1. Introduction
Obesity, obesity, death, breast cancer, Breast cancer, Smartphone-Based Cancer, deaths, Cancer
OBESITY, OBESITY, BREAST CANCER, BREAST CANCER, SECONDARY, CANCER
Breast cancer prevalence has increased globally, with 12.2% of breast cancer cases identified in China. Obesity and unhealthy lifestyles are major risk factors for breast cancer. We conducted a randomized control trial to assess the feasibility and evaluate the preliminary effect of the Smartphone-Based Cancer and Obesity Prevention Education (SCOPE) program among adult biological women with a waist circumference greater than 80 cm. The SCOPE program includes tailored and culturally appropriate educational information for obesity and breast cancer prevention delivered by the research team via WeChat. The control group received non-tailored general health information via WeChat. A total of 102 women (52 intervention, 50 control) participated, and 87 (85%) completed 6-month follow-up assessments. For the primary study outcome at 6 months, women using SCOPE significantly reduced waist circumference (Cohen’s Cancer is China’s leading cause of death (about 7500 deaths per day). Cancer not only adversely affects the health of individuals but also imposes an economic burden on families and healthcare systems [In China, smartphone ownership is about 71%; thus, a smartphone-based intervention could offer an effective and feasible tool to reduce the risk of obesity and breast cancer [Thus, we piloted a smartphone-based intervention designed to meet the needs and lifestyles of Chinese mothers using the popular communication platform WeChat. This study aimed to assess the feasibility and estimate the preliminary efficacy of a Smartphone-Based Cancer and Obesity Prevention Education Program for Chinese Women (SCOPE) using a randomized control trial (RCT) design. To prevent the risk for breast cancer, this study focused on obesity as the primary outcome and healthy lifestyle and knowledge and attitude regarding breast cancer prevention as secondary outcomes. Two major aims of this study include:Aim 1: To assess the feasibility of SCOPE, a tailored smartphone-based lifestyle intervention.Aim 2: To estimate the preliminary efficacy of SCOPE intervention on the primary study outcome (waist circumference) and secondary outcomes (body mass index, fruit and vegetable consumption, physical activity, self-efficacy in diet and physical activity, social support in diet and physical activity, and knowledge and attitudes toward breast cancer) in the SCOPE intervention compared to the control groups at 3 months and 6 months.