title: Adaptation of a counseling intervention to address multiple cancer risk factors among overweight/obese Latino smokers.
abstract: 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.
authors.affiliation: The University of Texas at Austin, TX, USA ycastro@austin.utexas.edu.
authors.forename: Yessenia
authors.initials: Y
authors.lastname: Castro
authors.affiliation: The University of Texas School of Public Health, Houston, TX, USA.
authors.forename: Maria E
authors.initials: ME
authors.lastname: Fernández
authors.affiliation: The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Larkin L
authors.initials: LL
authors.lastname: Strong
authors.affiliation: The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Diana W
authors.initials: DW
authors.lastname: Stewart
authors.affiliation: The University of Texas School of Public Health, Houston, TX, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Krasny
authors.affiliation: The University of Texas at Austin, TX, USA.
authors.forename: Eden
authors.initials: E
authors.lastname: Hernandez Robles
authors.affiliation: The University of Texas School of Public Health, Houston, TX, USA.
authors.forename: Natalia
authors.initials: N
authors.lastname: Heredia
authors.affiliation: Catholic University of America, Washington, DC, USA.
authors.forename: Claire A
authors.initials: CA
authors.lastname: Spears
authors.affiliation: The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Virmarie
authors.initials: V
authors.lastname: Correa-Fernández
authors.affiliation: The University of Queensland, Brisbane, Queensland, Australia.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Eakin
authors.affiliation: University of Michigan School of Public Health, Ann Arbor, MI, USA.
authors.forename: Ken
authors.initials: K
authors.lastname: Resnicow
authors.affiliation: The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Basen-Engquist
authors.affiliation: Rice University, Houston, TX, USA.
authors.forename: David W
authors.initials: DW
authors.lastname: Wetter
mesh_terms: D003376:Counseling / Q000379:methods*; D005260:Female; D017144:Focus Groups; D005638:Fruit; D015438:Health Behavior / Q000208:ethnology*; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006293:Health Promotion / Q000379:methods*; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008800:Mexico / Q000208:ethnology; D009043:Motor Activity; D009369:Neoplasms / Q000517:prevention & control*; D009765:Obesity / Q000517:prevention & control; D050177:Overweight; D010865:Pilot Projects; D012107:Research Design; D012307:Risk Factors; D040242:Risk Reduction Behavior; D000074606:Smoking Prevention; D014675:Vegetables
keywords: Latinos; adaptation; health risk behavior; intervention