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Mobilizing communities to promote wellness and stop cancer before it starts
Rechis, R., Oestman, K. B., Caballero, E., Brewster, A., Walsh, M. T., Basen-engquist, K., Gershenwald, J. E., Tektiridis, J. H., Moreno, M., Williams, P. A., Treiman, K., Garza, P. D., & Hawk, E. (2021). Be Well Communities™: Mobilizing communities to promote wellness and stop cancer before it starts. Cancer Causes and Control, 32(8), 859-870. https://doi.org/10.1007/s10552-021-01439-9
Purpose Increasingly, cancer centers are delivering population-based approaches to narrow the gap between known cancer prevention strategies and their effective implementation. Leveraging successful healthy community initiatives, MD Anderson developed Be Well Communities (TM), a model that implements evidence-based actions to directly impact people's lives. Methods In partnership with local organizations, MD Anderson's Be Well Communities team executed and evaluated 16 evidence-based interventions to address community priorities in healthy diets, physical activity, and sun safety. Evaluation included assessing the effectiveness of evidence-based interventions, stakeholders' perceptions of collaboration, and the population-level impact on dietary and physical activity behaviors among students using the School Physical Activity and Nutrition Survey and the System for Observing Fitness Instruction Time. Two-tailed t-tests were used to compare tested parameters at baseline and follow-up. p values less than .05 were considered significant. Results This model achieved its early outcomes, including effectively implementing evidence-based interventions, building strong partnerships, increasing access to healthy foods, improving the built environment, and increasing healthy food and water consumption and moderate to vigorous physical activity among students (p < .001). Conclusions Be Well Communities is an effective model for positively impacting community health which could be leveraged by others to deliver evidence-based actions to improve population health.