Riegel Devon C, Kwarteng Jamila L, Pinsoneault Laura, Contreras Sandra, Wasserman Erica, Visotcky Alexis, Manriquez Prado Ana, Villarreal Espinosa Oscar, Sheean Patricia, Tovar Margaret, Jensik Kathleen, Vidaver Regina M, Stolley Melinda R
Medical College of Wisconsin, Cancer Center, Milwaukee, WI, USA.
Medical College of Wisconsin, Institute for Health and Equity, Milwaukee, WI, USA.
J Cancer Educ. 2025 Mar 29. doi: 10.1007/s13187-025-02589-z.
Cancer is the second leading cause of death in Wisconsin, with higher rates in Black/African American (Black) and Hispanic/Latino (Hispanic) populations. In partnership with Milwaukee Recreation (MKE Rec), Total Wellness (TW) was created to provide lifestyle and cancer prevention programming to local communities. Program feasibility, potential efficacy, and sustainability were evaluated. TW is a 16-week program integrated into MKE Rec and implemented over two 8-week sessions led by instructors trained in lifestyle change and cancer prevention. TW was evaluated at the individual and systems level. Class registrants were invited to participate in the evaluation, which included surveys and a physical assessment. Sixty participants consented to the program evaluation: 58.3% self-identified as Black and 7.3% as Hispanic. Survey results indicated significant improvements in cancer knowledge, self-reported diet, and physical activity. Physical assessment showed significant improvements in weight, body mass index, blood pressure, and fitness. System-wise, three MKE Rec instructors were trained, and classes operated out of two sites, serving a predominantly Black neighborhood and a large Hispanic population. English-taught sessions of TW showed successful integration into MKE Rec programming throughout 2 years. Spanish-language only classes were attempted but did not meet minimum enrollment to proceed. TW showed success in improving individual cancer awareness and healthy lifestyle changes. TW was also integrated into MKE Rec and showed sustained success in reaching Black communities with limited reach in Hispanic communities. This program demonstrates the potential for a community health intervention program to address cancer disparities.
癌症是威斯康星州第二大死因，在黑人/非裔美国人（黑人）和西班牙裔/拉丁裔（西班牙裔）人群中的发病率更高。与密尔沃基娱乐部门（MKE Rec）合作，创建了全面健康（TW）项目，为当地社区提供生活方式和癌症预防计划。对该项目的可行性、潜在效果和可持续性进行了评估。TW是一个为期16周的项目，融入MKE Rec，并分两个为期8周的阶段实施，由接受过生活方式改变和癌症预防培训的教师授课。在个人和系统层面评估了TW项目。课程注册者被邀请参与评估，包括调查和身体评估。60名参与者同意进行项目评估：58.3%的人自我认定为黑人，7.3%的人自我认定为西班牙裔。调查结果表明，在癌症知识、自我报告的饮食和身体活动方面有显著改善。身体评估显示，体重、体重指数、血压和健康状况有显著改善。从系统层面来看，培训了三名MKE Rec教师，课程在两个地点开展，主要服务于一个黑人社区和大量西班牙裔人口。TW项目用英语授课的课程在两年内成功融入了MKE Rec的项目中。仅尝试了西班牙语授课的班级，但未达到最低招生人数无法继续。TW项目在提高个人癌症意识和促进健康生活方式改变方面取得了成功。TW项目也融入了MKE Rec，并且在接触黑人社区方面持续取得成功，但在西班牙裔社区的覆盖范围有限。该项目展示了社区健康干预项目解决癌症差异问题的潜力。
