NBCI COPD Baltimore Initiative Project Outline

NBCI HED Strategy We will utilize existing scientific-based health models that have proven their effectiveness in creating a synergy of education that empowers one to act upon their new knowledge based insight of COPD. An example of this will be the Brown-Bag COPD Luncheon, which will be discussed more later. 2

Why Baltimore?

Black Population in Baltimore There are more than 405,080 African Americans in the Baltimore area. The African American population in Baltimore makes up more than 64 percent of the citys population.

Black Communities Within NBCIs Church Network Allendale/Irvington/S. Hilton Edmondson Village Greater Rosemont Sandtown-Winchester/Harlem Park Upton/Druid Heights Poppleton/The Terraces/Hollins Mkt. Penn North/Reservoir Hill Greater Mondawmin Southern Park Heights Pimlico/Arlington/Hilltop Dorchester/Ashburton Forest Park/Walbrook Dickeyville/Franklintown Cherry Hill Perkins/Middle East Greenmount East Clifton-Berea Madison/East End Midway/Coldstream Northwood Greater Govans Communities with a Black Population of 81% or higher.

Income in Baltimore The median income for a household in the was $40,313 as of the last study in 2008, with a per capita income of $22,885. The state of Maryland has a median income of over $70,000 while the predominantly Black population of Baltimore is half of that. Black household median income is estimated at $27, data.com/city/Baltimore- Maryland.html

Income and Population Comparison

Health Disparities The all-cause mortality rate for Blacks is 1.33 times higher than that for Whites (2007) The all-cause mortality rate for Men is 1.59 times higher than that for Women (2007) The all-cause mortality rate for residents (ages 25 and over) with a high school education or less is 2.34 times higher than that for residents with at least some college (2007) Residents in the lowest income level ( =$75,000) The heart disease mortality rate in the predominantly Black Druid Park/Upton community is 2.87 times higher than that in the majority white neighborhood of North Guilford/Homeland community (2007)

All-Cause Health Disparities

Prevalence of COPD While numbers on COPD in the Baltimore area are not readily available, nationally the number of cases has been on the rise. However, in most health instances African Americans in Baltimore have fared more poorly than the rest of the country.

Respiratory Deaths DiseaseDeaths in Baltimore in 2005 Deaths in Baltimore in 2008 Chronic Respiratory Diseases Asthma2221 COPD is the fourth leading cause of death in the country and the number of deaths caused by it are projected to grow substantially. In 2006, the COPD age-adjusted mortality rate for African Americans was 28.1 per 100,000. The deaths caused by COPD and Asthma in Baltimore have gone down from 2005 to 2008, but the mortality rate among the Black community is still relatively higher thanks to the lack of education about the disease in the community.

Smoking African Americans in Baltimore are 45% more likely than whites to be current cigarette smokers.

WeekActivities Week 1Creations of health panels and orientation Week 2Orientation for lead organizers and volunteers Week 3Orientation for volunteers Week 4Pre-test on COPD Week 5First COPD Health Education Seminar Week 6Distribution of Health Note Week 7Health Sermon Week 8Second COPD Health Education Seminar Week 9Third COPD Health Education Seminar Week 10Fourth COPD Health Education Seminar Week 11Fifth COPD Health Education Seminar Week 12Sixth COPD Health Education Seminar Week 13Health Blast Week 14Eight COPD Health Education Seminar Week 15Post Test and Celebration

NBCI Health Panels NBCI will utilize its Health Panel to help set the agenda and the priority of this COPD campaign. We will recruit local partners like the Department of Health and the American Lung Association. We will set the health priorities according to the program objectives of COPD. 14

Selection of Involved NBCI Churches 30 churches are no being evaluated. The final program will have 12 churches participating. The 12 churches will be selected from the communities identified in slide 5. Each church will receive a comprehensive orientation.

The Role of the MPH The MPH will act as the chief health liaison between the health panel and the churches. They will help create and administer the evaluation of the program. Compile statistical data for the program. They will train the congregational based volunteers on the objectives and goals of the COPD program. They will train the volunteer health personnel in the various areas of patient advocacy, serving on the health panel and assisting in training. They will conduct the trainers of trainers of the key church volunteers assisted by the congregational volunteer health personnel. They will assist the NBCI President in administering the program. 16

MPH Selection NBCI is interviewing five candidates. BI and the Health Panel will review the final two candidates. Selection will be based on ability and previous work, along with knowledge of COPD.

Pre- and Post Tests Pre- and Post Tests with will be administered on week one and week fifteen. Sample Questions What is COPD? What are the symptoms of COPD? How do you treat COPD? BI will be consulted on all final questions used in test.

NBCI Health Note on COPD We will create a NBCI Health Note on COPD and produce 150,000 copies and provide it to the targeted population in our North East Faith Command. We will utilize the NBCI Communication and Distribution network to achieve this goal. 19

NBCI Health Sermons NBCI member ministers will develop and deliver a series of sermons. These will be lessons about COPD from the pulpit as direct to patient presentations using biblical references. These sermons will explain the value of breathing freely on your own and what is necessary to get you there like reducing the use of tobacco. 20

COPD Health Education Seminars We will institute a mandatory 2.5 hours of health education in each of the churches in NBCI North East Faith Command. What is COPD? What are the symptoms? Who does it affect? What are the treatment options? Where is treatment available? 21

COPD Multi-Week Patient Education Campaign We will develop a multi-week education campaign covering every major aspect of COPD. This will consist of: – Chronic Bronchitis – Chronic Obstructive Bronchitis – Emphysema, etc. We will cover all aspects of COPD throughout all of our participating churches. We plan to use the most qualified individuals to deliver these presentations. 22

NBCI Church Bulletin Health-at-a- Glance Announcement NBCI Health-at-a-Glance: We will create an educational insert on COPD disease in our church bulletin. This is a 8x5.5 (half a page) flyer that gives scientific facts about COPDs various disease states. We will coordinate these bulletin inserts/health-at-a-glance with the multi- week health education program. 23

Smoking Cessation Program We will work with area quitting groups to promote their work in our churches. COPD Education courses will focus on quitting smoking and the dangers of smoking to both adults and children. We will run our own smoking cessation support groups program run by medical professionals and the volunteer corps.

Use of Congregational-Based Health Personnel Volunteers Volunteers will serve as patient advocates who help patients who are suffering from COPD to navigate the health system for services. Some will serve on our health panel depending upon their expertise. Some will assist the MPH in instituting trainers of trainers sessions and educating the volunteers at the key churches. 25

Diagram of Program Personnel NBCI Health Program Staff Will provide the overall direction of the program, both administratively and programmatically. NBCI Health Panel The Health Panels will help set the agenda and the priorities of the COPD campaign. MPH The chief health liaison between the health panels and the churches. Congregational Based Health Personnel Volunteer Assist the MPH in helping to implement the elements of the program. Churches 26

Expected Submission of Materials All materials will be delivered on Jan. 25 for review. This will include planning material, the COPD Health Note, sermons and any other material that is required before the March launch of the program.