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1
I Care for Eye Care Glaucoma and Eye Health in the Asian
American Community眼睛常保健精彩每一天Project AHEAD 2016 Final Paper
Chloe Chan Stella Chong Sophia Huang Elizabeth Kuo Xin Yao Lin Haoqin Ma Stephanie Ren
2
TABLE OF CONTENTS
I ABSTRACThelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip3
II INTRODUCTIONhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip4
III METHODShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip7
IV RESULTShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip10
V DISCUSSIONShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip39
VI LIMITATIONShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip46
VII RECOMMENDATIONShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip48
VIII CONCLUSIONhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip50
IX ACKNOWLEDGEMENTShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip52
X REFERENCEShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip53
XI APPENDICEShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip56
A TIMELINEhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip57
B BUDGEThelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip59
C NEEDS ASSESSMENThelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip61
D WORKSHOP CURRICULUMhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip65
E WORKSHOP FLYERhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip67
F PRE-WORKSHOP SURVEYhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip68
G POST-WORKSHOP SURVEYhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip70
H PHOTO CONSENT FORMhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip73
I BUTTON DESIGNShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip75
J WALLET CARD DESIGNhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip75
K BOOKMARK DESIGNhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip75
L STICKER DESIGNShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip76
M T-SHIRT DESIGNShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip76
N COLORING PAGEShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip77
O SNAPCHAT GEOFILTERhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip77
3
I ABSTRACT
Project AHEAD 2016rsquos community health project is about glaucoma and eye care
According to the World Health Organization glaucoma is the second leading cause of blindness
in the world People of East Asian descent in particular are more genetically prone to acute
angle closure glaucoma (AACG) as certain eye shapes and structures affect the progression of
glaucoma Asians have also been shown to be more likely to develop myopia and diabetes
which are risk factors for glaucoma Primary open-angle glaucoma (POAG) develops slowly and
its effects may not be immediately noticeable On the other hand AACG the type that Asians
are more prone to develops quickly and requires immediate medical attention The main purpose
of our project ldquoI Care for Eye Carerdquo is to raise awareness for eye care and glaucoma and to
encourage those within the Asian American community in Chinatown to get their eyes checked
To achieve our goal we first conducted a survey with senior citizens in the local Chinese
community to assess their understanding of the disease We hosted two ldquoYour Vision Your
Decisionrdquo workshops at local senior centers to spread our message and explain the importance of
regular eye check-ups In addition we created many promotional items to give out during both
Good Health Days and the two workshops Our bilingual print materials provided our audience
with culturally and linguistically accessible information While there were many limitations to
our project we were able to promote eye health and glaucoma awareness among the elderly in
Chinatown
4
II INTRODUCTION
Although eye care is an essential component of health the importance of eye care is often
overlooked With the lack of comprehension of eye health people tend to forego annual
comprehensive eye exams ndash resulting in countless undetected eye diseases that can lead to
eventual vision impairment and blindness
One of the leading causes of blindness is glaucoma1 It is estimated that approximately
three million Americans are living with glaucoma with many unaware of their condition2
Glaucoma is a group of serious eye disease that is marked by optic nerve damage and can lead
to the loss of vision if left untreated3 Optic nerve damage is caused by the accumulation of fluid
pressure when fluid fails to drain out of the eye through the mesh-like channel4 There are several
types of glaucoma however the most prevalent types are primary open-angle glaucoma (POAG)
and acute angle-closure glaucoma (AACG)5 The primary difference between POAG and AACG
is the progression of the eye deterioration from the buildup of fluid pressure6 POAG is gradual
whereas AACG is more sudden and unexpected7 There are virtually few to no symptoms in
early glaucoma development In POAG peripheral vision is gradually blocked by blind spots
until frontal vision completely disappears8 On the other hand symptoms of AACG include
1 Don Detmer et al eds Leading Causes of Blindness NIH MedlinePlus 20082 Glaucoma Facts and Stats Glaucoma Research Foundation May 5 2015 accessed July 11 2016 httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp3Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts4 Ibid5 Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016 httpwwwglaucomaorgglaucomatypes-of-glaucomaphp6 Ibid7 Ibid8 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts
5
blurred vision headaches eye pains and rainbow halos9 With few signs of glaucoma present
many cases of glaucoma are typically undetected until serious damage has occurred10
Anyone can develop glaucoma however there are many risk factors such as age race
and health conditions that can increase the chances of developing glaucoma11 People who are
over age 60 are particularly susceptible to glaucoma12 Furthermore people of African and Asian
descent are more prone to the illness ndash with POAG more common in Africans and AACG more
common in Asians13 Health conditions such as hypertension and diabetes can also increase the
risk for glaucoma14
While glaucoma has no cure it can be easily prevented with sufficient eye care measures
such as frequent visits to the eye doctor and good eye care habits Early diagnosis through eye
exams is the key to prevention The National Eye Institute (NEI) recommends that people over
the age 60 should receive a comprehensive dilated eye exam every two years15 Glaucoma is
detected during the eye exam through the use of multiple diagnostic tests tonometry
gonioscopy ophthalmoscopy visual field test and pachymetry16 Of the various diagnostic tests
tonometry and ophthalmoscopy are the most common tonometry measures the eye pressure
while ophthalmoscopy examines the color and shape of the optic nerve17 Once a patient is
9 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts10 Ibid11 Ibid12 Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-healthdiseasesglaucoma-risk13 Ibid14 Ibid15 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts16 Ibid
17 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts
6
diagnosed with glaucoma he or she is referred to a specialist for further treatment Glaucoma is
primarily treated through regular medications such as eye drops and surgery18
By 2030 the NEI projects that there will be a 58 percent increase approximately 48
million in the number of individuals with glaucoma19 Despite the appalling projection for
glaucoma many people are still unaware of the significance of protecting themselves from
glaucoma The general public lacks comprehension of the pathology of the disease and its viable
preventative eye care As glaucoma can be easily prevented and maintained through frequent eye
checkups it is necessary to inform the public about the available resources to protect against
glaucoma Preventative eye care is the first and foremost line of defense against glaucoma and
other eye diseases For summer 2016 Project AHEAD aims to educate and raise aware about
glaucoma in the local NYC Asian American senior population through available resources
III METHODS
18 Ibid19 Eye Disease Statistics NIH March 2014 accessed July 11 2016
7
Needs Assessment A survey was created to gauge the target communityrsquos knowledge of glaucoma and
general eye care Considering the limitations such as time and financial resources we decided to
carry out convenience sampling We divided ourselves into two different teams based on our
Chinese proficiency so that each team could have both Mandarin and Cantonese speakers The
needs assessment was administered on two different days at two separate locations The first
group which consisted of Chloe and Stella conducted the survey in Cantonese at Columbus
Park The second team which included Stephanie Hao and Xin conducted the survey in
Mandarin and Cantonese at Sara D Roosevelt Park
The needs assessment consisted of thirteen questions The first ten questions pertained to
the participantsrsquo knowledge of glaucoma and daily eye care habits The goal of questions 1 2
and 3 was to evaluate whether the participant had primary care or eye doctors that they visited
regularly The fourth question which asked how often participants wore sunglasses allowed us
to determine whether they took measures to protect their eyes The goal of Question 5 was to
conclude if respondents took the initiative to see their doctors after experiencing noticeable
changes in their vision By asking about each respondentrsquos daily screen time in Question 6 we
were able to assess whether most of them had healthy eye care habits Questions 7 9 and 10
asked about participantsrsquo and their familiesrsquo medical history which allowed us to understand
whether our target population is at a higher risk for glaucoma Question 8 was essential to assess
the populationrsquos knowledge about our projectrsquos topic The last three questions concentrated on
the demographics of each participant which included sex age and birthplace
Surveys were conducted anonymously to maintain confidentiality and to ensure
participantsrsquo level of comfort Collected data from the survey allowed us to understand the
8
community membersrsquo general knowledge about eye care and to assess the need for awareness on
glaucoma
Workshop 1 VNSNY Mott WorkshopOne workshop was held at a Chinatown senior center operated by the Visiting Nurse
Service of New York at Mott Street on August 8th Prior to starting the presentation a pre-
workshop assessment survey was completed by every attendee The one and half hour long
workshop was delivered in Cantonese It incorporated audience engagement in order to facilitate
interactive learning and reflection for the attending senior citizens The presentation provided a
basic overview of glaucoma the two most common types POAG and AACG were discussed
The difference in their pathophysiology and the resulting symptoms were explored Afterwards
we provided participants with culturally relevant dietary tips and eye care recommendations The
participants were asked to complete a post-workshop survey At the end of the workshop we
distributed eye healthy snacks
Workshop 2 BRC Senior Service Center WorkshopThe other workshop was held on August 12th at the BRC Senior Service Center The
content and proceedings were the same as those in the previous workshop However this
workshop was conducted in both Mandarin and Cantonese
Good Health DayOn Good Health Day in both Chinatown and Flushing we presented a tri-fold board that
included information about glaucoma and eye care We had Mandarin and Cantonese speakers
available to facilitate the explanation of our project Our booth included a photo booth with
different props and our slogan ldquoI Care for Eye Carerdquo on the top We had two games in which
participants could win prizes In our ldquoEye Spyrdquo game we had two photos of the interns with
subtle differences between them If someone could spot five differences then they would win a
button In our ldquoEye Eat Healthyrdquo game participants were asked to choose three foods from a
9
bowl We would then explain which foods are healthy for the eyes and which foods are not
After participants played that game we gave them glasses wipes sunglasses and glasses repair
kits In addition we had an ldquoEye Pledgerdquo board where people could write what they would
promise to do to keep their eyes healthy We also had a raffle for participants to win t-shirts with
the slogan ldquoDonrsquot Cloud Your Visionrdquo To encourage kids to maintain healthy eye habits we
distributed original coloring sheets that depicted animals getting their eyes checked Visitors to
our booth were given a packet that included two booklets with information about glaucoma and
eye exams a customized sticker a wallet card and a bookmark Finally we created a Charles B
Wang Good Health Day Snapchat filter to promote the health fair
VideoBased on a conducted interview with a glaucoma patient a 5-minute short video was
created to share their experience We will feature their story by adding a voiceover to the video
We will focus on how getting treatment has positively impacted patientsrsquo health quality of life
and their loved ones By using special effects from Aftereffects we simulated the vision of a
glaucoma patient We hope to encourage viewers to seek help and get annual comprehensive eye
exams
This short film will supplement Charles B Wang Community Health Centerrsquos
educational materials to inform patients about eye care and address a pressing issue in the Asian
American community There will be a Chinese version with English subtitles of the video to
ensure that our video will reach a greater audience
10
IV RESULTS
Needs AssessmentWe administered a total of 52 needs assessment surveys at Columbus Park and Sara D
Roosevelt Park Through the surveys participantsrsquo demographic data were collected and
analyzed Approximately 90 of our needs assessment respondents were within our target age
range of 50 to 100 years old There were relatively more male respondents than female
respondents with 30 males and 22 females The majority of the respondents 45 out of the 52
indicated China as their birthplace while the remaining answered Hong Kong Taiwan United
States Vietnam or Malaysia
Figure 1 Age Distribution
11
Figure 2 Sex Distribution
Figure 3 Birthplace Distribution Responses to Survey Questions
The remaining questions were administered for us to gain an understanding of the
communityrsquos familiarity with glaucoma and healthy eye care habits Based on the responses of
the questions we concluded that a community health project on glaucoma and eye care should be
carried out for the Asian American community
12
Figure 4 Responses to Needs Assessment Question 1
Figure 4 illustrates that the majority of the respondents 44 people have a primary care
provider indicating that most community members are actively engaged in their personal health
and wellbeing Only 8 people responded that they do not have a primary care provider
Figure 5 Responses to Needs Assessment Question 2
As shown in Figure 5 there were 37 respondents who have a regular eye doctor and 14
people who do not One individual did not know whether or not he had an eye doctor
13
Figure 6 Responses to Needs Assessment Question 3Figure 6 shows that the majority of the community members frequently seek eye check-
ups throughout the year 15 respondents answered that they get eye check-ups at least once a
year while 16 respondents answered that they get several check-ups ndash twice or more in a year
Figure 7 Responses to Needs Assessment Question 4As shown in the graph above there were 29 out of 52 total respondents (558) who
never or only rarely wear sunglasses which demonstrates that most members of our target
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
2
TABLE OF CONTENTS
I ABSTRACThelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip3
II INTRODUCTIONhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip4
III METHODShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip7
IV RESULTShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip10
V DISCUSSIONShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip39
VI LIMITATIONShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip46
VII RECOMMENDATIONShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip48
VIII CONCLUSIONhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip50
IX ACKNOWLEDGEMENTShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip52
X REFERENCEShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip53
XI APPENDICEShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip56
A TIMELINEhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip57
B BUDGEThelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip59
C NEEDS ASSESSMENThelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip61
D WORKSHOP CURRICULUMhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip65
E WORKSHOP FLYERhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip67
F PRE-WORKSHOP SURVEYhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip68
G POST-WORKSHOP SURVEYhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip70
H PHOTO CONSENT FORMhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip73
I BUTTON DESIGNShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip75
J WALLET CARD DESIGNhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip75
K BOOKMARK DESIGNhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip75
L STICKER DESIGNShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip76
M T-SHIRT DESIGNShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip76
N COLORING PAGEShelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip77
O SNAPCHAT GEOFILTERhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip77
3
I ABSTRACT
Project AHEAD 2016rsquos community health project is about glaucoma and eye care
According to the World Health Organization glaucoma is the second leading cause of blindness
in the world People of East Asian descent in particular are more genetically prone to acute
angle closure glaucoma (AACG) as certain eye shapes and structures affect the progression of
glaucoma Asians have also been shown to be more likely to develop myopia and diabetes
which are risk factors for glaucoma Primary open-angle glaucoma (POAG) develops slowly and
its effects may not be immediately noticeable On the other hand AACG the type that Asians
are more prone to develops quickly and requires immediate medical attention The main purpose
of our project ldquoI Care for Eye Carerdquo is to raise awareness for eye care and glaucoma and to
encourage those within the Asian American community in Chinatown to get their eyes checked
To achieve our goal we first conducted a survey with senior citizens in the local Chinese
