• weight change [ Time Frame: 18 months ] [ Designated as safety issue: No ]
  

The impact of obesity on insulin resistance and breast cancer prognosis is a matter of major concern for African American breast cancer survivors, who have higher rates of obesity, insulin-resistance, and diabetes than European Americans. Because weight loss requires a lifestyle change, weight loss counseling that incorporates spirituality may be particularly effective in African American women, who are more likely than European Americans to use spiritual influences in their lives.

Participants in this study will be randomly assigned to receive 18 months of either traditional or spiritualized individual dietary and exercise counseling in combination with the Weight Watchers weight loss program. The spiritual counseling will use an 8-component theoretical framework that will include meditation, readings, and the recording of thoughts. The program will address several areas important for long-term weight management, including coping with stress, setting priorities, dealing with emotional issues that trigger old behavior patterns, and developing accountability for following desired diet and exercise patterns.