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Feasibility and Efficacy of a Community-Based, Lifestyle Weight Management Intervention Among Breast Cancer Survivors

DeScenza, Victoria R
http://rave.ohiolink.edu/etdc/view?acc_num=osu1650535941545015

Abstract Details

2022, Doctor of Philosophy, Ohio State University, Kinesiology.
Objective. To establish the feasibility and efficacy of a group-mediated cognitive behavioral (GMCB) exercise and dietary (EX+D) intervention among overweight or obese breast cancer survivors (BCaS). Methods. The Healthy New Albany: Breast Cancer study was a single arm pilot trial with 21 BSC assigned to a 6-month behavioral lifestyle intervention. The exercise component of the personalized EX+D intervention integrated a combination of supervised resistance and aerobic exercise performed twice per week. The dietary component involved counseling and education to modify dietary intake and composition. Results. Feasibly parameters yielded generally favorable recruitment, retention, and adherence rates, together with the absence of intervention-related adverse events. Effect size calculations were used to examine the potential effects that the intervention had on changes in body composition and select social cognitive outcomes at 3-month and 6-month follow-up. Meaningful changes were observed in total body mass (d=0.22), fat mass (d= 0.40), percent fat mass (d= 0.51), percent lean mass (d= 0.63), and upper body muscular strength (d= 0.95). Additional positive effects were observed in perceived competence of diet (3M: d=-0.46 and 6M d=-1.19) and improvement in perceived competence of exercise (3-Month: d=-0.16 and 6-Month: d=-.34). Furthermore, self-monitoring (d= -1.16), goal setting (d=-0.62), and reinforcement (d=-0.27) saw positive effects at 6-months. Conclusions: The GMCB LWS intervention is safe and well tolerated by overweight or obese breast cancer survivors and yielded favorable improvements in relevant objective and patient reported social cognitive outcomes among BCaS.
Brian Focht (Committee Chair)
William Kraemer (Committee Member)
Carl Maresh (Committee Member)
Maryam Lustberg (Other)
Behavioral Psychology; Behavioral Sciences; Kinesiology
breast cancer; weight management; behavioral; lifestyle; intervention; community

Recommended Citations

Citations

  • DeScenza, V. R. (2022). Feasibility and Efficacy of a Community-Based, Lifestyle Weight Management Intervention Among Breast Cancer Survivors [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1650535941545015

    APA Style (7th edition)

  • DeScenza, Victoria. Feasibility and Efficacy of a Community-Based, Lifestyle Weight Management Intervention Among Breast Cancer Survivors. 2022. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1650535941545015.

    MLA Style (8th edition)

  • DeScenza, Victoria. "Feasibility and Efficacy of a Community-Based, Lifestyle Weight Management Intervention Among Breast Cancer Survivors." Doctoral dissertation, Ohio State University, 2022. http://rave.ohiolink.edu/etdc/view?acc_num=osu1650535941545015

    Chicago Manual of Style (17th edition)

osu1650535941545015
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This open access ETD is published by The Ohio State University and OhioLINK.