Getting the Black Community Active Via Cycling
A core part of our work is to get the black community more active.
Exercise can be very intimidating for many people and thus we sought to explore various options on how we could get people active in a way that could be incorporated into everyday life and would ultimately be fun.
Cycling is an interesting option as it is very practical and can be introduced into a person’s life as a method of transport (commuting to work), as a leisure activity (exploring the local area) and as a form of structured exercise.
Through our cycling club we were able to show that if cycling is presented to members of the Black and Minority Ethnic (BME) community without any barriers (bikes and helmets provided) they will happily take up this activity and easily meet the government’s recommended amount of physical activity.
One important point to note is that the social aspect of the club was very important. It would appear that our group of BME cyclists looked at cycling as more of a leisure activity rather than a method of transport or structured exercise. This suggests that to encourage more people from a BME background to cycle projects that promote cycling for leisure rather than for commuting and exercise are more likely to appeal to the BME community; and these projects would need to be group activities that promote social interaction.
You can read a summary of our cycling club project here
Is a Cancer Support Group the Best Way to Support Black Cancer Patients?
The Lake Foundation ran a cancer support group for two years from 2014 to 2016. The support group was set up after establishing the need for support for black patients. Published reports from the UK’s Department of Health stated that: there was no customized support services or information for black and minority ethnic (BME) patients; the NHS takes a Eurocentric approach to cancer care which is not relevant to the needs of BME patients; the key issues around religion and culture were trivialized during patient assessments; BME cancer patients are less likely to report a positive experience with regards to the care they receive; and African Caribbean women experienced poor signposting to culturally appropriate services, particularly those related to their practical support needs. They also found that patients would prefer locally-based services and that peer support was strongly desired.
With the above in mind we set up a support group with funding from Croydon Council and Macmillan Cancer Support. From this work we learnt that whilst there is a need for support for black cancer patients, support groups may not be the most appealing method of supporting black patients. It is possible that a structured course with time for discussion and social activities would be a more effective way to support patients. We will explore this further.
You can read a summary of our cancer support group project here
Fibroids Awareness, Information and Support Programme
We are developing a fibroids awareness, information and support programme. The first phase of this work was to understand the needs of women with fibroids and we achieved this by conducting some qualitative research.
The findings from our work suggested that a significant number of women with fibroids do not have access to the support and information that they require to successfully manage their condition. You can read more about the findings on our blog here or download the full report here: Fibroids_Survey_Summary_Final
The findings of this survey are informing the direction of our work and since the publication of our report, we have developed a blog series on fibroids, delivered a number of awareness presentations, published a fibroids booklet, formed an expert panel and hosted two conferences for women affected by fibroids.
This work is ongoing, please visit the fibroids section of our website for updates and more information.
Prostate Cancer Community Engagement and Empowerment Pilot
The Lake Foundation was awarded funding by Prostate Cancer UK to conduct a community engagement and empowerment pilot. This pilot ran from October 2014 to January 2015 and explored effective methods of reaching the black community with the key messages of prostate cancer.
We evaluated whether engaging with black churches is in reality an effective method of raising awareness of prostate cancer in the black community. Our work provided the data that informed Prostate Cancer UK’s new Faith Based Outreach Project.
Our pilot found that ultimately a successful approach to raising awareness of prostate cancer through churches requires :
- An understanding of a church’s structure;
- The development of a bespoke awareness programme that targets multiple departments, forums and events in a church’s calendar;
- The development of long term relationship with churches;
- Flexibility;
- Consistent engagement; and
- Persistence.
You can read our report on this pilot: Prostate Cancer Engagement and Empowerment Pilot The Lake Foundation
Understanding the Needs of African and African-Caribbean Women with Fibroids
We conducted some research to understand the needs of African and African-Caribbean women with fibroids. This work aimed to explore the needs of women with fibroids, determine if there is a need to develop information and support and if so, the findings aimed to inform the development of a fibroids information and support programme.
The survey explored four areas:
· The level of knowledge of fibroids prior to diagnosis
· Treatment and diagnosis
· The effect of fibroids and its treatment on quality of life
· The availability of support and information
The findings from the survey suggested that a significant number of women with fibroids do not have access to the support and information that they require to successfully manage their condition. The Lake Foundation will focus its efforts on addressing the gaps in the availability of information and support by developing a relevant support system for women, particularly black women, with fibroids.
You can read more about the findings on our blog here or download the full report here: Fibroids_Survey_Summary_Final
An Exploration of Black British Women’s Lay Beliefs About Breast Cancer and Their Help Seeking Behaviour
This study explored the beliefs that black women hold about breast cancer and if those beliefs affect whether they chose to visit their doctor or not.
We found that most participants had a negative, fatalistic view of breast cancer. Some did view breast cancer positively, believing that it is a disease that can be overcome successfully. When it came to awareness of symptoms, participants were fully aware that a breast lump is a symptom of breast cancer but were unaware of the other symptoms.
Overall, when it comes to seeking help, the study suggests that black women are quite proactive and there would be no delay in visiting their GP (doctor) if they noticed a breast lump; delays in visiting a GP could occur if women experience other symptoms as people are less aware of these symptoms.
We found that the following factors could delay help seeking: other priorities such as family or work commitments; language barriers; lack of access to information; age (older people are more likely to delay visiting their GP); difficulty getting appointments; cultural insensitivities of the healthcare system, inaction by GPs; and a lengthy referral process.
You can read the report here: Black_Women_Breast_Cancer_Help_Seeking_2011
African Caribbean Cancer Awareness and Outreach Community Based Assessment
This assessment was conducted for Paul’s Cancer Support Centre. It explored how the centre could deliver a cancer awareness and outreach programme aimed at the African Caribbean community in Wandsworth.
After interviewing members of the African Caribbean Community it was found that there was a negative, fatalistic view of cancer which has led to the stigmatisation of the disease within this community.
We found that there is a high level of awareness that a breast lump is a symptom of breast cancer but there is a low level of awareness of the other symptoms of breast cancer, the symptoms of common cancers such as prostate, lung and bowel cancer as well as rare cancers.
Based on our findings we put forward a set of recommendations on how to address the negative perceptions of cancer and how best to raise awareness.