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Health Promotion Practice
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The Novella Approach to Inform Women Living on Low Income About Early Breast Cancer Detection

Sandra Herbison, RN, BN, MN

Healthy Childhood for the Calgary Health Region in Calgary, Alberta, Canada

Wendi Lokanc-Diluzio, RN, BN, MN

Calgary Health Region in Calgary, Alberta, Canada

Economically disadvantaged women have a greater likelihood of later-stage breast cancer diagnosis when compared to women with higher levels of income. Later-stage diagnosis decreases the chances of survival. The purpose of this article is to describe a project whereby breast cancer survivors, living on lower incomes, created novellas (stories) using artistic media to reach their peers with a message about the importance of early breast cancer detection. The recruitment and engagement of breast cancer survivors in a 2-year community development project that used participatory, women-driven approaches are discussed, and the reciprocal learning between health care providers, community partners, and women living on low income is shared. Recommendations for health promotion practice are presented.

Key Words: breast health • community development • health promotion • novella • participatory • underserved women

This version was published on July 1, 2008

Health Promotion Practice, Vol. 9, No. 3, 294-304 (2008)
DOI: 10.1177/1524839906289166
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