An Episodic Future Thinking Intervention to Promote Weight Loss in Breast Cancer Survivors

PRIMARY OBJECTIVE: I. To evaluate the feasibility of the 12-week remotely delivered episodic future thinking (EFT) intervention. SECONDARY OBJECTIVES: I. To evaluate the impact of EFT compared to control (episodic recent thinking \[ERT\]) on weight loss and delay discounting (DD) in overweight and obese breast cancer survivors at 12 and 24 weeks. II. To evaluate the baseline and 12 week change in: IIa. Patient reported outcomes (PROs) measured by standard instruments: Patient Reported Outcomes Measurement Information System (PROMIS) scales 29 Profile version (v)2.1 (domains: physical function, social roles, fatigue, depression, anxiety, pain, sleep disturbance) and Global Health Short Form (general physical and mental health). IIb. Insulin resistance (Homeostatic Model Assessment of Insulin Resistance \[HOMA-IR\]) and high-sensitivity C-reactive protein (hsCRP). IIc. Diet quality, measured by Health Eating Index (HEI)-2015 on Vioscreen food frequency questionnaire (FFQ). OUTLINE: Patients are randomized to 1 of 2 arms. ARM I: Patients participate in EFT over 12 weeks, in which they will receive prompts via a guided smartphone application to engage in EFT in their daily lives. Patients are asked to recall future positive experiences to create text cues which vividly describes these experiences. ARM II: Patients participate in Episodic Recent Thinking (ERT; control arm) over 12 weeks, in which they will receive prompts via a guided smartphone application to engage in control thinking in their daily lives. Patients are asked to recall past positive experiences to create text cues which vividly describes these experiences. After completion of study intervention, patients are followed up for an additional12 weeks.