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Background: Our data have indicated that minority breast cancer survivors are receptive to participating in lifestyle interventions delivered via email or the Web, yet few Web-based studies exist in this population.

Objective: The aim of this study was to examine the feasibility and preliminary results of an email-delivered diet and activity intervention program,“A Lifestyle Intervention Via Email (ALIVE),” delivered to a sample of racial and ethnic minority breast cancer survivors.

Methods: Survivors (mean age: 52 years, 83%[59/71] African American) were recruited and randomized to receive either the ALIVE program’s 3-month physical activity track or its 3-month dietary track. The fully automated system provided tools for self-monitoring and goal setting, tailored content, and automated phone calls. Descriptive statistics and mixed-effects models were computed to examine the outcomes of the study.

Results: Upon completion, 44 of 71 survivors completed the study. Our “intention-to-treat” analysis revealed that participants in the physical activity track made greater improvements in moderate to vigorous activity than those in the dietary track (+ 97 vs.+ 49 min/week, P<. 001). Similarly, reductions in total sedentary time among those in the physical activity track (− 304 vs.− 59 min/week, P<. 001) was nearly 5 times greater than that for participants in the dietary track. Our completers case analysis indicated that participants in the dietary track made improvements in the intake of fiber (+ 4.4 g/day), fruits and vegetables (+ 1.0 cup equivalents/day), and reductions in saturated fat (− 2.3 g/day) and trans fat (− 0.3 g/day)(all P<. 05). However, these improvements in …