HAAP Programs

The ultimate goal of HAAP is to improve overall health of Asian Americans and reduce health disparities with research, education, and promotion. We want to eliminate health disparities among Asian Americans; including those that occur by gender, race, ethnicity, education, income, disability, geographic location, or sexual orientation. HAAP serves individuals of all ages; we want to increase life expectancy and improve quality of life of Asian Americans.


Breast Cancer


Lay Health Advisors (LHA) program in Mid-Western U.S.

In 2009-2013, with funding support from Susan G. Komen for the Cure, Mid-Michigan Affiliate, HAAP reduced the health disparity for the under served and uninsured Asian American population in the Washtenaw County and Lansing area, Michigan. Asian American women have the lowest breast cancer screening rates and much higher mortality rates due to late detection compared to all other ethnic groups. Using evidence-based approaches, HAAP delivered language specific and culturally appropriate breast health information to more than 1,500 Asian American women, and provided clinical breast exams and facilitate access to mammograms and follow-up care.

  • Program Strategies

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    • Conducting educational seminars in collaboration with community partners.
    • Rectifying existing and training new Lay Health Advisors (LHA) for promoting breast health and preventative screenings within Asian American communities.
    • Providing clinical breast exams and training on breast exams.
    • Collaborating with existing BCCCP-contracted clinics for uninsured women to enroll into the program and provide assistance as needed.
    • Providing support and follow-ups for insured women to schedule mammograms with the health care providers to ensure that proper screening is completed in a timely manner. 

Lay Health Advisors (LHA) program in China and Taiwan 

With funding from Susan G. Koman Headquarter, HAAP implemented an international project to increase breast health awareness and access to detection of breast cancer through trained Lay Health Advisors in under-served areas throughout China and Taiwan.  

Visit Youtube to view the 2013 Susan G. Komen Global Anti-Cancer Walk at Xi'An City Wall and Early Detection of Breast Cancer Through Lay Health Advisor Project, supported by Susan G. Komen in Xi'An China.

View the 2017 HAAP Breast Cancer Prevention Promotion "Seed Fund"

  • Breast Cancer in China

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    The incidence rate of breast cancer continues to rise in China; the most recent data from the National Cental Cancer Registry of China ranked breast cancer first in all cancer cites (42 per 100,000) and sixth in mortality (6.9 per 100,000) among all cancer in female populations. A comparison of epidemiologic data revealed a significant increase in breast cancer incidence of 470,000 and mortality 130,000 between 2000 and 2005.

    Despite the alarming statistics, cancer control and early detection is still in primitive stages in China due to general lack of public awareness and the absence of standard protocols in screening and prevention strategies among health care providers that incorporate into current public health infrastructures in China. More than 120,000 Chinese women benefited from the current study.

  • Milestones

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    Using the effective Lay Health Advisor (LHA) model,HAAP successfully accomplished the following milestones from 2010-2013:
    • Implemented and evaluated LHA training programs in Shanghai, Xi'An, and Taiwan.
    • Trained 1,253 Lay Health Advisors (134 cancer survivors, 83 volunteers,and 36 family members or friends of cancer survivors) as community change agents for breast cancer awareness and screening promotion.
    • Trained more than 400 local health professionals in clinical breast examination (CBE).
    • Provided breast health education and breast cancer screening to 7,932 Chinese women and 5,282 Taiwanese Women. 

Individually-Tailored Intervention to Promote Mammography Screening

Funded by the National Institute of Health and the National Cancer Institute, this innovative research study (5R21CA127825-02) developed and tested the feasibility of using individually tailored theoretically-based intervention strategies to promote mammography screening among non-adherent Chinese-American women.

  • Project Accomplishments

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    •  Developed a tailored telephone counseling intervention to demonstrate its feasibility and acceptability among Chinese American women and,
    • Evaluate the intervention efficacy in increasing the;
      • outcome measures, i.e. uptake of mammography screening and stage of mammography adoption.
      • Positive changes in mediators, i.e. improved knowledge about breast cancer risk and screening guidelines, increased perceived benefits and self-efficacy, and decreased barriers.

    Chinese American women who met the eligibility criteria were randomized into two groups, tailored telephone intervention, or control condition. The tailored group received a pamphlet on mammography screening. The intervention group had increased screening to 40% compared with 33% for the control group at 4 months; the difference was not statistically significant. When the sub-analysis were preformed, the intervention is effective in certain demographic groups (i.e. elderly women aged 65 or more and recent immigrants). The study intervention was well accepted by participants and perceived as feasible and culturally appropriate based on process evaluation.


Cultural Beliefs and Cancer Screening (CBCS) Study

Clinic Team
 
Clinic Team

 

The NCI-R03 study established the psychometric properties of a Chinese-English "Cultural Beliefs and Cancer Screening" (CBCS) questionnaire that measures the full range of concepts derived from prior empirical and promising theoretical work. Guided by culturally-specific adaptations made to the health belief model (HBM) with adaptation of existing instruments when necessary (e.g., Champion's Breast Cancer Screening Scales and Moon's Cultural Affiliation Scale), CBCS questionaires used culturally appropriate qualitative and quantitative research to evaluate the adequacy of study variables in the CBCS questionnaires as predictors of mammography used among Chinese Americans. Lower utilization of breast cancer screening is probably responsible for a greater proportion of tumors found at a late stage among Chinese American women compared to U.S. white women. The CBCS questionnaire facilitated the development future intervention programs in increasing the the use of mammography screening. The CBCS questionnaire was adopted by several researchers that were interested in using this tool for other minority populations to measure cultural beliefs about cancer and cancer screening practices. 


