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Abstract
Cooking for a Lifetime (C4L) educates women on cancer screening and lifestyle behaviors for cancer prevention. This process evaluation used a mixed methods design. Extension professionals completed one-on-one interviews (n = 13) after program implementation. Interview responses were used to evaluate implementation and coded deductively for Consolidated Framework for Implementation Research (CFIR) constructs. Construct ratings revealed distinguishing constructs between high and low implementation, and mixed effect models determined if implementation was associated with participant outcomes. Distinguishing constructs were: design quality and packaging, compatibility, access to knowledge and information, other personal attributes, executing, formally appointed external implementation leader, external change agent, and experience. Implementation was significantly associated with intentions for physical activity (p < 0.05), healthy weight (p < 0.05), and alcohol intake (p < 0.01). This study adds to the CFIR literature by using it in a new context. These findings can improve C4L and inform development of similar programs.