Professor John Saxton John.Saxton@hull.ac.uk
Professor in Clinical Exercise Physiology and Head of the School of Sport, Exercise & Rehabilitation Sciences
Co-designed weight management intervention for women recovering from oestrogen-receptor positive breast cancer
Saxton, J. M.; Pickering, K.; Wane, S.; Humphreys, H.; Crank, H.; Anderson, A. S.; Cain, H.; Cohen, J.; Copeland, R. J.; Gray, J.; Hargreaves, J.; McNally, R. J.Q.; Wilson, C.
Authors
K. Pickering
S. Wane
H. Humphreys
H. Crank
A. S. Anderson
H. Cain
Professor Judith Cohen J.Cohen@hull.ac.uk
Director, Hull Health Trials Unit
R. J. Copeland
J. Gray
J. Hargreaves
R. J.Q. McNally
C. Wilson
Abstract
Background: Weight gain is commonly observed during and after breast cancer treatment and is associated with poorer survival outcomes, particularly in women with oestrogen receptor-positive (ER +) disease. The aim of this study was to co-design (with patients) a programme of tailored, personalised support (intervention), including high-quality support materials, to help female breast cancer patients (BCPs) with ER + disease to develop the skills and confidence needed for sustainable weight loss. Methods: ER + BCPs were recruited from two UK National Health Service (NHS) Trusts. The selection criteria included (i) recent experience of breast cancer treatment (within 36 months of completing primary treatment); (ii) participation in a recent focus group study investigating weight management perceptions and experiences; (iii) willingness to share experiences and contribute to discussions on the support structures needed for sustainable dietary and physical activity behaviour change. Co-design workshops included presentations and interactive activities and were facilitated by an experienced co-design researcher (HH), assisted by other members of the research team (KP, SW and JS). Results: Two groups of BCPs from the North of England (N = 4) and South Yorkshire (N = 5) participated in a two-stage co-design process. The stage 1 and stage 2 co-design workshops were held two weeks apart and took place between Jan–March 2019, with each workshop being approximately 2 h in duration. Guided by the Behaviour Change Wheel, a theoretically-informed weight management intervention was developed on the basis of co-designed strategies to overcome physical and emotional barriers to dietary and physical activity behaviour change. BCPs were instrumental in designing all key features of the intervention, in terms of Capability (e.g., evidence-based information, peer-support and shared experiences), Opportunity (e.g., flexible approach to weight management based on core principles) and Motivation (e.g., appropriate use of goal-setting and high-quality resources, including motivational factsheets) for behaviour change. Conclusion: This co-design approach enabled the development of a theoretically-informed intervention with a content, structure and delivery model that has the potential to address the weight management challenges faced by BCPs diagnosed with ER + disease. Future research is required to evaluate the effectiveness of the intervention for eliciting clinically-important and sustainable weight loss in this population.
Citation
Saxton, J. M., Pickering, K., Wane, S., Humphreys, H., Crank, H., Anderson, A. S., Cain, H., Cohen, J., Copeland, R. J., Gray, J., Hargreaves, J., McNally, R. J., & Wilson, C. (2022). Co-designed weight management intervention for women recovering from oestrogen-receptor positive breast cancer. BMC Cancer, 22(1), Article 1202. https://doi.org/10.1186/s12885-022-10287-y
Journal Article Type | Article |
---|---|
Acceptance Date | Oct 6, 2022 |
Online Publication Date | Nov 22, 2022 |
Publication Date | Dec 1, 2022 |
Deposit Date | Jan 12, 2023 |
Publicly Available Date | Jan 13, 2023 |
Journal | BMC Cancer |
Print ISSN | 1471-2407 |
Electronic ISSN | 1471-2407 |
Publisher | BioMed Central |
Peer Reviewed | Peer Reviewed |
Volume | 22 |
Issue | 1 |
Article Number | 1202 |
DOI | https://doi.org/10.1186/s12885-022-10287-y |
Keywords | Breast cancer; Overweight; Obesity; Co-design; Weight loss intervention |
Public URL | https://hull-repository.worktribe.com/output/4175212 |
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© The Author(s) 2022.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
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