Protocol and recruitment results from a randomized controlled trial comparing group phone-based versus newsletter interventions for weight loss maintenance among rural breast cancer survivors

Christie A. Befort, Jennifer R. Klemp, Carol Fabian, Michael G. Perri, Debra K. Sullivan, Kathryn H. Schmitz, Francisco J. Diaz, Theresa Shireman

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Obesity is a risk factor for breast cancer recurrence and death. Women who reside in rural areas have higher obesity prevalence and suffer from breast cancer treatment-related disparities compared to urban women. The objective of this 5-year randomized controlled trial is to compare methods for delivering extended care for weight loss maintenance among rural breast cancer survivors. Group phone-based counseling via conference calls addresses access barriers, is more cost-effective than individual phone counseling, and provides group support which may be ideal for rural breast cancer survivors who are more likely to have unmet support needs. Women (n=210) diagnosed with Stage 0 to III breast cancer in the past 10years who are ≥3months out from initial cancer treatments, have a BMI 27-45kg/m2, and have physician clearance were enrolled from multiple cancer centers. During Phase I (months 0 to 6), all women receive a behavioral weight loss intervention delivered through group phone sessions. Women who successfully lose 5% of weight enter Phase II (months 6 to 18) and are randomized to one of two extended care arms: continued group phone-based treatment or a mail-based newsletter. During Phase III, no contact is made (months 18 to 24). The primary outcome is weight loss maintenance from 6 to 18months. Secondary outcomes include quality of life, serum biomarkers, and cost-effectiveness. This study will provide essential information on how to reach rural survivors in future efforts to establish weight loss support for breast cancer survivors as a standard of care.

Original languageEnglish (US)
Pages (from-to)261-271
Number of pages11
JournalContemporary Clinical Trials
Volume37
Issue number2
DOIs
StatePublished - Mar 1 2014

Fingerprint

Survivors
Weight Loss
Randomized Controlled Trials
Maintenance
Breast Neoplasms
Counseling
Obesity
Postal Service
Standard of Care
Cost-Benefit Analysis
Neoplasms
Therapeutics
Biomarkers
Quality of Life
Physicians
Weights and Measures
Costs and Cost Analysis
Recurrence
Serum

All Science Journal Classification (ASJC) codes

  • Pharmacology (medical)

Cite this

Befort, Christie A. ; Klemp, Jennifer R. ; Fabian, Carol ; Perri, Michael G. ; Sullivan, Debra K. ; Schmitz, Kathryn H. ; Diaz, Francisco J. ; Shireman, Theresa. / Protocol and recruitment results from a randomized controlled trial comparing group phone-based versus newsletter interventions for weight loss maintenance among rural breast cancer survivors. In: Contemporary Clinical Trials. 2014 ; Vol. 37, No. 2. pp. 261-271.
@article{000a9e07932a4b66948439b7fc83dd1f,
title = "Protocol and recruitment results from a randomized controlled trial comparing group phone-based versus newsletter interventions for weight loss maintenance among rural breast cancer survivors",
abstract = "Obesity is a risk factor for breast cancer recurrence and death. Women who reside in rural areas have higher obesity prevalence and suffer from breast cancer treatment-related disparities compared to urban women. The objective of this 5-year randomized controlled trial is to compare methods for delivering extended care for weight loss maintenance among rural breast cancer survivors. Group phone-based counseling via conference calls addresses access barriers, is more cost-effective than individual phone counseling, and provides group support which may be ideal for rural breast cancer survivors who are more likely to have unmet support needs. Women (n=210) diagnosed with Stage 0 to III breast cancer in the past 10years who are ≥3months out from initial cancer treatments, have a BMI 27-45kg/m2, and have physician clearance were enrolled from multiple cancer centers. During Phase I (months 0 to 6), all women receive a behavioral weight loss intervention delivered through group phone sessions. Women who successfully lose 5{\%} of weight enter Phase II (months 6 to 18) and are randomized to one of two extended care arms: continued group phone-based treatment or a mail-based newsletter. During Phase III, no contact is made (months 18 to 24). The primary outcome is weight loss maintenance from 6 to 18months. Secondary outcomes include quality of life, serum biomarkers, and cost-effectiveness. This study will provide essential information on how to reach rural survivors in future efforts to establish weight loss support for breast cancer survivors as a standard of care.",
author = "Befort, {Christie A.} and Klemp, {Jennifer R.} and Carol Fabian and Perri, {Michael G.} and Sullivan, {Debra K.} and Schmitz, {Kathryn H.} and Diaz, {Francisco J.} and Theresa Shireman",
year = "2014",
month = "3",
day = "1",
doi = "10.1016/j.cct.2014.01.010",
language = "English (US)",
volume = "37",
pages = "261--271",
journal = "Contemporary Clinical Trials",
issn = "1551-7144",
publisher = "Elsevier Inc.",
number = "2",

}

Protocol and recruitment results from a randomized controlled trial comparing group phone-based versus newsletter interventions for weight loss maintenance among rural breast cancer survivors. / Befort, Christie A.; Klemp, Jennifer R.; Fabian, Carol; Perri, Michael G.; Sullivan, Debra K.; Schmitz, Kathryn H.; Diaz, Francisco J.; Shireman, Theresa.

In: Contemporary Clinical Trials, Vol. 37, No. 2, 01.03.2014, p. 261-271.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Protocol and recruitment results from a randomized controlled trial comparing group phone-based versus newsletter interventions for weight loss maintenance among rural breast cancer survivors

AU - Befort, Christie A.

AU - Klemp, Jennifer R.

AU - Fabian, Carol

AU - Perri, Michael G.

AU - Sullivan, Debra K.

AU - Schmitz, Kathryn H.

AU - Diaz, Francisco J.

AU - Shireman, Theresa

PY - 2014/3/1

Y1 - 2014/3/1

N2 - Obesity is a risk factor for breast cancer recurrence and death. Women who reside in rural areas have higher obesity prevalence and suffer from breast cancer treatment-related disparities compared to urban women. The objective of this 5-year randomized controlled trial is to compare methods for delivering extended care for weight loss maintenance among rural breast cancer survivors. Group phone-based counseling via conference calls addresses access barriers, is more cost-effective than individual phone counseling, and provides group support which may be ideal for rural breast cancer survivors who are more likely to have unmet support needs. Women (n=210) diagnosed with Stage 0 to III breast cancer in the past 10years who are ≥3months out from initial cancer treatments, have a BMI 27-45kg/m2, and have physician clearance were enrolled from multiple cancer centers. During Phase I (months 0 to 6), all women receive a behavioral weight loss intervention delivered through group phone sessions. Women who successfully lose 5% of weight enter Phase II (months 6 to 18) and are randomized to one of two extended care arms: continued group phone-based treatment or a mail-based newsletter. During Phase III, no contact is made (months 18 to 24). The primary outcome is weight loss maintenance from 6 to 18months. Secondary outcomes include quality of life, serum biomarkers, and cost-effectiveness. This study will provide essential information on how to reach rural survivors in future efforts to establish weight loss support for breast cancer survivors as a standard of care.

AB - Obesity is a risk factor for breast cancer recurrence and death. Women who reside in rural areas have higher obesity prevalence and suffer from breast cancer treatment-related disparities compared to urban women. The objective of this 5-year randomized controlled trial is to compare methods for delivering extended care for weight loss maintenance among rural breast cancer survivors. Group phone-based counseling via conference calls addresses access barriers, is more cost-effective than individual phone counseling, and provides group support which may be ideal for rural breast cancer survivors who are more likely to have unmet support needs. Women (n=210) diagnosed with Stage 0 to III breast cancer in the past 10years who are ≥3months out from initial cancer treatments, have a BMI 27-45kg/m2, and have physician clearance were enrolled from multiple cancer centers. During Phase I (months 0 to 6), all women receive a behavioral weight loss intervention delivered through group phone sessions. Women who successfully lose 5% of weight enter Phase II (months 6 to 18) and are randomized to one of two extended care arms: continued group phone-based treatment or a mail-based newsletter. During Phase III, no contact is made (months 18 to 24). The primary outcome is weight loss maintenance from 6 to 18months. Secondary outcomes include quality of life, serum biomarkers, and cost-effectiveness. This study will provide essential information on how to reach rural survivors in future efforts to establish weight loss support for breast cancer survivors as a standard of care.

UR - http://www.scopus.com/inward/record.url?scp=84893772657&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84893772657&partnerID=8YFLogxK

U2 - 10.1016/j.cct.2014.01.010

DO - 10.1016/j.cct.2014.01.010

M3 - Article

C2 - 24486636

AN - SCOPUS:84893772657

VL - 37

SP - 261

EP - 271

JO - Contemporary Clinical Trials

JF - Contemporary Clinical Trials

SN - 1551-7144

IS - 2

ER -