TY - JOUR
T1 - Using the Behavior Change Wheel to Identify and Understand Key Facilitators and Barriers for Lifestyle Care for Postmenopausal Breast Cancer Survivors
T2 - A Delphi-Study
AU - Van Cappellen-Van Maldegem, Sandra J.M.
AU - Mols, Floortje
AU - Seidell, Jacob C.
AU - De Kruif, Anja
AU - Van De Poll-Franse, Lonneke V.
AU - Hoedjes, Meeke
N1 - Funding Information: The research leading to these results received funding from the Dutch Cancer Society under grant agreement number 10960. The funder played no role in the design, conduct, or reporting of this study. Publisher Copyright: © 2023 The Author(s). Published by Oxford University Press on behalf of the Society of Behavioral Medicine.
PY - 2024/1/1
Y1 - 2024/1/1
N2 - Background: Optimal approaches to promote sustained adherence to lifestyle and bodyweight recommendations in postmenopausal breast cancer (PMBC) survivors are lacking. Purpose: This Delphi-study aims to identify and understand expert-opinion on potential barriers and facilitators for promoting adherence to these lifestyle and bodyweight recommendations in (clinical) care for PMBC survivors, and to determine potential effective intervention strategies. Methods: The expert panel consisted of oncology Health Care Professionals (HCPs) (N = 57), patient advocates (N = 5), and PMBC survivors (N = 38). They completed three questionnaires: Q1 - idea generation; Q2 - validation and prioritization; Q3 - ranking. The Behavior Change Wheel was used as theoretical framework for analysis. Thematic analysis was applied to identify key overarching themes based on the top-ranked facilitators and barriers. Potential Behavior Change Techniques (BCTs) and intervention strategies were identified using the Behavior Change Technique Taxonomy version 1 and the Behavior Change Wheel. Results: Eleven core categories of key barriers/facilitators for the promotion of adherence to recommendations for lifestyle and bodyweight among PMBC survivors were identified. For each core category, relevant BCTs and practical potential intervention strategies were selected based on suggestions from the expert panel. These included: increasing knowledge about the link between lifestyle and cancer; enabling self-monitoring of lifestyle behaviors followed by evaluation; offering group lifestyle counseling for PMBC survivors, enhancing social support for favorable lifestyle behaviors; and stimulating multidisciplinary collaboration among HCPs. Conclusions: Findings provide valuable insight for the development of interventions changing behavior of PMBC survivors and HCPs toward increased healthy lifestyle (support) behavior.
AB - Background: Optimal approaches to promote sustained adherence to lifestyle and bodyweight recommendations in postmenopausal breast cancer (PMBC) survivors are lacking. Purpose: This Delphi-study aims to identify and understand expert-opinion on potential barriers and facilitators for promoting adherence to these lifestyle and bodyweight recommendations in (clinical) care for PMBC survivors, and to determine potential effective intervention strategies. Methods: The expert panel consisted of oncology Health Care Professionals (HCPs) (N = 57), patient advocates (N = 5), and PMBC survivors (N = 38). They completed three questionnaires: Q1 - idea generation; Q2 - validation and prioritization; Q3 - ranking. The Behavior Change Wheel was used as theoretical framework for analysis. Thematic analysis was applied to identify key overarching themes based on the top-ranked facilitators and barriers. Potential Behavior Change Techniques (BCTs) and intervention strategies were identified using the Behavior Change Technique Taxonomy version 1 and the Behavior Change Wheel. Results: Eleven core categories of key barriers/facilitators for the promotion of adherence to recommendations for lifestyle and bodyweight among PMBC survivors were identified. For each core category, relevant BCTs and practical potential intervention strategies were selected based on suggestions from the expert panel. These included: increasing knowledge about the link between lifestyle and cancer; enabling self-monitoring of lifestyle behaviors followed by evaluation; offering group lifestyle counseling for PMBC survivors, enhancing social support for favorable lifestyle behaviors; and stimulating multidisciplinary collaboration among HCPs. Conclusions: Findings provide valuable insight for the development of interventions changing behavior of PMBC survivors and HCPs toward increased healthy lifestyle (support) behavior.
KW - Barriers
KW - Behavior Change Wheel
KW - Breast cancer
KW - Delphi method
KW - Facilitators
KW - Lifestyle
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U2 - https://doi.org/10.1093/abm/kaad049
DO - https://doi.org/10.1093/abm/kaad049
M3 - Article
C2 - 37672352
SN - 1532-4796
VL - 58
SP - 22
EP - 36
JO - Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
JF - Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
IS - 1
ER -