If you agree to be in this study you will be contacted by the research team and asked to come to Columbia University Medical Center in New York City for two initial clinic visits.
During the first visit you will be asked to read and sign an informed consent form and the researchers will collect information related to your behavioral and medical health, cognitive functioning, and psychosocial well-being. Before the second clinic visit you will be called on the phone to complete three interviews about your diet. At the second clinic visit you will complete an additional interview about your physical activity and your body measurements will be collected. You will meet with a health educator for 15 minutes to go over the diet and physical activity recommendations for breast cancer survivors. The research team will give you a Fitbit Zip device for you to wear during the duration of the study. You will be asked to download the Fitbit app on your phone, tablet or computer to record your steps. You will have the option of giving a blood sample and completing an additional questionnaire about your diet during this visit.
At the end of the second visit you will be randomized (like a flip of a coin) to one of four groups:
1. The control group, which will not participate in the program (you will receive all the information at the end of the study)
2. Four weeks of the in-person program sessions
3. 11 months of the electronic communications program
4. Four weeks of the in-person program sessions and 11 months of the electronic communication program
In Person Classes: If you are randomized to a group that will be part of the in-person program, you will participate in four in-person hands-on nutrition and physical activity classes over 4 weeks. The classes will each last for approximately four hours and will be held on weekends in Manhattan. Classes will include cooking and physical activity education, cooking sessions, an exercise class, a field trip to a grocery store and a field trip to a green market.
Electronic Communication: If you are randomized to a group that will be part of the 11-month electronic communications program, you will receive text messages twice a week, emailed newsletters, and have access to a nutrition website.
Monthly Phone calls: Study staff will call you once a month to ask you questions about your use of the Fitbit Zip device.
Follow-up Clinic and Interview Visits (6 and 12-months): Prior to the 6-month and 12-month clinic visits, you will be called by phone to complete two interviews about your dietary intake. At 6 and 12 months you will be asked to return to Columbia University Medical Center to complete measures on diet, physical activity, psychosocial information, and cognitive functioning. You will also have the option of giving a blood sample.