Appalachian Research Around Campus: Just Added

Appalachian and rural underserved residents, in general, experience higher rates of multiple morbidities (MM) with fewer resources to prevent and manage disease.

Some researchers have speculated that the welldocumented cancer health disparities affecting Appalachians may be attributable to multiple morbidity management demands which may deprioritize essential and efficacious cancer screenings.

Appalachian communities are disproportionately affected by many of the leading risk factors associated with cancer incidence and mortality, factors amenable to primary and secondary prevention.

This supplementary proposal seeks to assess and likely improve the measurement of physical activity (PA), a key primary outcome of the parent grant, within our community-based sample of rural residents. Currently, the protocol for our energy balance intervention uses self-report for PA assessment. Although self-reported PA is an easily obtained method that is culturally acceptable, existing literature demonstrates that there are limitations in the accuracy of such reports.