HELP Prevent Cancer Pilot Study

Study Overview
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Brief Summary
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This pilot study is designed to adapt a community-based diabetes prevention program to reach adults at risk for cancer.

Detailed Description
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The Healthy Living Partnerships to Prevent Diabetes (HELP PD) study successfully translated the Diabetes Prevention Program (DPP) weight-loss lifestyle intervention in Winston-Salem, North Carolina by delivering the intervention via a partnership between a local diabetes education program with lay community health workers. This study documented a 7% weight loss and 4 mg/dl decrease in fasting blood glucose in patients with prediabetes in 1 year at promote healthy weight loss (1-2 pounds per week). These lifestyle strategies significantly lower costs than the DPP. The HELP PD lifestyle intervention focuses on restricting calories (while improving dietary quality) and increasing physical activity to allow participants to achieve an energy deficient state to are essential to reduce risk for type 2 diabetes but also for a multitude of chronic diseases where excess body weight plays a critical role in the development and exacerbation of the disease. In light of the community-based partnership on which HELP PD was based and the relatively low costs of program administration, the HELP PD model has the potential to be a highly effective and sustainable long-term approach to cancer prevention as well. This pilot study will be the initial step to determine feasibility of implementing the Healthy Living Partnerships to Prevent Cancer (HELP PC) in the Dan River Region of Southern Virginia through a partnership between researchers and colleagues from Wake Forest Comprehensive Cancer Center, Virginia Polytechnic Institute and State University, Danville Hematology and Oncology at the Danville Regional Medical Center, Resource Center of Southern Virginia in Danville, and Danville Regional Medical Center. Wake Forest will serve as the lead site in this study.

Official Title
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Healthy Living Partnerships to Prevent Cancer (HELP PC) Pilot Study

Conditions
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Obesity, Cancer

Intervention / Treatment
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* Behavioral: HELP Prevent Cancer Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: English Proficiency: Able to read/understand English at or above a level sufficient to comprehend recruitment and intervention materials. Body Mass Index: BMI > 25 kg/m2. Exclusion Criteria: Weight Loss: Currently involved in a supervised program for weight loss. Medications: Use of insulin or other diabetes medications that would require additional medical monitoring during weight-loss; use of medications for weight loss or that may impact weight or glucometabolic function (e.g. corticosteroids). Recent History of Cardiovascular Disease: Clinical history of cardiovascular disease (CVD) occurring within the past 6 months, including myocardial infarction, angina, coronary revascularization, stroke, transient ischemic attack (TIA), carotid revascularization, peripheral arterial disease, and congestive heart failure. Hypertension: Uncontrolled high blood pressure: BP > 160/100. Persons can be re-screened after controlled. Pregnancy: Pregnancy, breast feeding, or planning pregnancy within 1 year. Other Chronic Conditions: Other chronic disease likely to limit lifespan to less than 2-3 years, including any cancer requiring treatment in past 5 years except non-melanoma skin cancer.

Ages Eligible for Study
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Minimum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Lifestyle Weight Loss<br>The Behavioral: HELP Prevent Cancer Intervention is a lifestyle intervention consisting of 24-weekly group meetings led by a community health worker and 3 individual sessions with a nutritionist/diabetes educator | Behavioral: HELP Prevent Cancer Intervention<br>* This Behavioral: Lifestyle Weigh Loss Intervention involves a dietary weight-loss program and an increase in caloric expenditure through moderate physical activity. The primary treatment objectives for the weight-loss component of the intervention will be to decrease caloric intake in a nutritionally sound manner so as to produce a weight-loss of .3 kg/week for a total weight loss of 5-7%. The primary objective for the physical activity component of the intervention will be to promote an increase in home-based energy expenditure to an eventual goal of 180 minutes/week.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Recruitment of 20 eligible study participants | Develop and evaluate a feasible referral system to facilitate participant enrollment into the HELP PC intervention (measured by number screened and enrolled) | 6 months | 
| Retention of study participants | Measure retention to the HELP PC intervention (measured by number of participants attending the closeout visit after 26 weeks of intervention) | 6 months | 
| Attendance at group sessions | Assess participant adherence to attending the HELP PC intervention sessions (measured by community health worker documentation of session attendance) | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Blood Pressure | Estimate the means and standard deviations at baseline and 6 months. | 6 months | 
| Weight | Estimate the means and standard deviations at baseline and 6 months. | 6 months | 
| Glucose | Estimate the means and standard deviations at baseline and 6 months. | 6 months | 
| Insulin | Estimate the means and standard deviations at baseline and 6 months. | 6 months | 
| Cholesterol | Estimate the means and standard deviations at baseline and 6 months. | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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lifestyle intervention, weight-loss