This clinical trial tests how well a virtual mindfulness and weight management program to mitigate risk of relapse and improve well being for obese cancer survivors in community practice and rural areas. Obesity has been linked to increased risk for certain kinds of cancer and is the second highest modifiable risk factor for cancer. It is also well documented that having a cancer diagnosis and treatment is a stressful experience. It is hoped that an addition of a 10-minute mindfulness-based stress reduction exercise to the virtual positive health habits group focused on weight management can improve wellbeing and distress. Virtual care options continue to extend the reach of medical providers to cancer survivors, particularly those in the rural setting. A virtual behavioral weight management program with an integrated mindfulness component may improve mood, coping strategies, stress management, and weight loss among community practice and rural obese cancer survivors.
PRIMARY OBJECTIVES: I. To assess if a 12-week virtual weight management program with a mindfulness component will improve well-being of obese cancer patients with a specific focus on self-reported measures of depression and anxiety. II. To assess if a mindfulness component added to the virtual behavioral weight management will promote weight loss, improve mood, and increase physical activity. OUTLINE: Patients participate in a virtual behavioral weight management program with an integrated mindfulness component consisting of 12, 75-minute virtual group sessions over 12 weeks to help improve mood, coping strategies, stress management, and weight loss. Patents also receive patient education handouts, view behavioral educational PowerPoint presentations over 30 minutes, and wear a Fitbit on study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
19
Participate in weight management program
Receive patient education handouts
View behavioral educational PowerPoint presentation
Complete virtual behavioral weight management with an integrated mindfulness component program
Ancillary studies
Wear Fitbit
Complete mindfulness components
Ancillary studies
Ancillary studies
Mayo Clinic Health System-Franciscan Healthcare
La Crosse, Wisconsin, United States
General anxiety disorder-7 (GAD-7)
Assessed by change in GAD-7 scores from a total score for seven items ranges from 0 to 21: 0-4 (minimal anxiety); 5-9 (mild anxiety); 10-14 (moderate anxiety); 15-21 (severe anxiety).
Time frame: Baseline; 12 weeks
Patient Health Questionnaire (PHQ)-8
Assessed by change in PHQ-8 scores, as measured by a total score of 4 items from 0-12: 0-2 (normal); 3-5 (mild depression); 6-8 (moderate depression); 9-12 (severe depression).
Time frame: Baseline; 12 weeks
Feasibility of virtual mindfulness and weight management program
Assessed by the extent to which participants adhere to the intervention. Will be quantified based on number of sessions attended out of a possible 12.
Time frame: 12 weeks
Body weight
Assessed by change in body weight
Time frame: Baseline; 12 weeks
Body composition parameter
Will be assessed in a fasted state or 3 hour post meal by subjects standing on a scale without socks or shoes.
Time frame: Baseline; 12 weeks
Daily activity levels - heart rate
Will be assessed by heart rate monitoring as recorded by a wrist-worn accelerometer (Fitbit Inspire)
Time frame: Baseline; 12 weeks
Daily activity levels - activity
Will be assessed from data recorded by a wrist-worn accelerometer monitoring fitness activity.
Time frame: Baseline; 12 weeks
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