Cancer prevention advances our mission
Be Well Communities
Cancer prevention is a cornerstone of MD Anderson’s mission to eliminate cancer. Research estimates that up to half of cancer cases in the United States could be prevented at a population level. MD Anderson supports community-led efforts that can directly impact cancer risk reduction.
Our Approach
Be Well Communities™ is MD Anderson's place-based strategy for comprehensive cancer prevention and control, working with communities to promote wellness and stop cancer before it starts. We unite individuals, schools, workplaces, government agencies, health care providers and policymakers to plan and carry out sustainable, community-led solutions that will make positive, long-lasting changes in people’s lives.
Be Well Communities is an initiative of the Cancer Prevention and Control Platform.
We work collaboratively with residents and community-based organizations to implement evidence-based strategies that can reduce the risk of cancer with a focus on five key areas:
Our Model
Be Well Communities is built on 100 years of healthy community initiative best practices, literature and experience. The model centers on working with community-based organizations to build their capacity to deliver and evaluate evidence-based interventions. We create strong community linkages, advance professional and policy changes, establish an active health coalition, and create a sustainability plan to transition the initiative to the community.
Our Impact
Together with strong community partners, this work is already making tangible differences in communities across the Greater Houston Area.
More than 50 local, regional and state organizations are actively engaged on Be Well Communities steering committees, guiding the implementation of each action plan in partnership with residents in each community.
Since 2017, key milestones included:
- Built capacity of community partners to increase access to healthy eating:
- Over 12 million pounds of healthy food have been distributed to families
- Invested in built environment and integrated active living into communities:
- 60 sunshades and non-permanent umbrellas have been installed at city parks, schools and college campuses
- 87,000+ students have participated in school-based health and physical activity programs
- Prioritized actions to prevent cancer and other chronic diseases:
- 10,000+ students and staff have access to tobacco prevention resources through high school and college campuses
- 40 vaccination clinics have been hosted to provide all recommended free shots to adolescents, including the HPV vaccine
- Over 3,700 cancer screenings have been provided
Current Communities
Be Well™ Acres Homes
Be Well Acres Homes is an initiative of MD Anderson Cancer Center in collaboration with Harris Health System, Memorial Hermann Community Benefit Corporation, UTHealth and more than 30 community organizations united together with residents of Acres Homes. This initiative began in 2020 and was made possible through philanthropic investments from MD Anderson.
Learn more about Be Well Acres Homes.
Be Well™ Baytown
In 2016, MD Anderson united with the community of Baytown, Texas, to launch the first, most comprehensive, community-driven health initiative of its kind in the state of Texas. This initiative was made possible through a philanthropic investment from ExxonMobil to MD Anderson’s Moon Shots Program® to benefit a Houston-area community.
Learn more about Be Well Baytown.
Pasadena Vibrant Community
In 2016, MD Anderson united with the community of Pasadena, Texas, to mobilize health and wellness in the community. This initiative was made possible by investment from and collaboration with Shell USA Inc. As of 2021, this initiative has transitioned to the sustainability phase, and 90% of all interventions have been completed or integrated into the collaborating organizations’ strategic plan for ongoing implementation.
Learn more about the impact of this initiative.
“Every community is unique,” says Ruth Rechis, Ph.D., director of Be Well Communities™, MD Anderson’s place-based strategy for cancer prevention and control.
Building on MD Anderson’s decades at the forefront of cancer prevention research, Be Well Communities uses best practices to deploy science-based cancer prevention strategies to communities with the greatest need. It brings individuals and organizations together to promote wellness and to address modifiable risk factors for cancer.
“Focusing on a specific geographic area allows us to understand a community's history, culture, and assets as well as what the people from that community feel is needed to improve health overall,” Rechis says.
With the launch of Be Well™ Acres Homes in September 2021, MD Anderson is focusing on a community in our own backyard – the historic Acres Homes neighborhood, located 8 miles northwest of downtown Houston. Before it was annexed by the City of Houston, Acres Homes was the largest unincorporated Black community in the South. Today, the population of approximately 58,000 people is 47% Black and 43% Hispanic. The area also has the highest referral rate to Harris Health System’s Lyndon B. Johnson Hospital for cancer care, where MD Anderson provides oncology services.
