CBC CBC Breast Health Program Development 2 — Questions and Answers
Question 1: Which grant type provided by the CDC specifically funds state and territorial breast cancer early detection programs?
- Prevention Research Centers grants
- NBCCEDP cooperative agreements (Correct answer)
- Community Transformation grants
- Title V maternal health block grants
Correct answer: NBCCEDP cooperative agreements
The NBCCEDP operates through cooperative agreements with states, territories, and tribes to fund breast and cervical cancer screening programs.
Question 2: A breast health program wants to increase mammography screening rates among African American women aged 40–49. The MOST evidence-based outreach strategy is:
- Mass television advertising only
- Peer navigator or patient navigator programs within trusted community settings (Correct answer)
- Physician reminder postcards sent to all providers
- Billboards placed in target neighborhoods
Correct answer: Peer navigator or patient navigator programs within trusted community settings
Patient and peer navigator programs delivered through trusted community partners (churches, community centers) have the strongest evidence for increasing screening among Black women.
Question 3: In program planning, a logic model is used to:
- Track individual patient medical records
- Map the relationships between resources, activities, outputs, and outcomes (Correct answer)
- Schedule staff shifts and clinical appointments
- Calculate the cost per mammogram screening
Correct answer: Map the relationships between resources, activities, outputs, and outcomes
A logic model visually depicts how program inputs and activities are expected to lead to intended short- and long-term outcomes.
Question 4: Which piece of US legislation protects a woman's right to coverage of preventive breast cancer services (including mammograms) without cost-sharing under private insurance?
- Health Insurance Portability and Accountability Act (HIPAA)
- Affordable Care Act (ACA) (Correct answer)
- Women's Health and Cancer Rights Act (WHCRA)
- Genetic Information Nondiscrimination Act (GINA)
Correct answer: Affordable Care Act (ACA)
The ACA mandates coverage of USPSTF-recommended preventive services, including mammography screening, with no out-of-pocket cost to the patient.
Question 5: A breast health counselor delivering a community workshop should use 'teach-back' technique primarily to:
- Speed up the session by having participants teach each other
- Confirm that participants have understood the information correctly (Correct answer)
- Demonstrate the counselor's expertise
- Replace written handouts with verbal repetition
Correct answer: Confirm that participants have understood the information correctly
The teach-back method asks participants to explain key information in their own words, allowing the educator to identify and correct misunderstandings.
Question 6: Social determinants of health that most significantly affect breast cancer outcomes in underserved US populations include:
- Genetic mutation prevalence and family history only
- Income level, insurance status, and geographic access to care (Correct answer)
- Dietary fat intake exclusively
- Personal exercise habits and body weight only
Correct answer: Income level, insurance status, and geographic access to care
Income, insurance coverage, and proximity to mammography facilities are the primary structural barriers driving breast cancer disparities in underserved communities.
CBC CBC Breast Health Program Development 2
Which grant type provided by the CDC specifically funds state and territorial breast cancer early detection programs?