TY - JOUR
T1 - Adaptation of a Counseling Intervention to Address Multiple Cancer Risk Factors Among Overweight/Obese Latino Smokers
AU - Castro, Yessenia
AU - Fernández, Maria E.
AU - Strong, Larkin L.
AU - Stewart, Diana W.
AU - Krasny, Sarah
AU - Hernandez Robles, Eden
AU - Heredia, Natalia
AU - Spears, Claire A.
AU - Correa-Fernández, Virmarie
AU - Eakin, Elizabeth
AU - Resnicow, Ken
AU - Basen-Engquist, Karen
AU - Wetter, David W.
N1 - Publisher Copyright:
© 2014 Society for Public Health Education.
PY - 2015/2/17
Y1 - 2015/2/17
N2 - More than 60% of cancer-related deaths in the United States are attributable to tobacco use, poor nutrition, and physical inactivity, and these risk factors tend to cluster together. Thus, strategies for cancer risk reduction would benefit from addressing multiple health risk behaviors. We adapted an evidence-based intervention grounded in social cognitive theory and principles of motivational interviewing originally developed for smoking cessation to also address physical activity and fruit/vegetable consumption among Latinos exhibiting multiple health risk behaviors. Literature reviews, focus groups, expert consultation, pretesting, and pilot testing were used to inform adaptation decisions. We identified common mechanisms underlying change in smoking, physical activity, and diet used as treatment targets; identified practical models of patient-centered cross-cultural service provision; and identified that family preferences and support as particularly strong concerns among the priority population. Adaptations made to the original intervention are described. The current study is a practical example of how an intervention can be adapted to maximize relevance and acceptability and also maintain the core elements of the original evidence-based intervention. The intervention has significant potential to influence cancer prevention efforts among Latinos in the United States and is being evaluated in a sample of 400 Latino overweight/obese smokers.
AB - More than 60% of cancer-related deaths in the United States are attributable to tobacco use, poor nutrition, and physical inactivity, and these risk factors tend to cluster together. Thus, strategies for cancer risk reduction would benefit from addressing multiple health risk behaviors. We adapted an evidence-based intervention grounded in social cognitive theory and principles of motivational interviewing originally developed for smoking cessation to also address physical activity and fruit/vegetable consumption among Latinos exhibiting multiple health risk behaviors. Literature reviews, focus groups, expert consultation, pretesting, and pilot testing were used to inform adaptation decisions. We identified common mechanisms underlying change in smoking, physical activity, and diet used as treatment targets; identified practical models of patient-centered cross-cultural service provision; and identified that family preferences and support as particularly strong concerns among the priority population. Adaptations made to the original intervention are described. The current study is a practical example of how an intervention can be adapted to maximize relevance and acceptability and also maintain the core elements of the original evidence-based intervention. The intervention has significant potential to influence cancer prevention efforts among Latinos in the United States and is being evaluated in a sample of 400 Latino overweight/obese smokers.
KW - Latinos
KW - adaptation
KW - health risk behavior
KW - intervention
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U2 - 10.1177/1090198114560019
DO - 10.1177/1090198114560019
M3 - Article
C2 - 25527143
AN - SCOPUS:84920992600
SN - 1090-1981
VL - 42
SP - 65
EP - 72
JO - Health Education and Behavior
JF - Health Education and Behavior
IS - 1
ER -