A Web-based Tailored Health Behavior Intervention for Breast and Colon Cancer Survivors (eWellness)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Nutrition
- Sponsor
- University of North Carolina, Chapel Hill
- Enrollment
- 49
- Locations
- 1
- Primary Endpoint
- Summary Fruit and Vegetable Score
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The primary objective of this study is to compare the differences in fruits and vegetable intake and physical activity from pre- to post- study between the intervention and control groups (i.e. the difference in differences). The study involves the use of web-based educational materials over a four week period. The investigators hypothesize that those in the intervention group will show a greater increase in fruit and vegetable intake and engage in more physical activity than those randomized to the control group. Eligible breast and colorectal cancer survivors from the UNC Health Registry/Cancer Survivorship Cohort (UNC HR/CSC) will be selected, consented, and randomized to either the intervention or control group. Both groups will fill out baseline surveys. The intervention group will receive a total to 4 newsletters for 4 weeks and at the beginning of week 5, they will asked to complete the follow-up survey online. The intervention newsletters focus on increasing physical activity and healthy diets. The control group will receive 4 newsletters in the same time frame as the intervention. The focus of the control group's newsletters will be on topics relevant to cancer survivors (e.g. getting back to work after treatment, managing finances) but will not focus on physical activity or diet. All contact with participants will take place online (i.e. surveys and newsletter delivery) from the study web site.
Detailed Description
This study is adapted from the WATCH (Wellness for African Americans Through Churches) Project. WATCH was a randomized trial among 587 African American members of 12 rural North Carolina churches that demonstrated the effectiveness of a mailed tailored print and video intervention consisting of four individually tailored newsletters and targeted videos to improve diet and physical activity behaviors: there were significant improvements in fruit and vegetable consumption (0.6 servings) and recreational physical activity (2.5 MET-hours per week), and a non-significant decrease in fat intake in the intervention churches. The overall goal of this application is to conduct a study (called "eWellness") to investigate whether the WATCH tailored print messages and videos can be effectively and efficiently disseminated to a different population (breast and colon cancer survivors) and using a different delivery channel (electronic technology via the internet and world wide web.
Investigators
Eligibility Criteria
Inclusion Criteria
- •≥18 years of age
- •primary language is English
- •histologically confirmed stage 1-111A invasive breast cancer or stage 1-3 colorectal cancer
- •between at least 6 months to 5 years since completion of all primary cancer treatments (e.g. surgery, radiation, chemotherapy with the exception of women on adjuvant Herceptin therapy)
- •have access to the internet; have an email and/or cell phone (to accept text message reminders from the study).
- •Exclusion criteria:
- •Include women that may be pregnant and anyone that is/has:
- •A history of another cancer (exception for non-melanoma skin cancers)
- •Self-reported comorbidities that would preclude engaging in physical activity safely (e.g. functional limitations or symptomatic cardiovascular or pulmonary disease)
- •Plans or scheduled for major surgery (including breast reconstruction) during the intervention time frame
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Summary Fruit and Vegetable Score
Time Frame: Month 6
The frequency of fruit and vegetable intake will be measured during the previous month, using a 2-item measure (How many servings of fruits do you eat each day?) and a similar question for vegetables that assesses usual vegetable intake. Scores can range from 0-N with higher scores indicating more fruit and/or vegetable intake.
Metabolic Equivalent Task Hours (METs) for Physical Activity
Time Frame: Month 6
Moderate to physical activity will be assessed and frequency of different types of activity, with response options of: don't do, 1-3 times/month, 1-2 times/week, 3-4 times/week, or 5 or more times/week. Items include various types of activities gathered from an 11-item instrument modified for cultural appropriateness from a previous study. For each activity, participants estimate duration as either \<20 minutes or 20 or more minutes per session. Physical activity is then calculated in terms of metabolic equivalent task hours (METs) per week. MET values for energy expenditure were assigned to each activity based on validated instruments.21 MET-hours are computed by multiplying frequency times duration (converted to hours/week) times the MET value. Reported physical activity time can range from 0 minutes - 6 hours or more for reported sedentary behaviors. Higher reported values equate to better reported outcomes of increased physical activity for participants.
Mean Fruit and Vegetable Score
Time Frame: Month 6
Fruit and vegetable consumption will be adapted from a 35-item measure used in a trial for US Blacks adapted from a 35-item measure for US Southern blacks that measures frequency of intake during the previous month. Score measures can range from 2-24. Positive or better outcomes are reflected by higher mean fruit and vegetable scores.
Secondary Outcomes
- Number of Times Visiting the Site(6 months)
- Percentage of Participants Completing the Intervention and Follow-Up Assessments(Month 6)
- Program Process Evaluation(6 months)
- Recruitment rate(Month 6)
- Number of Newsletters Read/Downloaded(Month 6)