Habit Development Intervention in Improving Healthy Dietary and Physical Activity Behaviors and Reducing Metabolic Syndrome and Unmet Needs in Stages I-III Breast Cancer Survivors During the Survivorship Transition

Inclusion Criteria

• English speaking
• Diagnosis of stage 1-3 histologically confirmed first cancer of the breast
• Reside in a zip code designated as rural by the United States Department of Agriculture (USDA) Economic Research Service
• Be within the initial 12 months following the end of primary treatment and meet 3 of the following 5 criteria for MetS confirmed via point-of-care testing or documentation in their medical record: A large waistline (> 40 inches for men and > 35 inches for women); blood pressure > 130/85; hemoglobin A1c (HbA1c) of 5.7%-6.4%; triglyceride levels > 150 mg/dL; high density lipoprotein (HDL) cholesterol levels < 50 mg/dL

Exclusion Criteria

• Will not exclude participants based on hormone receptivity, one exception is that we will exclude HER2 positive BCS because the treatment duration and transition from primary treatment to survivorship differs from typical regimens
• Pregnant patients
• Those with any history of the following conditions that could prevent participation in physical activity, obscure our ability to detect changes in MetS factors, or limit participant understanding of study procedures: * Resistant hypertension (HTN) * Steroid-dependent asthma or chronic obstructive pulmonary disease * Cirrhosis or hepatic failure * A major cardiovascular event (e.g., stroke, myocardial infarction) within the previous 90 days * Chronic kidney disease on renal replacement therapy * Type one or two diabetes * Stage 4 cancer; those with a secondary cancer (except for nonmelanomatous skin cancers and carcinoma of the cervix in situ) * Taking weight loss medications * Current involvement in a behavioral program * Neuropsychiatric disorder or dementia