The overall objective of this trial is to test whether a distance medicine-based diet and exercise program will improve physical functioning, overall health and quality of life, and health behaviors among older cancer survivors who are >5 years out from a diagnosis of colorectal, breast or prostate cancer.
Specific aims:
1) To determine the efficacy of the intervention in reorienting the physical function trajectory among elders who are long term survivors of cancer;
2) To determine differences between arms with regard to other endpoints (physical activity, diet quality, BMI, depression, etc.);
3) To identify factors that influence program efficacy (self-efficacy, etc.); and
4) To characterize functional decline over a 2-year period in survivors who receive the initial intervention vs those who are intervened upon after a 1-year delay.
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