title: ¡Cocinar Para Su Salud! Development of a Culturally Based Nutrition Education Curriculum for Hispanic Breast Cancer Survivors Using a Theory-Driven Procedural Model.
abstract: We developed a theory-based dietary change curriculum for Hispanic breast cancer survivors with the goal of testing the effects of the intervention on change in dietary intake of fruits/vegetables and fat in a randomized, clinical trial. Social cognitive theory and the transtheoretical model were used as theoretical frameworks to structure curriculum components using the Nutrition Education DESIGN Procedure. Formative assessments were conducted to identify facilitators and barriers common to Hispanic women and test the degree of difficulty and appropriateness of program materials. Focus groups provided valuable insight and informed preimplementation modifications to the dietary program. The result was a systematically planned, evidence-based, culturally tailored dietary intervention for Hispanic breast cancer survivors, ¡Cocinar Para Su Salud! (Cook for Your Health!). The methodology described here may serve as a framework for the development of future dietary interventions among diverse and minority populations. Short- and long-term study results will be reported elsewhere.
authors.affiliation: 1 Columbia University, New York, NY, USA.
authors.forename: Ana Corina
authors.initials: AC
authors.lastname: Aycinena
authors.affiliation: 1 Columbia University, New York, NY, USA.
authors.forename: Kerri-Ann
authors.initials: KA
authors.lastname: Jennings
authors.affiliation: 2 Cook for Your Life, New York, NY, USA.
authors.forename: Ann Ogden
authors.initials: AO
authors.lastname: Gaffney
authors.affiliation: 1 Columbia University, New York, NY, USA.
authors.forename: Pamela A
authors.initials: PA
authors.lastname: Koch
authors.affiliation: 1 Columbia University, New York, NY, USA.
authors.forename: Isobel R
authors.initials: IR
authors.lastname: Contento
authors.affiliation: 3 God's Love We Deliver, Brooklyn, NY, USA.
authors.forename: Monica
authors.initials: M
authors.lastname: Gonzalez
authors.affiliation: 2 Cook for Your Life, New York, NY, USA.
authors.forename: Ela
authors.initials: E
authors.lastname: Guidon
authors.affiliation: 1 Columbia University, New York, NY, USA.
authors.forename: Wahida
authors.initials: W
authors.lastname: Karmally
authors.affiliation: 1 Columbia University, New York, NY, USA.
authors.forename: Dawn
authors.initials: D
authors.lastname: Hershman
authors.affiliation: 1 Columbia University, New York, NY, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Greenlee
mesh_terms: D001943:Breast Neoplasms / Q000208:ethnology*; D000073116:Cancer Survivors; D003479:Curriculum; D000072001:Diet, Healthy; D005260:Female; D017144:Focus Groups; D005638:Fruit; D006266:Health Education; D006630:Hispanic or Latino / Q000193:education*; D006801:Humans; D066269:Social Theory; D011795:Surveys and Questionnaires; D014675:Vegetables
keywords: Hispanic; breast cancer; diet; intervention; survivor