Promoting Weight-Loss in African American Cancer Survivors in the Deep South
- Conditions
- Weight LossCancer
- Interventions
- Behavioral: Weight Loss PlusBehavioral: ControlBehavioral: Weight Loss Only
- Registration Number
- NCT03150381
- Lead Sponsor
- University of Alabama at Birmingham
- Brief Summary
This study tests evidence-based strategies for weight loss among overweight and obesity cancer survivors and family members in rural Alabama.
- Detailed Description
This is a 3-arm cluster randomized controlled study that compares a trained lay provided weight loss program vs. the same program plus community-based weight management strategies vs. general cancer prevention education on weight loss and other clinical outcomes (primary outcomes) and healthy behaviors, and psychosocial functioning (secondary outcomes).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 369
- African American breast, colon, or prostate cancer survivor (Index Participant)
- Family member (support person) of African American breast, colon, or prostate cancer survivor (Family Member Participant)
- Live, work, or attend school in target county
- BMI >= 25 kg/m2
- Pregnant or planning to become pregnant in the next year
- Known major medical or psychological condition known to influence body weight
- Uncontrolled hypertension (BP > 160 mmHg systolic or >100 mmHg diastolic)
- medicated or poorly controlled diabetes (glucose > 126) Cardiovascular event in the preceding 12 months
- History of gastric bypass or bariatric surgery
- History of psychiatric hospitalization in past 2 years
- History of substance abuse or eating disorder
- Any other condition by which a medical professional has suggested diet modification, physical activity and/or weight reduction would be contraindicated
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Weight Loss Plus Weight Loss Plus Group-based behavioral weight loss intervention designed to reach clinically significant weight loss (\~5-10% of baseline weight) plus community-level strategies to support healthy weight. Strategies are based on CDC's recommended community strategies and are developed by local contractors. They include expanded farmers markets/gardens, improvement to walking trails, etc. Control Control Educational materials and optional participation in community-wide cancer awareness activities. Weight Loss Only Weight Loss Only Group-based behavioral weight loss intervention designed to reach clinically significant weight loss (\~5-10% of baseline weight).
- Primary Outcome Measures
Name Time Method Weight Baseline to 6 months Measured weight (nearest kg)
- Secondary Outcome Measures
Name Time Method Waist Circumference Baseline to 24 months Measured circumference (nearest cm)
Lipids Baseline to 24 months Measured total cholesterol, triglycerides, HDL, LDL, ratio (mg/dL)
Blood Pressure Baseline to 24 months Measured blood pressure (mmHG) - systolic and diastolic
Weight Baseline to 24 months Measured weight (nearest kg)
Social Support for Diet and Exercise Behaviors Baseline to 24 months self report measure of social support (family, friend) in performing diet and exercise behaviors
Self Efficacy for Diet and Exercise Behaviors Baseline to 24 months self report measure of confidence in performing diet and exercise behaviors
Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24) Baseline to 24 months self report measure of dietary intake
Trial Locations
- Locations (1)
University of Alabama at Birmingham
🇺🇸Birmingham, Alabama, United States