TY - JOUR
T1 - Barriers and facilitators for weight management interventions in breast cancer patients
T2 - a systematic review of qualitative studies
AU - Tjon A Joe, Sheena
AU - Verschure-Dorsman, Sara
AU - Wilthagen, Erica A.
AU - Stuiver, Martijn
N1 - Funding Information: This study was funded by the ‘Nationaal Fonds tegen Kanker.’ The authors would also like to thank Erica Wilthagen, clinical librarian at the Antoni van Leeuwenhoek-The Netherlands Cancer institute for assisting in the literature search. Publisher Copyright: © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2023
Y1 - 2023
N2 - Introduction: This systematic review and meta-synthesis of qualitative studies provides an overview of barriers and facilitators that breast cancer patients experience in weight management interventions. Methods: We included qualitative studies describing barriers and facilitators for weight management interventions as experienced by adult breast cancer patients after the completion of initial treatment. The data was extracted and using thematic analysis. Results: After analysis, eleven themes were determined. Six of those themes could be linked to the Attitude, Social Influence and self Efficacy (ASE)-model. Physical and mental benefits, anticipated regret and a lack of motivation were linked to attitude. Integrating a weight management programme in daily life, stigma and fears were linked to self-efficacy. With regard to the social influence determinant, encouragement and discouragement by family members were developed as a theme. Four additional themes were conducted related to weight management behaviour; external barriers, economic barriers, cultural barriers and physical barriers. In addition, integrating weight management in cancer care was described as a separate theme. Conclusions: Several disease specific issues, including feeling stigmatized after cancer treatment and treatment-related side effects and peer-support should be given specific attention to maximize adherence of weight management programmes.
AB - Introduction: This systematic review and meta-synthesis of qualitative studies provides an overview of barriers and facilitators that breast cancer patients experience in weight management interventions. Methods: We included qualitative studies describing barriers and facilitators for weight management interventions as experienced by adult breast cancer patients after the completion of initial treatment. The data was extracted and using thematic analysis. Results: After analysis, eleven themes were determined. Six of those themes could be linked to the Attitude, Social Influence and self Efficacy (ASE)-model. Physical and mental benefits, anticipated regret and a lack of motivation were linked to attitude. Integrating a weight management programme in daily life, stigma and fears were linked to self-efficacy. With regard to the social influence determinant, encouragement and discouragement by family members were developed as a theme. Four additional themes were conducted related to weight management behaviour; external barriers, economic barriers, cultural barriers and physical barriers. In addition, integrating weight management in cancer care was described as a separate theme. Conclusions: Several disease specific issues, including feeling stigmatized after cancer treatment and treatment-related side effects and peer-support should be given specific attention to maximize adherence of weight management programmes.
KW - Breast cancer
KW - barriers and facilitators
KW - lifestyle
KW - qualitative research
KW - weight management
UR - http://www.scopus.com/inward/record.url?scp=85174261224&partnerID=8YFLogxK
U2 - https://doi.org/10.1080/17482631.2023.2259290
DO - https://doi.org/10.1080/17482631.2023.2259290
M3 - Review article
C2 - 37840321
SN - 1748-2623
VL - 18
JO - International journal of qualitative studies on health and well-being
JF - International journal of qualitative studies on health and well-being
IS - 1
M1 - 2259290
ER -