Final_Paper_Ver_3.docx

106
1 I Care for Eye Care: Glaucoma and Eye Health in the Asian American Community 眼眼眼 ,一 Project AHEAD 2016 Final Paper Chloe Chan, Stella Chong, Sophia Huang, Elizabeth Kuo, Xin Yao Lin, Haoqin Ma, Stephanie Ren

Transcript of Final_Paper_Ver_3.docx

Page 1: Final_Paper_Ver_3.docx

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

Page 2: Final_Paper_Ver_3.docx

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

Page 3: Final_Paper_Ver_3.docx

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

Page 4: Final_Paper_Ver_3.docx

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

Page 5: Final_Paper_Ver_3.docx

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

Page 6: Final_Paper_Ver_3.docx

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

Page 7: Final_Paper_Ver_3.docx

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

Page 8: Final_Paper_Ver_3.docx

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

Page 9: Final_Paper_Ver_3.docx

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

Page 10: Final_Paper_Ver_3.docx

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

Page 11: Final_Paper_Ver_3.docx

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

Page 12: Final_Paper_Ver_3.docx

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

Page 13: Final_Paper_Ver_3.docx

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

Page 14: Final_Paper_Ver_3.docx

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

Page 15: Final_Paper_Ver_3.docx

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

Page 16: Final_Paper_Ver_3.docx

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

Page 17: Final_Paper_Ver_3.docx

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

Page 18: Final_Paper_Ver_3.docx

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

Page 19: Final_Paper_Ver_3.docx

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

Page 20: Final_Paper_Ver_3.docx

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

Page 21: Final_Paper_Ver_3.docx

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

Page 22: Final_Paper_Ver_3.docx

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

Page 23: Final_Paper_Ver_3.docx

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

Page 24: Final_Paper_Ver_3.docx

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

Page 25: Final_Paper_Ver_3.docx

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

Page 26: Final_Paper_Ver_3.docx

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

Page 27: Final_Paper_Ver_3.docx

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

Page 28: Final_Paper_Ver_3.docx

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

Page 29: Final_Paper_Ver_3.docx

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

Page 30: Final_Paper_Ver_3.docx

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

Page 31: Final_Paper_Ver_3.docx

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

Page 32: Final_Paper_Ver_3.docx

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

Page 33: Final_Paper_Ver_3.docx

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

Page 34: Final_Paper_Ver_3.docx

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

Page 35: Final_Paper_Ver_3.docx

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

Page 36: Final_Paper_Ver_3.docx

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

Page 37: Final_Paper_Ver_3.docx

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

Page 38: Final_Paper_Ver_3.docx

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

Page 39: Final_Paper_Ver_3.docx

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

Page 40: Final_Paper_Ver_3.docx

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

Page 41: Final_Paper_Ver_3.docx

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

Page 42: Final_Paper_Ver_3.docx

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

Page 43: Final_Paper_Ver_3.docx

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

Page 44: Final_Paper_Ver_3.docx

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

Page 45: Final_Paper_Ver_3.docx

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

Page 46: Final_Paper_Ver_3.docx

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

Page 47: Final_Paper_Ver_3.docx

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

Page 48: Final_Paper_Ver_3.docx

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

Page 49: Final_Paper_Ver_3.docx

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

Page 50: Final_Paper_Ver_3.docx

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

Page 51: Final_Paper_Ver_3.docx

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

Page 52: Final_Paper_Ver_3.docx

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

Page 53: Final_Paper_Ver_3.docx

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

Page 54: Final_Paper_Ver_3.docx

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

Page 55: Final_Paper_Ver_3.docx

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

Page 56: Final_Paper_Ver_3.docx

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

Page 57: Final_Paper_Ver_3.docx

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

Page 58: Final_Paper_Ver_3.docx

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

Page 59: Final_Paper_Ver_3.docx

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

Page 60: Final_Paper_Ver_3.docx

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

Page 61: Final_Paper_Ver_3.docx

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

Page 62: Final_Paper_Ver_3.docx

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

Page 63: Final_Paper_Ver_3.docx

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

Page 64: Final_Paper_Ver_3.docx

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

Page 65: Final_Paper_Ver_3.docx

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

Page 66: Final_Paper_Ver_3.docx

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

Page 67: Final_Paper_Ver_3.docx

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

Page 68: Final_Paper_Ver_3.docx

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

Page 69: Final_Paper_Ver_3.docx

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

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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

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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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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

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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)

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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

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