Authors: Caroline O Terranova Sheleigh P Lawler Kym Spathonis Elizabeth G Eakin Marina M Reeves
Publish Date: 2016/12/17
Volume: 25, Issue: 5, Pages: 1455-1463
Abstract
Fourteen women randomised to and completing the 12month weight loss intervention completed semistructured interviews 75 ± 05 months after intervention completion An inductive thematic analysis was conducted whereby interviews were independently coded and themes identifiedWomen were mean ± SD 556 ± 85 years 302 ± 46 kg/m2 and 171 ± 34 months postdiagnosis 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 eg support from family members or impede eg 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 selfmonitoring increasing vegetable intake and portion control Challenges included breast cancerspecific issues such as postdiagnosis weight gain treatmentrelated side effects and psychological issues around readiness to change and selfregulation Diminished accountability following intervention completion impacted the maintenance of weight loss and behaviour changes notably dietary selfmonitoringResults suggest that formal involvement of a support person eg family member/friend and referring women to ongoing communitybased services to maintain patientperceived accountability may be particularly useful strategies for future weight loss intervention trials targeting women with breast cancerCOT is supported by the University of Queensland Research Scholarships EGE is supported by a National Health and Medical Research Council Senior Research Fellowship APP1041789 MMR is supported by a National Breast Cancer Foundation Early Career Fellowship ECF1309
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