“Ask Me” and I’ll Tell You about a Public Health Initiative that May Save Lives “Ask Me” Campaign Tennessee Cancer Coalition Tennessee Breast and Cervical Cancer Program

Objectives • To describe the successful “Ask Me” campaign in middle Tennessee implemented by Tennessee Cancer Coalition volunteers and TN Breast and Cervical Cancer Program staff modeled after Washington State and New York/Livingston County campaigns; • To share outcomes of the “Ask Me” campaign; • To outline the process of implementing a similar campaign that others may replicate in their communities.

Partnership • Tennessee Cancer Coalition www.tncancercoalition.org

• Tennessee Breast and Cervical Cancer Early Detection Program http://health.tn.gov/mch/

What We Will Cover • Overview and Background of “Ask Me” • Outcomes • How to Implement

BEFORE We Get Started – A Little Fun! Hair Stylists and our Styles

Hair Stylists and our Styles

Bob/Finger Wave 1920s

Source: 25 Hairstyles of the Last 100 Years, August 16, 2008, www.listverse.com

Hair Stylists and our Styles

Pompadour 1950s

Source: 25 Hairstyles of the Last 100 Years, August 16, 2008, www.listverse.com

Hair Stylists and our Styles

Ducktail 1950s

Source: 25 Hairstyles of the Last 100 Years, August 16, 2008, www.listverse.com

Hair Stylists and our Styles

Afro 1960’s – 1970’s

Source: 25 Hairstyles of the Last 100 Years, August 16, 2008, www.listverse.com

Hair Stylists and our Styles

Bouffant 1960’s Source: 25 Hairstyles of the Last 100 Years, August 16, 2008, www.listverse.com

Hair Stylists and our Styles

Feathered Flip (aka Farah ‘do) 1970’s Source: 25 Hairstyles of the Last 100 Years, August 16, 2008, www.listverse.com

Hair Stylists and our Styles

Bowlcut 1980’s/1990’s Source: 25 Hairstyles of the Last 100 Years, August 16, 2008, www.listverse.com

Hair Stylists and our Styles

Hi-Top Fade 1980’s/1990’s

Source: 25 Hairstyles of the Last 100 Years, August 16, 2008, www.listverse.com

Hair Stylists and our Styles

Perm 1980’s/1990’s

Source: 25 Hairstyles of the Last 100 Years, August 16, 2008, www.listverse.com

Hair Stylists and our Styles

The Rachel 1990’s Source: 25 Hairstyles of the Last 100 Years, August 16, 2008, www.listverse.com

Hair Stylists and our Styles

Personal Style 2000’s

Source: 25 Hairstyles of the Last 100 Years, August 16, 2008, www.listverse.com

Hair Stylists and our Styles

The Combover Source: 25 Hairstyles of the Last 100 Years, August 16, 2008, www.listverse.com

Overview and Background “Even though the client-stylist relationship is professional, we develop a sense of intimacy.” Eva Scivo, Eva Scivo Salon, New York

Overview and Background “Most of us need about 3 feet of personal space around people to feel comfortable. That boundary is transgressed only by our nearest and dearest – our hairstylist.” Oprah Magazine, Sept. 2013

Overview and Background •

Tennessee’s efforts based on similar methodology in Washington State and NY

•

Similar program is Town Hall 76: Stay Beautiful, Stay Alive  Started in Chicago area  Activities expanded to include Atlanta and Decatur, Georgia and Montgomery, AL  Recent efforts involved development of an empowerment conference http://www.youtube.com/watch?v=Tf_Np8LT8DU

Outcomes

Methods • 94 participants – stylists and students - attended one of several “Ask Me” training workshops during September and October 2012 [stylist-19; cosmetology and medical assistant students-75] • Trainees administered surveys to their clientele during October 2012 • 125 clients submitted completed surveys • Survey responses were entered into an Access database • Frequencies and percentages were computed using SAS 9.3 software

Age of Respondents

n=125

38.40%

23.20%

12.80% 8.80%

19-29

8.80%

39-39

40-49

50-59

60-64

8%

>65

Race/Ethnicity of Respondents

n=125

81.6%

17.6%

0.8% Black

White

Other

Insurance Status of Respondents

n=125

46 of the 98 women who reported that they had insurance, stated that the insurance paid for mammograms.

78.4%

20.8%

0.8%

Yes

No

Missing

Percentage of Respondents who agreed that they learned the following: n=125 At what age I should have a mammogram

95.2%

How often I should have a mammogram

96.0%

At what time of month I should check my breasts

Understand more about breast health now

Should have my breast exam by healthcare professional

Confidence to use knowledge I gained today

94.4%

88.8%

93.6%

92.8%

How many years has it been since you last had a mammogram?

Within past year

39.2%

2-3 years

23.2%

> 3 years ago

14.4%

Never

4.0%

NA

Missing

n=125

17.6%

1.6%

How many years has it been since you last had a breast exam by a doctor or nurse? n=125

Within past year

44.0%

2-3 years

32.0%

> 3 years ago

18.4%

Never

Missing

4.8%

0.8%

Do you plan to schedule a mammogram?

n=125

76.0%

18.4%

3.2%

Yes

No

2.4% NA

Missing

Do you plan to do self-breast awareness exams monthly? 96.8%

Yes

1.6%

1.6%

No

Missing

n=125

How to Implement –5 Steps • Assess needs and decide on the audience • Develop or adapt materials for training and for the target audience • Conduct training • Implement activities and collect data • Evaluation Plan

How to Implement – 5 Steps Assess needs and decide on the audience • Look at data • Locate willing partners

How to Implement – 5 Steps Locate and/or Develop Materials • Let’s fight breast cancer pamphlet from worldwidebreastcancer.com • Window cling for mirrors • Pink aprons (+/- $5.99 each from Michael’s) • BSE tear off tablets for waiting areas • Customer evaluation form (half page on knowledge and breast screening history)

Materials

Materials

Materials Mirror Clings

Materials Buttons

Materials Aprons

How to Implement – 5 Steps • • • •

Conduct Training Increase awareness of breast cancer myths and facts Summarize “Key Points” that those trained can share with their clientele Provide information about breast screening sites Provide educational materials for distribution to customers

How to Implement – 5 Steps Training Session

How to Implement – 5 Steps Implement Activities and Collect Data Let us show you how it is done!

How to Implement – 5 Steps Evaluate

vey

Professional/ Stylist Survey Professional/ Professional/ Stylist Stylist Survey Survey

/ y

Professional/ Stylist Survey

Follow-up meeting with trainees

Follow-up meeting with trainees

Where Do We Go from Here? •

ManiCURE for the Cure to support expansion Inaugural event October 2012 raised over $900 Second event held in October 2013

•

Efforts recently completing or upcoming in: West TN Memphis – Coming soon Southeast TN – 20 trained in Oct.2013 Northeast TN – 3 counties planning taking place Jackson TN – early discussions

•

Future efforts could be focused on cervical cancer as well as other cancer topics

Contact Us Cynthia Chafin, M.Ed., MCHES MTSU Center for Health and Human Services State Coordinator, Tennessee Cancer Coalition [email protected] or [email protected] 615-87-3081 (W) or 615-898-5493 (M, W, Th, F) Mary Jane Dewey, MPA Tennessee Department of Health State Director, Tennessee Breast and Cervical Screening Program [email protected] 615-532-8494 Thoris Campbell Metro Public Health Department Nashville/Davidson County Program Coordinator, Tennessee Breast and Cervical Screening Program [email protected] 615- 340 -0391