Empowering communities to champion healthy living
Be Well Acres Homes is the third Be Well Community, following initiatives successfully launched in Baytown and Pasadena in 2016. The Be Well Communities team uses a data-driven approach to select communities for investment based on capacity and need. Historically under-resourced communities with the infrastructure to carry out resident-led interventions are prioritized. Like Baytown and Pasadena, Acres Homes represents an area with high rates of residents who are living in poverty and/or without health insurance, and it has strong community organizations with engaged local leaders.
“Our goal is for the communities to lead these comprehensive community health initiatives long into the future,” Rechis says. “When you join our Be Well Communities’ steering committees, we ask you to fully commit to working together toward a common goal of improving wellness for the community overall. When the individuals who live in and work in the community are the ones who commit to action, that’s what will lead to long-term success.”
The short-term accomplishments of the Be Well Communities model are already clear: Since 2017, Be Well Communities has helped increase access to healthy eating and supported continuous food systems, distributing more than 4.5 million pounds of healthy food, including 2 million pounds in an emergency response capacity during the COVID-19 pandemic. More than 70,000 students have participated in health and physical activity programs, and more than 8,500 college students and staff have received access to sun safety and tobacco cessation resources.
In Pasadena, the community is sustaining 90% of the actions originally implemented by Be Well Communities. MD Anderson continues to serve as a member of the coalition, which the City of Pasadena Parks and Recreation department now leads. Be Well™ Baytown is now in its fifth year.
Short-term accountability, long-term health improvement
While Be Well Acres Homes celebrated its official launch in September, work to establish the steering committee and action plan began in 2019. The initiative involves intentional collaboration with Harris Health System, Memorial Hermann Community Benefit Corporation, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, and more than 30 community organizations, together with residents of Acres Homes.
“The Be Well Communities model has a long-term view on impact and a very short-term view on accountability,” says Michael Walsh Jr., executive director of Cancer Prevention and Control platform. “The coalition that MD Anderson has built over the past several years is designed to actively advance health equity and to sustain access to high-quality health and social services. We engage with our coalition partners on a daily and weekly basis to implement evidence-based actions for health, together.”
The Be Well Acres Homes action plan focuses on priorities identified by the community, in alignment with the City of Houston’s Complete Communities initiative. In the first year, 20 initial projects will focus on increasing opportunities for physical activity and healthy eating, including safe routes to schools, healthy food programs in food pantries, fitness programs and community gardens.
The backbone of Be Well Acres Homes’ support comes from MD Anderson’s Community Outreach and Engagement Fund, along with the Cancer Prevention and Control platform, which is part of the institution’s Moon Shots Program®. The Walmart Foundation is providing additional support through a $1 million grant to The University of Texas Foundation to support implementation of sustainable, neighborhood-based food security strategies.
“The Be Well Communities model goes beyond the scope of what a cancer center might typically do, and it addresses those factors we know can have a downstream effect on cancer risk,” Rechis says. “We’re thinking about how we work with communities to improve health over the long term. It’s exciting to see the enthusiasm building in Acres Homes, and we’re looking forward to growing the program with the community over the years to come.”
Request an appointment at MD Anderson online or by calling 1-877-632-6789.
When U.S. Surgeon General Jerome Adams, M.D., visited MD Anderson last December, he urged the institution’s health care professionals to not only work toward developing new cancer treatments, but also to direct their efforts at preventing cancer wherever possible.
Ernest Hawk, M.D., vice president and division head of Cancer Prevention and Population Sciences, understands well how prevention efforts can save lives.
“It’s estimated that between one-third and one-half of all cancers are preventable in 2019. But to achieve that goal, we have to take action at the personal and population levels,” says Hawk.
Moon Shots Program helps advance cancer prevention
MD Anderson has long worked to advance cancer prevention through research, education and patient care. With the launch of the Moon Shots Program®, MD Anderson expanded its commitment by establishing the cancer prevention and control platform – an engine to help the institution continue taking cancer prevention programs beyond the walls of MD Anderson and into communities where people live.
