Evaluation lessons learned from implementing CBPR in Native American communities

摘要

The following articles of this issue of JCE report on "Native Navigators and the Cancer Continuum (NNACC)," a project that was funded by the National Center for Minority Health and Health Disparities (R24MD002811). NNACC was developed to address cancer health disparities among five populations of Native Americans in the northern and southern plains and Rocky Mountain regions of the USA. Efforts to address health disparities among Native Americans are a high priority as this population has a long history of poor survival from cancer and worse overall health status than their non-Native American counterparts. The poverty level of Native Americans is nearly twice the US rate, educational attainment is lower, and access to cancer prevention and control services is lower. Given this context, development and implementation of cancer education for Native Americans presents substantial challenge.