TPS Oral Cancer Final


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Final TPS Oral Cancer Presentation on July 21, 2011 in Chennai on the Concluding Day of the Trans Disciplinary Problem Solving Course: co-taught by Washington University in St. Louis and ICTPH.

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TPS Oral Cancer Final

  1. 1. Reducing the Burden of Oropharyngeal Cancer by Tobacco Reduction in Tamil Nadu, India Sonia Sequeira Megan Fecht Whitney Key
  2. 2. OverviewBackgroundInterventionImplementationEvaluation
  3. 3. BackgroundHighest incidence in the worldMost common form of cancer in IndiaBurden physical emotional financial
  4. 4. DeterminantsAlcohol UseSexual behaviorDietTobacco Use
  5. 5. Tobacco UseMost important determinant90% are linked to tobacco use35 children lived in a home where at least one adult used tobacco
  6. 6. Intervention Overview School-based tobacco education1 and prevention program2 Parental education in household Oral health screening in3 household4 Cessation services at RMHC
  7. 7. Implementation: School-based ProgramEducation on the negative effects of tobacco use and self-efficacy techniquesCurriculum adapted from Project MYTRITeachers trained to deliver curriculum with assistance from peer leadersOne hour lessons held once weekly for 6-8 weeks
  8. 8. Implementation: Parental EducationEducation on the negative effects of tobacco useStudents disseminate educational materials to parents at household level
  9. 9. Implementation: Oral Health ScreeningCommunity Health Workers (CHWs) trained to screen for precancerous lesionsCHWs conduct screenings in the household for parents who use tobaccoReferral to RMHC upon detection of abnormalities
  10. 10. Implementation: Cessation ServicesProvide cessation services for tobacco users interested in quittingBupropion offered at the RMHCCessation self-help groups developed
  11. 11. Formative EvaluationFocus groups and interviews conducted to:Assess current knowledge and attitudes regarding tobacco useDevelop understanding of existing structure
  12. 12. Process EvaluationAssess implementation process by: Documenting development processes Tracking training attendance Delivery of services Completing audits
  13. 13. Impact EvaluationSchool-based Program Objectives: Increased knowledge of health effects of tobacco use Increased self-efficacy Decreased intention to useParental Education Objectives: Increased knowledge of health effects of tobacco use Increased intention to quit
  14. 14. Impact EvaluationOral Health Screening Objectives: Increased detection of precancerous lesionsCessation Services Objectives: Increased enrollment in cessation services Increased number of tobacco-free days Increased attempts to quit lasting longer than 6 months
  15. 15. Impact EvaluationProspective Cohort Study Convenience sampleKABP surveys Baseline, midline, endline
  16. 16. AcknowledgementsResidents of KarambayamTeachers and administrators of the Karambayam schoolsICTPH and SughaVazhvu staff
  17. 17. ContactMegan Fecht, MSW/MPH Candidate 2012mfecht@wustl.eduWhitney Key, MSW/MPH Candidate 2012wkey@wustl.eduSonia Sequeira, MSW/MPH Candidate 2013soniasequeira@wustl.eduWashington University in Saint Louis1 Brookings DriveSaint Louis MO 63130
  18. 18. Thank you