Lance Armstrong Foundation (2004) A national action plan for cancer survivorship: advancing public health strategies. Available at: http://www.cdc.gov/cancer/survivorship/pdf/plan.pdf Accessed June 25, 2013

  6. Leigh SA (1996) Defining our destiny. In: Hoffman B (ed) A cancer survivor’s almanac: charting the journey. Chronimed Publishing, Minneapolis, pp 261–271

    Google Scholar 

  7. National Cancer Institute (NCI) (2002) Facing forward series. Life after cancer treatment. Publication No. 02-2424

  8. Monroe AC, Ricketts TC, Savitz LA (1992) Cancer in rural versus urban populations: a review. J Rural Health 8(3):212–220

    Article  CAS  PubMed  Google Scholar 

  9. Write JS, Champagne F, Dever GE (1985) A comparative analysis of rural and urban mortality in Georgia, 1979. Am J Prev Med 1:22–29

    Google Scholar 

  10. US Census Bureau. State and country quick facts. Last revised June 27, 2013 Available at: http://quickfacts.census.gov.pfd/states/02000.html Accessed June 10, 2013

  11. Golnick C, Asay E, Provost E, VanLiere D, Bosshart C, Rounds-Riley J, Cueva K, Hennessy TW (2012) Innovative primary care delivery in rural Alaska: a review of patient encounters seen by community health aides. Int J Circumpolar Health 29(71):18543. doi:10.3402/ijch.v71i0.18543

    Google Scholar 

  12. Leninger MM (1991) Culture care diversity and universality: a theory of nursing. National League of Nursing, New York

    Google Scholar 

  13. Beam N, Tessaro I (1994) The lay health advisor model in theory and practice: an example of an agency-based program. Fam Comm Health 17:70–79

    Article  Google Scholar 

  14. University of Arizona & Annie E. Casey Foundation (1998) The national community health advisor study: weaving the future. University of Arizona Press, Tucson, (410-223-2890). http://www.usm.edu/csho/

    Google Scholar 

  15. Alaska Community Health Aide Program. General information and history. Available at: http://www.akchap.org Accessed July 11, 2013

  16. Gage S (2007) Community Health Aide Program Overview 2007. Anchorage, AK: Association of Alaska community health aide directors: Available at: http://www.akchap.org Accessed July 10, 2013

  17. American Indian/Alaska Native Behavioral Health Briefing Book (2011) Rockville, MD: Department of Health and Human Services (HHS), Indian Health Service (IHS)

  18. Cueva M, Kuhnley R, Revels LJ, Cueva K, Dignan M, Lanier AP (2013) Bridging storytelling traditions with digital technology. International Journal of Circumpolar Health 72: 20717. doi:10.3402/ijch.v72i0.20717. http://dx.doi.org/10.3402/ijch.v72i0.20717

  19. Survey Monkey (2013) Available at: http://www.surveymonkey.com/ Accessed June 18, 2013

  20. Burhansstipanov L, Olsen SJ (2004) Cancer prevention and early detection in American Indian and Alaska native populations. Clin J Oncol Nurs 8(2):182–186. doi:10.1188/04.CJON.182-186

    Article  Google Scholar 

  21. Health care in the last frontier, rural challenges Alaska innovations 2007. Available at: http://www.agnewbeck.com/pdf/statewide/AEP/AEP_Healthcare-in-the-Last-Frontier.pdf Accessed June 25, 2013

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Acknowledgments

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This work was supported by Comprehensive Cancer Control Program of Centers for Disease Control and C-Change.

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Correspondence to Stacy F. Kelley.

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Kelley, S.F., DeCourtney, C. & Owens, X. Behavioral Health Aides in Rural Alaska: Their Experience in Caring for Alaska Native Cancer Survivors. J Canc Educ 29, 642–648 (2014). https://doi.org/10.1007/s13187-014-0609-y

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  • DOI: https://doi.org/10.1007/s13187-014-0609-y

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