Be Well Communities™: mobilizing communities to promote wellness and stop cancer before it starts

Cancer Causes Control. 2021 Aug;32(8):859-870. doi: 10.1007/s10552-021-01439-9. Epub 2021 May 26.

Abstract

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™, 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.

Keywords: Cancer prevention; Community outreach and engagement; Implementation science; Population health; Risk reduction behavior.

MeSH terms

  • Delivery of Health Care / methods
  • Diet
  • Exercise
  • Health Promotion / methods*
  • Humans
  • Neoplasms / prevention & control*
  • Public Health*
  • Schools
  • Students