P155 Community-Based Nutrition Education Intervention Increases Likelihood of Cancer Preventative Lifestyle Behaviors

Abstract

Background Cancer mortality rates are decreasing; however, this decline is slower in rural areas. Fortunately, one third of common cancers are preventable through nutrition, physical activity, and weight management. Through education, individuals may be motivated to change behaviors to decrease cancer risk. Objective To determine the effect of the Cooking for a Lifetime Cancer Prevention Cooking School (C4L) intervention on immediate and sustained changes in intentions to follow cancer preventative lifestyle guidelines. Study Design, Settings, Participants This quasi-experimental study utilizes pre- and post-C4L measures and follow-up measures compared to a non-equivalent control. This rural, community-based educational intervention includes nutrition and physical activity for cancer prevention presentations and cooking demonstrations. Follow-up events were held 12.1 + 4.9 weeks post-C4L and included C4L participants and non-participants. C4L participants (n = 1,241) were approximately 54.7 + 18.3 y, 84% female, 40% black, and 10% Hispanic. Follow-up participants (n = 887) were approximately 53.9 + 18.5y, 83% female, 42% black, and 9% Hispanic. Measurable Outcome/Analysis Participants reported behavioral intentions before and after C4L and at follow-up using a researcher-designed questionnaire including Likert-type scales (1 = not at all likely to 5 = extremely likely). T-tests evaluated within and between-group differences. Results From pre- to post-C4L, likelihood to achieve and maintain a healthy weight, be physically active, limit alcohol, eat a plant-based diet, and limit red and processed meats increased (all P Conclusion C4L resulted in immediate and sustained positive changes in intention to implement cancer preventative lifestyle behaviors, despite being a one-time program. Furthermore, participants were more likely to intend to eat fruits and vegetables than non-participants after 12 weeks. C4L may contribute to cancer prevention in rural communities. Funding None.