community to assess their understanding of the disease We hosted two ldquoYour Vision Your
Decisionrdquo workshops at local senior centers to spread our message and explain the importance of
regular eye check-ups In addition we created many promotional items to give out during both
Good Health Days and the two workshops Our bilingual print materials provided our audience
with culturally and linguistically accessible information While there were many limitations to
our project we were able to promote eye health and glaucoma awareness among the elderly in
Chinatown
4
II INTRODUCTION
Although eye care is an essential component of health the importance of eye care is often
overlooked With the lack of comprehension of eye health people tend to forego annual
comprehensive eye exams ndash resulting in countless undetected eye diseases that can lead to
eventual vision impairment and blindness
One of the leading causes of blindness is glaucoma1 It is estimated that approximately
three million Americans are living with glaucoma with many unaware of their condition2
Glaucoma is a group of serious eye disease that is marked by optic nerve damage and can lead
to the loss of vision if left untreated3 Optic nerve damage is caused by the accumulation of fluid
pressure when fluid fails to drain out of the eye through the mesh-like channel4 There are several
types of glaucoma however the most prevalent types are primary open-angle glaucoma (POAG)
and acute angle-closure glaucoma (AACG)5 The primary difference between POAG and AACG
is the progression of the eye deterioration from the buildup of fluid pressure6 POAG is gradual
whereas AACG is more sudden and unexpected7 There are virtually few to no symptoms in
early glaucoma development In POAG peripheral vision is gradually blocked by blind spots
until frontal vision completely disappears8 On the other hand symptoms of AACG include
1 Don Detmer et al eds Leading Causes of Blindness NIH MedlinePlus 20082 Glaucoma Facts and Stats Glaucoma Research Foundation May 5 2015 accessed July 11 2016 httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp3Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts4 Ibid5 Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016 httpwwwglaucomaorgglaucomatypes-of-glaucomaphp6 Ibid7 Ibid8 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts
5
blurred vision headaches eye pains and rainbow halos9 With few signs of glaucoma present
many cases of glaucoma are typically undetected until serious damage has occurred10
Anyone can develop glaucoma however there are many risk factors such as age race
and health conditions that can increase the chances of developing glaucoma11 People who are
over age 60 are particularly susceptible to glaucoma12 Furthermore people of African and Asian
descent are more prone to the illness ndash with POAG more common in Africans and AACG more
common in Asians13 Health conditions such as hypertension and diabetes can also increase the
risk for glaucoma14
While glaucoma has no cure it can be easily prevented with sufficient eye care measures
such as frequent visits to the eye doctor and good eye care habits Early diagnosis through eye
exams is the key to prevention The National Eye Institute (NEI) recommends that people over
the age 60 should receive a comprehensive dilated eye exam every two years15 Glaucoma is
detected during the eye exam through the use of multiple diagnostic tests tonometry
gonioscopy ophthalmoscopy visual field test and pachymetry16 Of the various diagnostic tests
tonometry and ophthalmoscopy are the most common tonometry measures the eye pressure
while ophthalmoscopy examines the color and shape of the optic nerve17 Once a patient is
9 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts10 Ibid11 Ibid12 Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-healthdiseasesglaucoma-risk13 Ibid14 Ibid15 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts16 Ibid
17 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts
6
diagnosed with glaucoma he or she is referred to a specialist for further treatment Glaucoma is
primarily treated through regular medications such as eye drops and surgery18
By 2030 the NEI projects that there will be a 58 percent increase approximately 48
million in the number of individuals with glaucoma19 Despite the appalling projection for
glaucoma many people are still unaware of the significance of protecting themselves from
glaucoma The general public lacks comprehension of the pathology of the disease and its viable
preventative eye care As glaucoma can be easily prevented and maintained through frequent eye
checkups it is necessary to inform the public about the available resources to protect against
glaucoma Preventative eye care is the first and foremost line of defense against glaucoma and
other eye diseases For summer 2016 Project AHEAD aims to educate and raise aware about
glaucoma in the local NYC Asian American senior population through available resources
III METHODS
18 Ibid19 Eye Disease Statistics NIH March 2014 accessed July 11 2016
7
Needs Assessment A survey was created to gauge the target communityrsquos knowledge of glaucoma and
general eye care Considering the limitations such as time and financial resources we decided to
carry out convenience sampling We divided ourselves into two different teams based on our
Chinese proficiency so that each team could have both Mandarin and Cantonese speakers The
needs assessment was administered on two different days at two separate locations The first
group which consisted of Chloe and Stella conducted the survey in Cantonese at Columbus
Park The second team which included Stephanie Hao and Xin conducted the survey in
Mandarin and Cantonese at Sara D Roosevelt Park
The needs assessment consisted of thirteen questions The first ten questions pertained to
the participantsrsquo knowledge of glaucoma and daily eye care habits The goal of questions 1 2
and 3 was to evaluate whether the participant had primary care or eye doctors that they visited
regularly The fourth question which asked how often participants wore sunglasses allowed us
to determine whether they took measures to protect their eyes The goal of Question 5 was to
conclude if respondents took the initiative to see their doctors after experiencing noticeable
changes in their vision By asking about each respondentrsquos daily screen time in Question 6 we
were able to assess whether most of them had healthy eye care habits Questions 7 9 and 10
asked about participantsrsquo and their familiesrsquo medical history which allowed us to understand
whether our target population is at a higher risk for glaucoma Question 8 was essential to assess
the populationrsquos knowledge about our projectrsquos topic The last three questions concentrated on
the demographics of each participant which included sex age and birthplace
Surveys were conducted anonymously to maintain confidentiality and to ensure
participantsrsquo level of comfort Collected data from the survey allowed us to understand the
8
community membersrsquo general knowledge about eye care and to assess the need for awareness on
glaucoma
Workshop 1 VNSNY Mott WorkshopOne workshop was held at a Chinatown senior center operated by the Visiting Nurse
Service of New York at Mott Street on August 8th Prior to starting the presentation a pre-
workshop assessment survey was completed by every attendee The one and half hour long
workshop was delivered in Cantonese It incorporated audience engagement in order to facilitate
interactive learning and reflection for the attending senior citizens The presentation provided a
basic overview of glaucoma the two most common types POAG and AACG were discussed
The difference in their pathophysiology and the resulting symptoms were explored Afterwards
we provided participants with culturally relevant dietary tips and eye care recommendations The
participants were asked to complete a post-workshop survey At the end of the workshop we
distributed eye healthy snacks
Workshop 2 BRC Senior Service Center WorkshopThe other workshop was held on August 12th at the BRC Senior Service Center The
content and proceedings were the same as those in the previous workshop However this
workshop was conducted in both Mandarin and Cantonese
Good Health DayOn Good Health Day in both Chinatown and Flushing we presented a tri-fold board that
included information about glaucoma and eye care We had Mandarin and Cantonese speakers
available to facilitate the explanation of our project Our booth included a photo booth with
different props and our slogan ldquoI Care for Eye Carerdquo on the top We had two games in which
participants could win prizes In our ldquoEye Spyrdquo game we had two photos of the interns with
subtle differences between them If someone could spot five differences then they would win a
button In our ldquoEye Eat Healthyrdquo game participants were asked to choose three foods from a
9
bowl We would then explain which foods are healthy for the eyes and which foods are not
After participants played that game we gave them glasses wipes sunglasses and glasses repair
kits In addition we had an ldquoEye Pledgerdquo board where people could write what they would
promise to do to keep their eyes healthy We also had a raffle for participants to win t-shirts with
the slogan ldquoDonrsquot Cloud Your Visionrdquo To encourage kids to maintain healthy eye habits we
distributed original coloring sheets that depicted animals getting their eyes checked Visitors to
our booth were given a packet that included two booklets with information about glaucoma and
eye exams a customized sticker a wallet card and a bookmark Finally we created a Charles B
Wang Good Health Day Snapchat filter to promote the health fair
VideoBased on a conducted interview with a glaucoma patient a 5-minute short video was
created to share their experience We will feature their story by adding a voiceover to the video
We will focus on how getting treatment has positively impacted patientsrsquo health quality of life
and their loved ones By using special effects from Aftereffects we simulated the vision of a
glaucoma patient We hope to encourage viewers to seek help and get annual comprehensive eye
exams
This short film will supplement Charles B Wang Community Health Centerrsquos
educational materials to inform patients about eye care and address a pressing issue in the Asian
American community There will be a Chinese version with English subtitles of the video to
ensure that our video will reach a greater audience
10
IV RESULTS
Needs AssessmentWe administered a total of 52 needs assessment surveys at Columbus Park and Sara D
Roosevelt Park Through the surveys participantsrsquo demographic data were collected and
analyzed Approximately 90 of our needs assessment respondents were within our target age
range of 50 to 100 years old There were relatively more male respondents than female
respondents with 30 males and 22 females The majority of the respondents 45 out of the 52
indicated China as their birthplace while the remaining answered Hong Kong Taiwan United
States Vietnam or Malaysia
Figure 1 Age Distribution
11
Figure 2 Sex Distribution
Figure 3 Birthplace Distribution Responses to Survey Questions
The remaining questions were administered for us to gain an understanding of the
communityrsquos familiarity with glaucoma and healthy eye care habits Based on the responses of
the questions we concluded that a community health project on glaucoma and eye care should be
carried out for the Asian American community
12
Figure 4 Responses to Needs Assessment Question 1
Figure 4 illustrates that the majority of the respondents 44 people have a primary care
provider indicating that most community members are actively engaged in their personal health
and wellbeing Only 8 people responded that they do not have a primary care provider
Figure 5 Responses to Needs Assessment Question 2
As shown in Figure 5 there were 37 respondents who have a regular eye doctor and 14
people who do not One individual did not know whether or not he had an eye doctor
13
Figure 6 Responses to Needs Assessment Question 3Figure 6 shows that the majority of the community members frequently seek eye check-
ups throughout the year 15 respondents answered that they get eye check-ups at least once a
year while 16 respondents answered that they get several check-ups ndash twice or more in a year
Figure 7 Responses to Needs Assessment Question 4As shown in the graph above there were 29 out of 52 total respondents (558) who
never or only rarely wear sunglasses which demonstrates that most members of our target
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
3
I ABSTRACT
Project AHEAD 2016rsquos community health project is about glaucoma and eye care
According to the World Health Organization glaucoma is the second leading cause of blindness
in the world People of East Asian descent in particular are more genetically prone to acute
angle closure glaucoma (AACG) as certain eye shapes and structures affect the progression of
glaucoma Asians have also been shown to be more likely to develop myopia and diabetes
which are risk factors for glaucoma Primary open-angle glaucoma (POAG) develops slowly and
its effects may not be immediately noticeable On the other hand AACG the type that Asians
are more prone to develops quickly and requires immediate medical attention The main purpose
of our project ldquoI Care for Eye Carerdquo is to raise awareness for eye care and glaucoma and to
encourage those within the Asian American community in Chinatown to get their eyes checked
To achieve our goal we first conducted a survey with senior citizens in the local Chinese
community to assess their understanding of the disease We hosted two ldquoYour Vision Your
Decisionrdquo workshops at local senior centers to spread our message and explain the importance of
regular eye check-ups In addition we created many promotional items to give out during both
Good Health Days and the two workshops Our bilingual print materials provided our audience
with culturally and linguistically accessible information While there were many limitations to
our project we were able to promote eye health and glaucoma awareness among the elderly in
Chinatown
4
II INTRODUCTION
Although eye care is an essential component of health the importance of eye care is often
overlooked With the lack of comprehension of eye health people tend to forego annual
comprehensive eye exams ndash resulting in countless undetected eye diseases that can lead to
eventual vision impairment and blindness
One of the leading causes of blindness is glaucoma1 It is estimated that approximately
three million Americans are living with glaucoma with many unaware of their condition2
Glaucoma is a group of serious eye disease that is marked by optic nerve damage and can lead
to the loss of vision if left untreated3 Optic nerve damage is caused by the accumulation of fluid
pressure when fluid fails to drain out of the eye through the mesh-like channel4 There are several
types of glaucoma however the most prevalent types are primary open-angle glaucoma (POAG)
and acute angle-closure glaucoma (AACG)5 The primary difference between POAG and AACG
is the progression of the eye deterioration from the buildup of fluid pressure6 POAG is gradual
whereas AACG is more sudden and unexpected7 There are virtually few to no symptoms in
early glaucoma development In POAG peripheral vision is gradually blocked by blind spots
until frontal vision completely disappears8 On the other hand symptoms of AACG include
1 Don Detmer et al eds Leading Causes of Blindness NIH MedlinePlus 20082 Glaucoma Facts and Stats Glaucoma Research Foundation May 5 2015 accessed July 11 2016 httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp3Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts4 Ibid5 Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016 httpwwwglaucomaorgglaucomatypes-of-glaucomaphp6 Ibid7 Ibid8 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts
5
blurred vision headaches eye pains and rainbow halos9 With few signs of glaucoma present
many cases of glaucoma are typically undetected until serious damage has occurred10
Anyone can develop glaucoma however there are many risk factors such as age race
and health conditions that can increase the chances of developing glaucoma11 People who are
over age 60 are particularly susceptible to glaucoma12 Furthermore people of African and Asian
descent are more prone to the illness ndash with POAG more common in Africans and AACG more
common in Asians13 Health conditions such as hypertension and diabetes can also increase the
risk for glaucoma14
While glaucoma has no cure it can be easily prevented with sufficient eye care measures
such as frequent visits to the eye doctor and good eye care habits Early diagnosis through eye
exams is the key to prevention The National Eye Institute (NEI) recommends that people over
the age 60 should receive a comprehensive dilated eye exam every two years15 Glaucoma is
detected during the eye exam through the use of multiple diagnostic tests tonometry
gonioscopy ophthalmoscopy visual field test and pachymetry16 Of the various diagnostic tests
tonometry and ophthalmoscopy are the most common tonometry measures the eye pressure
while ophthalmoscopy examines the color and shape of the optic nerve17 Once a patient is
9 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts10 Ibid11 Ibid12 Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-healthdiseasesglaucoma-risk13 Ibid14 Ibid15 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts16 Ibid
17 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts
6
diagnosed with glaucoma he or she is referred to a specialist for further treatment Glaucoma is
primarily treated through regular medications such as eye drops and surgery18
By 2030 the NEI projects that there will be a 58 percent increase approximately 48
million in the number of individuals with glaucoma19 Despite the appalling projection for
glaucoma many people are still unaware of the significance of protecting themselves from
glaucoma The general public lacks comprehension of the pathology of the disease and its viable
preventative eye care As glaucoma can be easily prevented and maintained through frequent eye
checkups it is necessary to inform the public about the available resources to protect against
glaucoma Preventative eye care is the first and foremost line of defense against glaucoma and
other eye diseases For summer 2016 Project AHEAD aims to educate and raise aware about
glaucoma in the local NYC Asian American senior population through available resources
III METHODS
18 Ibid19 Eye Disease Statistics NIH March 2014 accessed July 11 2016
7
Needs Assessment A survey was created to gauge the target communityrsquos knowledge of glaucoma and
