Developing a Diet and Physical Activity Intervention for Hispanic/Latina Breast Cancer Survivors

Abstract

Objectives There is limited guidance on how to effectively educate cancer survivors to adopt and maintain specific diet and physical activity recommendations, especially among underserved and under-resourced populations. Here, the objective is to present the development of a behavioral and theoretically-based multi-modal diet and physical activity intervention program for Hispanic/Latina breast cancer survivors, Mi Vida Saludable (My Healthy Life). Methods The development process was based on the 6 steps of the Nutrition Education DESIGN Procedure: (1). Decide behaviors; (2). Explore determinants; (3). Select theory-based model; (4). Indicate objectives; (5). Generate plans; and (6). Nail down evaluation. The theoretical framework for the intervention is Social Cognitive Theory. Results The resulting behavioral intervention consists of 2 components. The first component is in-person group education consisting of 4 lessons over 1 month. Each 4-hour group lesson includes a hands-on cooking component, a physical activity component, and facilitator-led nutrition education and discussion, with 2 field trips to a local grocery store and farmers’ market. The second component is an e-Health program that includes weekly text messages, biweekly emailed newsletters, and ongoing website access. Conclusion The systematic DESIGN Procedure provided practical guidance for developing a behaviorally-focused, theory-based, and culturally sensitive program that addresses both dietary and physical activity behaviors for delivery both in-person education and through eHealth. The Procedure may be useful for developing other behaviorally focused and theory-based interventions.

Physical Activity, Alcohol, and Cigarette Use in Urological Cancer Patients over Time since Diagnosis

“…Key factors for program effectiveness include social support, patient motivation, and meticulous planning [ 87 ]. The utilization of the DESIGN procedure has shown efficacy in constructing similar programs [ 88 ]. However, evidence for the long-term maintenance of physical activity post-exercise intervention for individuals living with or beyond cancer is limited and inconclusive, emphasizing the need for follow-ups to assess intervention efficacy [ 87 ].…”

A Scoping Review to Explore the Potential Benefits of Nutrition Interventions for Latino/a Adult Cancer Survivors in the US

“…Figure 2 shows the number of studies across the continuum, including preclinical, clinical, and translation and implementation trials. Two studies were determined to be efficacy trials (Women's Healthy Eating and Living or WHEL study) [51,52] and Mi Vida Saludable [44][45][46]), based on having a previous feasibility or pilot study published (WHEL pilot [53] and Cocinar para Su Salud [38][39][40]). The WHEL pilot was not considered for this review [53], because no data were reported on race or ethnicity, likely due to the timing of the study in the 1990s, but this review included Cocinar para Su Salud [38][39][40], the pilot study for Mi Vida Saludable [44][45][46].…”

“…Two studies were determined to be efficacy trials (Women's Healthy Eating and Living or WHEL study) [51,52] and Mi Vida Saludable [44][45][46]), based on having a previous feasibility or pilot study published (WHEL pilot [53] and Cocinar para Su Salud [38][39][40]). The WHEL pilot was not considered for this review [53], because no data were reported on race or ethnicity, likely due to the timing of the study in the 1990s, but this review included Cocinar para Su Salud [38][39][40], the pilot study for Mi Vida Saludable [44][45][46]. in this scoping review (Table 1): Avanzando Juntas [36], Bronx Oncology Living Daily (BOLD) Healthy Living [37], Cocinar para Su Salud [38][39][40], La Vida Activa [41], LIVES (Lifestyle Intervention for Ovarian Cancer Enhanced Survival) [42,43], Mi Vida Saludable [44][45][46], My Health [47], Nuestra Salud [48], Prescription (Rx) for Better Breast Health [49,50], and WHEL (Women's Healthy Eating and Living Study) [51,52].…”

“…The WHEL pilot was not considered for this review [53], because no data were reported on race or ethnicity, likely due to the timing of the study in the 1990s, but this review included Cocinar para Su Salud [38][39][40], the pilot study for Mi Vida Saludable [44][45][46]. in this scoping review (Table 1): Avanzando Juntas [36], Bronx Oncology Living Daily (BOLD) Healthy Living [37], Cocinar para Su Salud [38][39][40], La Vida Activa [41], LIVES (Lifestyle Intervention for Ovarian Cancer Enhanced Survival) [42,43], Mi Vida Saludable [44][45][46], My Health [47], Nuestra Salud [48], Prescription (Rx) for Better Breast Health [49,50], and WHEL (Women's Healthy Eating and Living Study) [51,52]. Ongoing or future planned trials and terminated trials are shown in Supplementary Table S3.…”

“…Additional records from clinical trial websites were screened (n = 43) to identify recent interventions, and one new intervention was added. In total, ten nutrition interventions, all RCTs conducted in the U.S., were included in this scoping review (Table 1): Avanzando Juntas [36], Bronx Oncology Living Daily (BOLD) Healthy Living [37], Cocinar para Su Salud [38][39][40], La Vida Activa [41], LIVES (Lifestyle Intervention for Ovarian Cancer Enhanced Survival) [42,43], Mi Vida Saludable [44][45][46], My Health [47], Nuestra Salud [48], Prescription (Rx) for Better Breast Health [49,50], and WHEL (Women's Healthy Eating and Living Study) [51,52]. Ongoing or future planned trials and terminated trials are shown in Supplementary Table S3.…”