Development and Evaluation of the Curriculum for BOLD (Bronx Oncology Living Daily) Healthy Living: a Diabetes Prevention and Control Program for Underserved Cancer Survivors

Beth A. Conlon, Michelle Kahan, Melissa Martinez, Kathleen Isaac, Amerigo Rossi, Rebecca Skyhart, Judith Wylie-Rosett, Alyson B. Moadel-Robblee

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Underserved minority communities have few resources for addressing comorbidity risk reduction among long-term cancer survivors. To address this community need, we developed and piloted the Bronx Oncology Living Daily (BOLD) Healthy Living program, the first known diabetes prevention and control program to target cancer survivors and co-survivors in Bronx County, NY. The program aimed to facilitate lifestyle change and improve health-related quality of life (HRQoL) through weekly group nutrition education (60–90 min) and exercise (60 min) classes. We examined baseline characteristics of participants using simple descriptive statistics and evaluated program implementation and impact using the Reach, Efficacy, Adoption, Implementation and Maintenance (RE-AIM) framework. The curriculum, which drew from the social-ecological framework and motivational and cognitive behavioral strategies, consisted of 12 culturally and medically tailored modules with options for implementation as a 12- or 4-week program. Seven programs (four 12 weeks and three 4 weeks in length, respectively) were implemented at five community site locations. Sixty-six cancer survivors and 17 cancer co-survivors (mean age 60.5 ± 10.2 years) enrolled in one of the programs. Most participants were female (95.2 %) minority (55.4 % black, 26.5 % Hispanic/Latino) breast cancer survivors (75.7 %). Median program attendance was 62.5 % and did not significantly differ by program length; however, 67.3 % of participants achieved ≥60 % attendance among the 12-week programs, compared to 41.9 % among the 4-week programs, and this difference was statistically significant (p = 0.02). Overall, participants reported significant pre/post improvements in perceived health as good/excellent (66.0 to 75.5 %; p = 0.001) and borderline significant decreases in perceived pain as moderate/severe (45.5 to 38.2 %; p = 0.05). More than 90 % of participants reported that the program helped them to achieve their short-term goals, motivated them to engage in healthier behaviors, and felt that the nutrition and exercise classes were relevant to their needs. These results indicate that a short-term lifestyle intervention program for adult cancer survivors was acceptable in our community and motivated cancer survivors to improve their HRQoL. The curriculum can be used as a tool to facilitate development of similar programs in the future.

Original languageEnglish (US)
Pages (from-to)535-545
Number of pages11
JournalJournal of Cancer Education
Volume30
Issue number3
DOIs
StatePublished - Nov 15 2014

Fingerprint

Curriculum
Survivors
Neoplasms
Hispanic Americans
Life Style
Quality of Life
Exercise
Program Development
Risk Reduction Behavior
Comorbidity
Maintenance
Breast Neoplasms
Education
Pain
Health

Keywords

  • Adults
  • Behavioral
  • Cancer
  • Diabetes
  • Diet
  • Nutrition
  • Oncology
  • Physical activity
  • Psychosocial

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Oncology

Cite this

Development and Evaluation of the Curriculum for BOLD (Bronx Oncology Living Daily) Healthy Living : a Diabetes Prevention and Control Program for Underserved Cancer Survivors. / Conlon, Beth A.; Kahan, Michelle; Martinez, Melissa; Isaac, Kathleen; Rossi, Amerigo; Skyhart, Rebecca; Wylie-Rosett, Judith; Moadel-Robblee, Alyson B.

In: Journal of Cancer Education, Vol. 30, No. 3, 15.11.2014, p. 535-545.

