Adaptation of an Evidence-Based Intervention for Appalachian Women: New STEPS (Strength Through Education, Physical fitness and Support) for Breast Health

Gallant, Nancy R.; Corbin, Marilyn A.; Bencivenga, Marcyann; Farnan, Michelle; Wiker, Nancy; Bressler, Andrea; Camacho, Fabian; Lengerich, Eugene J.

doi:10.1007/s13187-012-0445-x

Cited by 7 publications

(6 citation statements)

References 9 publications

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“…For instance, the Strength Through Education, Physical fitness and Support (STEPS) study conducted an exercise intervention targeted at 139 Appalachian women, 40 years or older, consisting of strength, flexibility and balance exercises for 12 weeks. 150 The study reported improved physical health and breast cancer awareness in these women. 150 Hartman et al 151 created an individually tailored exercise intervention for sedentary women with a family history of breast cancer.…”

Section: Challenges and Considerationsmentioning

confidence: 85%

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Role of n-3 Polyunsaturated Fatty Acids and Exercise in Breast Cancer Prevention: Identifying Common Targets

Abdelmagid

MacKinnon

Janssen

et al. 2016

Nutr Metab Insights

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Diet and exercise are recognized as important lifestyle factors that significantly influence breast cancer risk. In particular, dietary n-3 polyunsaturated fatty acids (PUFAs) have been shown to play an important role in breast cancer prevention. Growing evidence also demonstrates a role for exercise in cancer and chronic disease prevention. However, the potential synergistic effect of n-3 PUFA intake and exercise is yet to be determined. This review explores targets for breast cancer prevention that are common between n-3 PUFA intake and exercise and that may be important study outcomes for future research investigating the combined effect of n-3 PUFA intake and exercise. These lines of evidence highlight potential new avenues for research and strategies for breast cancer prevention.

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Section: Challenges and Considerationsmentioning

confidence: 85%

“…150 The study reported improved physical health and breast cancer awareness in these women. 150 Hartman et al 151 created an individually tailored exercise intervention for sedentary women with a family history of breast cancer. The women were able to increase the minutes of exercise per week after the 12-week period.…”

Section: Challenges and Considerationsmentioning

confidence: 85%

Role of n-3 Polyunsaturated Fatty Acids and Exercise in Breast Cancer Prevention: Identifying Common Targets

Abdelmagid

MacKinnon

Janssen

et al. 2016

Nutr Metab Insights

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“…62,83,97 Notably, none of the identified articles take place in Southern Appalachia (eg, Mississippi, Alabama, Georgia, and South Carolina), and very few take place in Northern Appalachia, with none in New York or Maryland and a small number in Pennsylvania (4, 4.9%). 98,99 Several studies include multiple states, with 5 covering the entire region. Additionally, reflective of the rural character of the Appalachian region, a large proportion of the identified studies (33, 40.7%) include a focus on rurality either within the population of focus or in implications for consideration from study findings.…”

Section: Resultsmentioning

confidence: 99%

Place, Power, and Premature Mortality: A Rapid Scoping Review on the Health of Women in Appalachia

et al. 2021

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Objective: Appalachian women continue to die younger than in other US regions. We performed a rapid scoping review to summarize women’s health research in Appalachia from 2000 to 2019, including health topics, study populations, theoretical frameworks, methods, and findings. Data Source: We searched bibliographic databases (eg, PubMed, PsycINFO, Google Scholar) for literature focusing on women’s health in Appalachia. Study Inclusion and Exclusion Criteria: Included articles were: (1) on women’s health in Appalachia; (2) published January 2000 to June 2019; (3) peer-reviewed; and (4) written in English. We excluded studies without reported data findings. Data Extraction: Two coders reviewed articles for descriptive information to create summary tables comparing variables of interest. Data Synthesis: Two coders co-reviewed a sub-sample to ensure consensus and refine data charting categories. We categorized major findings across the social-ecological framework. Results: A search of nearly 2 decades of literature revealed 81 articles, which primarily focused on cancer disparities (49.4%) and prenatal/pregnancy outcomes (23.5%). Many of these research studies took place in Central Appalachia (eg, 42.0% in Kentucky) with reproductive or middle-aged women (82.7%). Half of the studies employed quantitative methods, and half used qualitative methods, with few mixed method or community-engaged approaches (3.7%). Nearly half (40.7%) did not specify a theoretical framework. Findings included complex multi-level factors with few articles exploring the co-occurrence of factors across multiple levels. Conclusions: Future studies should: 1) systematically include Appalachian women at various life stages from under-represented sub-regions; 2) expand the use of rigorous methods and specified theoretical frameworks to account for complex interactions of social-ecological factors; and 3) build upon existing community assets to improve health in this vulnerable population.

