Breast cancer survivors' experience of making weight, dietary and physical activity changes during participation in a weight loss intervention.
Purpose: The aim of this study is to explore breast cancer survivors' experience of a weight loss intervention and identify potential facilitators and barriers of initiating and maintaining weight, dietary or physical activity changes.Method: Fourteen women randomised to and completing the 12-month...
| Publicado en: | Supportive Care in Cancer Vol. 25; no. 5; pp. 1455 - 1464 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
May2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122279639&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 122279639 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: May2017 vid: 25 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 122279639 122279639 144106607 NLM27988868 122279639 10.1007/s00520-016-3542-2 NLM27988868 122279639 ppf: 1455 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Breast cancer survivors' experience of making weight, dietary and physical activity changes during participation in a weight loss intervention. aug: au: Terranova, Caroline Lawler, Sheleigh P Spathonis, Kym Eakin, Elizabeth Reeves, Marina Terranova, Caroline O Eakin, Elizabeth G Reeves, Marina M affil: School of Public Health, Cancer Prevention Research Centre, The University of Queensland, Brisbane Australia sug: subj: Survivors Psychosocial Factors Breast Neoplasms Radiotherapy Weight Loss Physiology Middle Age Pilot Studies Diet Qualitative Studies Female Exercise Body Weight Breast Neoplasms Psychosocial Factors Breast Neoplasms Mortality Validation Studies Comparative Studies Evaluation Research Multicenter Studies Human Middle Aged: 45-64 years Female ab: Purpose: The aim of this study is to explore breast cancer survivors' experience of a weight loss intervention and identify potential facilitators and barriers of initiating and maintaining weight, dietary or physical activity changes.Method: Fourteen women randomised to and completing the 12-month weight loss intervention completed semi-structured interviews 7.5 ± 0.5 months after intervention completion. An inductive thematic analysis was conducted whereby interviews were independently coded and themes identified.Results: Women were (mean ± SD) 55.6 ± 8.5 years, 30.2 ± 4.6 kg/m2 and 17.1 ± 3.4 months post-diagnosis at study baseline. Four themes emerged: (1) perceived motivation to participate in the intervention, (2) facilitators, (3) challenges and (4) maintenance of weight loss and behaviour changes. All women noted the impact of social/family environments, either to facilitate (e.g., support from family members) or impede (e.g., major family event) changes. The structure and support of the intervention, particularly accountability to their coach, was also seen as facilitating. Formation of habitual physical activity facilitated dietary changes. Dietary change strategies most perceived to facilitate weight loss were reducing energy intake by dietary self-monitoring, increasing vegetable intake and portion control. Challenges included breast cancer-specific issues such as post-diagnosis weight gain, treatment-related side effects and psychological issues around readiness to change and self-regulation. Diminished accountability following intervention completion impacted the maintenance of weight loss and behaviour changes, notably dietary self-monitoring.Conclusions: Results suggest that formal involvement of a support person (e.g. family member/friend) and referring women to ongoing, community-based services to maintain patient-perceived accountability may be particularly useful strategies for future weight loss intervention trials targeting women with breast cancer. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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