Research output: Contribution to journalArticle

@article{e8f0eebb45174ce98f7ed5efdf0c6034,
title = "Development and Evaluation of the Curriculum for BOLD (Bronx Oncology Living Daily) Healthy Living: a Diabetes Prevention and Control Program for Underserved Cancer Survivors",
abstract = "Underserved minority communities have few resources for addressing comorbidity risk reduction among long-term cancer survivors. To address this community need, we developed and piloted the Bronx Oncology Living Daily (BOLD) Healthy Living program, the first known diabetes prevention and control program to target cancer survivors and co-survivors in Bronx County, NY. The program aimed to facilitate lifestyle change and improve health-related quality of life (HRQoL) through weekly group nutrition education (60–90 min) and exercise (60 min) classes. We examined baseline characteristics of participants using simple descriptive statistics and evaluated program implementation and impact using the Reach, Efficacy, Adoption, Implementation and Maintenance (RE-AIM) framework. The curriculum, which drew from the social-ecological framework and motivational and cognitive behavioral strategies, consisted of 12 culturally and medically tailored modules with options for implementation as a 12- or 4-week program. Seven programs (four 12 weeks and three 4 weeks in length, respectively) were implemented at five community site locations. Sixty-six cancer survivors and 17 cancer co-survivors (mean age 60.5 ± 10.2 years) enrolled in one of the programs. Most participants were female (95.2 {\%}) minority (55.4 {\%} black, 26.5 {\%} Hispanic/Latino) breast cancer survivors (75.7 {\%}). Median program attendance was 62.5 {\%} and did not significantly differ by program length; however, 67.3 {\%} of participants achieved ≥60 {\%} attendance among the 12-week programs, compared to 41.9 {\%} among the 4-week programs, and this difference was statistically significant (p = 0.02). Overall, participants reported significant pre/post improvements in perceived health as good/excellent (66.0 to 75.5 {\%}; p = 0.001) and borderline significant decreases in perceived pain as moderate/severe (45.5 to 38.2 {\%}; p = 0.05). More than 90 {\%} of participants reported that the program helped them to achieve their short-term goals, motivated them to engage in healthier behaviors, and felt that the nutrition and exercise classes were relevant to their needs. These results indicate that a short-term lifestyle intervention program for adult cancer survivors was acceptable in our community and motivated cancer survivors to improve their HRQoL. The curriculum can be used as a tool to facilitate development of similar programs in the future.",
keywords = "Adults, Behavioral, Cancer, Diabetes, Diet, Nutrition, Oncology, Physical activity, Psychosocial",
author = "Conlon, {Beth A.} and Michelle Kahan and Melissa Martinez and Kathleen Isaac and Amerigo Rossi and Rebecca Skyhart and Judith Wylie-Rosett and Moadel-Robblee, {Alyson B.}",
year = "2014",
month = "11",
day = "15",
doi = "10.1007/s13187-014-0750-7",
language = "English (US)",
volume = "30",
pages = "535--545",
journal = "Journal of Cancer Education",
issn = "0885-8195",
publisher = "Springer Publishing Company",
number = "3",

}

TY - JOUR

T1 - Development and Evaluation of the Curriculum for BOLD (Bronx Oncology Living Daily) Healthy Living

T2 - a Diabetes Prevention and Control Program for Underserved Cancer Survivors

AU - Conlon, Beth A.

AU - Kahan, Michelle

AU - Martinez, Melissa

AU - Isaac, Kathleen

AU - Rossi, Amerigo

AU - Skyhart, Rebecca

AU - Wylie-Rosett, Judith

AU - Moadel-Robblee, Alyson B.

