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Implementation and Efficacy of Total Wellness: A Community-Based Cancer Prevention and Lifestyle Intervention Program
Devon C Riegel1, Jamila L Kwarteng2, Laura Pinsoneault3
1Medical College of Wisconsin, Cancer Center, Milwaukee, WI, USA. riegeldevon@gmail.com.
Summary
The Total Wellness (TW) program successfully improved cancer knowledge and healthy lifestyle behaviors in participants. While effective in Black communities, the program faced challenges reaching Hispanic communities.
Area of Science:
- Public Health
- Cancer Prevention
- Health Disparities
Background:
- Cancer is a leading cause of death in Wisconsin, disproportionately affecting Black and Hispanic populations.
- Community-based lifestyle and cancer prevention programs are crucial for addressing health disparities.
Purpose of the Study:
- To evaluate the feasibility, efficacy, and sustainability of the Total Wellness (TW) program.
- To assess the program's impact on cancer knowledge, lifestyle behaviors, and health outcomes.
- To examine the integration and reach of the TW program within Milwaukee Recreation (MKE Rec).
Main Methods:
- A 16-week lifestyle and cancer prevention program (TW) was implemented in partnership with MKE Rec.
- Program evaluation included surveys and physical assessments for 60 participants (58.3% Black, 7.3% Hispanic).
- System-level evaluation focused on instructor training and program site integration over two years.
Main Results:
- Significant improvements were observed in cancer knowledge, diet, and physical activity levels.
- Participants showed significant improvements in weight, BMI, blood pressure, and fitness.
- The TW program was successfully integrated into MKE Rec, demonstrating sustained success in reaching Black communities.
Conclusions:
- The Total Wellness program effectively enhanced individual cancer awareness and promoted healthy lifestyle changes.
- Community health interventions can be integrated into existing recreational structures to address cancer disparities.
- Further adaptation is needed to effectively engage Hispanic communities in cancer prevention efforts.
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