About this trial
This single-arm pilot study will evaluate the feasibility and acceptability of a comprehensive survivorship lifestyle intervention addressing nutrition, exercise, sleep health, and stress management. The intervention integrates the BfedBwell survivorship nutrition program with the BfitBwell clinical exercise oncology program. The augmented BfedBwell program includes: (1) a core education curriculum, (2) 1:1 counseling with a registered dietitian, (3) behavioral skills development, (4) group support, and (5) commercially available wearable technology and smart scales for self-monitoring of physical activity, sleep, and body weight.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-75 years
BMI 25-45 kg/m2
History of cancer within the past 10 years with a diagnosis of an adulthood cancer of any type
In maintenance or surveillance status, defined as completion of active cancer therapy (e.g., surgery, radiation, chemotherapy, immunotherapy) with curative intent at least 3 months and no more than 10 years prior to enrollment or active surveillance with no treatment; ongoing targeted or hormone therapies ≥3 months prior to intervention start date and/or ongoing maintenance therapy ≥1 year is permitted (exceptions to this timeframe for completion of other therapies can be made on a case-by-case basis by the PI if patients are tolerating therapy without adverse effects and will have completed active treatment or been in stable maintenance treatment prior to the intervention start date)
Disqualifiers
Willing to attend weekly small group education sessions, monthly behavioral skills development sessions, weekly group support sessions, and monthly 1:1 counseling sessions with a registered dietitian (RD)
Willing to attend up to two BfitBwell exercise sessions (one in person supervised, one virtual unsupervised) per week for first 12 weeks then once monthly supervised and once weekly unsupervised virtual sessions for second 12 weeks
Not meeting dietary guidelines [i.e., Healthy Eating Index (HEI) score <80 as assessed via NCI DHQ III food frequency questionnaire] or physical activity guidelines [i.e., <150 minutes moderate/vigorous activity per week via self-report on Godin-Shephard Leisure-Time Physical Activity Questionnaire] (exceptions may be made at the discretion of the study PI on a case-by-case basis for highly motivated subjects)
Eastern Cooperative Oncology Group (ECOG) Performance Status 2 or higher
Trial design
Single group
Treatments tested in this trial
BfedBwell - Core Curriculum
BehavioralGroup-based education sessions based upon guidelines for nutrition and lifestyle behaviors for cancer survivorship
BfedBwell - 1:1 Counseling
BehavioralIndividual 1:1 counseling sessions with a registered dietitian to review progress and address barriers
BfedBwell - Behavioral Skills
BehavioralGroup-based behavioral skills development sessions and cooking demonstrations to focus on behavior change techniques (e.g., self-monitoring, goal setting) and nutrition skills (e.g., recipe development, label reading)
BfedBwell - Group Support
BehavioralStructured group support sessions to share experiences
BfedBwell - Technology
BehavioralCommercially available devices (fitness trackers, smart scales) for self-monitoring of physical activity, sleep, and body weight
BfitBwell - Clinical Exercise Program
BehavioralSupervised exercise program developed by a cancer exercise specialist and based upon the NCCN guidelines for physical activity during cancer survivorship and other recommendations
Treatment groups
Trial outcomes
Primary outcomes
Determine the research protocol recruitment feasibility of the augmented BfedBwell nutrition intervention
Recruitment will be assessed as the number of adults screened and the proportion of eligible screens who enroll
Determine the research protocol adherence feasibility of the augmented BfedBwell nutrition intervention
Adherence will be assessed as \[# sessions attended/# sessions provided\]
Determine the research protocol outcome assessment feasibility of the augmented BfedBwell nutrition intervention
Outcome assessment rates will be assessed as \[# completing assessments/# enrolled\]
Determine the research protocol retention feasibility of the augmented BfedBwell nutrition intervention
Retention will be assessed as \[# of participants who complete the 24-week intervention/# of participants enrolled\]
Secondary outcomes
Measure changes in self-reported sleep quality
Participants will complete the Pittsburgh Sleep Quality Index (PSQI) to evaluate perceived sleep quality. The PSQI contains 19 self-rated questions assessing several factors relating to sleep quality, and the resulting global score ranges from 0-21 points. Higher scores indicate worse sleep quality.
Measure changes in perceived stress
Participants will complete the Perceived Stress Scale (PSS) to assess self-reported psychological stress. The PSS contains 10 questions assessing perceived stress, and the resulting total score ranges from 0-40 points. Higher scores indicate greater perceived stress.
Sponsors and contacts
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University of Colorado, Denver
Lead sponsor
American Institute for Cancer Research
Collaborator