Evidence map›Paper›PMID 26932848›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016

A qualitative evaluation of a group phone-based weight loss intervention for rural breast cancer survivors: Themes and mechanisms of success.

Tera L Fazzino, Nora J Sporn, Christie A Befort

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01441011 (Group Phone-Based Weight Control for Rural Breast Cancer Survivors), which is not on this map. Cited by 32 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 9 pooled it
–field-weighted citation impact
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.

NCT01441011 nacompletednot on this map

Group Phone-Based Weight Control for Rural Breast Cancer Survivors

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2011 to 2015Enrolled210ConditionsBreast Cancer, ObesityArmsGroup phone counseling, Newsletter
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Pooled it
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  4. The role of digital health technology in rural cancer care delivery: A systematic review.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022
    Pooled it
  5. Pooled it
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  7. Breast cancer survivorship in rural settings: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Pooled it
  8. Understanding the impact of rural weight loss interventions: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2019
    Pooled it
  9. Pooled it
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  13. Breast cancer survivors' experience of making weight, dietary and physical activity changes during participation in a weight loss intervention.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Trial
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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

3 authors.

Tera L FazzinoDepartment of Preventive Medicine and Public Health, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA. tfazzino@kumc.edu.
Nora J SpornDepartment of Preventive Medicine and Public Health, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA.
Christie A BefortDepartment of Preventive Medicine and Public Health, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA.

Funding

Group Phone-based Weight Control among Rural Breast Cancer SurvivorsR01CA155014 · NCI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BEFORT, CHRISTIE · 2011 to 2015
$2.8M
NCI NIH HHS R01 CA155014
6 · The paper itself

Abstract

purposeObesity is prevalent in breast cancer survivors and is a significant risk factor for recurrence and mortality. Weight management interventions for survivors have been diverse in design (in-person vs. phone-based, group vs. individual) and yielded varying weight loss results. Given these issues, participants themselves may provide insight into treatment-based factors that contributed to their weight loss outcomes. Here, we report qualitative results from interviews with survivors in a group phone-based weight loss intervention, with the objective of identifying mechanisms that facilitated or hindered adherence and weight loss. We explored interest in paying for continued treatment as an indicator of dissemination potential.

methodsIndividual interviews were conducted with 186 rural, obese breast cancer survivors upon completion of a 6-month weight loss intervention that produced clinically meaningful weight loss (>5 %) in 91 % of participants. A thematic analysis of the interview data was performed.

resultsFive themes were identified as impacting adherence and success: (1) accountability; (2) importance of the group, with varying levels of connectedness; (3) dietary convenience; (4) difficulty maintaining intervention components that required more effort; and (5) importance of internal motivation to attributions of physical activity success or failure. Most were interested in paying to continue the program if it were extended beyond the study.

conclusionsKey intervention components that participants attributed to their success included supportive group processes and convenience. Results highlight the group phone-based approach as a potential venue for disseminating an effective weight loss program for breast cancer survivors.

trial registrationNCT01441011.

Indexed as

Breast NeoplasmsFemaleHumansMiddle AgedObesityRural PopulationSurvivorsWeight LossBreast cancerCancer survivorshipQualitative evaluationWeight loss

Identifiers

PMID26932848
PMCPMC4879096

What OpenQuestion holds

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Registered trials

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.