Lifestyle Modification Experiences of African American Breast Cancer Survivors: A Needs Assessment

Smith, Selina A.; Claridy, Mechelle D.; Whitehead, Mary S.; Sheats, Joyce Q.; Yoo, Wonsuk; Alema‐Mensah, Ernest; Ansa, Benjamin E.; Coughlin, Steven S.

doi:10.2196/cancer.4892

Cited by 20 publications

(18 citation statements)

References 32 publications

(26 reference statements)

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“…SISTAAH Talk members partnered in a study entitled, Assessing Lifestyle Modification Needs and Experiences of AA BCSs, which has been described elsewhere (Smith et al 2015). Briefly, the two-year needs assessment (2013)(2014)(2015) included: conducting a literature review to identify evidence-based lifestyle intervention strategies; completing a secondary analysis of the 2010 National Health Interview Survey (NHIS) Cancer Control Supplement to examine HR-QoL (National Health Interview Survey 2009; administering a lifestyle assessment tool (LAT) to discern breast cancer diagnosis and treatment history, weight, PA, and dietary intake and engaging in focus group discussions to determine salient features for inclusion in a lifestyle intervention.…”

Section: Data Collectionmentioning

confidence: 99%

Determinants of adherence to physical activity guidelines among overweight and obese African American breast cancer survivors: Implications for intervention approach.

Smith

Yoo

Ansa

et al. 2016

JCO

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Objective-Public health agencies encourage breast cancer survivors (BCSs) to follow their physical activity guidelines (PAGs). However, adherence to these guidelines is low. African American (AA) BCSs are more often overweight or obese and less likely than women of other races to report adherence to physical activity recommendations. This study examined socioeconomic, clinical, and psychosocial correlates with meeting PAGs.Design-AA women diagnosed and treated for breast cancer and participating in a breast cancer support group (N = 193) completed a lifestyle assessment tool capturing demographic characteristics; breast cancer diagnosis and treatment history; health-related quality of life; weight history, including body mass index and post-diagnosis weight gain; and physical activity. Logistic regressions were used to determine if these covariates were associated with meeting [>8.3 metabolic equivalent task (MET) hr/wk]; partially meeting (4.15-8.3 MET hr/wk); or not meeting (<4.15 MET hr/wk) PAGs.Results-Only 54% of AA BCSs reported meeting current PAGs. Participants reporting weight gain of ≤5 lbs post-diagnosis, and those who received surgical treatment for breast cancer were more likely to complete at least 8.3 MET hr/wk. Better physical functioning and lesser pain intensity were associated with meeting PAGs.CONTACT Benjamin E. Ansa, bansa@augusta.edu, Institute of Public & Preventive Health, Augusta University, 1120 15th Street, Augusta, GA, USA. Disclosure statementNo potential conflict of interest was reported by the authors. HHS Public AccessAuthor manuscript Ethn Health. Author manuscript; available in PMC 2018 February 01. Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptConclusion-Several factors influence physical activity behaviors and are likely to be important in developing effective interventions to assist AA survivors manage their weight. It is essential that providers and breast cancer support groups that assist survivors to remain physically active and to manage their weight should be aware of these factors. These findings may help generate hypotheses for future research to undergird efforts to increase physical activity among African American BCSs.

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Section: Data Collectionmentioning

confidence: 99%

Determinants of adherence to physical activity guidelines among overweight and obese African American breast cancer survivors: Implications for intervention approach.

Smith

Yoo

Ansa

et al. 2016

JCO

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“…Only a handful of weight control interventions have focused specifically on African American breast cancer survivors [13]. Although these small studies have shown promise, they have targeted weight loss after treatment [14–16], dietary change [17] or weight loss maintenance [18], and only two were randomized trials.…”

Section: Introductionmentioning

confidence: 99%

Preventing weight gain in African American breast cancer survivors using smart scales and activity trackers: a randomized controlled pilot study

