The cancer and diet intervention project: A community-based intervention to reduce nutrition-related risk of cancer

John D. Potter; Karen L. Graves; John R. Finnegan; Rebecca M.Mullis; Judith S.Baxter; Susan Crockett; Patricia J. Elmer; Bernadette D. Gloeb; Nancy J. Hall; James Hertog; Phyllis Pirie; Stacy L. Richardson; Brenda Rooney; Joanne Slavin; M. Patricia Snyder; Patricia Splett; K. Viswanath

doi:10.1093/her/5.4.489

The cancer and diet intervention project: A community-based intervention to reduce nutrition-related risk of cancer

John D. Potter, Karen L. Graves, John R. Finnegan, Rebecca M.Mullis, Judith S.Baxter, Susan Crockett, Patricia J. Elmer, Bernadette D. Gloeb, Nancy J. Hall, James Hertog, Phyllis Pirie, Stacy L. Richardson, Brenda Rooney, Joanne Slavin, M. Patricia Snyder, Patricia Splett, K. Viswanath

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33 Scopus citations

Abstract

This paper describes a community-based intervention program designed to lower diet-related risk of cancer. The program is one of the first to attempt to make operational cancer-related dietary guidelines. It was designed as a feasibility study for a possible larger-scale multi-community study. The intervention was structured in three parts: mass media, grocery store environment modification including point-of-purchase labelling and a home-based education course, and was undertaken in one rural midwest community with a similar community as a comparison. Formative evaluation was undertaken to define and tune intervention strategies. Community leaders were involved in the intervention from its inception. The initial intense program ran for 3 months with a maintenance period of 12 months. The dietary intervention was focused on an eating pattern message (designed to reduce fat consumption and increase fiber intake) for which criteria for specific foods were developed. Outcome variables included knowledge, attitudes and practices related to diet and cancer. These were measured in a series of cross-sectional samples in each community. The study design allowed estimation of dose-response effects within the intervention community. Novel aspects of the evaluation design included a specific attempt to measure the effect of self-selection into an intense information-giving intervention component and two new ways of measuring community dietary change. Cost-effectiveness evaluation was included.

Original language	English (US)
Pages (from-to)	489-503
Number of pages	15
Journal	Health education research
Volume	5
Issue number	4
DOIs	https://doi.org/10.1093/her/5.4.489
State	Published - Dec 1990

Bibliographical note

Funding Information:
The investigators wish to thank the following for their contributions to this research: Ann Bosch, Kandiyohi County Extension Office; Pat Berg, Kandiyohi County Community Health Services; members of the WIN Against Cancer Steering Committee; the United Fresh Fruit and Vegetable Association, Minnesota Beef Council, Minnesota Pork Producers Association, Minnesota Turkey Promotion and Research Council; Ronald E.Frederick of Nielsen Marketing Research; and especially the people of Willmar, Minnesota. This research was funded by National Cancer Institute Grant no. RO1 46013.

Copyright:
Copyright 2010 Elsevier B.V., All rights reserved.

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Potter, J. D., Graves, K. L., Finnegan, J. R., M.Mullis, R., S.Baxter, J., Crockett, S., Elmer, P. J., Gloeb, B. D., Hall, N. J., Hertog, J., Pirie, P., Richardson, S. L., Rooney, B., Slavin, J., Snyder, M. P., Splett, P., & Viswanath, K. (1990). The cancer and diet intervention project: A community-based intervention to reduce nutrition-related risk of cancer. Health education research, 5(4), 489-503. https://doi.org/10.1093/her/5.4.489

Potter, JD, Graves, KL, Finnegan, JR, M.Mullis, R, S.Baxter, J, Crockett, S, Elmer, PJ, Gloeb, BD, Hall, NJ, Hertog, J, Pirie, P, Richardson, SL, Rooney, B, Slavin, J, Snyder, MP, Splett, P & Viswanath, K 1990, 'The cancer and diet intervention project: A community-based intervention to reduce nutrition-related risk of cancer', Health education research, vol. 5, no. 4, pp. 489-503. https://doi.org/10.1093/her/5.4.489

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abstract = "This paper describes a community-based intervention program designed to lower diet-related risk of cancer. The program is one of the first to attempt to make operational cancer-related dietary guidelines. It was designed as a feasibility study for a possible larger-scale multi-community study. The intervention was structured in three parts: mass media, grocery store environment modification including point-of-purchase labelling and a home-based education course, and was undertaken in one rural midwest community with a similar community as a comparison. Formative evaluation was undertaken to define and tune intervention strategies. Community leaders were involved in the intervention from its inception. The initial intense program ran for 3 months with a maintenance period of 12 months. The dietary intervention was focused on an eating pattern message (designed to reduce fat consumption and increase fiber intake) for which criteria for specific foods were developed. Outcome variables included knowledge, attitudes and practices related to diet and cancer. These were measured in a series of cross-sectional samples in each community. The study design allowed estimation of dose-response effects within the intervention community. Novel aspects of the evaluation design included a specific attempt to measure the effect of self-selection into an intense information-giving intervention component and two new ways of measuring community dietary change. Cost-effectiveness evaluation was included.",

author = "Potter, {John D.} and Graves, {Karen L.} and Finnegan, {John R.} and Rebecca M.Mullis and Judith S.Baxter and Susan Crockett and Elmer, {Patricia J.} and Gloeb, {Bernadette D.} and Hall, {Nancy J.} and James Hertog and Phyllis Pirie and Richardson, {Stacy L.} and Brenda Rooney and Joanne Slavin and Snyder, {M. Patricia} and Patricia Splett and K. Viswanath",

note = "Funding Information: The investigators wish to thank the following for their contributions to this research: Ann Bosch, Kandiyohi County Extension Office; Pat Berg, Kandiyohi County Community Health Services; members of the WIN Against Cancer Steering Committee; the United Fresh Fruit and Vegetable Association, Minnesota Beef Council, Minnesota Pork Producers Association, Minnesota Turkey Promotion and Research Council; Ronald E.Frederick of Nielsen Marketing Research; and especially the people of Willmar, Minnesota. This research was funded by National Cancer Institute Grant no. RO1 46013. Copyright: Copyright 2010 Elsevier B.V., All rights reserved.",

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The cancer and diet intervention project: A community-based intervention to reduce nutrition-related risk of cancer

Abstract

Bibliographical note

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