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Part of the SNAP-Ed Strategies & Interventions Toolkit.* C4L includes two educational presentations: 1) lifestyle guidelines for cancer prevention and 2) screening guidelines for breast, cervical and colorectal cancer, handouts and activities, and recipe demonstration and tasting. These intervention components increase awareness of the link between lifestyle behaviors and cancer prevention and provide participants with the knowledge and skills to implement recommended lifestyle behaviors. All of these components are critical to the intervention, but the recipe demonstration has been modified at times to address the setting (i.e., educators created and shared a video of themselves conducting a recipe demo or created PowerPoint slides illustrating the recipe steps.
University of Georgia and American Cancer Society
CHOICE - with an image of a toddler reaching for an orange pepper, kiwi, and tomatoes with the yellow Toolkit Stategy Banner
Funding Source
USDA and American Cancer Society
Free Material
Cost ($)
SNAP-Ed Toolkit Classification
  • Evaluated
Evaluation Information
University of Georgia Extension Family and Consumer Science Agents reached more than 1,175 people in 46 Georgia counties (1,098 people) and 3 rural Texas counties (77 people) with the C4L program in the 2017-2018 programming year. Completed evaluation data (n = 967) indicates participants were 90% female, primarily middle-aged (approximately 51 years, range 11 – 96 years old), 22% Hispanic and 40% Black/African American, and 20% reported having no insurance. Participants reported that they were significantly (p <.001) more likely to do all of the behaviors discussed, including exercise at least 30 minutes 5 days a week, achieve a healthy weight, eat more fruits and vegetables and less red and processed meat, and limit alcohol consumption following the program. The program is also motivating participants to get their recommended cancer screenings. Following the program, 67% of participants said they were “definitely going to” get a colonoscopy, and an additional 17% said they “may do it.” More than 87% of participants reported that the program was very or extremely helpful in helping them think about changing some of their habits to reduce cancer risk. Common themes from participant feedback included that the program was informative, helped them think about their own risk for cancer, and helped them learn how to cook healthier. ST1i: After the program, 51.8% reported increased intention to choose whole grains at least half of the time. ST1g: After the program, 55.8% reported increased intention to make half of their plate fruits and vegetables. ST1h: After the program, 55.8% reported increased intention to make half of their plate fruits and vegetables. ST1k: After the program, 63.6% reported increased intention to limit red meat to 18 ounces or less per week. ST3a: After the program, 53% reported increased intention to exercise 30 minutes per day 5 days per week.
Evaluation Framework Indicators
SNAP-Ed Connection Comments

* SNAP-Ed Strategies & Interventions: An Obesity Prevention Toolkit for States is a compilation of interventions. The toolkit was developed by USDA's Food and Nutrition Service, The Association of SNAP-Ed Nutrition Education Administrators (ASNNA), the University of North Carolina at Chapel Hill's Center for Training and Research Translation (Center TRT), and the National Collaborative on Childhood Obesity Research (NCCOR), a partnership between the Centers for Disease Control and Prevention (CDC), the National Institutes for Health (NIH), the Robert Wood Johnson Foundation, and the USDA. It is designed and updated to help state SNAP-Ed administrative and implementing agencies identify evidence-based obesity prevention programs and policy, systems, and environmental (PSE) strategies and interventions to include in their SNAP-Ed plans.

Review date
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