Barriers to Recruitment and Adherence in a Randomized Controlled Diet and Exercise Weight Loss Intervention Among Minority Breast Cancer Survivors

Journal of Immigrant and Minority Health
Ana C AycinenaHeather Greenlee

Abstract

Minority recruitment to cancer trials is low and there are limited data on minority adherence to lifestyle modification interventions. We examined factors related to recruitment and adherence to a pilot weight loss intervention among Hispanic and black breast cancer survivors. Participants completed a detailed screening interview to assess barriers to enrollment. An index was created to assess adherence at 6 months. 112 potentially eligible women were identified; 66 consented and completed a screening interview. After screening, 9 were ineligible; 15 opted to not enroll; and 42 were randomized. Among eligible women, earlier stage at diagnosis, treatment type, and negative beliefs related to exercise and diet after diagnosis were negatively associated with study enrollment (P < 0.05). Self-reported barriers to adherence included fatigue, family responsibilities, illness, work, transportation, and negative perceptions of exercise and diet. Results from this study emphasize the need to adapt recruitment and adherence strategies to address these factors.

References

Jan 1, 1991·Social Science & Medicine·C D Sherbourne, A L Stewart
Jun 1, 1983·Acta Psychiatrica Scandinavica·A S Zigmond, R P Snaith
Mar 1, 1997·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·M J BradyG Shiomoto
May 4, 2002·Annals of Epidemiology·Vickie L ShaversLeon F Burmeister
Jul 10, 2003·General Hospital Psychiatry·M J HerreroA Bulbena
Jun 10, 2004·JAMA : the Journal of the American Medical Association·Vivek H MurthyCary P Gross
Jul 2, 2005·Oncology Nursing Forum·Laura Q RogersKerry S Courneya
Jul 12, 2005·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Laura Q RogersPrabodh Shah
Dec 20, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Candyce H KroenkeMichelle D Holmes
Jan 13, 2006·Maternal and Child Health Journal·Pamela J SurkanBarbara R Gottlieb
May 6, 2006·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·G J WanG Shiomoto
Dec 21, 2006·Journal of the National Cancer Institute·Rowan T ChlebowskiRobert M Elashoff
Feb 27, 2007·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Claudia Morales LópezDeborah Brommage
Jun 2, 2007·Medicina clínica·Gema Costa RequenaFrancisco Gil
Dec 18, 2007·American Journal of Preventive Medicine·Latetia V MooreShannon J Brines
Apr 23, 2008·Cultural Diversity & Ethnic Minority Psychology·Belinda CamposCurt A Sandman
Jan 15, 2010·JAMA : the Journal of the American Medical Association·Katherine M FlegalLester R Curtin
Mar 12, 2010·American Journal of Health Behavior·Deborah J ToobertDebra P Ritzwoller
Jun 24, 2010·Journal of General Internal Medicine·Ana H TraylorUsha Subramanian
Jul 31, 2010·Physical Therapy·Diane Borello-FranceUNKNOWN Urinary Incontinence Treatment Network
Sep 9, 2010·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Kristine A Donovan, Paul B Jacobsen
Dec 2, 2010·Economic Geography·Michael D M BaderKathryn M Neckerman
Jan 5, 2011·Breast Cancer Research and Treatment·Jeannette M BeasleyWalter C Willett
Mar 23, 2011·Medicina clínica·Roser Belmonte MartínezMontserrat Ferrer Fores
Jan 19, 2012·JAMA : the Journal of the American Medical Association·Katherine M FlegalCynthia L Ogden
May 16, 2012·American Journal of Health Behavior·Angela Baldwin LanierMeredith Briggs

❮ Previous
Next ❯

Citations

Feb 10, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Emily Cox-MartinKaren Basen-Engquist
Nov 23, 2017·CA: a Cancer Journal for Clinicians·Wendy Demark-WahnefriedKaren Basen-Engquist
Apr 3, 2020·Journal of Cancer Survivorship : Research and Practice·Natasha R BurseKathryn H Schmitz
Jul 19, 2020·Journal of Cancer Survivorship : Research and Practice·Christina M Dieli-ConwrightKerry S Courneya
Nov 17, 2020·Frontiers in Psychology·Lucrezia Savioni, Stefano Triberti
Mar 24, 2021·Journal of Cancer Survivorship : Research and Practice·Jessica McNeilChristine M Friedenreich

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.