general eye care Considering the limitations such as time and financial resources we decided to
carry out convenience sampling We divided ourselves into two different teams based on our
Chinese proficiency so that each team could have both Mandarin and Cantonese speakers The
needs assessment was administered on two different days at two separate locations The first
group which consisted of Chloe and Stella conducted the survey in Cantonese at Columbus
Park The second team which included Stephanie Hao and Xin conducted the survey in
Mandarin and Cantonese at Sara D Roosevelt Park
The needs assessment consisted of thirteen questions The first ten questions pertained to
the participantsrsquo knowledge of glaucoma and daily eye care habits The goal of questions 1 2
and 3 was to evaluate whether the participant had primary care or eye doctors that they visited
regularly The fourth question which asked how often participants wore sunglasses allowed us
to determine whether they took measures to protect their eyes The goal of Question 5 was to
conclude if respondents took the initiative to see their doctors after experiencing noticeable
changes in their vision By asking about each respondentrsquos daily screen time in Question 6 we
were able to assess whether most of them had healthy eye care habits Questions 7 9 and 10
asked about participantsrsquo and their familiesrsquo medical history which allowed us to understand
whether our target population is at a higher risk for glaucoma Question 8 was essential to assess
the populationrsquos knowledge about our projectrsquos topic The last three questions concentrated on
the demographics of each participant which included sex age and birthplace
Surveys were conducted anonymously to maintain confidentiality and to ensure
participantsrsquo level of comfort Collected data from the survey allowed us to understand the
8
community membersrsquo general knowledge about eye care and to assess the need for awareness on
glaucoma
Workshop 1 VNSNY Mott WorkshopOne workshop was held at a Chinatown senior center operated by the Visiting Nurse
Service of New York at Mott Street on August 8th Prior to starting the presentation a pre-
workshop assessment survey was completed by every attendee The one and half hour long
workshop was delivered in Cantonese It incorporated audience engagement in order to facilitate
interactive learning and reflection for the attending senior citizens The presentation provided a
basic overview of glaucoma the two most common types POAG and AACG were discussed
The difference in their pathophysiology and the resulting symptoms were explored Afterwards
we provided participants with culturally relevant dietary tips and eye care recommendations The
participants were asked to complete a post-workshop survey At the end of the workshop we
distributed eye healthy snacks
Workshop 2 BRC Senior Service Center WorkshopThe other workshop was held on August 12th at the BRC Senior Service Center The
content and proceedings were the same as those in the previous workshop However this
workshop was conducted in both Mandarin and Cantonese
Good Health DayOn Good Health Day in both Chinatown and Flushing we presented a tri-fold board that
included information about glaucoma and eye care We had Mandarin and Cantonese speakers
available to facilitate the explanation of our project Our booth included a photo booth with
different props and our slogan ldquoI Care for Eye Carerdquo on the top We had two games in which
participants could win prizes In our ldquoEye Spyrdquo game we had two photos of the interns with
subtle differences between them If someone could spot five differences then they would win a
button In our ldquoEye Eat Healthyrdquo game participants were asked to choose three foods from a
9
bowl We would then explain which foods are healthy for the eyes and which foods are not
After participants played that game we gave them glasses wipes sunglasses and glasses repair
kits In addition we had an ldquoEye Pledgerdquo board where people could write what they would
promise to do to keep their eyes healthy We also had a raffle for participants to win t-shirts with
the slogan ldquoDonrsquot Cloud Your Visionrdquo To encourage kids to maintain healthy eye habits we
distributed original coloring sheets that depicted animals getting their eyes checked Visitors to
our booth were given a packet that included two booklets with information about glaucoma and
eye exams a customized sticker a wallet card and a bookmark Finally we created a Charles B
Wang Good Health Day Snapchat filter to promote the health fair
VideoBased on a conducted interview with a glaucoma patient a 5-minute short video was
created to share their experience We will feature their story by adding a voiceover to the video
We will focus on how getting treatment has positively impacted patientsrsquo health quality of life
and their loved ones By using special effects from Aftereffects we simulated the vision of a
glaucoma patient We hope to encourage viewers to seek help and get annual comprehensive eye
exams
This short film will supplement Charles B Wang Community Health Centerrsquos
educational materials to inform patients about eye care and address a pressing issue in the Asian
American community There will be a Chinese version with English subtitles of the video to
ensure that our video will reach a greater audience
10
IV RESULTS
Needs AssessmentWe administered a total of 52 needs assessment surveys at Columbus Park and Sara D
Roosevelt Park Through the surveys participantsrsquo demographic data were collected and
analyzed Approximately 90 of our needs assessment respondents were within our target age
range of 50 to 100 years old There were relatively more male respondents than female
respondents with 30 males and 22 females The majority of the respondents 45 out of the 52
indicated China as their birthplace while the remaining answered Hong Kong Taiwan United
States Vietnam or Malaysia
Figure 1 Age Distribution
11
Figure 2 Sex Distribution
Figure 3 Birthplace Distribution Responses to Survey Questions
The remaining questions were administered for us to gain an understanding of the
communityrsquos familiarity with glaucoma and healthy eye care habits Based on the responses of
the questions we concluded that a community health project on glaucoma and eye care should be
carried out for the Asian American community
12
Figure 4 Responses to Needs Assessment Question 1
Figure 4 illustrates that the majority of the respondents 44 people have a primary care
provider indicating that most community members are actively engaged in their personal health
and wellbeing Only 8 people responded that they do not have a primary care provider
Figure 5 Responses to Needs Assessment Question 2
As shown in Figure 5 there were 37 respondents who have a regular eye doctor and 14
people who do not One individual did not know whether or not he had an eye doctor
13
Figure 6 Responses to Needs Assessment Question 3Figure 6 shows that the majority of the community members frequently seek eye check-
ups throughout the year 15 respondents answered that they get eye check-ups at least once a
year while 16 respondents answered that they get several check-ups ndash twice or more in a year
Figure 7 Responses to Needs Assessment Question 4As shown in the graph above there were 29 out of 52 total respondents (558) who
never or only rarely wear sunglasses which demonstrates that most members of our target
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
4
II INTRODUCTION
Although eye care is an essential component of health the importance of eye care is often
overlooked With the lack of comprehension of eye health people tend to forego annual
comprehensive eye exams ndash resulting in countless undetected eye diseases that can lead to
eventual vision impairment and blindness
One of the leading causes of blindness is glaucoma1 It is estimated that approximately
three million Americans are living with glaucoma with many unaware of their condition2
Glaucoma is a group of serious eye disease that is marked by optic nerve damage and can lead
to the loss of vision if left untreated3 Optic nerve damage is caused by the accumulation of fluid
pressure when fluid fails to drain out of the eye through the mesh-like channel4 There are several
types of glaucoma however the most prevalent types are primary open-angle glaucoma (POAG)
and acute angle-closure glaucoma (AACG)5 The primary difference between POAG and AACG
is the progression of the eye deterioration from the buildup of fluid pressure6 POAG is gradual
whereas AACG is more sudden and unexpected7 There are virtually few to no symptoms in
early glaucoma development In POAG peripheral vision is gradually blocked by blind spots
until frontal vision completely disappears8 On the other hand symptoms of AACG include
1 Don Detmer et al eds Leading Causes of Blindness NIH MedlinePlus 20082 Glaucoma Facts and Stats Glaucoma Research Foundation May 5 2015 accessed July 11 2016 httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp3Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts4 Ibid5 Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016 httpwwwglaucomaorgglaucomatypes-of-glaucomaphp6 Ibid7 Ibid8 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts
5
blurred vision headaches eye pains and rainbow halos9 With few signs of glaucoma present
many cases of glaucoma are typically undetected until serious damage has occurred10
Anyone can develop glaucoma however there are many risk factors such as age race
and health conditions that can increase the chances of developing glaucoma11 People who are
over age 60 are particularly susceptible to glaucoma12 Furthermore people of African and Asian
descent are more prone to the illness ndash with POAG more common in Africans and AACG more
common in Asians13 Health conditions such as hypertension and diabetes can also increase the
risk for glaucoma14
While glaucoma has no cure it can be easily prevented with sufficient eye care measures
such as frequent visits to the eye doctor and good eye care habits Early diagnosis through eye
exams is the key to prevention The National Eye Institute (NEI) recommends that people over
the age 60 should receive a comprehensive dilated eye exam every two years15 Glaucoma is
detected during the eye exam through the use of multiple diagnostic tests tonometry
gonioscopy ophthalmoscopy visual field test and pachymetry16 Of the various diagnostic tests
tonometry and ophthalmoscopy are the most common tonometry measures the eye pressure
while ophthalmoscopy examines the color and shape of the optic nerve17 Once a patient is
9 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts10 Ibid11 Ibid12 Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-healthdiseasesglaucoma-risk13 Ibid14 Ibid15 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts16 Ibid
17 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts
6
diagnosed with glaucoma he or she is referred to a specialist for further treatment Glaucoma is
primarily treated through regular medications such as eye drops and surgery18
By 2030 the NEI projects that there will be a 58 percent increase approximately 48
million in the number of individuals with glaucoma19 Despite the appalling projection for
glaucoma many people are still unaware of the significance of protecting themselves from
glaucoma The general public lacks comprehension of the pathology of the disease and its viable
preventative eye care As glaucoma can be easily prevented and maintained through frequent eye
checkups it is necessary to inform the public about the available resources to protect against
glaucoma Preventative eye care is the first and foremost line of defense against glaucoma and
other eye diseases For summer 2016 Project AHEAD aims to educate and raise aware about
glaucoma in the local NYC Asian American senior population through available resources
III METHODS
18 Ibid19 Eye Disease Statistics NIH March 2014 accessed July 11 2016
7
Needs Assessment A survey was created to gauge the target communityrsquos knowledge of glaucoma and
general eye care Considering the limitations such as time and financial resources we decided to
carry out convenience sampling We divided ourselves into two different teams based on our
Chinese proficiency so that each team could have both Mandarin and Cantonese speakers The
needs assessment was administered on two different days at two separate locations The first
group which consisted of Chloe and Stella conducted the survey in Cantonese at Columbus
Park The second team which included Stephanie Hao and Xin conducted the survey in
Mandarin and Cantonese at Sara D Roosevelt Park
The needs assessment consisted of thirteen questions The first ten questions pertained to
the participantsrsquo knowledge of glaucoma and daily eye care habits The goal of questions 1 2
and 3 was to evaluate whether the participant had primary care or eye doctors that they visited
regularly The fourth question which asked how often participants wore sunglasses allowed us
to determine whether they took measures to protect their eyes The goal of Question 5 was to
conclude if respondents took the initiative to see their doctors after experiencing noticeable
changes in their vision By asking about each respondentrsquos daily screen time in Question 6 we
were able to assess whether most of them had healthy eye care habits Questions 7 9 and 10
asked about participantsrsquo and their familiesrsquo medical history which allowed us to understand
whether our target population is at a higher risk for glaucoma Question 8 was essential to assess
the populationrsquos knowledge about our projectrsquos topic The last three questions concentrated on
the demographics of each participant which included sex age and birthplace
Surveys were conducted anonymously to maintain confidentiality and to ensure
participantsrsquo level of comfort Collected data from the survey allowed us to understand the
8
community membersrsquo general knowledge about eye care and to assess the need for awareness on
glaucoma
Workshop 1 VNSNY Mott WorkshopOne workshop was held at a Chinatown senior center operated by the Visiting Nurse
Service of New York at Mott Street on August 8th Prior to starting the presentation a pre-
workshop assessment survey was completed by every attendee The one and half hour long
workshop was delivered in Cantonese It incorporated audience engagement in order to facilitate
interactive learning and reflection for the attending senior citizens The presentation provided a
basic overview of glaucoma the two most common types POAG and AACG were discussed
The difference in their pathophysiology and the resulting symptoms were explored Afterwards
we provided participants with culturally relevant dietary tips and eye care recommendations The
participants were asked to complete a post-workshop survey At the end of the workshop we
distributed eye healthy snacks
Workshop 2 BRC Senior Service Center WorkshopThe other workshop was held on August 12th at the BRC Senior Service Center The
content and proceedings were the same as those in the previous workshop However this
workshop was conducted in both Mandarin and Cantonese
Good Health DayOn Good Health Day in both Chinatown and Flushing we presented a tri-fold board that
included information about glaucoma and eye care We had Mandarin and Cantonese speakers
available to facilitate the explanation of our project Our booth included a photo booth with
different props and our slogan ldquoI Care for Eye Carerdquo on the top We had two games in which
participants could win prizes In our ldquoEye Spyrdquo game we had two photos of the interns with
subtle differences between them If someone could spot five differences then they would win a
button In our ldquoEye Eat Healthyrdquo game participants were asked to choose three foods from a
9
bowl We would then explain which foods are healthy for the eyes and which foods are not
After participants played that game we gave them glasses wipes sunglasses and glasses repair
kits In addition we had an ldquoEye Pledgerdquo board where people could write what they would
promise to do to keep their eyes healthy We also had a raffle for participants to win t-shirts with
the slogan ldquoDonrsquot Cloud Your Visionrdquo To encourage kids to maintain healthy eye habits we
distributed original coloring sheets that depicted animals getting their eyes checked Visitors to
our booth were given a packet that included two booklets with information about glaucoma and
eye exams a customized sticker a wallet card and a bookmark Finally we created a Charles B
Wang Good Health Day Snapchat filter to promote the health fair
VideoBased on a conducted interview with a glaucoma patient a 5-minute short video was
created to share their experience We will feature their story by adding a voiceover to the video
We will focus on how getting treatment has positively impacted patientsrsquo health quality of life
and their loved ones By using special effects from Aftereffects we simulated the vision of a
glaucoma patient We hope to encourage viewers to seek help and get annual comprehensive eye
exams
This short film will supplement Charles B Wang Community Health Centerrsquos
educational materials to inform patients about eye care and address a pressing issue in the Asian
American community There will be a Chinese version with English subtitles of the video to
ensure that our video will reach a greater audience
10
IV RESULTS
Needs AssessmentWe administered a total of 52 needs assessment surveys at Columbus Park and Sara D
Roosevelt Park Through the surveys participantsrsquo demographic data were collected and
analyzed Approximately 90 of our needs assessment respondents were within our target age
range of 50 to 100 years old There were relatively more male respondents than female
respondents with 30 males and 22 females The majority of the respondents 45 out of the 52
indicated China as their birthplace while the remaining answered Hong Kong Taiwan United
States Vietnam or Malaysia
Figure 1 Age Distribution
11
Figure 2 Sex Distribution
Figure 3 Birthplace Distribution Responses to Survey Questions
The remaining questions were administered for us to gain an understanding of the
communityrsquos familiarity with glaucoma and healthy eye care habits Based on the responses of
the questions we concluded that a community health project on glaucoma and eye care should be
carried out for the Asian American community
12
Figure 4 Responses to Needs Assessment Question 1
Figure 4 illustrates that the majority of the respondents 44 people have a primary care
provider indicating that most community members are actively engaged in their personal health
and wellbeing Only 8 people responded that they do not have a primary care provider
Figure 5 Responses to Needs Assessment Question 2
