BackgroundMost older cancer survivors (OCS) do not engage in regular physical activity (PA) despite well-known health benefits. With the increased use of mobile technologies among older adults, mobile tools may be an effective method to deliver PA promotion programs for OCS.ObjectiveTo document the process of designing an OCS-friendly mobile-enabled Web application of PA promotion program.MethodsMixed methods encompassing group discussions, individual interviews, and brief surveys with community leaders, OCS, cancer care providers, and software professionals were used in this formative research.ResultsThe varied stakeholders welcomed the idea of developing an online tool to promote PA in OCS. Our formative research revealed several major barriers to regular PA including limited access to senior-friendly PA resources, lack of motivation and social support, and insufficient knowledge and skills on building safe and appropriate workout plans. This feedback was incorporated into the development of iCanFit, a mobile-enabled Web application, designed specifically for OCS. The iCanFit online tools allow users to locate PA resources, set and track goals for PA, network with peer OCS in a secure online space, and receive practical and evidence-informed healthy tips.ConclusionsOur mixed-method formative research led to the design of iCanFit protocol to promote PA and well-being of OCS. The involvement of stakeholders is critical in the planning and design of the mobile application in order to enhance program relevance, appeal, and match with the needs of target users.

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BackgroundWorksite wellness initiatives for health promotion and health education have demonstrated effectiveness in improving employee health and wellness. We examined the effects of a multifaceted health promotion campaign on organizational capacity to meet requirements to become CEO Cancer Gold Standard Accredited.MethodsWe conducted an online survey to assess perceived organizational values and support for the five CEO Cancer Gold Standard Pillars for cancer prevention: tobacco cessation; physical activity; nutrition; cancer screening and early detection; and accessing information on cancer clinical trials. Baseline and follow-up surveys were sent 6-months apart to faculty, staff, and students at a school of public health to test the impact of a multifaceted health promotion campaign on perceived organizational change. Descriptive analyses were used to characterize percent improvement. Multivariate logistic regression analyses were used to control for participants’ university status.ResultsThe current organizational culture highly supported tobacco cessation at both time points. Significant improvements (p < .05) from baseline to follow-up were observed for questions measuring organizational values for ‘prevention, screening, and early detection of cancer’ and ‘accessing cancer treatment and clinical trials’.ConclusionsHealth promotion and education efforts using multiple approaches were effective to improve perceived organizational values and support for cancer prevention and early detection, and increase access to information about cancer clinical trials. Future studies are needed to examine broader impacts of implementing worksite health promotion initiatives.

We report results of a Web-based nationwide survey of nutrition and health Extension specialists representing 42 states. Survey items (n = 36) assessed five areas: curriculum review, nutrition and physical activity, professional training, communication, and evaluation. An internal curriculum review was common, but few states shared their criteria or process on-line. The majority of respondents reported discussing physical activity, and over half lead physical activities. Most favored on-line professional development training and a one-stop website for sharing information and resources. Evaluation data were most commonly collected for food safety, healthy eating and physical activity, and food resource management.

Background: ¡Si, Yo Puedo Controlar Mi Diabetes! (Sí, Yo Puedo) is a culturally appropriate diabetes self-management education program targeting underserved Hispanic/Latinos. Purpose: The purpose of this article is to report on our post-test focus group observations that elaborate upon quantitative evaluation results that are published elsewhere. Methods: Following a seven-week intervention, we conducted seven focus groups to capture participants’ perspectives about managing their diabetes before and after participating in classes. These sessions were held during a one-month post-intervention (reunion) session. Results: Participants were mostly female (77%; N=34) with a mean age of 58.8 years. Perceived improvements in eating habits, blood glucose testing, and physical activity were among the positive outcomes of attending the program. Barriers to diabetes self-management included struggles changing lifestyle habits, accepting disease diagnosis, and financial issues. Despite these concerns, participants found Sí, Yo Puedo to be beneficial, especially with psychosocial support. “Not feeling alone” was a prevailing sentiment expressed by participants. Conclusions: Overall, participants indicated the program was relevant to their needs. This study suggests that Sí, Yo Puedo is an effective program to reach Hispanic/Latinos and improve their health outcomes.