Testing Health-Related Interventions: Voices of Equity Needed to Overcome Weight-bias in Obesity-Cancer Care

Other illness

• Patient has a previous cancer diagnosis besides breast (non-melanoma skin cancer or melanoma in situ is allowed).
• History of bariatric surgery or planning to get bariatric surgery over next 3 months
• History of or current serious eating disorder pathology
• History of or current substance use disorder
• History of hypomanic or manic episode
• History of psychotic episode
• History of neurological disorder or head injury (e.g., stroke, epilepsy, loss of consciousness \>10 min)
• Current Type I Diabetes
• Disease that impacts weight (e.g., Cushing's syndrome, hypothyroidism).

Other

• Patient is currently participating in ACT, CBT, formal mindfulness meditation training, or any other research study that has the potential to skew results of this study or the study in which the person is participating.
• Pregnant or planning to become pregnant over next 3 months
• Currently breastfeeding
• Current severe depression (≥ 5 on PHQ-2)
• Recent significant weight loss (\>5% of total body weight)

• 21 to 65 years of age
• 30 ≤ BMI kg/m2 \< 45
• Identifies as Black or African American race
• Patient has been diagnosed with stage I-IIIA breast cancer without evidence of distant disease at time of study entry.
• Patient has completed surgery, radiation therapy, chemotherapy, and/or biologic therapy ≥2 weeks but ≤6 years prior (ongoing endocrine therapy is allowed).
• Patient is willing to complete an 8-week in-person behavioral weight loss program