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Implementing intervention mapping to tailor the evidence-based PREDIMED intervention for medically underserved
Rebekka S Garcia1, Carrie R Daniel1, Cindy Hwang1
1Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Translational Behavioral Medicine
|June 8, 2026
Summary
A culturally adapted Mediterranean diet intervention was developed for Black and Hispanic men with prostate cancer using the Intervention Mapping Adaptation (IM ADAPT) framework. This tailored approach is ready for pilot testing and may serve as a replicable model.
Area of Science:
- Oncology
- Nutritional Science
- Health Disparities
Background:
- Prostate cancer disproportionately affects men with low socioeconomic status, particularly racial and ethnic minorities.
- Addressing health disparities in cancer care is crucial for underserved populations.
Purpose of the Study:
- To develop a culturally tailored Mediterranean diet intervention for medically underserved Black and Hispanic men diagnosed with prostate cancer.
- Utilizing the Intervention Mapping Adaptation (IM ADAPT) framework to ensure cultural relevance and evidence-based design.
Main Methods:
- Collaborative development involving community scientists and patient stakeholders to identify dietary needs and preferences.
- Review of existing interventions for cultural appropriateness and adaptation using the six-step IM ADAPT framework.
- Incorporation of stakeholder feedback throughout the adaptation process to refine intervention components.
Main Results:
- A culturally adapted Mediterranean diet intervention was successfully developed.
- The intervention includes tailored dietary recommendations, food provision strategies, and educational materials.
- Intervention components are specifically designed to meet the unique needs of Black and Hispanic men with prostate cancer.
Conclusions:
- The IM ADAPT framework facilitated the creation of a culturally tailored, evidence-based dietary intervention for pilot testing.
- This adaptable model can inform the design of future interventions for diverse racial and ethnic minority cancer patient populations.
- Culturally sensitive dietary interventions are essential for improving health outcomes in medically underserved communities.