title: Healthy Eating for Life English as a second language curriculum: applying the RE-AIM framework to evaluate a nutrition education intervention targeting cancer risk reduction.
abstract: Medically underserved US immigrants are at an increased risk for death from preventable or curable cancers due to economic, cultural, and/or linguistic barriers to medical care. The purpose of this study was to describe the evaluation of the pilot study of the Healthy Eating for Life (HE4L) English as a second language curriculum. The Reach, Effectiveness Adoption, Implementation, Maintenance (RE-AIM) model was used to design a mixed-methods approach to the evaluation of the HE4L curriculum. Successful implementation was dependent upon enthusiastic teacher and manager support of the curriculum, teachers' ability to flexibly apply the curriculum to meet student needs, and researcher provision of curriculum workbooks. HE4L can be implemented successfully in various adult education settings to teach healthy eating behaviors and English language principles. Scale-up of HE4L may depend on the development of an online version of the curriculum to avoid the costs associated with printing and distributing curriculum materials.
authors.affiliation: School of Medicine, Yale University, PO Box 208093, New Haven, CT, 06520-8034, USA. josefa.martinez@yale.edu.
authors.forename: J L
authors.initials: JL
authors.lastname: Martinez
authors.affiliation: Department of Kinesiology and Physical Education, McGill University, 475 Pine Avenue West, Currie Gymnasium, Montreal, QC, H2W 1S4, Canada.
authors.forename: L R
authors.initials: LR
authors.lastname: Duncan
authors.affiliation: Yale Center for Emotional Intelligence, Department of Psychology, Yale University, PO Box 208205, New Haven, CT, 06520-8205, USA.
authors.forename: S E
authors.initials: SE
authors.lastname: Rivers
authors.affiliation: Yale Center for Emotional Intelligence, Department of Psychology, Yale University, PO Box 208205, New Haven, CT, 06520-8205, USA.
authors.forename: M C
authors.initials: MC
authors.lastname: Bertoli
authors.affiliation: Canada Research Chair, Tier 2-CIHR, Physical Activity Promotion and Disability, School of Kinesiology and Health Studies, Queen's University, 28 Division St., Kingston, ON, K7L 3N6, Canada.
authors.forename: A E
authors.initials: AE
authors.lastname: Latimer-Cheung
authors.affiliation: Chris Argyris Professor of Psychology, Office of the President, Yale University, P.O. BOX 208229, New Haven, CT, 06520-8365, USA.
authors.forename: P
authors.initials: P
authors.lastname: Salovey
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003479:Curriculum; D000072001:Diet, Healthy; D000071195:Educational Personnel / Q000523:psychology; D054242:Emigrants and Immigrants / Q000193:education; D017144:Focus Groups; D005500:Follow-Up Studies; D006266:Health Education / Q000379:methods*; D054625:Healthcare Disparities; D006801:Humans; D020407:Internet; D007802:Language; D008875:Middle Aged; D009369:Neoplasms / Q000517:prevention & control*; D015397:Program Evaluation; D036301:Qualitative Research; D040242:Risk Reduction Behavior; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult
keywords: Cancer prevention; Community-based research; Immigrants; Medically underserved; Program evaluation; RE-AIM model