A Pilot Trial of Spirituality Counseling for Weight Loss Maintenance in African American Breast Cancer Survivors
Open accessAbstract
A continuing challenge in weight loss treatment is attaining maintenance of weight loss. The goal of this study was to develop a counseling method that would assist African American breast cancer survivors with weight loss maintenance. In this pilot study, 31 obese breast cancer survivors were recruited. Individualized, dietitian-led counseling by telephone and free Weight Watchers coupons were provided to all participants for 18 months. At the 6-month time point, women were randomized to receive spirituality counseling or not in addition to the standard program. The spirituality counseling was delivered via telephone using an 8-step framework. Subjects were asked to utilize daily meditation or prayer, daily readings, and the recording of thoughts in a journal. Mean weight loss from baseline to 6 months was a modest 2.0% of baseline weight. From 6 to 18 months, there was no further weight change in the spirituality arm and a gain of 0.7% in the dietitian-only arm. Despite little effect on weight loss, it did appear that spirituality counseling positively affected spiritual well-being (FACIT-Sp) scores and dietary quality. The spirituality counseling framework therefore may be further refined and useful for other health promotion studies with African American populations.
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Participants in the current study lost more weight than has usually been observed in interventions with breast cancer survivors.
“as participants in the current study did lose more weight than has usually been observed in interventions with breast cancer survivors [9–12, 14–20, 22].”
From A qualitative evaluation of a group phone-based weight loss intervention for rural breast cancer survivors: Themes and mechanisms of success (2016) · cites this paper as [10]
Providing protein shakes and recommending prepackaged entrees likely increased the convenience of adopting and maintaining the intervention diet.
“We provided protein shakes and recommended participants consume prepackaged entrees, in contrast to previous studies that required participants to plan and cook their own meals [9–12, 14–21, 25], and our efforts likely increased the convenience in adopting and maintaining the intervention diet.”
From A qualitative evaluation of a group phone-based weight loss intervention for rural breast cancer survivors: Themes and mechanisms of success (2016) · cites this paper as [10]
Weight loss interventions for overweight or obese breast cancer survivors have yielded mixed results, with some reporting minimal to modest weight loss and others reporting clinically significant weight loss of 5% or more.
“Weight loss interventions for overweight/obese breast cancer survivors have been developed to address this issue and have yielded mixed results; some studies reported minimal to modest weight loss [9–12], while others reported clinically significant weight loss of 5% or more [13–22].”
From A qualitative evaluation of a group phone-based weight loss intervention for rural breast cancer survivors: Themes and mechanisms of success (2016) · cites this paper as [10]
Related work exists in Djuric et al. (2009) for obese African American breast cancer survivors, Holt et al. (2009a; b) addressing prostate cancer screening among church-attending African American men, and Delaney et al. (2011) for community dwelling adults with CVD.
“Examples of related work can be found in that of Djuric et al. (2009) for obese African American breast cancer survivors, Holt et al. (2009a; b) addressing prostate cancer screening among church-attending African American men, and Delaney et al. (2011) for community dwelling adults with CVD.”
From Advancing our understanding of religion and spirituality in the context of behavioral medicine (2017) · cites this paper as Djuric et al. (2009)
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- Authors
- Djuric, Z., Mirasolo, J., Kimbrough, L., Brown, D. R., Heilbrun, L. K., Canar, L., Venkatranamamoorthy, R., & Simon, M. S.
- Affiliations
- Wayne State University (US)
- University of Medicine and Dentistry of New Jersey (US)
- University of Michigan (US)
- Venue
- Journal of the National Medical Association
- Publisher
- Elsevier BV
- Published
- 2009-06
- Volume
- 101
- Issue
- 6
- Pages
- 552-564
- ISSN
- 0027-9684 (ISSN-L)
- PMC
- PMC2719839
- OpenAlex
- W1528310978
- Cited by
- 128
- References
- 64
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 1 · 2023: 41 · 2022: 4 · 2021: 6 · 2020: 6 · 2019: 6 · 2018: 4 · 2017: 7 · 2016: 9 · 2015: 7 · 2014: 13 · 2013: 10 · 2012: 5
- FWCI
- 3.09
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the National Medical Association (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Fetzer Institute
- National Cancer Institute (R21CA100720, P30CA022453)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Demography › Workplace Spirituality and Leadership
- Keywords
- weight loss maintenance, breast cancer survivors, African American women, obesity, telephone counseling, Weight Watchers, meditation, prayer, spiritual well-being, diet quality, health promotion
- MeSH terms
- Black or African American, Breast Neoplasms, Female, Humans, Middle Aged, Motor Activity, Obesity, Pilot Projects, Quality of Life, Surveys and Questionnaires, Religion and Psychology, United States, Weight Loss, Diet Records, Body Mass Index, Survival Analysis, Survivors, Directive Counseling
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