Walking forward: a program designed to lower cancer mortality rates among American Indians in western South Dakota.

Shalini Kanekar · Daniel Grant Petereit

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Indigenous Health, Education, and Rights Global Cancer Incidence and Screening Indigenous Health and Education

Abstract

Walking Forward is a community-based participatory research program in western South Dakota funded by the National Cancer Institute (NCI). The primary goal of this initiative is to address the high and ominously increasing cancer mortality rates among American Indians by facilitating access to innovative clinical trials, behavioral and genetic research and tailored patient navigation. The critical outcomes include: an unprecedented accrual rate of 25 percent in clinical trials, including cancer treatment and cancer control trials; a significant reduction in the number of missed treatment days among navigated American Indian cancer patients undergoing radiation therapy; and most importantly, establishment of trusting partnerships with the American Indian communities as reflected in enrollment in a genetic study involving the ataxia telangiectasia mutated gene. The results indicate that the Walking Forward approach presents an effective strategy to overcome the barriers to cancer care in this underserved community.

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References

2006The Persistence of American Indian Health Disparities 2009Medical Mistrust and Less Satisfaction With Health Care Among Native Americans Presenting for Cancer Treatment 1996American Indian women's talking circle: A cervical cancer screening and prevention project 2005Cancer Disparities Research Partnership in Lakota Country: Clinical Trials, Patient Services, and Community Education for the Oglala, Rosebud, and Cheyenne River Sioux Tribes

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2017Lessons learned from a pilot study of an Indigenous patient navigator intervention in Queensland, Australia 2012Cancer support services - are they appropriate and accessible for Indigenous cancer patients in Queensland, Australia?

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