title: Barriers to Recruitment and Adherence in a Randomized Controlled Diet and Exercise Weight Loss Intervention Among Minority Breast Cancer Survivors.
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.
authors.affiliation: Department of Health and Behavioral Studies, Teachers College, Columbia University, 525 W 120th Street, New York, NY, 10027, USA. aca2129@columbia.edu.|Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY, USA. aca2129@columbia.edu.
authors.forename: A Corina
authors.initials: AC
authors.lastname: Aycinena
authors.affiliation: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
authors.forename: Cristina
authors.initials: C
authors.lastname: Valdovinos
authors.affiliation: Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY, USA.|Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.|Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
authors.forename: Katherine D
authors.initials: KD
authors.lastname: Crew
authors.affiliation: Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA.
authors.forename: Wei Yann
authors.initials: WY
authors.lastname: Tsai
authors.affiliation: Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
authors.forename: Jennie M
authors.initials: JM
authors.lastname: Mata
authors.affiliation: Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY, USA.
authors.forename: Rossy
authors.initials: R
authors.lastname: Sandoval
authors.affiliation: Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY, USA.|Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.|Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
authors.forename: Dawn
authors.initials: D
authors.lastname: Hershman
authors.affiliation: Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY, USA.|Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Greenlee
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology / Q000523:psychology* / Q000628:therapy; D000073116:Cancer Survivors / Q000523:psychology*; D004032:Diet; D015444:Exercise; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008019:Life Style; D008603:Mental Health / Q000208:ethnology; D008875:Middle Aged; D009367:Neoplasm Staging; D010349:Patient Compliance; D018579:Patient Selection; D010465:Perception; D010865:Pilot Projects; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic / Q000523:psychology*; D020377:Self Efficacy; D012944:Social Support; D035503:Sociobiology; D061217:Weight Reduction Programs / Q000379:methods*; D055815:Young Adult
keywords: Adherence; Behavioral intervention; Black; Cancer survivor; Hispanic; Recruitment