As shown in Figure 5 there were 37 respondents who have a regular eye doctor and 14
people who do not One individual did not know whether or not he had an eye doctor
13
Figure 6 Responses to Needs Assessment Question 3Figure 6 shows that the majority of the community members frequently seek eye check-
ups throughout the year 15 respondents answered that they get eye check-ups at least once a
year while 16 respondents answered that they get several check-ups ndash twice or more in a year
Figure 7 Responses to Needs Assessment Question 4As shown in the graph above there were 29 out of 52 total respondents (558) who
never or only rarely wear sunglasses which demonstrates that most members of our target
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
5
blurred vision headaches eye pains and rainbow halos9 With few signs of glaucoma present
many cases of glaucoma are typically undetected until serious damage has occurred10
Anyone can develop glaucoma however there are many risk factors such as age race
and health conditions that can increase the chances of developing glaucoma11 People who are
over age 60 are particularly susceptible to glaucoma12 Furthermore people of African and Asian
descent are more prone to the illness ndash with POAG more common in Africans and AACG more
common in Asians13 Health conditions such as hypertension and diabetes can also increase the
risk for glaucoma14
While glaucoma has no cure it can be easily prevented with sufficient eye care measures
such as frequent visits to the eye doctor and good eye care habits Early diagnosis through eye
exams is the key to prevention The National Eye Institute (NEI) recommends that people over
the age 60 should receive a comprehensive dilated eye exam every two years15 Glaucoma is
detected during the eye exam through the use of multiple diagnostic tests tonometry
gonioscopy ophthalmoscopy visual field test and pachymetry16 Of the various diagnostic tests
tonometry and ophthalmoscopy are the most common tonometry measures the eye pressure
while ophthalmoscopy examines the color and shape of the optic nerve17 Once a patient is
9 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts10 Ibid11 Ibid12 Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-healthdiseasesglaucoma-risk13 Ibid14 Ibid15 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts16 Ibid
17 Facts About Glaucoma National Eye Institute accessed July 11 2016 httpsneinihgovhealthglaucomaglaucoma_facts
6
diagnosed with glaucoma he or she is referred to a specialist for further treatment Glaucoma is
primarily treated through regular medications such as eye drops and surgery18
By 2030 the NEI projects that there will be a 58 percent increase approximately 48
million in the number of individuals with glaucoma19 Despite the appalling projection for
glaucoma many people are still unaware of the significance of protecting themselves from
glaucoma The general public lacks comprehension of the pathology of the disease and its viable
preventative eye care As glaucoma can be easily prevented and maintained through frequent eye
checkups it is necessary to inform the public about the available resources to protect against
glaucoma Preventative eye care is the first and foremost line of defense against glaucoma and
other eye diseases For summer 2016 Project AHEAD aims to educate and raise aware about
glaucoma in the local NYC Asian American senior population through available resources
III METHODS
18 Ibid19 Eye Disease Statistics NIH March 2014 accessed July 11 2016
7
Needs Assessment A survey was created to gauge the target communityrsquos knowledge of glaucoma and
general eye care Considering the limitations such as time and financial resources we decided to
carry out convenience sampling We divided ourselves into two different teams based on our
Chinese proficiency so that each team could have both Mandarin and Cantonese speakers The
needs assessment was administered on two different days at two separate locations The first
group which consisted of Chloe and Stella conducted the survey in Cantonese at Columbus
Park The second team which included Stephanie Hao and Xin conducted the survey in
Mandarin and Cantonese at Sara D Roosevelt Park
The needs assessment consisted of thirteen questions The first ten questions pertained to
the participantsrsquo knowledge of glaucoma and daily eye care habits The goal of questions 1 2
and 3 was to evaluate whether the participant had primary care or eye doctors that they visited
regularly The fourth question which asked how often participants wore sunglasses allowed us
to determine whether they took measures to protect their eyes The goal of Question 5 was to
conclude if respondents took the initiative to see their doctors after experiencing noticeable
changes in their vision By asking about each respondentrsquos daily screen time in Question 6 we
were able to assess whether most of them had healthy eye care habits Questions 7 9 and 10
asked about participantsrsquo and their familiesrsquo medical history which allowed us to understand
whether our target population is at a higher risk for glaucoma Question 8 was essential to assess
the populationrsquos knowledge about our projectrsquos topic The last three questions concentrated on
the demographics of each participant which included sex age and birthplace
Surveys were conducted anonymously to maintain confidentiality and to ensure
participantsrsquo level of comfort Collected data from the survey allowed us to understand the
8
community membersrsquo general knowledge about eye care and to assess the need for awareness on
glaucoma
Workshop 1 VNSNY Mott WorkshopOne workshop was held at a Chinatown senior center operated by the Visiting Nurse
Service of New York at Mott Street on August 8th Prior to starting the presentation a pre-
workshop assessment survey was completed by every attendee The one and half hour long
workshop was delivered in Cantonese It incorporated audience engagement in order to facilitate
interactive learning and reflection for the attending senior citizens The presentation provided a
basic overview of glaucoma the two most common types POAG and AACG were discussed
The difference in their pathophysiology and the resulting symptoms were explored Afterwards
we provided participants with culturally relevant dietary tips and eye care recommendations The
participants were asked to complete a post-workshop survey At the end of the workshop we
distributed eye healthy snacks
Workshop 2 BRC Senior Service Center WorkshopThe other workshop was held on August 12th at the BRC Senior Service Center The
content and proceedings were the same as those in the previous workshop However this
workshop was conducted in both Mandarin and Cantonese
Good Health DayOn Good Health Day in both Chinatown and Flushing we presented a tri-fold board that
included information about glaucoma and eye care We had Mandarin and Cantonese speakers
available to facilitate the explanation of our project Our booth included a photo booth with
different props and our slogan ldquoI Care for Eye Carerdquo on the top We had two games in which
participants could win prizes In our ldquoEye Spyrdquo game we had two photos of the interns with
subtle differences between them If someone could spot five differences then they would win a
button In our ldquoEye Eat Healthyrdquo game participants were asked to choose three foods from a
9
bowl We would then explain which foods are healthy for the eyes and which foods are not
After participants played that game we gave them glasses wipes sunglasses and glasses repair
kits In addition we had an ldquoEye Pledgerdquo board where people could write what they would
promise to do to keep their eyes healthy We also had a raffle for participants to win t-shirts with
the slogan ldquoDonrsquot Cloud Your Visionrdquo To encourage kids to maintain healthy eye habits we
distributed original coloring sheets that depicted animals getting their eyes checked Visitors to
our booth were given a packet that included two booklets with information about glaucoma and
eye exams a customized sticker a wallet card and a bookmark Finally we created a Charles B
Wang Good Health Day Snapchat filter to promote the health fair
VideoBased on a conducted interview with a glaucoma patient a 5-minute short video was
created to share their experience We will feature their story by adding a voiceover to the video
We will focus on how getting treatment has positively impacted patientsrsquo health quality of life
and their loved ones By using special effects from Aftereffects we simulated the vision of a
glaucoma patient We hope to encourage viewers to seek help and get annual comprehensive eye
exams
This short film will supplement Charles B Wang Community Health Centerrsquos
educational materials to inform patients about eye care and address a pressing issue in the Asian
American community There will be a Chinese version with English subtitles of the video to
ensure that our video will reach a greater audience
10
IV RESULTS
Needs AssessmentWe administered a total of 52 needs assessment surveys at Columbus Park and Sara D
Roosevelt Park Through the surveys participantsrsquo demographic data were collected and
analyzed Approximately 90 of our needs assessment respondents were within our target age
range of 50 to 100 years old There were relatively more male respondents than female
respondents with 30 males and 22 females The majority of the respondents 45 out of the 52
indicated China as their birthplace while the remaining answered Hong Kong Taiwan United
States Vietnam or Malaysia
Figure 1 Age Distribution
11
Figure 2 Sex Distribution
Figure 3 Birthplace Distribution Responses to Survey Questions
The remaining questions were administered for us to gain an understanding of the
communityrsquos familiarity with glaucoma and healthy eye care habits Based on the responses of
the questions we concluded that a community health project on glaucoma and eye care should be
carried out for the Asian American community
12
Figure 4 Responses to Needs Assessment Question 1
Figure 4 illustrates that the majority of the respondents 44 people have a primary care
provider indicating that most community members are actively engaged in their personal health
and wellbeing Only 8 people responded that they do not have a primary care provider
Figure 5 Responses to Needs Assessment Question 2
As shown in Figure 5 there were 37 respondents who have a regular eye doctor and 14
people who do not One individual did not know whether or not he had an eye doctor
13
Figure 6 Responses to Needs Assessment Question 3Figure 6 shows that the majority of the community members frequently seek eye check-
ups throughout the year 15 respondents answered that they get eye check-ups at least once a
year while 16 respondents answered that they get several check-ups ndash twice or more in a year
Figure 7 Responses to Needs Assessment Question 4As shown in the graph above there were 29 out of 52 total respondents (558) who
never or only rarely wear sunglasses which demonstrates that most members of our target
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
6
diagnosed with glaucoma he or she is referred to a specialist for further treatment Glaucoma is
primarily treated through regular medications such as eye drops and surgery18
By 2030 the NEI projects that there will be a 58 percent increase approximately 48
million in the number of individuals with glaucoma19 Despite the appalling projection for
glaucoma many people are still unaware of the significance of protecting themselves from
glaucoma The general public lacks comprehension of the pathology of the disease and its viable
preventative eye care As glaucoma can be easily prevented and maintained through frequent eye
checkups it is necessary to inform the public about the available resources to protect against
glaucoma Preventative eye care is the first and foremost line of defense against glaucoma and
other eye diseases For summer 2016 Project AHEAD aims to educate and raise aware about
glaucoma in the local NYC Asian American senior population through available resources
III METHODS
18 Ibid19 Eye Disease Statistics NIH March 2014 accessed July 11 2016
7
Needs Assessment A survey was created to gauge the target communityrsquos knowledge of glaucoma and
general eye care Considering the limitations such as time and financial resources we decided to
carry out convenience sampling We divided ourselves into two different teams based on our
Chinese proficiency so that each team could have both Mandarin and Cantonese speakers The
needs assessment was administered on two different days at two separate locations The first
group which consisted of Chloe and Stella conducted the survey in Cantonese at Columbus
Park The second team which included Stephanie Hao and Xin conducted the survey in
Mandarin and Cantonese at Sara D Roosevelt Park
The needs assessment consisted of thirteen questions The first ten questions pertained to
the participantsrsquo knowledge of glaucoma and daily eye care habits The goal of questions 1 2
and 3 was to evaluate whether the participant had primary care or eye doctors that they visited
regularly The fourth question which asked how often participants wore sunglasses allowed us
to determine whether they took measures to protect their eyes The goal of Question 5 was to
conclude if respondents took the initiative to see their doctors after experiencing noticeable
changes in their vision By asking about each respondentrsquos daily screen time in Question 6 we
were able to assess whether most of them had healthy eye care habits Questions 7 9 and 10
asked about participantsrsquo and their familiesrsquo medical history which allowed us to understand
whether our target population is at a higher risk for glaucoma Question 8 was essential to assess
the populationrsquos knowledge about our projectrsquos topic The last three questions concentrated on
the demographics of each participant which included sex age and birthplace
Surveys were conducted anonymously to maintain confidentiality and to ensure
participantsrsquo level of comfort Collected data from the survey allowed us to understand the
8
community membersrsquo general knowledge about eye care and to assess the need for awareness on
glaucoma
Workshop 1 VNSNY Mott WorkshopOne workshop was held at a Chinatown senior center operated by the Visiting Nurse
Service of New York at Mott Street on August 8th Prior to starting the presentation a pre-
workshop assessment survey was completed by every attendee The one and half hour long
workshop was delivered in Cantonese It incorporated audience engagement in order to facilitate
interactive learning and reflection for the attending senior citizens The presentation provided a
basic overview of glaucoma the two most common types POAG and AACG were discussed
The difference in their pathophysiology and the resulting symptoms were explored Afterwards
we provided participants with culturally relevant dietary tips and eye care recommendations The
participants were asked to complete a post-workshop survey At the end of the workshop we
distributed eye healthy snacks
Workshop 2 BRC Senior Service Center WorkshopThe other workshop was held on August 12th at the BRC Senior Service Center The
content and proceedings were the same as those in the previous workshop However this
workshop was conducted in both Mandarin and Cantonese
Good Health DayOn Good Health Day in both Chinatown and Flushing we presented a tri-fold board that
included information about glaucoma and eye care We had Mandarin and Cantonese speakers
available to facilitate the explanation of our project Our booth included a photo booth with
different props and our slogan ldquoI Care for Eye Carerdquo on the top We had two games in which
participants could win prizes In our ldquoEye Spyrdquo game we had two photos of the interns with
subtle differences between them If someone could spot five differences then they would win a
button In our ldquoEye Eat Healthyrdquo game participants were asked to choose three foods from a
9
bowl We would then explain which foods are healthy for the eyes and which foods are not
After participants played that game we gave them glasses wipes sunglasses and glasses repair
kits In addition we had an ldquoEye Pledgerdquo board where people could write what they would
promise to do to keep their eyes healthy We also had a raffle for participants to win t-shirts with
the slogan ldquoDonrsquot Cloud Your Visionrdquo To encourage kids to maintain healthy eye habits we
distributed original coloring sheets that depicted animals getting their eyes checked Visitors to
our booth were given a packet that included two booklets with information about glaucoma and
eye exams a customized sticker a wallet card and a bookmark Finally we created a Charles B
Wang Good Health Day Snapchat filter to promote the health fair
VideoBased on a conducted interview with a glaucoma patient a 5-minute short video was
created to share their experience We will feature their story by adding a voiceover to the video
We will focus on how getting treatment has positively impacted patientsrsquo health quality of life
and their loved ones By using special effects from Aftereffects we simulated the vision of a
glaucoma patient We hope to encourage viewers to seek help and get annual comprehensive eye
exams
This short film will supplement Charles B Wang Community Health Centerrsquos
educational materials to inform patients about eye care and address a pressing issue in the Asian
American community There will be a Chinese version with English subtitles of the video to
ensure that our video will reach a greater audience
10
IV RESULTS
Needs AssessmentWe administered a total of 52 needs assessment surveys at Columbus Park and Sara D
Roosevelt Park Through the surveys participantsrsquo demographic data were collected and
analyzed Approximately 90 of our needs assessment respondents were within our target age
range of 50 to 100 years old There were relatively more male respondents than female
respondents with 30 males and 22 females The majority of the respondents 45 out of the 52
indicated China as their birthplace while the remaining answered Hong Kong Taiwan United
States Vietnam or Malaysia
Figure 1 Age Distribution
11
Figure 2 Sex Distribution
Figure 3 Birthplace Distribution Responses to Survey Questions
The remaining questions were administered for us to gain an understanding of the
communityrsquos familiarity with glaucoma and healthy eye care habits Based on the responses of
the questions we concluded that a community health project on glaucoma and eye care should be
carried out for the Asian American community
12
Figure 4 Responses to Needs Assessment Question 1
Figure 4 illustrates that the majority of the respondents 44 people have a primary care
