Conclusions : The available literature suggests that African American breast cancer survivors adhere to interventions of various modalities and are capable of making modest to significant changes .
Background : African American breast cancer survivors have a higher incidence of estrogen receptor negative and basal-like ( e.g. , triple negative ) tumors , placing them at greater risk for poorer survival when compared to women of other racial and ethnic groups .
While access to equitable care , late disease stage at diagnosis , tumor biology , and sociodemographic characteristics contribute to health disparities , poor lifestyle characteristics ( i.e. , inactivity , obesity , and poor diet ) contribute equally to these disparities .
Lifestyle interventions hold promise in shielding African American survivors from second cancers , comorbidities , and premature mortality , but they are often underrepresented in studies promoting positive behaviors .
This review examined the available literature to document health behaviors and lifestyle intervention ( i.e. , obesity , physical activity , and sedentary behavior ) studies in African American breast cancer survivors .
Evaluating the dissemination of Body & Soul, an evidence-based fruit and vegetable intake intervention: challenges for dissemination and implementation research.
OBJECTIVE To evaluate whether the evidence -based Body & Soul program , when disseminated and implemented without research er or agency involvement and support , would achieve results similar to those of earlier efficacy and effectiveness trials . DESIGN Prospect i ve group r and omized trial . SETTING Churches with predominantly African American membership . PARTICIPANTS A total of 1,033 members from the 15 churches completed baseline surveys . Of these participants , 562 ( 54.4 % ) completed the follow-up survey 6 months later . INTERVENTION Church-based nutrition program for African Americans that included pastoral involvement , educational activities , church environmental changes , and peer counseling . MAIN OUTCOME MEASURE Daily fruit and vegetable ( FV ) intake was assessed at pre- and posttest . ANALYSIS Mixed-effects linear models . RESULTS At posttest , there was no statistically significant difference in daily servings of FVs between the early intervention group participants compared to control group participants ( 4.7 vs 4.4 , P = .38 ) . Process evaluation suggested that added re sources such as technical assistance could improve program implementation . CONCLUSIONS AND IMPLICATION S The disseminated program may not produce improvements in FV intake equal to those in the earlier efficacy and effectiveness trials , primarily because of a lack of program implementation . Program dissemination may not achieve public health impact unless support systems are strengthened for adequate implementation at the church level
Conclusions : The available literature suggests that African American breast cancer survivors adhere to interventions of various modalities and are capable of making modest to significant changes .
Background : African American breast cancer survivors have a higher incidence of estrogen receptor negative and basal-like ( e.g. , triple negative ) tumors , placing them at greater risk for poorer survival when compared to women of other racial and ethnic groups .
While access to equitable care , late disease stage at diagnosis , tumor biology , and sociodemographic characteristics contribute to health disparities , poor lifestyle characteristics ( i.e. , inactivity , obesity , and poor diet ) contribute equally to these disparities .
Lifestyle interventions hold promise in shielding African American survivors from second cancers , comorbidities , and premature mortality , but they are often underrepresented in studies promoting positive behaviors .
This review examined the available literature to document health behaviors and lifestyle intervention ( i.e. , obesity , physical activity , and sedentary behavior ) studies in African American breast cancer survivors .