title: Clinical care providers' perspectives on body size and weight management among long-term cancer survivors.
abstract: OBJECTIVE
  To examine clinical care providers' perspectives on cancer survivors' body size and weight management.
  
  
  METHODS
  In-depth, semi-structured, qualitative interviews.
  
  
  METHODS
  Interviews were conducted with 33 providers (eg. oncologists, surgeons, primary care providers, nurses, dietitians) across academic and community clinical settings. They were transcribed, coded, and analyzed thematically using constant comparative analysis.
  
  
  RESULTS
  Providers conceptualized weight in relation to acute treatment, cancer outcomes, or overall health/comorbidities. These patterns were reflected in their reported framing of weight discussions, although providers indicated that they counsel patients on weight to varying extents. Perspectives differed based on professional roles and patient populations. Providers reported that survivors are motivated to lose weight, particularly due to comorbidity concerns, but face numerous barriers to doing so.
  
  
  CONCLUSIONS
  Providers described survivor-level and capacity-level factors influencing survivors' weight management. Differences by provider type highlighted the role of provider knowledge, attitudes, and beliefs in clinical encounters. Opportunities for research and intervention include developing and disseminating evidence-based clinical resources for weight management among cancer survivors, addressing capacity barriers, and exploring communication strategies at interpersonal and population levels.
authors.affiliation: Drexel University School of Public Health, Philadelphia, PA, USA.
authors.forename: Allison M
authors.initials: AM
authors.lastname: Baker
authors.affiliation: The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Katherine C
authors.initials: KC
authors.lastname: Smith
authors.affiliation: The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Kisha I
authors.initials: KI
authors.lastname: Coa
authors.affiliation: The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Mercy Medical Center, Baltimore, MD, USA.
authors.forename: Kathy J
authors.initials: KJ
authors.lastname: Helzlsouer
authors.affiliation: The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Laura E
authors.initials: LE
authors.lastname: Caulfield
authors.affiliation: The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Kimberly S
authors.initials: KS
authors.lastname: Peairs
authors.affiliation: The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Lillie D
authors.initials: LD
authors.lastname: Shockney
authors.affiliation: Drexel University School of Public Health, Philadelphia, PA, USA The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA ack57@drexel.edu.
authors.forename: Ann C
authors.initials: AC
authors.lastname: Klassen
mesh_terms: D001291:Attitude of Health Personnel; D049628:Body Size / Q000502:physiology*; D001835:Body Weight / Q000502:physiology*; D015444:Exercise; D006801:Humans; D007407:Interviews as Topic; D009369:Neoplasms / Q000150:complications*; D017741:Survivors; D015431:Weight Loss / Q000502:physiology*
keywords: body size; cancer survivors; clinicians; health communication; weight management