provider indicating that most community members are actively engaged in their personal health
and wellbeing Only 8 people responded that they do not have a primary care provider
Figure 5 Responses to Needs Assessment Question 2
As shown in Figure 5 there were 37 respondents who have a regular eye doctor and 14
people who do not One individual did not know whether or not he had an eye doctor
13
Figure 6 Responses to Needs Assessment Question 3Figure 6 shows that the majority of the community members frequently seek eye check-
ups throughout the year 15 respondents answered that they get eye check-ups at least once a
year while 16 respondents answered that they get several check-ups ndash twice or more in a year
Figure 7 Responses to Needs Assessment Question 4As shown in the graph above there were 29 out of 52 total respondents (558) who
never or only rarely wear sunglasses which demonstrates that most members of our target
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
7
Needs Assessment A survey was created to gauge the target communityrsquos knowledge of glaucoma and
general eye care Considering the limitations such as time and financial resources we decided to
carry out convenience sampling We divided ourselves into two different teams based on our
Chinese proficiency so that each team could have both Mandarin and Cantonese speakers The
needs assessment was administered on two different days at two separate locations The first
group which consisted of Chloe and Stella conducted the survey in Cantonese at Columbus
Park The second team which included Stephanie Hao and Xin conducted the survey in
Mandarin and Cantonese at Sara D Roosevelt Park
The needs assessment consisted of thirteen questions The first ten questions pertained to
the participantsrsquo knowledge of glaucoma and daily eye care habits The goal of questions 1 2
and 3 was to evaluate whether the participant had primary care or eye doctors that they visited
regularly The fourth question which asked how often participants wore sunglasses allowed us
to determine whether they took measures to protect their eyes The goal of Question 5 was to
conclude if respondents took the initiative to see their doctors after experiencing noticeable
changes in their vision By asking about each respondentrsquos daily screen time in Question 6 we
were able to assess whether most of them had healthy eye care habits Questions 7 9 and 10
asked about participantsrsquo and their familiesrsquo medical history which allowed us to understand
whether our target population is at a higher risk for glaucoma Question 8 was essential to assess
the populationrsquos knowledge about our projectrsquos topic The last three questions concentrated on
the demographics of each participant which included sex age and birthplace
Surveys were conducted anonymously to maintain confidentiality and to ensure
participantsrsquo level of comfort Collected data from the survey allowed us to understand the
8
community membersrsquo general knowledge about eye care and to assess the need for awareness on
glaucoma
Workshop 1 VNSNY Mott WorkshopOne workshop was held at a Chinatown senior center operated by the Visiting Nurse
Service of New York at Mott Street on August 8th Prior to starting the presentation a pre-
workshop assessment survey was completed by every attendee The one and half hour long
workshop was delivered in Cantonese It incorporated audience engagement in order to facilitate
interactive learning and reflection for the attending senior citizens The presentation provided a
basic overview of glaucoma the two most common types POAG and AACG were discussed
The difference in their pathophysiology and the resulting symptoms were explored Afterwards
we provided participants with culturally relevant dietary tips and eye care recommendations The
participants were asked to complete a post-workshop survey At the end of the workshop we
distributed eye healthy snacks
Workshop 2 BRC Senior Service Center WorkshopThe other workshop was held on August 12th at the BRC Senior Service Center The
content and proceedings were the same as those in the previous workshop However this
workshop was conducted in both Mandarin and Cantonese
Good Health DayOn Good Health Day in both Chinatown and Flushing we presented a tri-fold board that
included information about glaucoma and eye care We had Mandarin and Cantonese speakers
available to facilitate the explanation of our project Our booth included a photo booth with
different props and our slogan ldquoI Care for Eye Carerdquo on the top We had two games in which
participants could win prizes In our ldquoEye Spyrdquo game we had two photos of the interns with
subtle differences between them If someone could spot five differences then they would win a
button In our ldquoEye Eat Healthyrdquo game participants were asked to choose three foods from a
9
bowl We would then explain which foods are healthy for the eyes and which foods are not
After participants played that game we gave them glasses wipes sunglasses and glasses repair
kits In addition we had an ldquoEye Pledgerdquo board where people could write what they would
promise to do to keep their eyes healthy We also had a raffle for participants to win t-shirts with
the slogan ldquoDonrsquot Cloud Your Visionrdquo To encourage kids to maintain healthy eye habits we
distributed original coloring sheets that depicted animals getting their eyes checked Visitors to
our booth were given a packet that included two booklets with information about glaucoma and
eye exams a customized sticker a wallet card and a bookmark Finally we created a Charles B
Wang Good Health Day Snapchat filter to promote the health fair
VideoBased on a conducted interview with a glaucoma patient a 5-minute short video was
created to share their experience We will feature their story by adding a voiceover to the video
We will focus on how getting treatment has positively impacted patientsrsquo health quality of life
and their loved ones By using special effects from Aftereffects we simulated the vision of a
glaucoma patient We hope to encourage viewers to seek help and get annual comprehensive eye
exams
This short film will supplement Charles B Wang Community Health Centerrsquos
educational materials to inform patients about eye care and address a pressing issue in the Asian
American community There will be a Chinese version with English subtitles of the video to
ensure that our video will reach a greater audience
10
IV RESULTS
Needs AssessmentWe administered a total of 52 needs assessment surveys at Columbus Park and Sara D
Roosevelt Park Through the surveys participantsrsquo demographic data were collected and
analyzed Approximately 90 of our needs assessment respondents were within our target age
range of 50 to 100 years old There were relatively more male respondents than female
respondents with 30 males and 22 females The majority of the respondents 45 out of the 52
indicated China as their birthplace while the remaining answered Hong Kong Taiwan United
States Vietnam or Malaysia
Figure 1 Age Distribution
11
Figure 2 Sex Distribution
Figure 3 Birthplace Distribution Responses to Survey Questions
The remaining questions were administered for us to gain an understanding of the
communityrsquos familiarity with glaucoma and healthy eye care habits Based on the responses of
the questions we concluded that a community health project on glaucoma and eye care should be
carried out for the Asian American community
12
Figure 4 Responses to Needs Assessment Question 1
Figure 4 illustrates that the majority of the respondents 44 people have a primary care
provider indicating that most community members are actively engaged in their personal health
and wellbeing Only 8 people responded that they do not have a primary care provider
Figure 5 Responses to Needs Assessment Question 2
As shown in Figure 5 there were 37 respondents who have a regular eye doctor and 14
people who do not One individual did not know whether or not he had an eye doctor
13
Figure 6 Responses to Needs Assessment Question 3Figure 6 shows that the majority of the community members frequently seek eye check-
ups throughout the year 15 respondents answered that they get eye check-ups at least once a
year while 16 respondents answered that they get several check-ups ndash twice or more in a year
Figure 7 Responses to Needs Assessment Question 4As shown in the graph above there were 29 out of 52 total respondents (558) who
never or only rarely wear sunglasses which demonstrates that most members of our target
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
8
community membersrsquo general knowledge about eye care and to assess the need for awareness on
glaucoma
Workshop 1 VNSNY Mott WorkshopOne workshop was held at a Chinatown senior center operated by the Visiting Nurse
Service of New York at Mott Street on August 8th Prior to starting the presentation a pre-
workshop assessment survey was completed by every attendee The one and half hour long
workshop was delivered in Cantonese It incorporated audience engagement in order to facilitate
interactive learning and reflection for the attending senior citizens The presentation provided a
basic overview of glaucoma the two most common types POAG and AACG were discussed
The difference in their pathophysiology and the resulting symptoms were explored Afterwards
we provided participants with culturally relevant dietary tips and eye care recommendations The
participants were asked to complete a post-workshop survey At the end of the workshop we
distributed eye healthy snacks
Workshop 2 BRC Senior Service Center WorkshopThe other workshop was held on August 12th at the BRC Senior Service Center The
content and proceedings were the same as those in the previous workshop However this
workshop was conducted in both Mandarin and Cantonese
Good Health DayOn Good Health Day in both Chinatown and Flushing we presented a tri-fold board that
included information about glaucoma and eye care We had Mandarin and Cantonese speakers
available to facilitate the explanation of our project Our booth included a photo booth with
different props and our slogan ldquoI Care for Eye Carerdquo on the top We had two games in which
participants could win prizes In our ldquoEye Spyrdquo game we had two photos of the interns with
subtle differences between them If someone could spot five differences then they would win a
button In our ldquoEye Eat Healthyrdquo game participants were asked to choose three foods from a
9
bowl We would then explain which foods are healthy for the eyes and which foods are not
After participants played that game we gave them glasses wipes sunglasses and glasses repair
kits In addition we had an ldquoEye Pledgerdquo board where people could write what they would
promise to do to keep their eyes healthy We also had a raffle for participants to win t-shirts with
the slogan ldquoDonrsquot Cloud Your Visionrdquo To encourage kids to maintain healthy eye habits we
distributed original coloring sheets that depicted animals getting their eyes checked Visitors to
our booth were given a packet that included two booklets with information about glaucoma and
eye exams a customized sticker a wallet card and a bookmark Finally we created a Charles B
Wang Good Health Day Snapchat filter to promote the health fair
VideoBased on a conducted interview with a glaucoma patient a 5-minute short video was
created to share their experience We will feature their story by adding a voiceover to the video
We will focus on how getting treatment has positively impacted patientsrsquo health quality of life
and their loved ones By using special effects from Aftereffects we simulated the vision of a
glaucoma patient We hope to encourage viewers to seek help and get annual comprehensive eye
exams
This short film will supplement Charles B Wang Community Health Centerrsquos
educational materials to inform patients about eye care and address a pressing issue in the Asian
American community There will be a Chinese version with English subtitles of the video to
ensure that our video will reach a greater audience
10
IV RESULTS
Needs AssessmentWe administered a total of 52 needs assessment surveys at Columbus Park and Sara D
Roosevelt Park Through the surveys participantsrsquo demographic data were collected and
analyzed Approximately 90 of our needs assessment respondents were within our target age
range of 50 to 100 years old There were relatively more male respondents than female
respondents with 30 males and 22 females The majority of the respondents 45 out of the 52
indicated China as their birthplace while the remaining answered Hong Kong Taiwan United
States Vietnam or Malaysia
Figure 1 Age Distribution
11
Figure 2 Sex Distribution
Figure 3 Birthplace Distribution Responses to Survey Questions
The remaining questions were administered for us to gain an understanding of the
communityrsquos familiarity with glaucoma and healthy eye care habits Based on the responses of
the questions we concluded that a community health project on glaucoma and eye care should be
carried out for the Asian American community
12
Figure 4 Responses to Needs Assessment Question 1
Figure 4 illustrates that the majority of the respondents 44 people have a primary care
provider indicating that most community members are actively engaged in their personal health
and wellbeing Only 8 people responded that they do not have a primary care provider
Figure 5 Responses to Needs Assessment Question 2
As shown in Figure 5 there were 37 respondents who have a regular eye doctor and 14
people who do not One individual did not know whether or not he had an eye doctor
13
Figure 6 Responses to Needs Assessment Question 3Figure 6 shows that the majority of the community members frequently seek eye check-
ups throughout the year 15 respondents answered that they get eye check-ups at least once a
year while 16 respondents answered that they get several check-ups ndash twice or more in a year
Figure 7 Responses to Needs Assessment Question 4As shown in the graph above there were 29 out of 52 total respondents (558) who
never or only rarely wear sunglasses which demonstrates that most members of our target
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
9
bowl We would then explain which foods are healthy for the eyes and which foods are not
After participants played that game we gave them glasses wipes sunglasses and glasses repair
kits In addition we had an ldquoEye Pledgerdquo board where people could write what they would
promise to do to keep their eyes healthy We also had a raffle for participants to win t-shirts with
the slogan ldquoDonrsquot Cloud Your Visionrdquo To encourage kids to maintain healthy eye habits we
distributed original coloring sheets that depicted animals getting their eyes checked Visitors to
our booth were given a packet that included two booklets with information about glaucoma and
eye exams a customized sticker a wallet card and a bookmark Finally we created a Charles B
Wang Good Health Day Snapchat filter to promote the health fair
VideoBased on a conducted interview with a glaucoma patient a 5-minute short video was
created to share their experience We will feature their story by adding a voiceover to the video
We will focus on how getting treatment has positively impacted patientsrsquo health quality of life
and their loved ones By using special effects from Aftereffects we simulated the vision of a
glaucoma patient We hope to encourage viewers to seek help and get annual comprehensive eye
exams
This short film will supplement Charles B Wang Community Health Centerrsquos
educational materials to inform patients about eye care and address a pressing issue in the Asian
American community There will be a Chinese version with English subtitles of the video to
ensure that our video will reach a greater audience
10
IV RESULTS
Needs AssessmentWe administered a total of 52 needs assessment surveys at Columbus Park and Sara D
Roosevelt Park Through the surveys participantsrsquo demographic data were collected and
analyzed Approximately 90 of our needs assessment respondents were within our target age
range of 50 to 100 years old There were relatively more male respondents than female
respondents with 30 males and 22 females The majority of the respondents 45 out of the 52
indicated China as their birthplace while the remaining answered Hong Kong Taiwan United
States Vietnam or Malaysia
Figure 1 Age Distribution
11
Figure 2 Sex Distribution
Figure 3 Birthplace Distribution Responses to Survey Questions
The remaining questions were administered for us to gain an understanding of the
communityrsquos familiarity with glaucoma and healthy eye care habits Based on the responses of
the questions we concluded that a community health project on glaucoma and eye care should be
carried out for the Asian American community
12
Figure 4 Responses to Needs Assessment Question 1
Figure 4 illustrates that the majority of the respondents 44 people have a primary care
provider indicating that most community members are actively engaged in their personal health
and wellbeing Only 8 people responded that they do not have a primary care provider
Figure 5 Responses to Needs Assessment Question 2
As shown in Figure 5 there were 37 respondents who have a regular eye doctor and 14
people who do not One individual did not know whether or not he had an eye doctor
13
Figure 6 Responses to Needs Assessment Question 3Figure 6 shows that the majority of the community members frequently seek eye check-
ups throughout the year 15 respondents answered that they get eye check-ups at least once a
year while 16 respondents answered that they get several check-ups ndash twice or more in a year
Figure 7 Responses to Needs Assessment Question 4As shown in the graph above there were 29 out of 52 total respondents (558) who
never or only rarely wear sunglasses which demonstrates that most members of our target
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
10
IV RESULTS
Needs AssessmentWe administered a total of 52 needs assessment surveys at Columbus Park and Sara D
Roosevelt Park Through the surveys participantsrsquo demographic data were collected and
analyzed Approximately 90 of our needs assessment respondents were within our target age
range of 50 to 100 years old There were relatively more male respondents than female
respondents with 30 males and 22 females The majority of the respondents 45 out of the 52
indicated China as their birthplace while the remaining answered Hong Kong Taiwan United
States Vietnam or Malaysia
Figure 1 Age Distribution
11
Figure 2 Sex Distribution
Figure 3 Birthplace Distribution Responses to Survey Questions
The remaining questions were administered for us to gain an understanding of the
communityrsquos familiarity with glaucoma and healthy eye care habits Based on the responses of