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“…Nine studies had educational material components consisting of print educational materials, group workshop presentations, educating physicians to counsel patients, and Internet educational resources 9,21–23,25,32–35 . Reiter and associates used a picture‐based instructional manual and a photo story brochure to facilitate cervical cancer and screening knowledge as the sole intervention strategy 35 .…”

Section: Resultsmentioning

confidence: 99%

“…For breast cancer screening interventions, Gallant and colleagues found the use of print educational aids, such as fact sheets, had a minimal 4.5% (n = 4) increase in uptake of yearly mammograms 34 . Likewise, a lung cancer screening intervention using Internet educational resources was minimally effective with a 3.4% (n = 5) increase of LDCT among a “never” screened population 23 …”

Section: Resultsmentioning

confidence: 99%

Assessing the Effectiveness of Cancer Screening Interventions Targeting Appalachian Populations: A Systematic Review

Robertson

Hudson

Attia

et al. 2020

The Journal of Rural Health

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Purpose Appalachian residents have higher cancer prevalence and invasive cancer incidence in almost all cancer types relative to non‐Appalachian residents. Public health interventions have been carried out to increase preventive cancer screening participation. However, no studies have evaluated the effectiveness of existing interventions targeting cancer screening uptake in this high‐risk population. The main objective of this study is to assess the effectiveness of interventions aimed at increasing uptake and/or continuing participation in screened cancers (breast, cervical, colorectal, lung, and prostate) in Appalachia. Methods We conducted a systematic review of electronic databases and gray literature using a combination of MeSH and free‐text search terms related to breast, cervical, colorectal, lung, and prostate cancer; mass screening; health promotion; and Appalachia. We identified 3,014 articles of which 15 articles were included. We assessed methodological quality using validated tools and analyzed findings using narrative synthesis. Findings Fifteen studies reported uptake and/or continued participation in screening interventions; these focused on cervical (n = 7), colorectal (n = 5), breast (n = 2), and lung (n = 1) cancers in Appalachia. Interventions included diverse components: mass media campaigns, community outreach events, community health workers, interpersonal counseling, and educational materials. We found that multi‐strategy interventions had higher screening uptake relative to interventions employing 1 intervention strategy. Studies that targeted noncompliant populations and leveraged existing community‐based organization partnerships had a substantial increase in screening participation versus others. Conclusions There is an urgent need for further research and implementation of effective cancer prevention and screening interventions to reduce disparities in cancer morbidity and mortality in Appalachian populations.

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Adaptation of an Evidence-Based Intervention for Appalachian Women: New STEPS (Strength Through Education, Physical fitness and Support) for Breast Health

Cited by 7 publications

References 9 publications

Role of n-3 Polyunsaturated Fatty Acids and Exercise in Breast Cancer Prevention: Identifying Common Targets

Role of n-3 Polyunsaturated Fatty Acids and Exercise in Breast Cancer Prevention: Identifying Common Targets

Place, Power, and Premature Mortality: A Rapid Scoping Review on the Health of Women in Appalachia

Assessing the Effectiveness of Cancer Screening Interventions Targeting Appalachian Populations: A Systematic Review

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