A randomized controlled trial of two mail-based lifestyle interventions for breast cancer survivors
Open accessAbstract
Purpose Although breast cancer survivors' lifestyle choices affect their subsequent health, a majority do not engage in healthy behaviors. Because treatment end is a "teachable moment" for potentially altering lifestyle change for breast cancer survivors, we developed and tested two mail-based interventions for women who recently completed primary treatment. Methods One hundred seventy-three survivors were randomly assigned to (1) Targeting the Teachable Moment (TTMI, n = 57), (2) Standard Lifestyle Management (SLM, n = 58), or (3) usual care (UC, n = 58) control group. Participants who were assigned to TTMI and SLM received relevant treatment materials biweekly for 4 months. Participants were assessed at baseline (T1, before randomization), post-treatment (T2, 4 months), and follow-up (T3, 7 months). Fruit and vegetable (F/V) intake, fat intake, and moderate-to-vigorous physical activity (MVPA) were assessed. Results Results showed promise for these mail-based interventions for changes in health behaviors: Survivors in TTMI (+.47) and SLM (+.45) reported increased F/V intake, whereas those in UC (-.1) reported decreased F/V intake from T1 to T2. Changes in minutes of MVPA from T1 to T2 were higher in SLM than UC and marginally higher in TTMI than UC. However, these differences were due to decreased MVPA in UC rather than increased MVPA in the intervention groups. There were no group differences regarding fat intake. Survivors reported high satisfaction and preference for mail-based interventions, supporting feasibility. Conclusions Mail-based lifestyle interventions for breast cancer survivors may benefit F/V intake and physical activity. Further testing and optimizing of these interventions is warranted.
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By identifying perceived facilitators and barriers across diverse interventions and consolidating patterns from participants' experiences, strategies to promote positive behavior change, regardless of intervention framework, aims or terminology can be revealed.
“By identifying perceived facilitators and barriers across diverse interventions and consolidating patterns from participants’ experiences [21–24], strategies to promote positive behavior change, regardless of intervention framework, aims or terminology can be revealed [15].”
From Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature (2023) · cites this paper as [22]
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- Authors
- Park, C. L., Cho, D., Salner, A. L., & Dornelas, E.
- Affiliations
- University of Connecticut (US)
- Hartford Hospital (US)
- Corresponding author
- Park, Crystal L.
- Venue
- Supportive Care in Cancer
- Published
- 2016-02-18
- Volume
- 24
- Issue
- 7
- Pages
- 3037-3046
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- PMC
- PMC4879070
- OpenAlex
- W2285217756
- Cited by
- 19
- References
- 25
- Citations by year
- 2025: 2 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 6 · 2017: 1
- FWCI
- 1.80
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (5R21CA152129-2)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- breast cancer survivors, lifestyle intervention, teachable moments, fruit and vegetable intake, physical activity, dietary fat intake, health behavior change, post-treatment care, intervention feasibility
- MeSH terms
- Breast Neoplasms, Female, Humans, Life Style, Middle Aged, Postal Service, Health Behavior, Survivors
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