Hook up to Breast Cancer Prevention. Welcome to Your Peer Education Training

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1 Hook up to Breast Cancer Prevention Welcome to Your Peer Education Training

2 Introduction Carol Perkins R.N., B.Sc.N Public Health Nurse Region of Waterloo Public Health Telephone: (519) ext 5441

3 Project Sponsors Power point presentation adapted with permission from Parent Action on Drugs Pilot Project

4 Introductions

5 What to Expect Today Breast cancer: The facts How to reduce your risk of breast cancer Break Having an impact: Health Promotion and Social Marketing Developing a Campaign

6 Agreements/Guidelines What agreements, guidelines or group rules would help make this workshop a safe and comfortable experience for everyone?

7 Hook up to Breast Cancer Prevention Overall Goals: 1. To help women reduce their risk of breast cancer 2. To improve the breast health of young women by encouraging them to develop healthy lifestyle patterns with reduced alcohol and tobacco consumption, increased physical activity, and healthy eating

8 Objectives of this Training To increase: Awareness about breast cancer and the link between lifestyle behaviours Knowledge of communication strategies Skills in social marketing and health promotion principles Skills and comfort levels to address peers To begin to develop a campaign

9 Peer Training Model Knowledge Attitudes Skills give accurate facts about breast cancer and lifestyle risks discuss personal opinions and values about breast cancer and lifestyle risks learn how to talk to your peers about breast cancer and lifestyle risks

10 Your Challenge To create and deliver a breast health campaign targeting your school peers with activities and resources that work for this population.

11 Key Message: "Breast cancer -You can do something about it " Supporting Messages: Get Physical Eat Smart Limit Alcohol Don't Smoke Campaign Messages

12 The Plan Before we leave today, you will have a plan and a schedule You will meet with your team to build your campaign over the next 4-6 weeks

13 What comes to mind?

14 Who Gets Breast Cancer? In 2013, it is estimated 23,800 women (1 in 9) will develop Breast Cancer Most common cancer among Canadian women 2 out of 3 women diagnosed with breast cancer will live through it Risk increases with age 4% of breast cancers occur in women under age 40 Men are less than 1% of all cases

15 Breast Cancer What is breast cancer? Starts in cells in the breast Cell structure changes Uncontrolled growth invades other tissue Signs include a lump or thickening of the breast tissue

16 Diagnosing Breast Cancer Your doctor will: Feel its size, shape and texture and will check to see if it moves easily Arrange special tests to confirm the diagnosis Report stage and grade of the cancer

17 Breast Cancer Risk Factors Non-modifiable Risks that cannot be changed Being female Increasing age Genetics Family cancer history (especially breast Being tall Early menstruation Late menopause

18 Other Risk Factors that Increase Risk for Breast Cancer No full term pregnancy or gave birth for the first time after age 30 Use of oral contraceptives and hormone replacement therapy

19 Actions to Lower your Risk Follow the Low Risk Alcohol Drinking Guidelines Follow Canada's Food Guide Have a body weight in the normal BMI range Breast feed infants breast milk exclusively for the first six months of life Don't smoke or be exposed to second-hand smoke Limit exposure to environmental toxins and chemicals Limit exposure to radiation

20 Background Information Slide 20

21 What can you do? Be Breast Aware Know how your breasts normally look and feel so you can tell if something is different.

22 Be Breast Aware Possible Signs and Symptoms Lumps in the breast are very common, especially just before your period. Most lumps are not breast cancer.

23 What can you do? Eat Smart What does this mean? What eating habits do you observe among your female peers? What do you think the barriers are to healthy eating on campus?

24 What can you do? Eat Smart Eat smart and Get physical are linked Maintain a healthy body weight by healthy eating and being active Start by increasing your intake of fruits and vegetables everyday

25 What can you do? Get Physical Strive to achieve 150 minutes of moderate to vigorous activity per week (accumulated in 10 min bouts at a time) Activities should increase your heart rate, strength and flexibility

26 What can you do? Limit Alcohol 87% of female university students have used alcohol in the past year 38% drink weekly 24.4% of female students drink excessively (four or more drinks on one occasion)

27 Question #1 Q: Which drink contains the most alcohol? a) Five regular beers b) Half a mickey of vodka c) 5 shots of tequila d) 5 vodka coolers

28 Answer Q: Which drink contains the most alcohol? A: d) 5 vodka coolers 7% alcohol A standard drink is the equivalent of 13.6 grams of pure ethanol. This is the quantity of alcohol found in: One regular beer 5% alcohol 5 oz glass of wine 10 12% alcohol 8 oz glass of cooler 7% alcohol 1.5 oz shot of spirits 40% alcohol

29 Question #2 Q: Does eating prevent you from getting drunk?

30 Answer Q: Does eating prevent you from getting drunk? A: Eating can delay, but does not prevent someone from becoming intoxicated. 20% of alcohol is absorbed in the stomach. The other 80% of alcohol is absorbed in the small intestine It takes between 30 min 2 hours to absorb all the alcohol into the bloodstream

31 Question #3 Q: What other strategies can you use to prevent intoxication?

32 Answer Q: What other strategies can you use to prevent intoxication? Consume at a moderate pace Drinking fast leads to a rapid spike in Blood Alcohol Level (BAC) Alternate non-alcoholic drinks with alcoholic drinks Keep a drink in your hand to avoid pressure Know your limit Just take enough money/alcohol to reach your limit

33 Answer Q: What other strategies can you use to prevent intoxication? Go with a buddy! Stay with a buddy! Keep an eye on each other Stop one another from doing things you ll regret later Have a safe way to get home!

