""""""""Native Navigators and the Cancer Continuum"""""""" (NNACC) is a community based participatory research (CBPR) project based on partnerships among three American Indian (Al) communities in: (1) Colorado;(2) South Dakota;and (3) Michigan. The goal of this project is for the partners to collaborate to refine, expand and adapt various navigator models used within each partners'setting to address Native American community and patients'needs throughout the continuum of cancer care. The research question is, """"""""Can a Native specific comprehensive Navigator-initiated community cancer education intervention improve health behaviors among American Indian community members?"""""""" Each of the three currently has components of a comprehensive cancer program, but none totally addresses the full continuum of cancer care. Through collaboration, the NNACC partners will share successful components of their ongoing navigation models and refine, adapt, and expand existing programs to be relevant to their local Native communities and clinical settings.
The specific aims follow.
Aim #1. By the end of year 01, the Administrative Team will expand and enhance the Navigator in-service trainings and modify the Al Community Education Workshops to include the full continuum of cancer care.
Aim #2. During years 02 through 04, each Partner's Project Staff will implement and evaluate the Al Community Education Workshops to at least 200 unduplicated American Indians (total n=600 from all three Partners).
Aim #3. During years 02 through 04, the Al Community Education Workshops will increase the knowledge and intended behaviors among the Al participants by at least 25%.
Aim #4. During years 02 through 05, Navigators will provide one-on-one support for American Indian cancer patients and families identified in the course of the education intervention.
Aim #5. Evaluate and compare the process and outcome measures of the Al community cancer education interventions and the Navigators'cancer patient support efforts. Outcome measures will include, but not be limited to comprehensive Al Navigator-in-service training programs, Al community education interventions, evaluation data documenting an increase in community participants'knowledge and intended behaviors, tracking data documenting increased and timely access to diagnostic and treatment services and documentation of dissemination of findings to community participants, their respective communities and others.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Resource-Related Research Projects (R24)
Project #
Application #
Study Section
Special Emphasis Panel (ZMD1-RN (01))
Program Officer
Goodwin, Paula
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Native American Cancer Research
United States
Zip Code
Dignan, Mark B; Jones, Kate; Burhansstipanov, Linda et al. (2014) Evaluation lessons learned from implementing CBPR in Native American communities. J Cancer Educ 29:412-3
Burhansstipanov, Linda; Krebs, Linda U; Harjo, Lisa et al. (2014) Providing community education: lessons learned from Native Patient Navigators. J Cancer Educ 29:596-606
Burhansstipanov, Linda; Krebs, Linda U; Dignan, Mark B et al. (2014) Findings from the native navigators and the Cancer Continuum (NNACC) study. J Cancer Educ 29:420-7
Watanabe-Galloway, Shinobu; Burhansstipanov, Linda; Krebs, Linda U et al. (2014) Partnering for success through community-based participatory research in Indian country. J Cancer Educ 29:588-95
Harjo, Lisa D; Burhansstipanov, Linda; Lindstrom, Denise (2014) Rationale for ""cultural"" native patient navigators in Indian country. J Cancer Educ 29:414-9
Krebs, Linda U; Burhansstipanov, Linda; Watanabe-Galloway, Shinobu et al. (2013) Navigation as an intervention to eliminate disparities in American Indian communities. Semin Oncol Nurs 29:118-27
Eschiti, Valerie; Burhansstipanov, Linda; Watanabe-Galloway, Shinobu (2012) Native cancer navigation: the state of the science. Clin J Oncol Nurs 16:73-82, 89
Burhansstipanov, Linda; Clark, Richard E; Watanabe-Galloway, Shinobu et al. (2012) Online evaluation programs: benefits and limitations. J Cancer Educ 27 Suppl 1:S24-31
Braun, Kathryn L; Kagawa-Singer, Marjorie; Holden, Alan E C et al. (2012) Cancer patient navigator tasks across the cancer care continuum. J Health Care Poor Underserved 23:398-413
Burhansstipanov, Linda; Krebs, Linda U; Watanabe-Galloway, Shinobu et al. (2012) Preliminary lessons learned from the ""Native Navigators and the Cancer Continuum"" (NNACC). J Cancer Educ 27 Suppl 1:S57-65

Showing the most recent 10 out of 11 publications