PMID- 36401195 OWN - NLM STAT- MEDLINE DCOM- 20221122 LR - 20221122 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 22 IP - 1 DP - 2022 Nov 18 TI - The experiences and perceptions of female breast cancer patients regarding weight management during and after treatment for oestrogen-receptor positive disease: a qualitative study. PG - 1189 LID - 10.1186/s12885-022-10238-7 [doi] LID - 1189 AB - BACKGROUND: Weight gain is commonly observed during and after breast cancer treatment and is associated with poorer survival outcomes, notably in women with oestrogen-receptor positive disease. The aim of this qualitative study was to investigate the experiences and perceptions of oestrogen-receptor positive (ER +) female breast cancer patients (BCPs) regarding weight management behaviours during and after treatment. Secondly, to gain insight into the experiences of healthcare professionals (HCPs) regarding the provision of weight management advice to patients undergoing treatment. METHODS: Four focus groups involving 16 BCPs having a median (range) age of 51 (35-70 y) and three focus groups involving 21 HCPs aged 46 (29-62) were held at a university campus, local cancer support centre or clinical site. Data were analysed using Framework analysis. RESULTS: Four overarching themes (and 10 subthemes) were identified: (1) Treatment; (2) Support for lifestyle behaviour change; (3) Information availability for BCPs; (4) Knowledge of current evidence amongst HCPs. The physical and psychological consequences of treatment influenced motivation for weight management amongst BCPs. Social support for health promoting behaviours was viewed as important but was conflicting, requiring context-specific considerations. BCPs said they would have welcomed access to credible information (guided by HCPs) about the potential detrimental health effects of excess body weight and weight gain, together with advice on weight management via healthy eating and physical activity. HCPs felt that they had insufficient knowledge of public health dietary and physical activity recommendations or evidence-based interventions to confidently offer such advice. HCPs expressed concern that raising weight management issues would exacerbate distress or invoke feelings of guilt amongst BCPs, and cited time pressures on patient consultations as additional barriers to providing weight management support. CONCLUSION: The study yielded novel insights into factors influencing weight management behaviours amongst overweight ER + BCPs. The results suggest that evidence-based information and support, which addresses key physical and psychological challenges to physical activity and dietary behaviours, offers the best route to sustainable weight management in this population. CI - (c) 2022. The Author(s). FAU - Jm, Saxton AU - Jm S AD - School of Sport, Exercise & Rehabilitation Sciences, Faculty of Health Sciences, University of Hull, Cottingham Road, Hull, HU6 7RX, UK. john.saxton@hull.ac.uk. FAU - K, Pickering AU - K P AD - Advanced Wellbeing Research Centre, Sheffield Hallam University, Olympic Legacy Park 2 Old Hall Rd, Sheffield, S9 3TU, UK. FAU - S, Wane AU - S W AD - Department of Sport, Exercise & Rehabilitation, Northumbria University, City Campus, Newcastle-Upon-Tyne, NE1 8ST, UK. FAU - H, Crank AU - H C AD - Academy of Sport and Physical Activity, Sheffield Hallam University, Sheffield, S10 2BP, UK. FAU - As, Anderson AU - As A AD - Division of Population Health & Genomics, Centre for Research Into Cancer Prevention and Screening, Ninewells Hospital and Medical School, University of Dundee, Dundee, DD1 9SY, UK. FAU - H, Cain AU - H C AD - Newcastle Upon Tyne Hospitals NHS Foundation Trust, Queen Victoria Road, Newcastle Upon Tyne, NE1 4LP, UK. FAU - J, Cohen AU - J C AD - York Medical School, Hull Heath Trials Unit, University of Hull, Cottingham Road, Hull, HU6 7RX, UK. FAU - Rj, Copeland AU - Rj C AD - Advanced Wellbeing Research Centre, Sheffield Hallam University, Olympic Legacy Park 2 Old Hall Rd, Sheffield, S9 3TU, UK. FAU - J, Gray AU - J G AD - Department of Nursing, Midwifery & Health, Northumbria University, Coach Lane Campus, Newcastle Upon Tyne, NE7 7XA, UK. FAU - J, Hargreaves AU - J H AD - Carnegie School of Sport, Leeds Beckett University, 9 Fairfax Hall, Headingley Campus, Leeds, LS6 3QS, UK. FAU - Rjq, McNally AU - Rjq M AD - Population Health Sciences Institute, Newcastle University GB, Newcastle Upon Tyne, NE1 7RU, UK. FAU - C, Wilson AU - C W AD - Department of Oncology and Metabolism, The Medical School, University of Sheffield, Beech Hill Road, Sheffield, S10 2RX, UK. LA - eng GR - NOR416/YCR_/Yorkshire Cancer Research/United Kingdom GR - NOR416/YCR_/Yorkshire Cancer Research/United Kingdom GR - NOR416/YCR_/Yorkshire Cancer Research/United Kingdom GR - NOR416/YCR_/Yorkshire Cancer Research/United Kingdom GR - NOR416/YCR_/Yorkshire Cancer Research/United Kingdom GR - NOR416/YCR_/Yorkshire Cancer Research/United Kingdom GR - NOR416/YCR_/Yorkshire Cancer Research/United Kingdom GR - NOR416/YCR_/Yorkshire Cancer Research/United Kingdom GR - NOR416/YCR_/Yorkshire Cancer Research/United Kingdom GR - NOR416/YCR_/Yorkshire Cancer Research/United Kingdom PT - Journal Article DEP - 20221118 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 RN - 0 (Estrogens) SB - IM MH - Humans MH - Female MH - *Breast Neoplasms/drug therapy MH - Qualitative Research MH - Overweight/epidemiology MH - Weight Gain MH - Estrogens/therapeutic use PMC - PMC9675095 OTO - NOTNLM OT - Barriers and facilitators OT - Breast Cancer OT - Hormone-positive OT - Weight management COIS- The authors declare that they have no competing interests. EDAT- 2022/11/20 06:00 MHDA- 2022/11/23 06:00 PMCR- 2022/11/18 CRDT- 2022/11/19 00:03 PHST- 2022/07/08 00:00 [received] PHST- 2022/10/26 00:00 [accepted] PHST- 2022/11/19 00:03 [entrez] PHST- 2022/11/20 06:00 [pubmed] PHST- 2022/11/23 06:00 [medline] PHST- 2022/11/18 00:00 [pmc-release] AID - 10.1186/s12885-022-10238-7 [pii] AID - 10238 [pii] AID - 10.1186/s12885-022-10238-7 [doi] PST - epublish SO - BMC Cancer. 2022 Nov 18;22(1):1189. doi: 10.1186/s12885-022-10238-7.