¡Mi Vida Saludable! A randomized, controlled, 2 × 2 factorial trial of a diet and physical activity intervention among Latina breast cancer survivors: Study design and methods

Santiago‐Torres, Margarita; Contento, Isobel R.; Koch, Pamela; Tsai, Wei‐Yann; Brickman, Adam M.; Gaffney, Ann Ogden; Thomson, Cynthia A.; Crane, Tracy E.; Dominguez, Naxielly; Sepulveda, Jhack; Marín‐Chollom, Amanda M.; Paul, Rachel; Shi, Zaixing; Ulanday, Kathleene T.; Hale, Christiane; Hershman, Dawn L.; Greenlee, Heather

doi:10.1016/j.cct.2021.106524

Cited by 17 publications

(12 citation statements)

References 72 publications

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“…Most dietary interventions for cancer survivors have been developed without community input and created solely by the academic or clinical team [41,42]. Among the few that engaged the community, focus groups and surveys were used to garner feedback [43][44][45][46]. A total of 3 interventions used components from previous evidence-based interventions to develop their intervention [47][48][49].…”

Section: Principal Findingsmentioning

confidence: 99%

Cruciferous Vegetable Intervention to Reduce the Risk of Cancer Recurrence in Non–Muscle-Invasive Bladder Cancer Survivors: Development Using a Systematic Process

Yeary¹,

Clark²,

Saad‐Harfouche³

et al. 2022

JMIR Cancer

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Background Bladder cancer is one of the top 10 most common cancers in the United States. Most bladder cancers (70%-80%) are diagnosed at early stages as non–muscle-invasive bladder cancer (NMIBC), which can be removed surgically. However, 50% to 80% of NMIBC cases recur within 5 years, and 15% to 30% progress with poor survival. Current treatments are limited and expensive. A wealth of preclinical and epidemiological evidence suggests that dietary isothiocyanates in cruciferous vegetables (Cruciferae) could be a novel, noninvasive, and cost-effective strategy to control NMIBC recurrence and progression. Objective The aim of this study is to develop a scalable dietary intervention that increases isothiocyanate exposure through Cruciferae intake in NMIBC survivors. Methods We worked with a community advisory board (N=8) to identify relevant factors, evidence-based behavior change techniques, and behavioral theory constructs used to increase Cruciferae intake in NMIBC survivors; use the PEN-3 Model focused on incorporating cultural factors salient to the group’s shared experiences to review the intervention components (eg, the saliency of behavioral messages); administer the revised intervention to community partners for their feedback; and refine the intervention. Results We developed a multicomponent intervention for NMIBC survivors consisting of a magazine, tracking book, live telephone call script, and interactive voice messages. Entitled POW-R Health: Power to Redefine Your Health, the intervention incorporated findings from our adaptation process to ensure saliency to NMIBC survivors. Conclusions This is the first evidence-based, theoretically grounded dietary intervention developed to reduce bladder cancer recurrence in NMIBC survivors using a systematic process for community adaptation. This study provides a model for others who aim to develop behavioral, community-relevant interventions for cancer prevention and control with the overall goal of wide-scale implementation and dissemination.

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Section: Principal Findingsmentioning

confidence: 99%

Cruciferous Vegetable Intervention to Reduce the Risk of Cancer Recurrence in Non–Muscle-Invasive Bladder Cancer Survivors: Development Using a Systematic Process

Yeary¹,

Clark²,

Saad‐Harfouche³

et al. 2022

JMIR Cancer

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“… 6 , 7 Studies have shown that intake of F/V and diet quality can vary across Hispanic subgroups, 8 - 10 as Latina breast cancer survivors include populations stemming from multiple cultural and national backgrounds. 11 - 13 Our prior work has shown low fruit/vegetable intake and low physical activity in Latina breast cancer survivors living in Northern Manhattan. 14 , 15 …”

Section: Introductionmentioning

confidence: 99%

“…The intended audience is Hispanic/Latina breast cancer survivors living in Northern Manhattan and the program was designed to be tested in a National Cancer Institute (NCI) funded 2x2 factorial-designed randomized controlled trial with 4 arms: group education alone, e-Health alone, group education plus e-Health, and control (with the control arm participants receiving all study materials at the end of their participation). 11 Mi Vida Saludable had the same dietary behavior change goals as ¡Cocinar Para Su Salud! which were to increase fruits and vegetables and to decrease foods with excessive fat and sugar.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2022

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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.