the questions we concluded that a community health project on glaucoma and eye care should be
carried out for the Asian American community
12
Figure 4 Responses to Needs Assessment Question 1
Figure 4 illustrates that the majority of the respondents 44 people have a primary care
provider indicating that most community members are actively engaged in their personal health
and wellbeing Only 8 people responded that they do not have a primary care provider
Figure 5 Responses to Needs Assessment Question 2
As shown in Figure 5 there were 37 respondents who have a regular eye doctor and 14
people who do not One individual did not know whether or not he had an eye doctor
13
Figure 6 Responses to Needs Assessment Question 3Figure 6 shows that the majority of the community members frequently seek eye check-
ups throughout the year 15 respondents answered that they get eye check-ups at least once a
year while 16 respondents answered that they get several check-ups ndash twice or more in a year
Figure 7 Responses to Needs Assessment Question 4As shown in the graph above there were 29 out of 52 total respondents (558) who
never or only rarely wear sunglasses which demonstrates that most members of our target
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
11
Figure 2 Sex Distribution
Figure 3 Birthplace Distribution Responses to Survey Questions
The remaining questions were administered for us to gain an understanding of the
communityrsquos familiarity with glaucoma and healthy eye care habits Based on the responses of
the questions we concluded that a community health project on glaucoma and eye care should be
carried out for the Asian American community
12
Figure 4 Responses to Needs Assessment Question 1
Figure 4 illustrates that the majority of the respondents 44 people have a primary care
provider indicating that most community members are actively engaged in their personal health
and wellbeing Only 8 people responded that they do not have a primary care provider
Figure 5 Responses to Needs Assessment Question 2
As shown in Figure 5 there were 37 respondents who have a regular eye doctor and 14
people who do not One individual did not know whether or not he had an eye doctor
13
Figure 6 Responses to Needs Assessment Question 3Figure 6 shows that the majority of the community members frequently seek eye check-
ups throughout the year 15 respondents answered that they get eye check-ups at least once a
year while 16 respondents answered that they get several check-ups ndash twice or more in a year
Figure 7 Responses to Needs Assessment Question 4As shown in the graph above there were 29 out of 52 total respondents (558) who
never or only rarely wear sunglasses which demonstrates that most members of our target
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
12
Figure 4 Responses to Needs Assessment Question 1
Figure 4 illustrates that the majority of the respondents 44 people have a primary care
provider indicating that most community members are actively engaged in their personal health
and wellbeing Only 8 people responded that they do not have a primary care provider
Figure 5 Responses to Needs Assessment Question 2
As shown in Figure 5 there were 37 respondents who have a regular eye doctor and 14
people who do not One individual did not know whether or not he had an eye doctor
13
Figure 6 Responses to Needs Assessment Question 3Figure 6 shows that the majority of the community members frequently seek eye check-
ups throughout the year 15 respondents answered that they get eye check-ups at least once a
year while 16 respondents answered that they get several check-ups ndash twice or more in a year
Figure 7 Responses to Needs Assessment Question 4As shown in the graph above there were 29 out of 52 total respondents (558) who
never or only rarely wear sunglasses which demonstrates that most members of our target
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
13
Figure 6 Responses to Needs Assessment Question 3Figure 6 shows that the majority of the community members frequently seek eye check-
ups throughout the year 15 respondents answered that they get eye check-ups at least once a
year while 16 respondents answered that they get several check-ups ndash twice or more in a year
Figure 7 Responses to Needs Assessment Question 4As shown in the graph above there were 29 out of 52 total respondents (558) who
never or only rarely wear sunglasses which demonstrates that most members of our target
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
14
population are not taking measures to protect their eyes when they go outside Only 11
respondents often or always wear sunglasses
Figure 8 Responses to Needs Assessment Question 5The majority of the respondents to this two-part question did not experience a change in
their vision However out of the 19 participants who did notice a vision change 12 visited a
medical professional to address the issue This shows that some members of our target
population pay attention to their wellbeing 7 out of 19 participants (368) did not see a doctor
for their changes in vision
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
15
Figure 9 Responses to Needs Assessment Question 6Based on the data collected for Question 6 the majority of the respondents
approximately 54 percent stated that they spend 1 to 2 hours looking at electronic screens such
as television and cell phones
Figure 10 Responses to Needs Assessment Question 7
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
16
Figure 11 Responses to Needs Assessment Question The seventh question of our needs assessment aimed to determine whether respondents
wore glasses and if so why they wore them 807 of the respondents (42 out of 52) wore
glasses and 36 of the 42 used them for aging conditions A significant risk factor for glaucoma is
old age so it was important to know that most respondentsrsquo eyes were already affected by aging
conditions
Figure 12 Responses to Needs Assessment Question 8
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
17
Data collected for Question 8 shows that 31 respondents about 60 percent have heard of
glaucoma while the rest of the respondents have never heard of glaucoma before
Figure 13 Responses for Needs Assessment Question 9Figure 13 shows that the majority of the respondents and their family do not have
farsightedness with the exception of 5 respondents and 6 families
Figure 14 Responses to Needs Assessment Question 9bIt is apparent that nearsightedness affects either directly or indirectly a great portion of
our surveyed participants
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
18
Figure 15 Responses to Needs Assessment Question 9cIt is shown that more than 15 percent of our survey participants have glaucoma and
almost 6 percent have family members affected by glaucoma
Figure 16 Responses to Needs Assessment Question 9dMore than 30 percent of the survey participants are directly affected by cataracts Studies
have shown that early cataract surgeries can help with managing glaucoma and lowers
intraocular pressure
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
19
Figure 17 Responses to Needs Assessment Question 9eOnly one of the surveyed participants has macular degeneration This accounts for
approximately two percent of our sample population Many people have never heard of the
disease and lack the understanding for the importance of eye care
Figure 18 Responses to Needs Assessment Question 9f44 percent of the respondents complained about dry eyes Though dry eyes is not a
serious eye condition and not a risk factor for glaucoma its prevalence calls for a greater
awareness for eye care
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
20
Figure 19 Responses to Needs Assessment to Question 9gAs shown in Figure 19 13 respondents which is 25 percent of the sample have had eye
surgeries This is significant because many surgical procedures on the eye eye injuries and
infections increase the chance of getting glaucoma
Figure 20 Responses to Needs Assessment Question 9h
None of our respondents have loss of vision
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
21
Figure 21 Responses to Needs Assessment Question 10 The majority of the respondents and their family members did not have diabetes which is
a risk factor for glaucoma These results were different from we expected as Asian Americans
are very susceptible to diabetes but it is likely that our survey population was not big enough
WorkshopThe workshops were facilitated for a total of 81 senior citizens However due to late
arrivals and other circumstances not all participants were surveyed In the end a total of 70 pre
and post workshop surveys were obtained of which 42 were from the VNSNY workshop and 28
were from the BRC Senior Service Center Workshop Bar graphs for each workshop were
created to show the results and the effectiveness of the workshop in educating the senior citizens
An additional bar graph was created to compare the before and after result of each pre- and post-
workshop question Also a bar graph with the pooled results was established to make ease for
pre- and post- workshop comparison
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
22
Codebook for Workshop Survey
Code Statements Correct Answers
SYMP There are always signs and symptoms of glaucoma
F
RISK Asians are at higher risk for angle-closure glaucoma
T
FACT Diabetes HBP heart disease and old age can put you at higher risk for glaucoma
T
GLAS Only people who wear glasses are at risk for glaucoma
F
HURT You dont need to see an eye doctor unless your eye hurts
F
EXAM If you are age 61 or older you need eye exams every year
T
CURE Glaucoma is curable F
TREA Eye drops pills laser treatment and surgery are treatment options for glaucoma
T
FOOD Eating citrus fruits nuts and fish can help maintain healthy eyes
T
ELEC It is okay to look at an electronic screen for more than an hour at a time
F
INFM The speakers were informative
CLR The speakers were clear in presenting the information
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
23
ACTV I liked the activities
MORE I now have more information about glaucoma and eye care
VNSNY Mott Workshop
The pre and post workshop survey questions were the same for both workshops The
questions are in the form of true or false statements
Figure 22 Responses to Pre and Post-Workshop Survey Question 1 Question 1 asks whether glaucoma always has symptoms The correct answer is false but
28 respondents thought the statement was true in the pre-workshop survey After the workshop
there was an increase in the number of people who answered true
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
24
Figure 23Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop most respondents were either
unsure or incorrectly answered ldquofalserdquo However the post-workshop surveys showed a
significant improvement in correct answers with only one person responding incorrectly
Figure 24 Responses to Pre and Post-Workshop Survey Question 3Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma Most people thought that the statement was true in the pre-workshop survey with
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
25
only 5 respondents being unsure After the workshop was conducted all of the attending senior
citizens believed the statement to be true which is correct
Figure 25 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma The correct
answer was ldquofalserdquo Most people thought that the statement was false in the pre- and post-
workshop survey Fewer people were unsure after the response
Figure 26 Responses to Pre and Post-Workshop Survey Question 5
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
26
Question 5 states that you only need to see an eye doctor if your eye hurts Most people
thought that the statement was false in the pre- and post-workshop survey which was the correct
answer No one incorrectly answered ldquotruerdquo after our workshop
Figure 27 Responses to Pre and Post-Workshop Survey Question 6Question 6 states that you need to see an eye doctor every year if you are at least 61 years
old Most people correctly thought that the statement was true in the pre and post-workshop
survey
Figure 28 Responses to Pre and Post-Workshop Survey Question 7
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
27
The statement for this question states that there is a cure for glaucoma 28 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number increased to 32 This parallel increase can also be observed with the ldquofalserdquo option
which went from 4 to 6 12 people were unsure before the workshop This number was reduced
to 4 after the workshop
Figure 29 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for glaucoma Prior to the workshop 39 people believed this statement to be true and the
remaining 5 respondents were unsure After the workshop all of the 42 attending senior citizens
felt that this statement is true which is correct
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
28
Figure 30 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 7 individuals many of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop all 42 of the senior citizens were able to answer the question correctly This result
demonstrates that our presentation of the curriculum was effective and informative
Figure 31Responses to Pre-Workshop and Post-Workshop Survey Question 10
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
29
The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was ldquofalserdquo After the workshop there were no more
unsure answers and fewer people incorrectly answered ldquotruerdquo
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-SurveysThe responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed in the graph above There was an
increase in the correct response rate for most of the questions However this increase did not
occur for question one which stayed constant at 2 percent Despite an increase for question 7
the correct response rate remained at a relatively low level of 14
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
30
BRC Senior Service Center Workshop
Figure 33 Responses for Pre-Workshop and Post-Workshop Survey Question 1Question 1 remained the same as the question in the surveys for the first workshop at
VNSNY Mott Street Senior Center The majority of the participants 12 answered true for the
statement ldquoThere are always signs and symptoms of glaucomardquo which is incorrect 10 of the
participants were unsure of the statement We expected there to be a positive change in the
responses with more people selecting the correct response However there was no
improvement four more people chose true and only nine people chose false The results suggest
that either the senior citizens were confused by the statement or we did not adequately deliver the
information in an easy to understand manner
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
31
Figure 34Responses to Pre and Post-Workshop Survey Question 2The statement posed to the respondent was ldquoAsian Americans are at a higher risk for
AACGrdquo The correct answer was true Before our workshop 16 respondents were unsure 9
answered ldquotruerdquo The post-workshop surveys showed improvement 16 respondents answered
correctly However the number of incorrect respondents also increased from 1 to 3 The number
of unsure responses declined from 16 to 9
Figure 35 Responses to Pre and Post-Workshop Survey Question 3
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
32
Question 3 states that old age diabetes and heart disease can increase the risk for
glaucoma 16 people thought that the statement was true in the pre-workshop survey with only 5
respondents unsure After the workshop was conducted all of the attending senior citizens chose
the correct statement true
Figure 36 Responses to Pre and Post-Workshop Survey Question 4Question 4 states that only people who wear glasses are at risk for glaucoma Both before
and after the workshop many people were unsure whether this statement is true In fact the
response rate for ldquounsurerdquo remained at 9 The correct response false increased from 11 to 15
people The incorrect response rate decreased from 6 to 4
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
33
Figure 37 Responses to Pre and Post-Workshop Survey Question 5Question 5 states that you only need to see an eye doctor if your eye hurts 12 people
thought that the statement is true 13 people believed the statement to be false One person was
unsure After the workshop 19 people believed that the statement is false Two people were
unsure and the remaining people answered ldquotruerdquo
Figure 38 Responses for Pre- and Post- Workshop Survey Question 9 In both the pre- and post- workshop surveys the majority of the participants chose the
correct answer true for statement 9 There was a slight increase in the number of correct
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
34
responses from 24 to 27 which shows that our workshop reinforced the concept of getting an
annual comprehensive eye exam particularly if one is 61 years old and above
Figure 39 Responses for Pre- and Post- Workshop Survey Question 7The statement for this question says that there is a cure for glaucoma 16 people thought
that the statement was true in the pre-workshop survey After the workshop was carried out this
number remained the same The response rate for ldquofalserdquo increased from 3 to 8 The response
rate for ldquounsurerdquo declined from 7 to 4
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
35
Figure 40 Responses to Pre-Workshop and Post-Workshop Survey Question 8This question states that eye drops pills laser treatment and surgery are treatment
options for controlling glaucoma Prior to the workshop 21 people believed this statement to be
true three people believed it to be false and two people felt unsure After the workshop the
response rate for ldquotruerdquo increased to 25 The remaining three respondents answered ldquounsurerdquo
The correct response is ldquotruerdquo
Figure 41 Responses to Pre-Workshop and Post-Workshop Survey Question 9Question 9 of the workshop survey asked our participants whether it is true or false that
eating citrus fruits nuts and fish can help maintain healthy eyes The correct response is ldquotruerdquo
Prior to our workshop with the exception of 5 individuals all of the senior citizens answered
correctly that consuming these foods can help maintain and improve their eyes After our
workshop only two respondents did not answer correctly
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
36
Figure 42Responses to Pre-Workshop and Post-Workshop Survey Question 10The question stated that it is fine to look at an electronic screen for more than one hour at
a time The correct answer to this question was false 17 people answered true while 6 people
