The nurse has received funding to design a health promotion project for African-American women who are at risk for developing breast cancer. Which resource is most important in designing this program?

A. A video on breast self-examination is useful but does not ensure engagement. B. Morbidity data for all races does not focus on African-American women specifically. C. A listing of community members may not ensure meaningful participation. D. Involving community leaders fosters trust and cultural relevance, increasing program effectiveness.