1. Preliminary Efficacy Of A Community-based, Group-mediated Cognitive Behavioral Lifestyle Intervention Among Breast Cancer Survivors.
- Author
-
Haynam, Marcy L., Fairman, Ciaran M., Bowman, Jessica, DeScenza, Victoria R., Chaplow, Zachary L., Kilar, Megan, Dispennette, Kathryn, Hohn, Stephanie, Xiaochen Zhang, Lustberg, Maryam, and Focht, Brian C.
- Subjects
- *
REGULATION of body weight , *BODY composition , *CLINICAL trials , *CONFERENCES & conventions , *CANCER patients , *FUNCTIONAL assessment , *COMMUNITY-based social services , *HEALTH behavior , *BREAST tumors , *GROUP psychotherapy , *COGNITIVE therapy , *BEHAVIOR modification - Abstract
Post-treatment weight gain places breast cancer (BCa) survivors at heightened risk for cardiovascular disease, metabolic syndrome, and functional decline. Lifestyle weight management (LWM) interventions combining exercise and dietary weight loss represent an effective approach to mitigating the adverse cardiometabolic and functional effects frequently observed in BCa survivors. Unfortunately, community access to cost-effective, sustainable, LWM interventions among BCa survivors remains limited and this lack of easily accessible programming undermines efforts to integrate behavioral weight management in the supportive care of BCa survivors. PURPOSE: The purpose of this pilot trial is to determine the feasibility and preliminary efficacy of a 6-month community-based LWM intervention implementing a group-mediated cognitive behavioral approach in BCa survivors. In the current study, we evaluated the effects of the LWM intervention on select body composition, physical function, and social cognitive outcomes of the first wave of participants enrolled in the trial. METHODS: A total of 11 BCa survivors (M age = 54 years) participated in the LWM intervention. Assessments of body composition assessed (Dual-energy X-ray Absorptiometry), physical function (400m walk test), and select social cognitive outcomes (satisfaction with function and appearance and perceived competence with exercise and diet intake) were obtained at baseline and 3-months. RESULTS: Analysis of change from baseline in the outcomes using Cohen's d effect sizes revealed clinically meaningful improvements in fat mass (d= -0.46), percent lean mass (d= 0.33), lean mass (d= -0.45), physical function (d= -0.59), satisfaction with function (d= 1.89) and appearance (d= 1.16) and perceived competence for exercise (d= 0.42) and dietary intake (d= 0.47). CONCLUSION: Findings from this study demonstrate the preliminary efficacy of implementing a GMCB-based LWM intervention among overweight or obese BCa survivors. Given the meaningful impact that successful weight management has on reducing risk for chronic diseases, these results highlight the ut ility of implementing a LWM intervention in the community for BCa survivors in an effort to extend the access and reach of supportive care approaches during BCa survivorship. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF