%0 Journal Article
%@ 2369-1999
%I JMIR Publications
%V 3
%N 2
%P e13
%T A Lifestyle Intervention via Email in Minority Breast Cancer Survivors: Randomized Parallel-Group Feasibility Study
%A Paxton,Raheem J
%A Hajek,Richard
%A Newcomb,Patricia
%A Dobhal,Megha
%A Borra,Sujana
%A Taylor,Wendell C
%A Parra-Medina,Deborah
%A Chang,Shine
%A Courneya,Kerry S
%A Block,Gladys
%A Block,Torin
%A Jones,Lovell A
%+ Department of Community Medicine and Population Health, The University of Alabama, 1132 Northeast Medical Bldg, Tuscaloosa, AL, 35401, United States, 1 205 348 6857, rpaxton@ua.edu
%K breast neoplasm
%K African Americans
%K diet
%K feasibility study
%K physical activity
%K posture
%K program evaluation
%K Internet
%K computer tailoring
%K email
%D 2017
%7 21.09.2017
%9 Original Paper
%J JMIR Cancer
%G English
%X Background: Our data have indicated that minority breast cancer survivors are receptive to participating in lifestyle interventions delivered via email or the Web, yet few Web-based studies exist in this population. Objective: The aim of this study was to examine the feasibility and preliminary results of an email-delivered diet and activity intervention program, “A Lifestyle Intervention Via Email (ALIVE),” delivered to a sample of racial and ethnic minority breast cancer survivors. Methods: Survivors (mean age: 52 years, 83% [59/71] African American) were recruited and randomized to receive either the ALIVE program’s 3-month physical activity track or its 3-month dietary track. The fully automated system provided tools for self-monitoring and goal setting, tailored content, and automated phone calls. Descriptive statistics and mixed-effects models were computed to examine the outcomes of the study. Results: Upon completion, 44 of 71 survivors completed the study. Our “intention-to-treat” analysis revealed that participants in the physical activity track made greater improvements in moderate to vigorous activity than those in the dietary track (+97 vs. +49 min/week, P<.001). Similarly, reductions in total sedentary time among those in the physical activity track (−304 vs. −59 min/week, P<.001) was nearly 5 times greater than that for participants in the dietary track. Our completers case analysis indicated that participants in the dietary track made improvements in the intake of fiber (+4.4 g/day), fruits and vegetables (+1.0 cup equivalents/day), and reductions in saturated fat (−2.3 g/day) and trans fat (−0.3 g/day) (all P<.05). However, these improvements in dietary intake were not significantly different from the changes observed by participants in the physical activity track (all P>.05). Process evaluation data indicated that most survivors would recommend ALIVE to other cancer survivors (97%), were satisfied with ALIVE (82%), and felt that ALIVE was effective (73%). However, survivors expressed concerns about the functionality of the interactive emails. Conclusions: ALIVE appears to be feasible for racial and ethnic minority cancer survivors and showed promising results for larger implementation. Although survivors favored the educational content, a mobile phone app and interactive emails that work on multiple email domains may help to boost adherence rates and to improve satisfaction with the Web-based platform. Trial Registration: ClinicalTrials.gov NCT02722850; https://clinicaltrials.gov/ct2/show/NCT02722850 (Archived by WebCite at http://www.webcitation.org/6tHN9VsPh) 
%M 28935620
%R 10.2196/cancer.7495
%U http://cancer.jmir.org/2017/2/e13/
%U https://doi.org/10.2196/cancer.7495
%U http://www.ncbi.nlm.nih.gov/pubmed/28935620