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    Design of a Randomized Controlled Trial for Multiple Cancer Risk Behaviors Among Spanish-Speaking Mexican-Origin Smokers

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    2013_03_Castro.pdf (440.8Kb)
    Date
    2013-03
    Author
    Castro, Yessenia
    Basen-Engquist, Karen
    Fernandez, Maria E.
    Strong, Larkin L.
    Eakin, Elizabeth G.
    Resnicow, Ken
    Li, Y. S.
    Wetter, David W.
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    Abstract
    Smoking, poor diet, and physical inactivity account for as much as 60% of cancer risk. Latinos experience profound disparities in health behaviors, as well as the cancers associated with them. Currently, there is a dearth of controlled trials addressing these health behaviors among Latinos. Further, to the best of our knowledge, no studies address all three behaviors simultaneously, are culturally sensitive, and are guided by formative work with the target population. Latinos represent 14% of the U. S. population and are the fastest growing minority group in the country. Efforts to intervene on these important lifestyle factors among Latinos may accelerate the elimination of cancer-related health disparities. Methods/design: The proposed study will evaluate the efficacy of an evidence-based and theoretically-driven Motivation And Problem Solving (MAPS) intervention, adapted and culturally-tailored for reducing cancer risk related to smoking, poor diet, and physical inactivity among high-risk Mexican-origin smokers who are overweight/ obese (n = 400). Participants will be randomly assigned to one of two groups: Health Education (HE) or MAPS (HE + up to 18 MAPS counseling calls over 18 months). Primary outcomes are smoking status, servings of fruits and vegetables, and both self-reported and objectively measured physical activity. Outcome assessments will occur at baseline, 6 months, 12 months, and 18 months. Discussion: The current study will contribute to a very limited evidence base on multiple risk factor intervention studies on Mexican-origin individuals and has the potential to inform both future research and practice related to reducing cancer risk disparities. An effective program targeting multiple cancer risk behaviors modeled after chronic care programs has the potential to make a large public health impact because of the dearth of evidence-based interventions for Latinos and the extended period of support that is provided in such a program. Trial registration: National Institutes of Health Clinical Trials Registry # NCT01504919
    Department
    Center for Social Work Research
    Subject
    latinos
    mexican
    mexican american
    smoking cessation
    fruits/vegetables
    physical activity
    controlled clinical-trials
    health-promotion trial
    improving
    primary-care
    dietary-fat intake
    smoking-cessation
    physical-activity
    united-states
    self-efficacy
    tobacco withdrawal
    multiethnic
    populations
    public, environmental & occupational health
    URI
    http://hdl.handle.net/2152/43371
    Citation
    Castro, Yessenia, Karen Basen-Engquist, Maria E. Fernandez, Larkin L. Strong, Elizabeth G. Eakin, Ken Resnicow, Yisheng Li, and David W. Wetter. "Design of a randomized controlled trial for multiple cancer risk behaviors among Spanish-speaking Mexican-origin smokers." BMC public health, Vol. 13, No. 1 (Mar., 2013): 237.
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    University of Texas at Austin Libraries
    • facebook
    • twitter
    • instagram
    • youtube
    • CONTACT US
    • MAPS & DIRECTIONS
    • JOB OPPORTUNITIES
    • UT Austin Home
    • Emergency Information
    • Site Policies
    • Web Accessibility Policy
    • Web Privacy Policy
    • Adobe Reader
    Subscribe to our NewsletterGive to the Libraries

    © The University of Texas at Austin