These programs must be:
- evidence-based, meaning they draw upon the best available research to improve people’s health;
- scalable, meaning they can be replicated or expanded over time to meet the health needs of large populations; and
- impactful, meaning they make a measurable improvement.
“The platform complements our traditional efforts by working to advance public policies, educational programs and the delivery of community-based services at the population level in order to reduce cancer risk,” says Hawk, who co-leads the platform. “Most importantly, the platform helps MD Anderson address cancer risk factors where they concentrate – among underserved and less-connected sectors of the population.”
The Moon Shots Program is a collaborative effort to accelerate the development of scientific discoveries into clinical advances that save patients’ lives. To enable this mission, the program created 10 research platforms that provide unique expertise, technical support and infrastructure to support MD Anderson and Moon Shots® teams.
In the spirit of the Moon Shots Program, the platform is a team-based effort, with 10 employees leading a variety of programs. These programs interact with and complement one another, and operate through dynamic collaborations with the Moon Shots and MD Anderson experts. The platform is led by Hawk, Mark Moreno, vice president of Governmental Relations, and Michael Walsh Jr., the platform’s executive director.
“The Moon Shots Program helped us better organize our experts and resources so that we could further dedicate ourselves to community-based actions that advance cancer prevention,” says Hawk. “It’s a great honor and privilege to be able to work outside our walls to try and make a difference in the community. We have a passionate team, all of whom are energized by the potential of making a very big difference in Houston, across Texas and beyond.”
Two programs that epitomize the mission and scope of the platform are Be Well Communities™, focused on empowering communities to lead healthier lives, and EndTobacco®, working to eliminate the burden of tobacco use and nicotine addiction.
Food Deserts: Dr. Ruth Rechis of Be Well Communities On How They Are Helping...
Be Well Communities has provided multi-component interventions and collaborations that have a positive health outcome for our 4,000 faculty and staff, but is reflected in the entire community at large.
Amanda Kennington
Goose Creek Consolidated Independent School District.
Contact Us
For more information, email us at BeWellCommunities@MDAnderson.org
Publications
Place-based investments in health
- Loomba P, Raber M, Aquino M, Rincon N, Rumfield L, Basen-Engquist K, Rechis R. Enhancing food access in a comprehensive cancer center area of influence through local partner capacity building. Cancer Medicine. (2024). https://doi.org/10.1002/cam4.70070
- Love B, Coffman R, Ghosh C, Cofer J, Hurst A, Oestman K, Aquino M, Kriss L, Shah M, Dermid G, Raber M, Hawk E, Walsh M, Rechis R. Implementation and Evaluation of a Multi-level, Place-Based Tobacco Prevention and Control Program at a Minority-Serving Institution in Texas. Prevention Science. (2024). https://doi.org/10.1007/s11121-024-01708-4
- Love B, Ghosh C, Kriss L, Vieco-Garcia M, Fick H, Shin E, Wager J, De Luca D, Dermid G, McDonald L, Caballero E, Oestman K, Coffman R, Aquino M, Adams T, Gardiner H, Rechis R. Building and Maintaining a Whole Community Initiative: Health Communication in Practice with Be Well Communities™. Health Communication, 1–9 (2024). https://doi.org/10.1080/10410236.2024.2382869
- Love B, Ghosh C, Oestman K, Aquino M, Coffman R, Shah M, Dermid G, Rechis R. Understanding the impact of community-based sun safety interventions on a college campus in Texas. Journal of American College Health, 1–8 (2024). https://doi.org/10.1080/07448481.2024.2367989
- Oestman K, Rechis R, Williams P. et al. Reducing risk for chronic disease: evaluation of a collective community approach to sustainable evidence-based health programming. BMC Public Health 24, 240 (2024). https://doi.org/10.1186/s12889-024-17670-3
- Rechis R, Oestman KB, Walsh MT, Love B, Hawk EH. Be Well™ Acres Homes: a community-driven, evidence-based approach to reduce health inequities through sustained cross-sector partnership. Cancer Causes Control (2023). https://doi.org/10.1007/s10552-023-01818-4
- An evaluation of aligning systems for health in Texas: What works, for whom, and under what circumstances for advancing health equity. Comprehensive report. Texas Health Institute (August 2022).