2016

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Purpose This study evaluated the feasibility and preliminary efficacy of two 6-month, self-regulation interventions that focused on daily self-weighing (DSW), and used objective monitoring and tailored feedback about weight (±activity), to prevent weight gain among African American breast cancer survivors. Methods Participants (n=35) were randomized to an intervention + activity monitoring (INT+), intervention (INT), or control (CON) group. Interventions included a wireless scale (±activity tracker) that transmitted objective data to a mobile app/website, emailed lessons, and tailored feedback based on objective weight (±activity data). Participants completed in-person and online assessments at baseline, 3 and 6 months. Results Ninety-four percent of participants completed assessments at 3 months, and 97% at 6 months. Median (IQR) weight change after 6 months was −0.9% (−4.4−0.1) in the INT+ (p=0.075; p=0.067 vs. CON) and −0.2% (−4.2−1.3) in the INT groups (p=0.463; p=0.357 vs. CON), versus a 0.2% (−0.7−1.7) gain in the CON group. The proportion of INT+, INT and CON participants that were at or below baseline weight was 72.7%, 53.8% and 45.5% respectively (effect sizes d=.64, d=.18). Most INT+ participants weighed and wore trackers ≥5 days/week (INT+, 81.9% vs. INT, 38.5% vs. CON, 0%; p< 0.0005; INT+, 72.7%). Both intervention groups perceived DSW as positive, and 100% would recommend the program to other breast cancer survivors. Conclusion An intervention focused on DSW as a self-monitoring strategy shows promise for preventing weight gain in breast cancer survivors. Implications for Cancer Survivors Daily self-monitoring of weight and activity may be a feasible and accessible approach to promote weight gain prevention in breast cancer survivors.

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“…Obesity may increase risk of developing cancer and cancer recurrence (Kushi et al, 2012; Smith et al, 2015). Protani et al (2010) found that breast cancer survivors (BCSs) who were obese had worse survival rates than those who were not obese.…”

Section: Introductionmentioning

confidence: 99%

“…Protani et al (2010) found that breast cancer survivors (BCSs) who were obese had worse survival rates than those who were not obese. Monitoring dietary intake is especially important for AA BCSs due to their increased risk of obesity (Smith et al, 2015). The ACS guidelines are intended to help in maintaining a healthy weight, reducing cancer recurrence, and increasing survival.…”

Section: Introductionmentioning

confidence: 99%

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Determinants of adherence to nutrition- related cancer prevention guidelines among African American breast cancer survivors

Ramirez

Chung

Yoo

et al. 2016

JGPHA

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BackgroundMortality rate for breast cancer is higher among African American (AA) women than for women of other racial/ethnic groups. Obesity, also higher among AA women, may increase the risk of breast cancer development and recurrence. Lifestyle factors such as healthy nutrition can reduce the rate of obesity and breast cancer. This study examined the determinants of adherence to nutrition-related cancer prevention guidelines among AA breast cancer survivors.MethodsAA breast cancer survivors (n=240) were recruited from a breast cancer support group to complete a lifestyle assessment tool for this cross-sectional study. Chi-square test and ordinal logistic regression analysis were used to examine the relationship between adherence to nutrition-related cancer prevention guidelines and potential predictors of adherence.ResultsMajority of the survivors met the guideline for red and processed meat (n=191, 83.4%), but did not meet the guideline for fruits and vegetables (n=189, 80.4%). For survivors with annual household incomes < $25,000, the odds of meeting or partially meeting the guideline for fruits and vegetables was 75.4% less than for participants with incomes > $50,000 (OR= 0.25, 95% CI: 0.08, 0.80). Poor physical functioning (OR= 38.48, 95% CI: 2.26, 656.58), sleep disturbances (OR= 60.84, 95% CI: 1.61, 2296.02), and income > $50,000 (OR= 51.02, 95% CI: 1.13, 2311.70) were associated with meeting the guideline for red and processed meat.ConclusionsMany AA breast cancer survivors are not meeting the nutrition-related cancer prevention guidelines. For this population, more interventions that enhance access to and consumption of healthy diets are needed.

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Lifestyle Modification Experiences of African American Breast Cancer Survivors: A Needs Assessment

Cited by 20 publications

References 32 publications

Determinants of adherence to physical activity guidelines among overweight and obese African American breast cancer survivors: Implications for intervention approach.

Determinants of adherence to physical activity guidelines among overweight and obese African American breast cancer survivors: Implications for intervention approach.

Preventing weight gain in African American breast cancer survivors using smart scales and activity trackers: a randomized controlled pilot study

Determinants of adherence to nutrition- related cancer prevention guidelines among African American breast cancer survivors

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