Evidence map›Paper›PMID 25648828›Full record

ArticleHereditary cancer in clinical practice2015

Beliefs about weight and breast cancer: an interview study with high risk women following a 12 month weight loss intervention.

Claire E Wright, Michelle Harvie, Anthony Howell, D Gareth Evans, Nick Hulbert-Williams, Louise S Donnelly

Open access · goldAbstract read
In one paragraph

Article in Hereditary cancer in clinical practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Claire E WrightDepartment of Clinical Sciences and Nutrition, University of Chester, Chester, CH1 4BJ UK.
Michelle HarvieNightingale & Genesis Breast Cancer Prevention Centre, University Hospital South Manchester NHS Foundation Trust, Southmoor Road, Manchester, M23 9LT UK.
Anthony HowellNightingale & Genesis Breast Cancer Prevention Centre, University Hospital South Manchester NHS Foundation Trust, Southmoor Road, Manchester, M23 9LT UK.
D Gareth EvansGenomic Medicine, Manchester Academic Health Sciences Centre, University of Manchester & Central Manchester Foundation Trust, Manchester, M13 9WL UK.
Nick Hulbert-WilliamsDepartment of Psychology, University of Chester, Chester, CH1 4BJ UK.
Louise S DonnellyNightingale & Genesis Breast Cancer Prevention Centre, University Hospital South Manchester NHS Foundation Trust, Southmoor Road, Manchester, M23 9LT UK.
University of Chester · GBManchester Academic Health Science Centre · GB

Funding

Department of Health RP-PG-0707-10031
6 · The paper itself

Abstract

backgroundBreast cancer is the most common cancer in the UK. Lifestyle factors including excess weight contribute to risk of developing the disease. Whilst the exact links between weight and breast cancer are still emerging, it is imperative to explore how women understand these links and if these beliefs impact on successful behaviour change.

methodOverweight/obese premenopausal women (aged 35-45) with a family history of breast cancer (lifetime risk 17-40%) were invited to a semi-structured interview following their participation in a 12 month weight loss intervention aimed at reducing their risk of breast cancer. Interviews were carried out with 9 women who successfully achieved ≥5% weight loss and 11 who were unsuccessful. Data were transcribed verbatim and analysed using thematic analysis.

resultsThree themes were developed from the analysis. The first theme how women construct and understand links between weight and breast cancer risk is composed of two subthemes, the construction of weight and breast cancer risk and making sense of weight and breast cancer risk. This theme explores women's understanding of what contributes to breast cancer risk and whether they believe that weight loss could reduce their breast cancer risk. The second theme motivation and adherence to weight loss interventions explains that breast cancer risk can be a motivating factor for adherence to a weight loss intervention. The final theme, acceptance of personal responsibility for health is composed of two subthemes responsibility for one's own health and responsibility for family health through making sensible lifestyle choices.

conclusionBeliefs about weight and breast cancer risk were informed by social networks, media reports and personal experiences of significant others diagnosed with breast cancer. Our study has highlighted common doubts, anxieties and questions and the importance of providing a credible rationale for weight control and weight loss which addresses individual concerns. Counselling and health education material should be tailored to facilitate understanding of both genetic and modifiable risk factors and should do more help individuals to visualise the weight and breast cancer link.

Indexed as

Body weightBreast cancerHereditaryInterviewOncologyQualitativeRisk reduction behaviour

Identifiers

PMID25648828
PMCPMC4314794
OpenAlexW2126221549

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.