Using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) Framework to Evaluate a Tailored Education Program to Reduce Obesity-Related Cancers in El Paso, Texas

Author:

Salinas Jennifer J.1,Valenzuela Roy1

Affiliation:

1. Department of Social Work, College of Health Sciences, University of Texas at El Paso, El Paso, TX 79912, USA

Abstract

Background: Pasos Para Prevenir Cancer is a tailored lifestyle program that focuses on behavioral modification through knowledge and behavioral strategy education, which was delivered in El Paso, Texas, on the U.S.–Mexico border. Methods: Using the RE-AIM framework, we assessed Pasos Para Prevenir Cancer for efficacy and potential for sustainability. Survey, administrative, and observational data were collected between 2018 and 2022. The program was evaluated to determine reach, effectiveness, adoption, implementation, and maintenance. Results: Tailoring and adapting to the U.S.–Mexico border context is feasible and necessary to deliver evidence-based healthy eating and active living education content. Pasos Para Prevenir Cancer was well received and delivered in diverse settings with varying linguistic needs. Components of the program were adopted by other organizations and integrated into existing programming. Conclusions: Adapting and tailoring evidence-based programs to improve healthy eating and active living is required to meet the needs of Latino subgroup populations, like those on the U.S.–Mexico border.

Funder

Cancer Prevention and Research Institute of Texas

Publisher

MDPI AG

Reference42 articles.

1. U.S. Border Health Commission (2020, February 15). Border Health Status Report of the 44 U.S. Counties at the U.S.-Mexico Border, Available online: https://www.hhs.gov/sites/default/files/border-health-status-report-2020.pdf.

2. Trends and Patterns of Disparities in Cancer Mortality Among US Counties, 1980–2014;Mokdad;JAMA,2017

3. Are Quality Cancer Prevention and Treatment Along the Texas US-Mexico Border Achievable?;Nodora;JCO Oncol. Pract.,2022

4. U.S. Department of Health & Human Services (2023, September 09). Centers for Disease Control and Prevention (CDC). Obesity and Cancer, Available online: https://www.cdc.gov/cancer/obesity/index.html.

5. U.S. Department of Health and Human Services Office of Minority Health (2023, September 23). Obesity and Hispanic Americans, Available online: https://minorityhealth.hhs.gov/obesity-and-hispanic-americans.

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