answered false The remaining three respondents answered unsure After the workshop the
response rate for false increased to 10 The number of people who answered true decreased to
10 8 people were unsure after the workshop
Figure 32 Correct Response Rate for Workshop Onersquos Pre- and Post-Surveys
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
37
The responses for the pre and post workshop were tallied The number of correct
responses was converted to percentages and is displayed by the graph above There was an
increase in the correct response rate for all of the questions
Data Discrepancies
On August 8th 2016 we conducted our first workshop where we distributed pre- and
post-workshop surveys containing ten questions to assess the audiencersquos knowledge about
glaucoma In the pre-workshop survey we noticed irregularities in the first and seventh
questions The first question asked if there were always signs and symptoms of glaucoma and
only 23 responded false which was the correct answer 636 of those that attended answered
true incorrectly and 341 were unsure of the answer Similarly for question seven we asked if
glaucoma was treatable and only 91 answered false whereas 636 answered true and 273
were unsure of the answer These two questions received the most incorrect responses and
should have been addressed better during the workshop but the post-workshop survey showed
no improvement in results For the first question 952 answered incorrectly and for question
seven 762 answered incorrectly There was actually an increase in wrong answers which
indicated that our workshop was not effective in explaining the treatability and symptoms of the
eye disease
On August 12th 2016 we conducted our second workshop with pre- and post-workshop
surveys The pre-workshop surveys showed similar results to the first workshop with 426
answered incorrectly and 357 unsure of the answer for question one Question 7 received
571 incorrect answers and 25 unsure answers The post-workshop however showed slight
improvement with 3214 answering correctly instead of 143 in the pre survey for the first
question Also for question seven 286 of the audience answered correctly as opposed to the
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
38
107 in the pre-survey While there is an improvement in responses from workshop one to
workshop two overall the majority still answered inaccurately meaning either the question was
poorly written or we were not educating the seniors well enough
V DISCUSSIONS
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
39
Needs AssessmentDespite the needs assessmentrsquos limited sample size it was an effective means to
understand the communityrsquos level of knowledge about glaucoma and healthy eye care habits
The results of the various questions in the survey influenced our decision to focus on glaucoma
and healthy eye care as our main topics for this yearrsquos community health project
For instance the results of Question 2 showed that most participants have a regular eye
doctor with the exception of a few participants Although we acknowledge that our recorded data
for the survey does not represent the entire Chinatown community we were concerned by the
relatively high percentage of respondents who did not have a regular eye doctor 29 percent
Since Asian Americans are more at risk for AACG it is important for community members to
have an accessible eye doctor where they can seek medical treatment for their eye conditions and
regular checkups The data from this question suggests that there is a significant proportion of
the NYC Asian American community who do not have a regular eye doctor to receive periodic
screenings for eye diseases Furthermore data from Question 3 illustrates that most community
members are aware of taking preventative measures through eye-checkups to protect their
eyesight However we noted that there were a total of 14 respondents who answered that they
ldquodonrsquot knowrdquo or ldquovery rarely to neverrdquo get eye check-ups which corresponds to the number of
individuals in Question 2 who do not have a regular eye doctor Through Question 5b we also
surveyed the participants to see whether they have sought medical assistance for a recent vision
change There was a relatively high percentage of individuals who did not see a doctor for their
vision change approximately 37 percent which suggested that a significant proportion of our
population still does not actively step forward to address their health Taking results from
Questions 2 3 and 5 into consideration we decided that it is necessary to encourage the local
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
40
community to get a comprehensive eye check-up and to screen for glaucoma and other eye
diseases at our workshops and Good Health Days
In addition we had several survey questions that specifically support our decision to
implement informational workshops and booths about glaucoma and good eye care habits The
results of both Questions 4 and 7 suggested that many of the community members are not
knowledgeable about the importance of wearing sunglasses and the appropriate amount of daily
screen time thus we concluded that it would be beneficial to inform members about healthy eye
care habits
Moreover the survey had questions that assessed whether our target population is more
prone to glaucoma The data from Question 9 showed that most of the senior citizens had
nearsightedness glaucoma or cataracts which are all risk factors for developing glaucoma
From this observation we came to a conclusion that we need to inform people about these risk
factors and to prevent against glaucoma Likewise Question 10 asked whether the participants or
their family have or had diabetes which is another prominent risk factor for glaucoma Since
people of Asian descent are susceptible to diabetes we expected there to be higher rates While
we assumed that there would be a direct correlation between the number of individuals with
diabetes and glaucoma our data did not show this trend Despite this we still think that it is
necessary to educate people about the increased possibility of developing glaucoma when one
has diabetes
Lastly the result of Question 8 was essential to our community health project Although
the majority of people have heard of glaucoma it is important to note that many of them did not
know the specifics of the eye diseases such as its cause risk factors available treatments and
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
41
preventative measures Therefore we strongly reaffirm that a health project specifically on
glaucoma and eye care would be helpful to the local community
WorkshopBoth workshops that we hosted were very successful The first workshop was held in
only Cantonese and the second workshop was held in Cantonese and Mandarin We had a larger
turnout than we expected at the workshops which presented multiple challenges
At the first workshop three interns went to present and one intern went to help facilitate
There were 44 participants when we had planned on only having around 20-30 participants We
had enough packets and surveys but not enough food for everyone During the workshop
volunteers from the senior center went out and bought more food At the beginning of the
workshop there may have been some confusion about the pre-surveys because we instructed the
seniors to complete them as Eileen was giving an introduction We arrived later than expected to
the workshop Due to the time constraints the head of the senior center took over at the end of
the workshop Therefore we were unable to go over all of the answers to the post-survey A few
people also left during the workshop so we had fewer post-surveys
We were better prepared for the second workshop Bags with our educational materials
were all assembled prior to our arrival Six interns went to the workshop instead of four We
arrived early and were able to use the senior centerrsquos kitchen to plate our food Then we began
to pass around the sign-in sheet and facilitate the pre-survey When the presentation began we
discovered that our audience spoke both Cantonese and Mandarin Fortunately we were able to
deliver the presentation in both dialects One of the challenges we faced was that many seniors
that arrived to the workshop late and thus they were unable to fill out a pre-survey Some of the
seniors also did not fill out the pre- or post- surveys as we noticed that 36 people signed in but
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
42
we only had around 28 surveys There were also a few Fujianese speakers so it was difficult to
communicate
To evaluate the effectiveness of our workshops we analyzed the data from our pre- and
post-workshop surveys A scoring system was used to analyze the average improvement before
and after the workshops Each correct answer was worth one point for a total of ten possible
points Unsure answers were not given any weight As shown by the charts below there were
significant increases in the average scores between the pre- and post-surveys for both workshops
indicating that participants answered more questions correctly after hearing our presentation
Thus we can conclude that our workshop was effective in teaching the attendees about eye care
and glaucoma
Workshop 1 ndash Average ScorePre-Workshop 611Post-Workshop 755
Figure 33 Workshop 1 Pre- and Post-Survey Average Scores
There was an increase of 144 between the pre- and post- workshop surveys which
indicates that more questions were answered correctly by participants
Workshop 2 ndash Average ScorePre-Workshop 492Post-Workshop 657
Figure 34 Workshop 2 Pre- and Post-Survey Average Scores
There was an increase of 165 between the pre- and post- workshop surveys which indicates that
more questions were answered correctly by participants
Both workshops were good learning experiences and the data for the pre and post
workshop surveys demonstrate the seniorrsquos increased knowledge of glaucoma and eye care We
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
43
enjoyed interacting with the seniors and believe that the workshops were a great way to promote
eye care and glaucoma awareness
Good Health DayChinatown GHDAt the Chinatown Good Health Day we were able to communicate well with our
Cantonese and Mandarin-speaking audience We engaged our audiences by having them play
games in order to win prizes In the ldquoEye Eat Healthyrdquo game we explained the foods they
should eat more of by enticing them with sunglasses eyeglass wipes and eyeglass toolkits
People were also receptive when playing the ldquoEye Spyrdquo game The ldquoEye Spyrdquo game was easier
to explain than the trifold or the fruit game so those of us who spoke broken Cantonese and
Mandarin were able to facilitate it After that game we let the participant choose one of seven
button designs The Health Education packets were helpful in our goal to spread awareness about
eye care and getting onersquos eyes checked If someone did not want to stop and speak to us we
could easily hand them a packet
We struggled to get people to sign our ldquoEye Pledgerdquo board because we did not have
enough people to facilitate all of the activities Many of us were working hard to distribute the
giveaways explain our tri-fold board and explain our games so there was no one to encourage
people to sign our board We had also hoped to get more people to take pictures with our photo
booth We think that because of the other activities we had the photo booth was not as
prominent Additionally we had a raffle for our t-shirts We had people stick their hand in a box
and pull out a strip of paper If the paper had ldquoYou Wonrdquo on it then they got a t-shirt If it did
not then we gave them stickers and a pencil The raffle worked for the most part except for a
few instances where people argued with us over getting the free t-shirt Also there were not
enough winners in Chinatown so we had some extra shirts for Flushing Finally we worked very
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
44
hard on our Snapchat geofilter design but due to some miscommunication we bought the filter
for the wrong area
At the Chinatown GHD we were able to learn how to deal with people who just wanted
to get our giveaways and not listen to what our project was about We were very insistent that
they had to play at least one game before getting any of the prizes
Flushing GHDThe Flushing Good Health Day was smaller and more manageable We had more
Mandarin speakers in the group so more of us could communicate with more people We
encountered some trouble early because we had forgotten the ldquoEye Spyrdquo game some of our
props for the photo booth and our Snapchat sign We made a new Snapchat sign and decided not
to use any of our props Instead of giving out buttons for the ldquoEye Spyrdquo game we gave out
buttons when people signed our ldquoEye Pledgerdquo board We were able to get a lot more people to
sign the board An optometrist was also administering free vision screenings on the 5th floor of
CBWCHC so we were able to refer people upstairs
A little more than halfway through the day we realized that we had too many giveaways
left In order to get our message out further we began to target all the children and give them
buttons and coloring sheets Our interns also blew bubbles which the children really enjoyed
Many of the kids put on the buttons right away and wore them around the health fair We also
brought our raffle around the health fair to hand out more T-shirts At the end of the day we
went around giving out our leftover giveaways bookmarks and wallet cards
During the day we did not encounter too many problems except for one man who kept
coming back to our booth We had trouble getting him to leave especially since Michelle had
gone home sick He kept asking for more sunglasses and the t-shirts even though he did not win
the raffle
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
45
VideoThe goal of our video was to show what it is like to live with glaucoma We wanted to
highlight what life is like before and after developing the disease and after treatment
Filming and editing were facilitated entirely by this yearrsquos Project AHEAD interns We
interviewed a family member with glaucoma and wrote a video script based on her answers We
recorded her voice as the voice-over of the video We added English and Chinese subtitles in
order to reach a wider audience Chinese translations were edited by staff members of the health
education department
We hope that our video will have a long-lasting impact as accessible resources for the
health center and community members The video will be posted on the health centersrsquo YouTube
channel and will be further promoted through Facebook posts and other social media platforms
to reach out to more viewers
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
46
VI LIMITATIONS
Need Assessment
We had multiple challenges when conducting our needs assessment One challenge was
the number of times that we could go and conduct surveys We were only able to go out twice
and both times were very hot We also only surveyed in two locations so the needs assessment
probably did not cover enough people When we administered the survey many people were not
interested in participating as there was no real incentive for people to take the survey We were
giving out CBWCHC pens and pamphlets when a better incentive may have encouraged more
people to participate Finally we would have been able to conduct more surveys if we had more
Cantonese-speaking interns
Workshop
One limitation we faced was time As the workshop was only 15 hours we did not have
enough time to go in depth about glaucoma and preventative eye care Some of the presentation
was a bit rushed There were a few seniors that were illiterate and needed help filling out both
the pre and post surveys and there was not enough time for the interns to fully explain the whole
survey In addition many of the seniors arrived late and thus did not complete the pre-workshop
survey There was also a language barrier While we could communicate with those who spoke
English Mandarin and Cantonese we could not communicate our message to the few Fujianese
speakers who came to the workshop
Video
When we started filming we encountered several limitations First we had no more
money in our budget to allocate for this video Therefore we were unable to purchase better
filming equipment which proved to be a significant constraint for us Our footage ended up
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
47
being shakier so most of our filming had to be done standing still We were also limited in time
and experience Because we were focused on completing our Good Health Day and workshop
materials we did not begin working on our video until the last two weeks of the internship and
we underestimated the amount of time it would take to film and edit it Furthermore most of us
did not have experience with editing software which left only one intern to finalize the video
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
48
VII RECOMMENDATIONS
While we completed all of our required proposals and presentations on time we
recommend for the next Project AHEAD class to be more aware of deadlines We were rushed
in the completion of our proposal and final paper We found that making weekly and daily to-do
lists as well as assigning people tasks were very helpful Additionally it took an average of one
to two weeks for all print materials to be reviewed by Health Education We sometimes felt
pressed for time because we were waiting for the reviewal process to be completed Future
interns should make all print materials during the earlier half of the internship and begin writing
their tri-fold board earlier Also if next yearrsquos interns are fluent in Chinese translating the
materials to Chinese before sending it to be reviewed can speed up the final review process Our
reviewal process was further delayed because there were no optometrists or ophthalmologists on
site for clinical review We had to find an outside resource that would look at our materials
Although everything worked out for us future groups may want to make sure that there is a
doctor who can review their materials
Furthermore we were given a $750 budget and we spent about $13 dollars over We
recommend that next yearrsquos Project AHEAD group make sure to set aside around $100 for
unforeseen expenses We did not expect so many people to show up at our workshops and
needed to buy extra food We also spent more money than necessary because we bought the
wrong kind of button Thankfully Virginia was able to give us the correct button machine If
future groups buy buttons be sure to buy them from Neil Enterprises Additionally we were
required to laminate our writing on the tri-fold board and had hoped to laminate a few other
