The feasibility and acceptability of a diet and exercise trial in overweight and XXXX black @entity0 survivors: The Stepping STONE study.

@entity1 @entity5 @entity0 @entity28
PURPOSE: Black @entity0 survivors have high rates of @entity28 and low physical activity levels. Little is known about the acceptability and feasibility of interventions in this population. OBJECTIVE: A two-arm RCT was launched to assess the efficacy of a culturally targeted 12-week multimodal lifestyle intervention in overweight and @entity28 black survivors. METHODS: Intervention components included nutrition education, exercise groups, and survivor-led motivational interviewing phone sessions. The analytic sample included @entity1 who completed the trial (intervention n=10; control n=12). Anthropometric measures, physical activity, and VO2max were assessed at baseline and follow-up. Change scores (intervention vs. control) were assessed with Wilcoxon rank-sum tests. A process evaluation assessed intervention acceptability. RESULTS: Overall adherence was 70% and overall satisfaction was high (86%). Despite the 5% weight loss target, the intervention group lost 0.8% but BMI improved. Total physical activity levels increased in the intervention vs. control arm (+3501METmin/week vs. +965METmin/week, respectively). VO2max improved in the intervention group (+0.10  1.03kg/L/min). Intervention @entity1 reduced energy intake (-207.3  31.5kcals) and showed improvements in fat intake (-15.5  3.8g), fiber (+3.2  1.2g) and % energy from fat (-4.8  3.1%). Survivors suggested providing diet/exercise information within a @entity5 context. CONCLUSIONS: Group and individualized intervention strategies are acceptable to black survivors. Observed differences between self-report and objective outcomes may suggest reporting bias or changes in body composition. Increasing supervised intervention components and assessment of body composition will be important for future trials.