34 Alcohol Poisoning What are the signs: disorientation or confusion passing out cold, pale, bluish skin vomiting slow or irregular breathing Areas of the brain influenced by alcohol Slide 34

35 Alcohol Poisoning Follow these steps to perform "The BACCHUS Maneuver" Recovery Position: 1. Raise the person's closest arm above his/her head. Prepare to roll him/her towards you. 2. Gently roll as a unit. Guard his/her head as you roll him/her. 3. Tilt head to maintain airway. Tuck nearest hand under cheek to help maintain head tilt. 4. Check him/her often. Call 911 Performing the Bacchus Maneuver

36 What is a Blackout? A period of amnesia that can last a few minutes to several hours Most likely caused by a rapid increase in BAC Alcohol interferes with the ability to form new long-term memories Can occur in social drinkers Person may carry on a conversation, be dancing, or driving a car

37 How does Alcohol Increase Cancer Risk? Exposing the body to ethanol and acetaldehyde (carcinogens) Irritating and damaging cells in the mouth and throat Acting as a solvent for other harmful chemicals (e.g., tobacco smoke) Affecting the level of certain hormones in the body (e.g., estrogen) Interfering with the absorption of some cancer protecting nutrients Adding extra calories to the diet which can lead to weight gain

38 Why are women are more vulnerable to the effects of alcohol? More body fat and less water Fewer enzymes to break down alcohol than men Drinking the same amount as men will result in higher BAC Become addicted faster

39 Why is it Important to Talk About This Now? You have control of your eating, smoking, physical activity and alcohol choices Your environment (school, family, friends, job, culture etc.) plays a part in your decisions Patterns formed now often stay fixed for life Risk of Fetal Alcohol Spectrum Disorder

40 If I Had to Change My Risk Factors.. Four Corners Absolutely! No Way! Your opinion is what we want You can change your spot if you hear a good argument Yes, but. No, but

41 Hook Up to Breast Cancer Campaign Barriers and Challenges to create change

42 Break

43 What is Health Promotion? "Health promotion is the process of enabling people to increase control over and improve their health" Ottawa Charter, 1986 Approaches include:

44 Marketing

45 Social Marketing An approach to promoting drug and alcohol awareness using commercial marketing techniques to motivate people to improve their health and well-being Increase Awareness "Hey, I didn't know that alcohol did that" Change Attitudes "That's important to me now" Encourage Action "OK, I'm trying that at the next party"

46 Four Simple Steps to Change Behaviour STEP 1 STEP 2 STEP 3 STEP 4 Engage the Head and the Heart Motivate the Feet Build Skills with the Hands Leverage the Backbone

47 . Hook it up Campaign Goal: To reduce the risks of breast cancer and increase breast health by encouraging young women to develop healthy lifestyle patterns of reduced alcohol consumption, increased physical activity and healthy eating patterns What is our message? 3 risk factors What is the best way to get the message out? (strategy for our school community) How are we going to make it happen? (who, where, when) How can we promote it? (directs attention to the event AND raises awareness of the issues) Will it work?

48 Campaign Ideas Get the Message Out Flyers/Posters Display table Announcements Social media Campus radio Campus newsletter Other? Get People Involved Serve mocktails Prevention challenges Interactive display with games Healthy snack making with recipes Physical activity challenge Cook-off proceeds go to breast cancer Other?

49

50 "Hook-up to Breast Cancer Prevention" Tool Kit Posters T-shirts Giveaways Scratch and learn cards Resource literature

51 Resources Alcohol Models (A) Fatal vision goggles (B) Reduce your risk trivia game Brochures FAQs booklet (C) Banner Templates for planning and reporting Samples from past campaigns A B C

52 What Do You Need to be Able to Deliver a Dynamite Campaign?

53 Developing the Campaign In your teams, you will be given a Campaign Planner Develop a campaign that follows the planning tool Make sure your whole team is involved

54 Does your campaign: Capture attention? Will it Work? Reach your intended audience? Convey your message? Pass along information? Motivate people to change or reinforce good habits? Work within the limitations of your available resources (volunteers, timelines, materials, money)? Meet the requirements and standards of your school community?

55 Hook Up Challenge Commit with a friend for a week to: Be Active for at least 30 minutes per day Consume 5-10 servings of fruits and vegetables per day Follow the Low Risk Drinking Guidelines Be Smoke Free

56 Your Campaign Campaign Planning Sheet Roles and Responsibilities Sheet

57 Next Steps 1. Next meeting Who should attend? What's the best time to meet? 2. Campaign decisions What will it look like? Who will do what? 3. Wrap up meeting What's the best time to meet?

58 Staying Connected What does teamwork look like?

59 Questions

60 Post Training Feedback

61 Contact Information Carol Perkins R.N., B.Sc.N. Public Health Nurse Injury & Substance Misuse Prevention Program Region of Waterloo Public Health Telephone: (519) ext 5441 Fax (519) Regina St S, 3rd Floor Waterloo, ON N2J 4V3

62 For listening and participating Good Luck with your Campaign!

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