Cocinar Para Su Salud! Development of a Culturally Based Nutrition Education Curriculum for Hispanic Breast Cancer Survivors Using a Theory-Driven Procedural Model

• Published in: Health education & behavior 2017-02, Vol.44 (1), p.13-22
• Main Authors: Aycinena, Ana Corina, Jennings, Kerri-Ann, Gaffney, Ann Ogden, Koch, Pamela A., Contento, Isobel R., Gonzalez, Monica, Guidon, Ela, Karmally, Wahida, Hershman, Dawn, Greenlee, Heather
• Format: Article
• Language: English
• Subjects: Behavior Change; Body fat; Breast cancer; Breast Neoplasms - ethnology; Cancer; Cancer Survivors; Clinical research; Clinical trials; Cognitive ability; Culturally Relevant Education; Curricula; Curriculum; Curriculum Development; Diet; Dietary intake; Dietetics; Education; Evidence Based Practice; Feedback (Response); Female; Focus Groups; Formative Evaluation; Fruit; Fruits; Guidelines; Health Behavior; Health Education; Health Promotion; Healthy Diet; Healthy food; Hispanic Americans; Hispanic Americans - education; Humans; Interdisciplinary Approach; Intervention; Literacy; Nutrition; Nutrition education; Nutrition Instruction; Population studies; Populations; Program Content; Program Evaluation; Social behavior; Social cognitive theory; Social Theory; Surveys and Questionnaires; Survivor; Teaching Methods; Theme Section: Diet & Nutrition Interventions; Theory; Transtheoretical model; Vegetables; Women
• ISSN: 1090-1981; 1552-6127
• DOI: 10.1177/1090198116642236

We developed a theory-based dietary change curriculum for Hispanic breast cancer survivors with the goal of testing the effects of the intervention on change in dietary intake of fruits/vegetables and fat in a randomized, clinical trial. Social cognitive theory and the transtheoretical model were used as theoretical frameworks to structure curriculum components using the Nutrition Education DESIGN Procedure. Formative assessments were conducted to identify facilitators and barriers common to Hispanic women and test the degree of difficulty and appropriateness of program materials. Focus groups provided valuable insight and informed preimplementation modifications to the dietary program. The result was a systematically planned, evidence-based, culturally tailored dietary intervention for Hispanic breast cancer survivors, ¡Cocinar Para Su Salud! (Cook for Your Health!). The methodology described here may serve as a framework for the development of future dietary interventions among diverse and minority populations. Short- and long-term study results will be reported elsewhere.