Implementation and Efficacy of Total Wellness: A Community-Based Cancer Prevention and Lifestyle Intervention Program.

Cancer is the second leading cause of death in Wisconsin, with higher rates in Black/African American (Black) and Hispanic/Latino (Hispanic) populations. In partnership with Milwaukee Recreation (MKE Rec), Total Wellness (TW) was created to provide lifestyle and cancer prevention programming to local communities. Program feasibility, potential efficacy, and sustainability were evaluated. TW is a 16-week program integrated into MKE Rec and implemented over two 8-week sessions led by instructors trained in lifestyle change and cancer prevention. TW was evaluated at the individual and systems level. Class registrants were invited to participate in the evaluation, which included surveys and a physical assessment. Sixty participants consented to the program evaluation: 58.3% self-identified as Black and 7.3% as Hispanic. Survey results indicated significant improvements in cancer knowledge, self-reported diet, and physical activity. Physical assessment showed significant improvements in weight, body mass index, blood pressure, and fitness. System-wise, three MKE Rec instructors were trained, and classes operated out of two sites, serving a predominantly Black neighborhood and a large Hispanic population. English-taught sessions of TW showed successful integration into MKE Rec programming throughout 2 years. Spanish-language only classes were attempted but did not meet minimum enrollment to proceed. TW showed success in improving individual cancer awareness and healthy lifestyle changes. TW was also integrated into MKE Rec and showed sustained success in reaching Black communities with limited reach in Hispanic communities. This program demonstrates the potential for a community health intervention program to address cancer disparities.