- Community Outreach and Engagement: The University of Texas MD Anderson Cancer Center case study. National Cancer Institute. (2022).
- Raber M, Rechis R, LaRue D, Ho-Pham T, Oestman K, Walsh M, Kizub D, Ma H, Galvan E, Zhao H, Gonzalez X, Hu J, Basen-Engquist K. Enhancing the utilization of healthy living interventions among cancer survivors in historically underserved populations and communities. Cancer Causes Control (2023). https://doi.org/10.1007/s10552-023-01701-2
- Raber M, Robertson M, Le T, Gatus L, Rechis R, Oestman K, Basen-Engquist K. Patterns of home cooking practices among participants in a behavioral weight loss program: A latent class analysis. Appetite, 184 (2023). https://doi.org/10.1016/j.appet.2023.106504.
- Lee C, Robertson M, Johnston H, Le T, Raber M, Rechis R, Oestman K, Neff A, Macneish A, Basen-Engquist K. Feasibility and Effectiveness of a Worksite-Weight-Loss Program for Cancer Prevention among School-District Employees with Overweight and Obesity. International Journal of Environmental Research in Public Health, 20:1 (2022). https://doi.org/10.3390/ijerph20010538
- Lee C, Robertson M, Servino K, Le T, Raber M, Oestman K, Basen-Engquist K. Impact of COVID-19 on a worksite weight loss program for employees with overweight and obesity. Obesity Science and Practice, 1-9 (2022). https://doi.org/10.1002/osp4.653
- Robertson M, Lee C, Wu I, Liao Y, Raber M, Parker N, Le T, Gatus L, Basen-Engquist K. Changes in physical activity associated with the COVID-19 pandemic in individuals with overweight and obesity: an interrupted time series analysis with historical controls. Journal of Behavioral Medicine, 45:2 (2022). https://doi.org/10.1007/s10865-021-00261-7
- Robertson M, Raber M, Liao Y, Wu I, Parker N, Gatus L, Le T, Durand C, Basen-Engquist K. Patterns of self-monitoring technology use and weight loss in people with overweight or obesity. Translational Behavioral Medicine, 11:8 (2021). https://doi.org/10.1093/tbm/ibab015
- Rechis R, Oestman K, Caballero E, Brewster A, Walsh M, Basen-Engquist K, Gershenwald J, Tektiridis J, Moreno M, Williams P, Treiman K, Garza P, Hawk E. Be Well Communities™: Mobilizing communities to promote wellness and stop cancer before it starts. Cancer Causes & Control (2021). https://doi.org/10.1007/s10552-021-01439-9
- Liao Y, Robertson M, Winne A, Wu I, Le T, Balachandran D, Basen-Engquist K. Investigating the within-person relationships between activity levels and sleep duration using Fitbit data. Translational Behavioral Medicine, 11:2 (2021). https://doi.org/10.1093/tbm/ibaa071
- Robertson M, Green C, Liao Y, Durand C, Basen-Engquist K. Self-efficacy and Physical Activity in Overweight and Obese Adults Participating in a Worksite Weight Loss Intervention: Multistate Modeling of Wearable Device Data. Cancer Epidemiology Biomarkers and Prevention, 29:4 (2020). https://doi.org/10.1158/1055-9965.EPI-19-0907
- The Practical Playbook II, Building Multisector Partnerships That Work, Michener JL, Castrucci, Bradley DW, et al. Section V, Sustainability and Finance: Supporting Partnerships over Time, Chapter 38, “Case Study: BUILDing Ties with the Business Community.” Katherine Oestman, Rosalind Bello, Catherine Chennisi, and Anna Brewster.
- Aiyer J, Raber M, Bello R, Brewster A, Caballero E, Chennisi C, Durand C, Galindez M, Oestman K, Saifuddin M, Tektiridis J, Young R, Sharma S. A Pilot Food Prescription Program Promotes Produce Intake and Decreases Food Insecurity.” Translational Behavioral Medicine, 9:5 (2019). https://doi.org/10.1093/tbm/ibz112
- Improving Health Through a Sustainable Food System: North Pasadena, Texas. Harris County, Texas BUILD Health Partnership: Evaluation Report. (December 2017).