PY - 2014/11/15

Y1 - 2014/11/15

N2 - Underserved minority communities have few resources for addressing comorbidity risk reduction among long-term cancer survivors. To address this community need, we developed and piloted the Bronx Oncology Living Daily (BOLD) Healthy Living program, the first known diabetes prevention and control program to target cancer survivors and co-survivors in Bronx County, NY. The program aimed to facilitate lifestyle change and improve health-related quality of life (HRQoL) through weekly group nutrition education (60–90 min) and exercise (60 min) classes. We examined baseline characteristics of participants using simple descriptive statistics and evaluated program implementation and impact using the Reach, Efficacy, Adoption, Implementation and Maintenance (RE-AIM) framework. The curriculum, which drew from the social-ecological framework and motivational and cognitive behavioral strategies, consisted of 12 culturally and medically tailored modules with options for implementation as a 12- or 4-week program. Seven programs (four 12 weeks and three 4 weeks in length, respectively) were implemented at five community site locations. Sixty-six cancer survivors and 17 cancer co-survivors (mean age 60.5 ± 10.2 years) enrolled in one of the programs. Most participants were female (95.2 %) minority (55.4 % black, 26.5 % Hispanic/Latino) breast cancer survivors (75.7 %). Median program attendance was 62.5 % and did not significantly differ by program length; however, 67.3 % of participants achieved ≥60 % attendance among the 12-week programs, compared to 41.9 % among the 4-week programs, and this difference was statistically significant (p = 0.02). Overall, participants reported significant pre/post improvements in perceived health as good/excellent (66.0 to 75.5 %; p = 0.001) and borderline significant decreases in perceived pain as moderate/severe (45.5 to 38.2 %; p = 0.05). More than 90 % of participants reported that the program helped them to achieve their short-term goals, motivated them to engage in healthier behaviors, and felt that the nutrition and exercise classes were relevant to their needs. These results indicate that a short-term lifestyle intervention program for adult cancer survivors was acceptable in our community and motivated cancer survivors to improve their HRQoL. The curriculum can be used as a tool to facilitate development of similar programs in the future.

AB - Underserved minority communities have few resources for addressing comorbidity risk reduction among long-term cancer survivors. To address this community need, we developed and piloted the Bronx Oncology Living Daily (BOLD) Healthy Living program, the first known diabetes prevention and control program to target cancer survivors and co-survivors in Bronx County, NY. The program aimed to facilitate lifestyle change and improve health-related quality of life (HRQoL) through weekly group nutrition education (60–90 min) and exercise (60 min) classes. We examined baseline characteristics of participants using simple descriptive statistics and evaluated program implementation and impact using the Reach, Efficacy, Adoption, Implementation and Maintenance (RE-AIM) framework. The curriculum, which drew from the social-ecological framework and motivational and cognitive behavioral strategies, consisted of 12 culturally and medically tailored modules with options for implementation as a 12- or 4-week program. Seven programs (four 12 weeks and three 4 weeks in length, respectively) were implemented at five community site locations. Sixty-six cancer survivors and 17 cancer co-survivors (mean age 60.5 ± 10.2 years) enrolled in one of the programs. Most participants were female (95.2 %) minority (55.4 % black, 26.5 % Hispanic/Latino) breast cancer survivors (75.7 %). Median program attendance was 62.5 % and did not significantly differ by program length; however, 67.3 % of participants achieved ≥60 % attendance among the 12-week programs, compared to 41.9 % among the 4-week programs, and this difference was statistically significant (p = 0.02). Overall, participants reported significant pre/post improvements in perceived health as good/excellent (66.0 to 75.5 %; p = 0.001) and borderline significant decreases in perceived pain as moderate/severe (45.5 to 38.2 %; p = 0.05). More than 90 % of participants reported that the program helped them to achieve their short-term goals, motivated them to engage in healthier behaviors, and felt that the nutrition and exercise classes were relevant to their needs. These results indicate that a short-term lifestyle intervention program for adult cancer survivors was acceptable in our community and motivated cancer survivors to improve their HRQoL. The curriculum can be used as a tool to facilitate development of similar programs in the future.

KW - Adults

KW - Behavioral

KW - Cancer

KW - Diabetes

KW - Diet

KW - Nutrition

KW - Oncology

KW - Physical activity

KW - Psychosocial

UR - http://www.scopus.com/inward/record.url?scp=84941316281&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84941316281&partnerID=8YFLogxK

U2 - 10.1007/s13187-014-0750-7

DO - 10.1007/s13187-014-0750-7

M3 - Article

C2 - 25394834

AN - SCOPUS:84941316281

VL - 30

SP - 535

EP - 545

JO - Journal of Cancer Education

JF - Journal of Cancer Education

SN - 0885-8195

IS - 3

ER -