Grants and Contracts Details
Description
Appalachian communities are disproportionately affected by many of the leading risk factors
associated with cancer incidence and mortality, factors amenable to primary and secondary prevention.
Extensive involvement with our community partners has demonstrated strong community preference for a
holistic approach toward cancer prevention; The proposed intervention extends our successful faith-based,
trained lay health advisor tailored intervention, "Faith Moves Mountains," (R01 CA 108696) initiated three
years ago, to administer a culturally appropriate CBPR intervention. Working in partnership with 70 faithbased
institutions in rural Southeastern Kentucky, we propose to administer, evaluate, and disseminate a
tailored wellness and cancer prevention program focused on four of the most common prevention activities
that have the potential of greatly preventing and reducing cancer morbidity and mortality. These prevention
activities include smoking cessation (targeting all chronic diseases, cervical and lung cancer); energy
balance including dietary modification and physical activity promotion (targeting all chronic diseases and
colorectal cancer (CRC)), and cancer screenings (targeting CRC, cervical, and breast cancer).
Consistent with our Faith Moves Mountains and cancer control approach, faith-based organizations
will sponsor a "kick off event" or health fair in which participants will undergo a health risk appraisal
(baseline). Participants will then select one or more wellness activities (smoking cessation, energy balance,
cancer screening); then, trained lay health advisors will offer modules on each of these wellness activities.
Smoking cessation will include the culturally relevant Cooper-Clayton method (outcome: smoking
abstinence). For those targeting dietary modification and physical activity, a rural Appalachian modified
Healthy Body/Healthy Spirit program will be administered (outcome: dietary change and physical activity
participation). Tailored cancer screening promotion will be based on our current Faith Moves Mountains
design (outcome: receipt of any recommended CRC screening test, Pap test for cervical cancer, and/or
mammogram). To assess the intervention but remain consistent with community norms, we will employ a
staggered intervention design. Throughout the project, the RE-AIM model will inform our evaluation. During
phase three, this CBPR wellness approach to cancer prevention will undertake qualitative process evaluation
interviews and disseminate the intervention to medically underserved Appalachian Ohio in collaboration with
partners at Ohio State University. This collaboration will facilitate dissemination of successful intervention to
additional rural Appalachian populations with high rates of cancer health disparities.
Status | Finished |
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Effective start/end date | 5/22/08 → 1/31/14 |
Funding
- National Institute on Minority Health and Health Disparities: $2,789,990.00
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