Skip to main content
SpringerLink
Log in

Development and Feasibility of a Community-Based, Culturally Flexible Colorectal Cancer Prevention Program

  • Original Paper
  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

Comprehensive cancer centers are an important community resource for cancer prevention education in their catchment areas. Colorectal cancer remains one of the most commonly diagnosed cancers in the United States, making prevention a priority. Colorectal cancer prevention targets include lifestyle modifications that are influenced by cultural norms, such as diet change, physical activity and screening behavior. Cancer centers must tailor prevention efforts to multiethnic catchment areas. This paper describes the development and feasibility of a comprehensive cancer center’s approach to community-based colorectal cancer prevention in Houston, Texas, specifically targeting Hispanic and Asian populations. Sites were recruited through a city-wide network of partnerships between the community relations department in the hospital and community organizations. The program consisted of three workshop-style classes per community site. Each class had a similar overall structure, but cultural and site-specific adaptations were made for each group. A total of 33 classes were taught at nine distinct community sites to 1054 participants over 9 months. This program structure may be adapted for the future dissemination of other cancer prevention tools to communities in the area.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Yang, D. X., Gross, C. P., Soulos, P. R., & Yu, J. B. (2014). Estimating the magnitude of colorectal cancers prevented during the era of screening: 1976 to 2009. Cancer, 120, 2893–2901.

    Article  PubMed  Google Scholar 

  2. Zahnd, W. E., James, A. S., Jenkins, W. D., Izadi, S. R., Fogleman, A. J., Steward, D. E., Colditz, G. A., Brard, L. (2017). Rural-urban differences in cancer incidence and trends in the United States. Cancer Epidemiology, Biomarkers and Prevention. https://doi.org/10.1158/1055-9965.EPI-17-0430.

    Article  PubMed  Google Scholar 

  3. Siegel, R. L., Miller, K. D., & Jemal, A. (2017). Cancer Statistics, 2017. CA, 67, 7–30.

    PubMed  Google Scholar 

  4. Norat, T., Chan, D., Lau, R., Aune, D., & Vieira, R. (2010). The associations between food, nutrition and physical activity and the risk of colorectal cancer: WCRF/AICR Systematic Literature Review Continuous Update Project Report. Imperial College London: WCRF/AICR.

  5. Lisovicz, N., Johnson, R. E., Higginbotham, J., Downey, J. A., Hardy, C. M., Fouad, M. N., Hinton, A. W., & Partridge, E. E. (2006). The Deep South network for cancer control. Cancer, 107, 1971–1979.

    Article  PubMed  Google Scholar 

  6. Treml, K., Conlon, A. E., Wegner, M. V., Baliker, M., & Remington, P. (2009). Wisconsin’s health department-university partnership model for comprehensive cancer control. Preventing Chronic Disease, 6, A58.

    PubMed  PubMed Central  Google Scholar 

  7. Council, Housing Assistance (2012). Race & ethnicity in rural America. Rural Research Briefs, April, pp. 1283–1288.

  8. Bibbins-Domingo, K., Grossman, D. C., Curry, S. J., Davidson, K. W., Epling, J. W., García, F. A., Gillman, M. W., Harper, D. M., Kemper, A. R., Krist, A. H., & Kurth, A. E. (2016). Screening for colorectal cancer: US Preventive Services Task Force recommendation statement. JAMA 315, 2564–2575.

    Article  PubMed  CAS  Google Scholar 

  9. Scheppers, E., Dongen, E., Dekker, J., Geertzen, J., & Dekker, J. (2006). Potential barriers to the use of health services among ethnic minorities: A review. Family Practice, 23, 325–348.

    Article  PubMed  Google Scholar 

  10. Raber, M., Chandra, J., Upadhyaya, M., Schick, V., Strong, L. L., Durand, C., & Sharma, S. (2016). An evidence-based conceptual framework of healthy cooking. Preventive Medicine Reports. https://doi.org/10.1016/j.pmedr.2016.05.004

    Article  PubMed  PubMed Central  Google Scholar 

  11. Li, R., Raber, M., & Chandra, J. (2015). Developing a healthy web-based cookbook for pediatric cancer patients and survivors: Rationale and methods. JMIR Research Protocols, 4, e37.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Barg, F. K., & Lowe, J. L. (1996). A Culturally Appropriate Cancer Education Program for African-American adolescents in an Urban Middle School. Journal of School Health, 66, 50–54.

    Article  PubMed  CAS  Google Scholar 

  13. Flores, E., Espinoza, P., Jacobellis, J., Bakemeier, R. & Norma Press (2006). The greater Denver Latino Cancer Prevention/Control Network. Cancer, 107, 2034–2042.

    Article  PubMed  Google Scholar 

  14. Wolf, H. J., Dwyer, A., Ahnen, D. J., Pray, S. L., Rein, S. M., Morwood, K. D., Lowery, J. T., Masias, A., Collins, N. J., Brown, C. E. & Goheen, C. A. (2015). Colon cancer screening for Colorado’s underserved: A community clinic/academic partnership. American Journal of Preventive Medicine, 48, 264–270.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We would like to acknowledge the staff of MD Anderson’s Community Relations and Education department including Francine Huckaby, Terrence Adams, Patricia Priego, as well as the Tai Chi Academy of Houston, all community site contacts and participants, and the Colorectal Cancer Coalition. We are grateful for support from the MD Anderson Cancer Center Support Grant (P30 CA16672) and the Center for Energy Balance in Cancer Prevention and Survivorship, Duncan Family Institute. MR is supported by the National Cancer Institute of the National Institutes of Health, Award Number R25CA057730 (PI: Shine Chang, PhD) and the Archer Foundation. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

Funding

This study was funded by the MD Anderson Cancer Center Support Grant (P30 CA16672) and the Center for Energy Balance in Cancer Prevention and Survivorship, Duncan Family Institute. MR is supported by the National Cancer Institute of the National Institutes of Health, Award Number R25CA057730 (PI: Shine Chang, PhD) and the Archer Foundation. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

Author information

Authors and Affiliations

  1. University of Texas MD Anderson Cancer Center, 1515 Holcombe, Houston, TX, 77030, USA

    Margaret Raber, To Nhu Huynh, Karla Crawford, Stephanie Kim & Joya Chandra

Authors
  1. Margaret Raber
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. To Nhu Huynh
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Karla Crawford
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Stephanie Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Joya Chandra
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Margaret Raber.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This study was reviewed and approved by the University of Texas MD Anderson Cancer Center Institutional Review Board (#PA18-0098).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Raber, M., Huynh, T.N., Crawford, K. et al. Development and Feasibility of a Community-Based, Culturally Flexible Colorectal Cancer Prevention Program. J Community Health 43, 882–885 (2018). https://doi.org/10.1007/s10900-018-0497-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10900-018-0497-x

Keywords

Search

Navigation