Promoting Weight-Loss in African American Cancer Survivors in the Deep South

This study tests evidence-based strategies for weight loss among overweight and obesity cancer survivors and family members in rural Alabama.

This is a 3-arm cluster randomized controlled study that compares a trained lay provided weight loss program vs. the same program plus community-based weight management strategies vs. general cancer prevention education on weight loss and other clinical outcomes (primary outcomes) and healthy behaviors, and psychosocial functioning (secondary outcomes).

Inclusion Criteria:

• African American breast, colon, or prostate cancer survivor (Index Participant)
• Family member (support person) of African American breast, colon, or prostate cancer survivor (Family Member Participant)
• Live, work, or attend school in target county
• BMI >= 25 kg/m2

Exclusion Criteria:

• Pregnant or planning to become pregnant in the next year
• Known major medical or psychological condition known to influence body weight
• Uncontrolled hypertension (BP > 160 mmHg systolic or >100 mmHg diastolic)
• medicated or poorly controlled diabetes (glucose > 126) Cardiovascular event in the preceding 12 months
• History of gastric bypass or bariatric surgery
• History of psychiatric hospitalization in past 2 years
• History of substance abuse or eating disorder
• Any other condition by which a medical professional has suggested diet modification, physical activity and/or weight reduction would be contraindicated