Lifestyle Behavior Influences Among African American Patients With Stage 0-III Prostate Cancer Survivors and Their Partners

One Plus One Can Be Greater Than Two: Ecological Momentary Assessment for Black Prostate Cancer Survivors and Partners

This trial studies the day-to-day stress, social support, and health lifestyle behaviors (such as physical activity and nutrition) in African American patients with stage 0-III prostate cancer survivors and their partners. How patients cope with stress may affect their lifestyle behaviors. This study may help understand not only survivors' behaviors but also partners' behaviors and how they interact.

PRIMARY OBJECTIVES:

I. Examine temporal associations between dyadic coping and health behaviors such as physical activity and diet.

II. Identify social and physical contexts in which health behaviors occur/co-occur among survivors and their partners.

EXPLORATORY OBJECTIVE:

I. Investigate potential moderators for the associations between stress and dyadic coping.

OUTLINE:

Patients and partners complete questionnaires over 60 minutes about demographic information, stress, coping, and lifestyle behaviors at baseline and end of study. Patients and partners also receive an accelerometer and complete Ecological Momentary Assessment (EMA) questionnaire on stress, coping, physical activity, and eating behaviors over 5-10 minutes four time daily (QID; 7:30 am, 11:30 am, 3:30 pm, and 7:30 pm) via an smartphone application (app) for 14 days. Patients and partners also complete a survey on nutrition twice weekly (BIW) for a total of 4 surveys.

Inclusion Criteria:

• Survivors are eligible if they self-identify as African American adults
• Had stage 0-III prostate cancer (no restriction on time elapsed since diagnosis)
• Completed adjuvant therapy (i.e., chemo and/or radiation therapy)
• Live together with a current partner/spouse who is eligible for the study
• Do not need physical assistance (e.g., wheelchair, cane)
• Have a smartphone
• Can read and speak English
• Currently are not participating in a health behavior or weight management program
• Men on active surveillance will be included
• Partners are eligible if they are adults
• Partners are eligible if they do not have serious medical conditions (e.g., cancer, congestive heart failure, stroke, and dementia)
• Partners are eligible if they have a smartphone
• Partners are eligible if they can read and speak English
• Partners are eligible if they currently are not participating in a health behavior or weight management program
• The dyad can be either married or unmarried and same-sex or heterosexual

Exclusion Criteria:

• Survivors will be excluded if they had a prior history of other cancer or have metastatic cancer