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“…Cook for Your Life [ 15 ] is a website with a broad focus of providing science-based nutrition and culinary education for cancer prevention and for support during cancer treatment and survivorship. Cook for Your Life was acquired by the Fred Hutchinson Cancer Center (Fred Hutch) in 2019 ( Textbox 1 [ 16 - 18 ]) and was relaunched in December 2020 with updated features, such as the delivery of bilingual (ie, Spanish and English) videos, recipes, and nutrition education content. Cook for Your Life is funded by Fred Hutch and scientific research grants and does not accept money for advertising or from private or for-profit corporations.…”

Section: Introductionmentioning

confidence: 99%

“…In 2012, AOG founded the Cook for Your Life website [ 15 ], recognizing that sharing tips and recipes online could broaden the reach to patients with cancer and survivors worldwide. Using findings from the Cocinar Para Su Salud study, additional NCI funding was obtained to further develop and test the program and include an online component using the Cook for Your Life website in the Mi Vida Saludable (My Healthy Life) trial (ClinicalTrials.gov NCT02780271) [ 18 ]. The website became bilingual (ie, English and Spanish) in 2016.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Users of the Cook for Your Life Website, an Online Nutrition Resource for Persons Affected by Cancer: Descriptive Study

Rillamas‐Sun¹,

Schattenkerk²,

Cobos-Sanchez³

et al. 2022

JMIR Cancer

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Background Accessible nutrition resources tailored to patients with cancer, caregivers of cancer survivors, and people interested in cancer prevention are limited. Cook for Your Life is a bilingual (ie, English and Spanish) website providing science-based, nutrition information for people affected by cancer. Objective The aim of this study was to describe the characteristics of Cook for Your Life website users. Methods In December 2020, Cook for Your Life website visitors at least 18 years old were invited to participate in an online English-language survey. A Spanish version was offered in April 2021. Demographic, health, and cooking characteristics were collected. Persons with a cancer history were asked about treatment and side effects. Data were analyzed through December 2021 on those completing over half of the survey. Three groups were compared: people with a history of cancer diagnosis, caregivers of cancer survivors, and the general public (ie, people without a cancer history). Website use data were also compared. Results Among English-language respondents, 3346 initiated the survey and 2665 (79.65%) completed over half of the questions. Of these, 54.82% (n=1461) had a cancer diagnosis, 8.26% (n=220) were caregivers, and 36.92% (n=984) were from the general public. English-language respondents were US residents (n=2054, 77.07%), with some from Europe (n=285, 10.69%) and Canada (n=170, 6.38%). Cancer survivors were most likely 55 years of age or older, female, non-Hispanic White, with incomes over US $100,000, and college educated. Caregivers and the general public were younger and more racially and geographically diverse. The most common cancer malignancies among English-language cancer survivors were breast (629/1394, 45.12%) and gastrointestinal (209/1394, 14.99%). For Spanish-language respondents, 942 initiated the survey; of these, 681 (72.3%) were analyzed. Of the 681 analyzed, 13.5% (n=92) were cancer survivors, 6.8% (n=46) were caregivers, and 79.7% (n=543) were from the general public. Spanish-language respondents were also more likely to be female and highly educated, but were younger, were from South or Latin America, and had incomes less than US $30,000. Among Spanish-language cancer survivors, breast cancer (27/81, 33%) and gastrointestinal cancer (15/81, 19%) were the most common diagnoses. Website use data on over 2.2 million users from December 2020 to December 2021 showed that 52.29% of traffic was in English and 43.44% was in Spanish. Compared to survey respondents, a higher proportion of website users were male, younger, and from South or Central America and Europe. Conclusions Cook for Your Life website users were demographically, socioeconomically, and geographically diverse, especially English-language respondents without a cancer history and all Spanish-language respondents. Improvements on website user diversity and reach for all patients with cancer and research on effective strategies for using this digital platform to support cancer prevention, treatment, and survivorship will continue. Trial Registration ClinicalTrials.gov NCT04200482; https://www.clinicaltrials.gov/ct2/show/NCT04200482

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¡Mi Vida Saludable! A randomized, controlled, 2 × 2 factorial trial of a diet and physical activity intervention among Latina breast cancer survivors: Study design and methods

Cited by 17 publications

References 72 publications

Cruciferous Vegetable Intervention to Reduce the Risk of Cancer Recurrence in Non–Muscle-Invasive Bladder Cancer Survivors: Development Using a Systematic Process

Cruciferous Vegetable Intervention to Reduce the Risk of Cancer Recurrence in Non–Muscle-Invasive Bladder Cancer Survivors: Development Using a Systematic Process

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

Characteristics of Users of the Cook for Your Life Website, an Online Nutrition Resource for Persons Affected by Cancer: Descriptive Study

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