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DEVELOPMENT, FEASIBILITY, AND ACCEPTABILITY OF A BEHAVIORAL WEIGHT AND SYMPTOM MANAGEMENT INTERVENTION FOR BREAST CANCER SURVIVORS AND INTIMATE PARTNERS.

Publication ,  Journal Article
Dorfman, CS; Somers, TJ; Shelby, RA; Winger, JG; Patel, ML; Kimmick, G; Craighead, L; Keefe, FJ
Published in: J Cancer Rehabil
2022

BACKGROUND: Weight gain is common for breast cancer survivors and associated with disease progression, recurrence, and mortality. Traditional behavioral programs fail to address symptoms (i.e., pain, fatigue, distress) experienced by breast cancer survivors that may interfere with weight loss and fail to capitalize on the concordance in weight-related health behaviors of couples. This study aimed to develop and examine the feasibility and acceptability of a behavioral weight and symptom management intervention for breast cancer survivors and their intimate partners. MATERIALS AND METHODS: Interviews were conducted with N=14 couples with overweight/obesity to develop the intervention. Intervention feasibility and acceptability were examined through a single-arm pilot trial (N=12 couples). Patterns of change in intervention targets were examined for survivors and partners. RESULTS: Themes derived from interviews were used to develop the 12-session couple-based intervention, which included components from traditional behavioral weight management interventions, appetite awareness training, and cognitive and behavioral symptom management protocols. Couples also worked together to set goals, create plans for health behavior change, and adjust systemic and relationship barriers to weight loss. Examples were tailored to the experiences and symptom management needs of breast cancer survivors and partners. The intervention demonstrated feasibility (attrition: 8%; session completion: 88%) and acceptability (satisfaction). Survivors and partners experienced reductions in weight and improvements in physical activity, eating behaviors, emotional distress, and self-efficacy. Survivors evidenced improvements in fatigue and pain. CONCLUSIONS: A behavioral weight and symptom management intervention for breast cancer survivors and partners is feasible, acceptable, and is potentially efficacious.

Duke Scholars

Published In

J Cancer Rehabil

DOI

Publication Date

2022

Volume

5

Start / End Page

7 / 16

Location

Italy

Related Subject Headings

  • 4201 Allied health and rehabilitation science
  • 3211 Oncology and carcinogenesis
 

Citation

APA
Chicago
ICMJE
MLA
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Dorfman, C. S., Somers, T. J., Shelby, R. A., Winger, J. G., Patel, M. L., Kimmick, G., … Keefe, F. J. (2022). DEVELOPMENT, FEASIBILITY, AND ACCEPTABILITY OF A BEHAVIORAL WEIGHT AND SYMPTOM MANAGEMENT INTERVENTION FOR BREAST CANCER SURVIVORS AND INTIMATE PARTNERS. J Cancer Rehabil, 5, 7–16. https://doi.org/10.48252/JCR57
Dorfman, Caroline S., Tamara J. Somers, Rebecca A. Shelby, Joseph G. Winger, Michele L. Patel, Gretchen Kimmick, Linda Craighead, and Francis J. Keefe. “DEVELOPMENT, FEASIBILITY, AND ACCEPTABILITY OF A BEHAVIORAL WEIGHT AND SYMPTOM MANAGEMENT INTERVENTION FOR BREAST CANCER SURVIVORS AND INTIMATE PARTNERS.J Cancer Rehabil 5 (2022): 7–16. https://doi.org/10.48252/JCR57.
Dorfman CS, Somers TJ, Shelby RA, Winger JG, Patel ML, Kimmick G, et al. DEVELOPMENT, FEASIBILITY, AND ACCEPTABILITY OF A BEHAVIORAL WEIGHT AND SYMPTOM MANAGEMENT INTERVENTION FOR BREAST CANCER SURVIVORS AND INTIMATE PARTNERS. J Cancer Rehabil. 2022;5:7–16.
Dorfman, Caroline S., et al. “DEVELOPMENT, FEASIBILITY, AND ACCEPTABILITY OF A BEHAVIORAL WEIGHT AND SYMPTOM MANAGEMENT INTERVENTION FOR BREAST CANCER SURVIVORS AND INTIMATE PARTNERS.J Cancer Rehabil, vol. 5, 2022, pp. 7–16. Pubmed, doi:10.48252/JCR57.
Dorfman CS, Somers TJ, Shelby RA, Winger JG, Patel ML, Kimmick G, Craighead L, Keefe FJ. DEVELOPMENT, FEASIBILITY, AND ACCEPTABILITY OF A BEHAVIORAL WEIGHT AND SYMPTOM MANAGEMENT INTERVENTION FOR BREAST CANCER SURVIVORS AND INTIMATE PARTNERS. J Cancer Rehabil. 2022;5:7–16.

Published In

J Cancer Rehabil

DOI

Publication Date

2022

Volume

5

Start / End Page

7 / 16

Location

Italy

Related Subject Headings

  • 4201 Allied health and rehabilitation science
  • 3211 Oncology and carcinogenesis