Date of Award

Summer 7-28-2023

Document Type


Degree Name

Master of Medical Science (MMSc)

First Advisor

Tara Sanft, MD


Despite treatment and prevention options, breast cancer remains the most common cancer among women worldwide. Multiple lifestyle recommendations for breast cancer survivors have been disseminated by the American Cancer Society and other organizations to reduce both risk of disease recurrence and to improve overall survival. However, adherence to these recommendations remains low. Motivational interviewing has proven effective in enhancing readiness to change in the primary care setting but has not been evaluated to effect overall lifestyle changes in the breast cancer population. This randomized clinical trial aims to test the efficacy of motivational interviewing in improving adherence to American Cancer Society lifestyle guidelines. By identifying breast cancer survivors and implementing a three-month lifestyle intervention using motivational interviewing, we will be able to compare patient outcomes to treatment usual care. This study can help refine the standard of care for improving breast cancer survivorship and potential management of other chronic disease.