Feasibility and preliminary results of A Lifestyle Intervention via Email (ALIVE) in minority breast cancer survivors.
e12573 Background: Prior data have indicated that minority breast cancer survivors are receptive to participating in lifestyle interventions delivered via email or the Web. In this study, we examined the feasibility and preliminary results of A Lifestyle Intervention via Email (ALIVE) in a sample of racial and ethnic minority cancer survivors. Methods: Survivors (Mean age = 52, 83% African American) were recruited and randomized to either a 3-month physical activity or a dietary condition. Descriptive statistics and mixed-effects models were computed to examine the behavioral and evaluation outcomes. Results: Forty-four of 71 survivors who participated in the baseline assessment completed the study. Survivors in the physical activity condition compared to the diet condition made greater improvements in leisure time physical activity (+272 vs. +120 Metabolic equivalent minutes per week; P < 0.01) and greater reductions in sedentary time (-304 vs. -59 minutes/week; P < 0.01). No significant time-by-group interactions were observed for our diet variables; however, positive trends among survivors in fruit and vegetables (+0.7 cup servings/day, P < 0.01) were observed in the dietary condition. Feasibility data from survivors indicated that most survivors would recommend ALIVE to other cancer survivors (97%), were satisfied with ALIVE (82%), and felt that ALIVE was effective (73%). Survivors expressed concerns about the automated calls and functionality of the ALIVE e-mails. Conclusions: ALIVE appears to be feasible for racial and ethnic minority cancer survivors and shows promising results for implementation in larger and ethnically diverse cohorts. Functionality changes are warranted to boost adherence rates. Clinical trial information: NCT02722850.