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Impact of a primary care intervention on smoking, drinking, diet, weight, sun exposure, and work risk in families with cancer experience

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Abstract

Background

Modifying multiple behavior risks is a promising approach to reduce cancer risk. Primary prevention advices of the European Code against Cancer were included in an educational intervention (EI) using social cognitive theories for motivating families with cancer experiences to adopt six cancer prevention behaviors.

Methods

A randomized clinical controlled trial recruited 3,031 patients from Primary Care among cancer patients’ relatives. The experimental group (EG) received four EI, one EI every six months, focused on tobacco, alcohol, diet, weight, sun and work, and based on social cognitive models. The impact of the first three EI was calculated measuring at baseline and 18 months later: (a) The percentage of people with each risk behavior; (b) The score reached in a Total Cancer Behavioral Risk (TCBR) indicator; (c) The Odds Ratios at the post-test.

Results

Five risk behaviors decreased significantly more (p < 0.01) in the EG than in the CG: Smoking (OR = 0.662), drinking (OR = 0.504), diet (OR = 0.542), weight (OR = 0.698), and sun (OR = 0.389). The TCBR indicator also decreased an average of nearly 5 points (28.42 vs. 23.82), significantly more (p < 0.001) in the EG.

Conclusion

Families with cancer experiences changed five cancer risk behaviors when approached in Primary Care with interventions based on social cognitive models.

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Acknowledgments

FIS 01/0311 and FICYT FC-02-PC-SPV01-14 grants supported this research. The authors wish to acknowledge: the contribution of the professionals, patients and sanitary authorities of the Principality of Asturias and Cantabria regions; the financial support of the RTICCC and ‘Obra Social Cajastur’.

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Authors and Affiliations

  1. Department of Preventive Medicine, Faculty of Medicine, Principality of Asturias University Oncology Institute, Oviedo University, Julián Clavería s/n, 33006, Oviedo, Spain

    Mª Luisa López, Jose M. Iglesias, Mª Olivo del Valle, Ángel Comas, José M. Fernández, Alberto Lana, Juan B. García & Antonio Cueto

  2. Department of Health Education and Promotion, Maastricht University, Maastricht, The Netherlands

    Hein de Vries

  3. Department of Community Nursing, Cantabria University, Santander, Spain

    Santiago López

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  1. Mª Luisa López
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  2. Jose M. Iglesias
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  3. Mª Olivo del Valle
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  4. Ángel Comas
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  9. Santiago López
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Correspondence to Mª Luisa López.

Additional information

From Primary Care centers: Alonso Cortina, Mª Aurora; Alonso Montes, Flor; Álvarez González, Esperanza; Álvarez Gutiérrez, Lourdes; Blanco Diego, Julia; Blas Gutiérrez, Aurora de; Brun Gurpegui, Elisa; Cabañeros Vicente, Juan José; Cadaya Gabás, Mª Nieves; Castañeda García, Esperanza; Chamizo Vega, Carmen; Díez Lamadrid, Mª Josefa; Dorado Campos, Ofelia; Elena Sinobas, Pilar; Esparza Girón, Miguel; Fernández Prieto, Teresa; García Fernández, Ana Margarita; García Mata, Montserrat; Gonzalvo Rodríguez, Covadonga; Hermosa de la Llama, Mª Concepción; Lago García, Carmen Mª; Marín Ortega, Dolores; Plaza Verdesoto, Mª Fernanda; Sáiz Berzosa, Angélica; Sánchez Valles, Emma Rosa; Torre Arrarte, Begoña de la; Zumalacárregui Rodríguez, Mª Jesús. From the University of Oviedo: Martínez Canteli, Alejandra; Miguélez López, Ruth.

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López, M.L., Iglesias, J.M., del Valle, M.O. et al. Impact of a primary care intervention on smoking, drinking, diet, weight, sun exposure, and work risk in families with cancer experience. Cancer Causes Control 18, 525–535 (2007). https://doi.org/10.1007/s10552-007-0124-0

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  • DOI: https://doi.org/10.1007/s10552-007-0124-0

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