Design of a randomized controlled trial for multiple cancer risk behaviors among Spanish-speaking Mexican-origin smokers

Castro, Yessenia, Basen-Engquist, Karen, Fernandez, Maria E., Strong, Larkin L., Eakin, Elizabeth G., Resnicow, Ken, Li, Yisheng and Wetter, David W. (2013) Design of a randomized controlled trial for multiple cancer risk behaviors among Spanish-speaking Mexican-origin smokers. BMC Public Health, 13 1: 237.1-237.15. doi:10.1186/1471-2458-13-237

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Author Castro, Yessenia
Basen-Engquist, Karen
Fernandez, Maria E.
Strong, Larkin L.
Eakin, Elizabeth G.
Resnicow, Ken
Li, Yisheng
Wetter, David W.
Title Design of a randomized controlled trial for multiple cancer risk behaviors among Spanish-speaking Mexican-origin smokers
Journal name BMC Public Health   Check publisher's open access policy
ISSN 1471-2458
Publication date 2013-03-18
Year available 2013
Sub-type Article (original research)
DOI 10.1186/1471-2458-13-237
Open Access Status DOI
Volume 13
Issue 1
Start page 237.1
End page 237.15
Total pages 15
Place of publication London, U.K.
Publisher BioMed Central
Collection year 2014
Language eng
Formatted abstract
Smoking, poor diet, and physical inactivity account for as much as 60% of cancer risk. Latinos experience profound disparities in health behaviors, as well as the cancers associated with them. Currently, there is a dearth of controlled trials addressing these health behaviors among Latinos. Further, to the best of our knowledge, no studies address all three behaviors simultaneously, are culturally sensitive, and are guided by formative work with the target population. Latinos represent 14% of the U.S. population and are the fastest growing minority group in the country. Efforts to intervene on these important lifestyle factors among Latinos may accelerate the elimination of cancer-related health disparities.

The proposed study will evaluate the efficacy of an evidence-based and theoretically-driven Motivation And Problem Solving (MAPS) intervention, adapted and culturally-tailored for reducing cancer risk related to smoking, poor diet, and physical inactivity among high-risk Mexican-origin smokers who are overweight/obese (n = 400). Participants will be randomly assigned to one of two groups: Health Education (HE) or MAPS (HE + up to 18 MAPS counseling calls over 18 months). Primary outcomes are smoking status, servings of fruits and vegetables, and both self-reported and objectively measured physical activity. Outcome assessments will occur at baseline, 6 months, 12 months, and 18 months.

The current study will contribute to a very limited evidence base on multiple risk factor intervention studies on Mexican-origin individuals and has the potential to inform both future research and practice related to reducing cancer risk disparities. An effective program targeting multiple cancer risk behaviors modeled after chronic care programs has the potential to make a large public health impact because of the dearth of evidence-based interventions for Latinos and the extended period of support that is provided in such a program.
Keyword Latinos
Mexican American
Smoking cessation
Physical activity
Controlled Clinical-Trials
Health-Promotion Trial
Improving Primary-Care
Dietary-Fat Intake
Tobacco Withdrawal
Multiethnic Populations
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
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