Changing Health Behaviors to Manage Chronic Conditions in Community-dwelling African American Breast Cancer Survivors

Study Overview
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Brief Summary
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The purpose of this project was to test the efficacy of partnering with a community-led wellness program to reduce disease risk and increase wellness among breast cancer survivors. Information gathered will serve the dual purpose of testing intervention effectiveness and providing the community organization data to be used to secure sustainability funding

Detailed Description
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Social and environmental issues continue to impact disease morbidity and mortality resulting in the inequities of health, wellness, and quality of life experienced by African American breast cancer survivors (AABCS) living in urban Milwaukee. AABCS outcomes in Milwaukee are significantly worse (OR=1.55) than those of Caucasian survivors. The American Diabetes Association/American Cancer Society expert committee recommends the promotion of a healthy diet, physical activity, and weight management with low waist circumference to prevent diabetes, cancer, and obesity and to extend life expectancy. According to the National Health Interview Survey, 56% of African Americans are inactive. Yoga is one way to increase physical activity while improving wellness and health in AABCS. The investigator's goal was to facilitate improved self-care efficacy through evidence-based integrative health and wellness strategies to help families overcome the effects of multiple negative, deep-rooted social determinants.

Official Title
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Changing Health Behaviors to Manage Chronic Conditions in Community-dwelling African American Breast Cancer Survivors

Conditions
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Breast Cancer Female, Survivorship

Intervention / Treatment
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* Behavioral: Nutritional and goal-setting education, yoga


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Sex: female Race: African American Survivor of breast cancer Physical activity participation not limited by medical doctor English speaking Exclusion Criteria: Sex: male Race: not African American No breast cancer history Physical activity limitations imposed by medical doctor

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: A single arm model.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Nutrition, goal-setting, yoga<br>Behavioral: Nutritional and goal-setting education, yoga to promote achievement of change in health behaviors. SMART goal setting was used to guide nutritional and physical activity change to decrease disease risk and promote well-being. | Behavioral: Nutritional and goal-setting education, yoga<br>* This integrative program series, Live Well, was delivered bi-weekly from January-May 2017, by an interdisciplinary team of a registered nurse, occupational therapist/researcher, registered dietitian, and certified yoga instructor. Session experiences were designed to build: Sisterhood for health promotion and support, Individual and group health promotion through goal-setting, Healthy family nutrition and meal planning skills , Family integrated yoga practice<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in central adiposity | circumferential measurement of waist | 20 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Independent yoga posture series | participant independently demonstrates series of 6 postures | 20 weeks | 
| Change in body weight | weight in pounds | 20 weeks | 
| Change in balance | Time in seconds in single-leg stance | 20 weeks | 
| independent healthy meal preparation | participant brings dish prepared from intervention recipe focusing on nutrition | Post intervention, after 20 weeks | 
| Goal setting | Participant independently writes SMART (specific, measureable,attainable , reasonable, timely) | 20 weeks |