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Promoting Weight-Loss in African American Cancer Survivors in the Deep South

Not Applicable
Completed
Conditions
Weight Loss
Cancer
Interventions
Behavioral: Weight Loss Plus
Behavioral: Control
Behavioral: 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
Inclusion Criteria
  • 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
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Exclusion Criteria
  • 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
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Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Weight Loss PlusWeight Loss PlusGroup-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.
ControlControlEducational materials and optional participation in community-wide cancer awareness activities.
Weight Loss OnlyWeight Loss OnlyGroup-based behavioral weight loss intervention designed to reach clinically significant weight loss (\~5-10% of baseline weight).
Primary Outcome Measures
NameTimeMethod
WeightBaseline to 6 months

Measured weight (nearest kg)

Secondary Outcome Measures
NameTimeMethod
Waist CircumferenceBaseline to 24 months

Measured circumference (nearest cm)

LipidsBaseline to 24 months

Measured total cholesterol, triglycerides, HDL, LDL, ratio (mg/dL)

Blood PressureBaseline to 24 months

Measured blood pressure (mmHG) - systolic and diastolic

WeightBaseline to 24 months

Measured weight (nearest kg)

Social Support for Diet and Exercise BehaviorsBaseline to 24 months

self report measure of social support (family, friend) in performing diet and exercise behaviors

Self Efficacy for Diet and Exercise BehaviorsBaseline 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

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