props Health Ed only provided so much lamination slips and we did not have enough money to
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
49
buy more Make sure to ask if Health Education can print certain materials for you instead of
spending money on printing from an outside vendor
The internship goes by very quickly and at times can be stressful At the beginning of the
internship many of us believed that we would have to stay late or work from home We realized
that much of the work can be completed during work hours and if we procrastinated less we
could finish all the work we wanted to do Some of us did work after hours but it is not
necessary The Project AHEAD group has people with many talents so make sure everyone
knows the skills that each member has
Lastly the room that you work in is very cold so bring a sweater leggings or sweatpants
Also bring in food to keep morale up especially when working long hours on the presentations
or proposal (we recommend Ferrero Rocher and cake)
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
50
VIII LIMITATIONS
Asian Americans are genetically more susceptible to certain eye issues including closed-
angle glaucoma and myopia Additionally Asian Americans are more prone to diabetes a health
issue that can lead to eye problems By conducting the needs assessment we were able to
examine exactly how eye issues affect the Asian American community in Chinatown and cater
our material to most benefit the community
The main goal of our project was to inform and educate people about the importance of
visiting the eye doctor and the effects that glaucoma can have on the eyes We were able to
accomplish our goal through the ldquoYour Vision Your Decisionrdquo workshops that we delivered to
two senior centers The workshops enabled us to interact with community members on a more
personal level We gathered valuable statistics though our pre and post workshop surveys that we
believe can contribute to the existing statistics about Asian Americans and glaucoma We had a
successful Good Health Day where we were able to spread our message of the importance of eye
check-ups by holding many one-on-one interactions with our community members In addition
we were able to reach a greater audience through the distribution of booklets with glaucoma and
eye check-up information stickers buttons coloring pages bookmarks and wallet cards More
importantly we have garnered positive feedback from our target community We successfully
achieved our goal and left behind sustainable and accessible resources for the future It is our
wish that these materials can be used not only by the Asian American community but also the
health care community
During this brief period of eight weeks we have learned invaluable lessons from our
speakers mentors doctors other healthcare professionals and each other What we have learned
in this internship will serve as a strong foundation onto which we can further advance our
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
51
careers Project AHEAD is an important milestone in each of our journeys We are sincerely
grateful for all the time effort and resources that were invested into us We are honored and
humbled by the opportunity to serve the Asian American community in NYC
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
52
VIIII ACKNOWLEDGEMENTS
Project AHEAD 2016 would like to express our sincerest appreciation to all of the guest
speakers and staff at the Charles B Wang Community Health Center Our project would not
have been possible without your support Thank you for giving us the opportunity to participate
in this internship
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
53
X REFERENCES
About Glaucoma - Asia-Pacific Glaucoma Society (APGS) Asia-Pacific Glaucoma Society
(APGS) accessed July 12 2016 httpwwwapglaucomasocietyorgeducationabout-
glaucoma
Chou Brian OD Addressing the Myopia Epidemic with Asian American Parents
Multicultural Blog August 1 2012 Accessed July 12 2016
Don Detmer Jordan Cohen Jay Sanders Barbara Redman Roger Bulger Kenneth Fored and
Leslie Kuhn ldquoLeading Causes of Blindnessrdquo NIH Medline Plus 2008 accessed July 12
2016 httpswwwnlmnihgovmedlineplusmagazineissuessummer08articles
summer08pg14-15html
ldquoGlaucoma Facts and Statsrdquo Glaucoma Research Foundation accessed July 11 2016
httpwwwglaucomaorgglaucomaglaucoma-facts-and-statsphp
Glaucoma in the Asian Eye Helio Opthamology August 22 2011 accessed July 12 2016
httpwwwhealiocomophthalmologyglaucomanewsonline39afc467-8250-450a-
a639-36b78cba802dglaucoma-in-the-asian-eye
Eye Complications American Diabetes Association accessed July 12 2016
httpwwwdiabetesorgliving-with-diabetescomplicationseye-complications
Eye Disease Statistics NIH March 2014 accessed July 11 2016
httpsneinihgovsitesdefaultfilesnei-pdfsNEI_Eye_Disease_Statistics_Factsheet_201
4_V10pdf
ldquoFacts About Glaucomardquo National Eye Institute accessed July 11 2016
httpsneinihgovhealthglaucomaglaucoma_facts
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
54
Kierstan Boyd and J Kevin McKinney MD Who Is at Risk for Glaucoma American
Academy of Ophthalmology 2015 accessed July 11 2016 httpwwwaaoorgeye-
healthdiseasesglaucoma-risk
Kinshuck David Angle Closure Glaucomaprofessionals Good Hope Eye Clinic accessed
July 12 2016 httpwwwgoodhopeeyeclinicorgukangleclosureprofhtm
NYU Center for the Study of Asian American Health Asian Americans in the US accessed
July 11 2016 httpwwwmednyueduasian-healthabout-usasian-americans-us
Perrin Andrew English-speaking Asian Americans Stand out for Their Technology Use Pew
Research Center RSS 2016 accessed July 12 2016 httpwwwpewresearchorgfact-
tank20160218english-speaking-asian-americans-stand-out-for-their-technology-use
Profile of New York Citys Chinese Americans 2013 Edition (New York NY Asian American
Federation 2013)
Shan C Lin MD ldquoGlaucoma In Asian Populationrdquo Glaucoma Research Foundation May 2009
accessed July 11 httpwwwglaucomaorggleamsglaucoma-in-asian-populationsphp
Stein Joshua D et al Differences in Rates of Glaucoma among Asian Americans and Other
Racial Groups and among Various Asian Ethnic Groups Ophthalmology 118 no 6
(2011) doi101016jophtha201010024
Study Offers First Look at Asian Americans Glaucoma Risk University of Michigan
Kellogg Eye Center April 18 2011 accessed July 12 2016
httpkelloggumichedunewsstudy-offers-first-look-at-asian-americans-glaucoma-
riskhtml
Types of Glaucoma Glaucoma Research Foundation May 5 2015 accessed July 11 2016
httpwwwglaucomaorgglaucomatypes-of-glaucomaphp
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
55
Vision Problems in the US Glaucoma Prevalence Rates by State 2012 accessed July 11
2016 httpwwwvisionproblemsusorgglaucomaglaucoma-maphtml
Why Are Asians at Higher RiskAsian Diabetes Prevention accessed July 12 2016
httpwwwasiandiabetespreventionorgwhat-is-diabeteswhy-are-asians-higher-risk
XI APPENDICES
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
56
A TIMELINE
B BUDGET
C NEEDS ASSESSMENT
D WORKSHOP CURRICULUM
E WORKSHOP FLIER
F PRE-WORKSHOP SURVEY
G POST-WORKSHOP SURVEY
H PHOTO CONSENT FORM
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
L STICKER DESIGNS
A Timeline Week 1 (June 27 - July 1)
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
57
Welcome amp Orientation Team bonding (understanding conflicts amp developing communication skills) Community agreements and strengths amp weaknesses Brainstorm topic ideas for community health project Develop proposal outline amp to-do list Research on glaucoma and its prevalence in Asian American community
Week 2 (July 5 - July 8) Start proposal draft (Introduction Statement of Need Goals Methodology Activities) Contact Vision Services for the Blind and Visually Impaired to learn more about
resources for individuals suffering from glaucoma Finalize needs assessment survey amp submit to Michelle for review amp translate Decide on logo and slogan Begin workshop planning Develop video ideas
Week 3 (July 11 - July 15) Develop workshop pre- and post-assessment surveys (ten truefalse questions) to assess
the audiencersquos knowledge of glaucoma Submit pre- and post-assessment surveys to Michelle for review Finish proposal draft (Budget Timeline Conclusion Abstract Citations) Submit proposal to Michelle for review on July 12th Revise proposal for resubmission Submit proposal to Regina on July 15th Compile available resources - CBWCHC
Week 4 (July 18 - July 22) Revise proposal with the suggestions from Regina Submit revised proposal to Michelle for review Complete final proposal Meet with Dr Raymond Fong to review clinical material
Week 5 (July 25 - July 29) Create games for Good Health Day Finish and distribute workshop flyers Begin video script Press conference preparation (PowerPoint start writing script) T-shirt planning amp ordering Request health education material from Michelle Start the tri-fold board
Week 6 (August 1 - August 5) Continue preparing for Press Conference Press Conference on August 1st Video proposal draft Finalize workshop presentation
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
58
Make buttons I pledge board wallet cards bookmarks photo booth props and coloring sheets
Week 7 (August 8 - August 12) Buy fruit and material for workshops Workshop 1 and 2 Prepare for Good Health Day - finalize all materials Good Health Day - August 10th (Chinatown) amp 13th (Flushing) Begin final presentation and report Analyze data from workshop survey (to be used in final presentation) Begin filming video
Week 8 (August 15 - August 19) Good Health Day Evaluation Final Presentation amp Reception Editing and finishing video Submit final report to Michelle August 16 Submit final report to Regina August 18 Project AHEAD internship evaluation
B Budget
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
59
Unit Name Unit price Number of Units Total Price
Reference
225rdquo pin back sets $026 500 $12995 Badge-A-Minit
Stickers $018 500 $8789 Sticker You
Clementine $180lb 859 lbs $1546+$21
Chinatown Fruit Stall
Cherries $300lb 2 lb $6+$10 Fruit Stall
Bread $225pack
2 packs $550 Chinatown Bakery
Eggs $119 5 cartons $6 Trader Joersquos
Extra Workshop Food ---- ---- $1886+$16
Eileen Zhang
Plates CBWCHC 2 packs $0 CBWCHC
Forks CBWCHC 2 packs $0 CBWCHC
Printing Coloring Sheets Buttons etc
---- 300 black amp white sheets (coloring pages)42 colored sheets (buttons)
$0 CBWCHC
Wallet Cards $005 500 $2528 Primoprint
Bookmarks $010 500 $4915 Primoprint
Trifold Display Board CBWCHC 1 board CBWCHC Virginia Lou Ng
Sunglasses CBWCHC 300 pairs CBWCHC Virginia Lou Ng
Lens Cloth CBWCHC 300 CBWCHC Virginia Lou Ng
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
60
Eyeglasses toolkit CBWCHC 300 sets CBWCHC Virginia Lou Ng
Photobooth Eye Props $859 1 set $859 Amazon
Posterboard $150 5 sheets $790 Chinatown Stationery Store
Foam Board $100 2 sheets $2 Michaelrsquos Craft Store
Exacto Knife $1 1 knife $1 Chinatown Stationery Store
Iron-ons $108 18 sheets (1 pack) $1936 Amazon
T-shirts $652 46 shirts $29992 custominkcom
Sandpaper $150 1 sheet $150 Chinatown
Paint + Paintbrush $615 1 Tube $778 Blick
Snapchat Geofilter $5 2 Filters $1002 Snapchat
Round label sheets $699 2 packs $1398 Amazon
Total ---- ---- $76314 ----
C Needs Assessment
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
61
Date 2016 Survey _________
PROJECT AHEAD 2016 NEEDS ASSESSMENT
Project AHEAD is a summer internship for college students Each year interns develop a
community health project that addresses an Asian American health need This survey will take
less than 5 minutes and will help us better understand the health needs of the local community
1 Do you have a primary care provider
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify_______________
2 How often do you get eye check-ups
⧠ Once a year
⧠ Once every two years
⧠ Donrsquot know
⧠ Other specify_______________
3 How often do you wear sunglasses
⧠ Never
⧠ Rarely
⧠ Sometimes
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
62
⧠ Often
⧠ Always
4 How often do you use eye drops
⧠ Never
⧠ 1-3 days per week
⧠ 4-6 days per week
⧠ Once everyday
⧠ More than once everyday
5 How many hours a day do you spend looking at a screen (eg TV computer
smartphonegaming device)
⧠ 0 hours
⧠ 1-2 hours
⧠ 3-4 hours
⧠ 5-6 hours
⧠ More than 6 hours
6 Do you wear glasses contacts to correct vision
⧠ Yes
⧠ No
⧠ Donrsquot know
⧠ Other specify _________________
7 Have you ever heard of glaucoma
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
63
⧠ Yes
⧠ No
⧠ Donrsquot know
8 Have you or your family ever had the following eye conditions Check all that apply
Self Your Family
Farsightedness
Nearsightedness
Glaucoma
Cataracts
Crossed eyes
Lazy eyes
Dry eyes
Eye surgery
Eye infection
Loss of vision
Donrsquot know
9 Have you or your family ever had the following health conditions Check all that apply
Self
Your Family
Diabetes
Hypertension (High Blood Pressure)
Heart Disease
Obesity
Donrsquot know
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
64
Demographics
Gender_______________________________
Age _______________________
Place of birth
⧠ China
⧠ Hong Kong
⧠ Taiwan
⧠ United States
⧠ Other specify___________
Thank you for taking the time to complete this questionnaire
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
65
D Workshop Curriculum
ldquoYOUR VISION YOUR DECISIONrdquo WORKSHOP CURRICULUM
At least 8 Participants
Approximately 15 hours
Mandarin Cantonese
Senior Health Educator Eileen Zhang
INTRODUCTION
This workshop will inform the participant regarding the importance of taking preventative
eye care provide community resources educate on intake of nutrients and instruct simple
regular eye exercises
OBJECTIVE
Assess current knowledge concerning eye care
Inform the audience some key points regarding glaucoma
Identify daily good and bad habits for the eyes
Advise participants with preventative eye care strategies
Promote community resources for eye and health care
Participants will leave with understanding of
General information regarding glaucoma this includes pathology treatment
coping and after surgery care
Importance of eye health and its relations to other possible diseases
Nutrients that are good for eyes
Demographics
Senior citizens
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
66
Materials
Attendance sheet
Healthy snacks that are good for eyes
Pre- and Post-survey
Wallet cards
Bookmarks
Stickers
Charles B Wang Pens
CBWCHC Health Education Materials
WORKSHOP OUTLINE
0-10 minutes
Pre-Workshop activity
Give 10 minutes for participants to sign in
Participants fills out pre-workshop survey while they wait for everyone to arrive
15-20 minutes
Introduction
Facilitator introduces the Project Ahead program and the CBWCHC
Check-in name what is something you hope to get out of this workshop
20-30 minutes
Show the presentation to the audience Discuss the slides in depth
20-30 minutes
Discuss the results of the pre-workshop survey and use the slides to
reinforce any area that the audience shows a lack of understanding
Distribute snacks
Hand out the post-workshop survey and conclude the meeting
E WORKSHOP FLYER
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
67
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
68
F PRE-WORKSHOP SURVEY
Your Vision Your Decision Pre-Workshop Survey
Date (日期) ______2016
Please circle your answer 請圈出您的答案 True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
69
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
1
2
3
74
4
5
6
7
8
9
10
11
12
13
14
15
75
I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
76
L STICKER DESIGN
M T-SHIRT DESIGN
77
N COLORING PAGES
O SNAPCHAT GEOFILTER
78
70
G POST-WORKSHOP SURVEY
Your Vision Your Decision Post-Workshop Survey
Date ______2016
日期
Please circle your answer 請圈出您的答案True
正確
False
錯誤Unsure
不確定
1) There are always signs and symptoms of glaucoma
青光眼總有一些跡象和症狀2) Asians are at higher risk for angle-closure glaucoma
亞洲人罹患閉角型青光眼的風險較高3) Diabetes high blood pressure heart disease and old age can put you
at higher risk for glaucoma
糖尿病高血壓心臟疾病和高齡會增加罹患青光眼的機率4) Only people who wear glasses are at risk for glaucoma
只有戴眼鏡的人才会患上青光眼5) You donrsquot need to see an eye doctor unless your eye hurts
除非你的眼睛疼不然你並不需要看眼科醫生6) If you are age 61 or older you need eye exams every year
71
如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
72
I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
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如果你是 61歲或以上您需要每年做一次眼科檢查7) Glaucoma is curable
青光眼是可以治癒的8) Eye drops pills laser treatment and surgery are treatment options for
glaucoma
眼藥水藥丸激光治療和手術是用於青光眼的治療選擇9) Eating citrus fruits nuts and fish can help to maintain healthy eyes
吃柑橘類水果堅果和魚可以幫助維持眼睛的健康10) It is okay to look at an electronic screen for more than an hour at a
time
看電子屏幕多於一個小時是沒有問題的Evaluation of Workshop
Agre
e
同意
Neutral
中立Disagree
不同意
The speakers were informative 演講者提供了豐富的信息
The speakers were clear in presenting the information 演講者的演講信息是清晰的
I liked the activities 我喜歡今天的活動
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I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
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H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
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I now have more information about glaucoma and preventative eye
care 現在我知道更多關於青光眼和眼睛保健的資訊
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
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N COLORING PAGES
O SNAPCHAT GEOFILTER
78
73
H PHOTO CONSENT FORM
Photo and Video Image Release and Consent Form (Individual)
By signing this release I authorize the Charles B Wang Community Health Center andor its
designees to use photographs of myself andor my family members at the 2016 Good Health Day
ldquoI Care for Eye Carerdquo activities for educational and promotional purposes I understand that my
photograph will be displayed on the Health Centerrsquos Facebook During this period anyone may
access and view my photographs
使用照片授權同意書(個人)
本人特此簽名同意王嘉廉社區醫療中心及其指定人員使用本人參加 2016年健康日的「眼睛常保健精彩每一天」的推廣活動中的照片本人瞭解我的照片將在拍攝後的三十天內放置在王嘉廉社區醫療中心的網站上來説明推廣眼睛保健的資訊本人明白王嘉廉社區醫療中心會在 30天后刪除和停止使用我的照片但在這 30天內任何訪問醫療中心的網站的人都可能看到我的照片
No Name 姓名(請用正楷書 寫)
Signature 簽 名
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N COLORING PAGES
O SNAPCHAT GEOFILTER
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I BUTTON DESIGNS
J WALLET CARD DESIGN
K BOOKMARK DESIGN
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L STICKER DESIGN
M T-SHIRT DESIGN
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N COLORING PAGES
O SNAPCHAT GEOFILTER
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L STICKER DESIGN
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N COLORING PAGES
O SNAPCHAT GEOFILTER
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N COLORING PAGES
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