Adaptation of a Counseling Intervention to Address Multiple Cancer Risk Factors Among Overweight/Obese Latino Smokers

Castro, Yessenia; Fernández, María E.; Strong, Larkin L.; Stewart, David; Krasny, Sarah; Robles, Eden Hernandez; Heredia, Natalia I.; Spears, Claire Adams; Correa-Fernández, Virmarie; Eakin, Elizabeth G.; Resnicow, Ken; Basen-Engquist, Karen; Wetter, David W.

doi:10.1177/1090198114560019

Cited by 7 publications

(4 citation statements)

References 52 publications

(60 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additional research was therefore needed to modify the intervention to address multiple health risk behaviors. An in-depth description of the adaptation process is presented elsewhere [47]. The purpose of this qualitative research was to identify factors that facilitated or hindered healthy eating and PA in overweight Mexican-origin men and women who smoked.…”

Section: Introductionmentioning

confidence: 99%

Perspectives of Mexican-origin smokers on healthy eating and physical activity

et al. 2016

View full text Add to dashboard Cite

Key modifiable risk behaviors such as smoking, poor diet and physical inactivity often cluster and may have multiplicative adverse effects on health. This study investigated barriers and facilitators to healthy eating and physical activity (PA) in overweight Mexican-origin smokers to inform the adaptation of an evidence-based smoking cessation program into a multiple health behavior change intervention. Five focus groups were conducted with overweight Mexican-origin men (n = 9) and women (n = 21) who smoked. Barriers and facilitators of healthy eating and PA were identified, and gender differences were assessed. Participants expressed some motivation to eat healthfully and identified strategies for doing so, yet many women experienced difficulties related to personal, family and work-related circumstances. Barriers to healthy eating among men were related to food preferences and lack of familiarity with fruits and vegetables. Participants performed PA primarily within the context of work and domestic responsibilities. Stress/depressed mood, lack of motivation and concern for physical well-being limited further PA engagement. Routines involving eating, PA and smoking highlight how these behaviors may be intertwined. Findings emphasize the importance of social, structural and cultural contexts and call for additional investigation into how to integrate healthy eating and PA into smoking cessation interventions for overweight Mexican-origin smokers.

show abstract

Section: Introductionmentioning

confidence: 99%

Perspectives of Mexican-origin smokers on healthy eating and physical activity

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Because StayingFit is an American program, Barrera et al (2013) and Castro et al (2015) culturally adapted it to the cultural standards, meanings, and values of Brazil via a systematized process that considered language, culture, and context [33,34]. The adapted version was made available in the computer labs of each school in the intervention group, and a nutritionist and assistant (i.e., nutrition student) supervised the implementation of the program.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of the Computer-Based Intervention Program Stayingfit Brazil to Promote Healthy Eating Habits: The Results from a School Cluster-Randomized Controlled Trial

Silva

Ortelan

Murta

et al. 2019

IJERPH

View full text Add to dashboard Cite

Interventions via the Internet are promising regarding the promotion of healthy habits among youth. The objective of this study was to evaluate the effect of an adapted version of StayingFit to promote healthy eating habits and the measurement adequacy of anthropometric markers among adolescents. A web school-based 12-month cluster-randomized controlled trial examining 7th to 9th grade students was conducted in twelve schools in Salvador, Bahia, Brazil. The schools’ students were randomly distributed into the intervention and control groups. The intervention group participated in StayingFit, an online program designed to encourage and guide healthy eating habits and control body weight. Data on food consumption, anthropometry, physical activity level, and sedentary behavior were collected from all of the students at the beginning of and after the 12-month study. Demographic and socioeconomic data were collected at baseline. The baseline data indicated high rates of overweight (14.4% overweight and 8.5% obese), insufficiently active (87.6%), and sedentary (63.7%). Furthermore, few adolescents regularly consumed fruits (18.8%) and vegetables/legumes (16.4%). Generalized estimating equations (GEEs) were used to evaluate the effect of the intervention. At the end of the follow-up period, students in the intervention group had a 43% increased chance of regularly consuming beans (OR = 1.43, 95% CIs = 1.10–1.86) and a 35% decreased chance of regularly consuming soft drinks (OR = 0.65, 95% CIs = 0.50–0.84). No differences were found between the groups studied with regard to the anthropometric parameters. Despite these modest results, the implementation of a web intervention can be beneficial and help promote positive changes in adolescent eating habits.

show abstract

“…Although the prevalence of smoking is lower among Latinos (9.8%) compared with the general population (13.7%; Creamer et al, 2019), and past-year at-risk drinking is only slightly higher (13.5% among Latinos vs. 12.6% among the general population; Grant et al, 2017), seven of the top eight leading causes of mortality among Latinos are linked to smoking, at-risk drinking, and obesity (Dominguez et al, 2015). Most adults engage in at least two health risk behaviors (Fine et al, 2004), and behavioral health interventions are increasingly targeting multiple health risk behaviors to facilitate more impactful behavior change (Castro et al, 2015; Prochaska et al, 2012). Thus, further research is needed to examine determinants of multiple health risk behaviors among Latinos to better inform interventions targeting multiple health risk behavior change among this population.…”

Section: Positive and Negative Affectmentioning

confidence: 99%

Associations of positive and negative affect on health risk behaviors among Latinos.

Moore¹,

Guerra²,

Heydarian³

et al. 2022

Health Psychology

Self Cite

View full text Add to dashboard Cite

Objective: Negative affect is widely emphasized in behavior modification interventions. However, positive affect is associated with smoking cessation, physical activity, and healthy dietary habits and may be an important treatment target. Few studies have examined the relationship between positive affect and health behaviors among Latinos, who disproportionately experience modifiable health risk behaviors. This study examined the independent associations of positive affect and negative affect on modifiable health risk behaviors among Latino adults. Method: Data came from 432 persons who participated in one of two studies examining determinants of modifiable health risk behaviors among Latino adults. Primary outcomes were current smoking, at-risk drinking, insufficient physical activity, and insufficient fruit and vegetable consumption. Predictors were positive and negative affect as measured by the Positive and Negative Affect Schedule. Associations between positive and negative affect and health risk behaviors were examined using multiple logistic regression. Results: Positive affect was associated with lower odds of insufficient physical activity and insufficient fruit and vegetable consumption and lower odds of engaging in multiple health risk behaviors. Negative affect was associated with higher odds of at-risk drinking and current smoking. Conclusions: Emphasis on increasing positive affect may be warranted for multiple health risk behavior interventions targeting Latinos. Intervention development efforts may also consider prioritizing positive affect for physical activity and dietary interventions, and negative affect for at-drinking and smoking cessation interventions.

show abstract

Adaptation of a Counseling Intervention to Address Multiple Cancer Risk Factors Among Overweight/Obese Latino Smokers

Cited by 7 publications

References 52 publications

Perspectives of Mexican-origin smokers on healthy eating and physical activity

Perspectives of Mexican-origin smokers on healthy eating and physical activity

Evaluation of the Computer-Based Intervention Program Stayingfit Brazil to Promote Healthy Eating Habits: The Results from a School Cluster-Randomized Controlled Trial

Associations of positive and negative affect on health risk behaviors among Latinos.

Contact Info

Product

Resources

About