Group-based Comprehensive Lifestyle Program for Women With Metastatic Breast Cancer

Inclusion criteria

• Patients with HR+/HER2 negative MBC
• On first- or second-line treatment
• Life expectancy at least 12 months
• Only females
• Age 18 years or older
• Able to read, write, and speak English
• Willingness to follow protocol requirements
• Have a smartphone with access to cellular service or computer access with internet service
• Oriented to person, place, and time
• Consume less than 3 servings of fruit and vegetable/day
• Engage in less than 150 minutes moderate/vigorous intensity activity per week, defined as anything that causes small increases in breathing or heart rate for a sustained amount of time (e.g., brisk walking, bicycling)
• Engage in a mind-body practice less than 4 times a month

Exclusion criteria

• Another primary cancer diagnosis within past 5 years (not including non-melanoma skin cancers)
• Any major thought disorder (e.g., schizophrenia, dementia)
• Communication barriers (e.g., hard of hearing)
• Poorly-controlled or uncontrolled diabetes in the opinion of the physician(s)
• Extreme mobility issues (e.g., unable to get in and out of a chair unassisted)