Colorectal Cancer


Michigan Colorectal Cancer Screening Program (MCRCSP)

With funding from the Michigan Department of Community Health, HAAP has shown that it is feasible to collaborate with one of the state's largest medical systems (i.e., University of Michigan) and community-based organizations to promote colorectal cancer screenings in underserved Asian communities in Michigan. Prior long-term collaborations with a UMHS physician and with community organizations contribute to our accomplishments.

  • Results

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    In 2006-2008, HAAP recruited more than 400 Asian American to enroll in the MCRCSP program and preform risk assessments. Based on the results, 10% of participants were shown to have above average risk. HAAP also arranged the high-risk participants to undergo colonoscopies. During the project period, HAAP was able to help those patients with abnormal findings in their colonoscopy follow up with a physician and received appropriate treatment (with one undergoing surgery). In 2007-2008, HAAP was able to help 15 patients complete colonoscopies (almost double what HAPP served in FY 2006-2007), of whom 5 had polyps/adenomas. No Cancers were diagnosed. The MCRCSP demonstrates a viable mechanism to reduce health disparities in colorectal screenings for this undeserved ;population.

    For more details about the MCRCSP Results visit the studies result page.

For more details about the MCRCSP Results visit the studies result page.


Chronic Disease


Self-Management Program

PATH Team
 
PATH Team

 

Funded by the Michigan Department of Community Health in 2007-2008, HAAP implemented the evidence-based Chronic Disease Self-Management program (developed by Stanford University Patient Education Department), also know as Personal Action Toward Health (PATH) in Michigan. The implementation is one of the few in the nation that used this evidence-based program to benefit Asian Americans.

  • Results  

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    HAAP was able to have four bilingual Master Trainers and certified 35 PATH leaders (from Asian Indians, Chinese, Korean, and Filipino groups). HAAP collaborated with major Asian communities through Philippine American Community Center of Michigan (PACCM) in Southfield, Korean American Cultural Center of Michigan (KACCM), Association of Chinese Americans (ACA) in Madison Heights, and the Asian Center in Grad Rapids and conducted workshops in Washtenaw, Wayne, Oakland and Macomb counties.

    • Total number of Asian Americans enrolled: 114
    • Gender distribution: 87 females, 37 males
    • Age range: 34-85 yrs
    • Workshops completed: 10
    • Groups: 2 Chinese, 3 Asian Indian, 2 Filipino, 1 Korean, 1 mixed ethnic  

Mental Health


Empowering Immigrant Asian Americans: Community Participatory Approach

HAAP Logo
 
HAAP Logo

 

With funding from the W.K. Kellogg Foundation, the goals of this HAAP project is to promote culturally sensitive and community-led solutions and strategies toward racial healing and empowering immigrant Asian American (AA) children and adolescents in achieving optimal success. The proposed multi-level project aims to: a) provide a healthy environment that creates caring and mutual understanding and promotes dialog about diversity by empowering AA children, families, and communities, b) develop and implement solutions for addressing social and economic environments of inequality experienced in Asian communities, and c) foster connections and collaborations.

  • Key Strategies 

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    •  Empowering AA children by creating collaboration between parents and significant family members, school systems, and clinical agencies
    • Promoting community-wide dialog by implementing the awareness campaign to share the stories and voices of the project participants

    The preliminary work by HAAP and Asian community-based organization underscores the challenges that Asian American children and youth face. The community leaders and key informants at the end of our meeting were eager to work together for a collaborative interdisciplinary approach to reduce the discrimination and prejudice that afflict Asian American (who are often misperceived to be immune from the negative effects of racism) and empower AA children and youth toward a healthy and successful life. 

  • Preliminary Results 2012-2013

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    HAAP conducted focus groups with community leaders from Asian Indian, Chinese, Filipino, Korean, and Vietnamese communities and completed implementation of the pilot intervention within 15 days (immigrant children and their parents). At the beginning, the project team felt the resistance and reluctance when the team brought up terms like "race" and "racism," however, when we dove deeper and built relationships with the participants, there were several forms of micro-aggressions reported. In particular, micro-invalidations from statements such as "where are you from?" "You speak such good english without accent" can be insulting and invalidating because they reflect a world view that racial/ethnic minorities are aliened in this country. Another 7-year old boy's comment was striking, "When someone called me stupid, I felt sad." even at such an early age (ages 7-11), these AA children have experienced psychological symptoms and negative experiences in anxiety and worry such as having trouble sleeping at night, keeping their mind on schoolwork and worrying about someone beating them up and saying something dumb, and worries about what other people think of them.

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