Patient-centered Communication About Healthy Weight in Early Breast Cancer

Study Overview
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Brief Summary
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Comorbidities in breast cancer survival account for 49% of overall survival difference between black and white women. Many obesity-related comorbidities disproportionately affect black women, therefore pointing to a need to address obesity related comorbidities in survival disparities in early breast cancer patients. This study tinvestigates how messages and messaging about healthy weight can be tailored for racially diverse breast cancer survivors with obesity in order to ensure that clinic-based communications between patients and their oncology provider are patient-centered and culturally sensitive.

Detailed Description
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The overall goal of this research is to collect essential input for the future development of a quality improvement intervention to foster Patient-Center Communication about Healthy Weigh in clinical practice Primary Objective: Understand patient-centered perspectives on health weight communication with oncology clinicians by conducting focus groups Secondary Objective Understand oncology clinician perspectives on patient center communications for healthy weight interactions through semi-structured interviews.

Official Title
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Clinic-based Patient-Centered Communication About Healthy Weight (PCC-HW) in a Diverse Sample of Women With Early Breast Cancer

Conditions
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Breast Cancer

Intervention / Treatment
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* Other: Focus Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria for Breast Cancer Cohort: Age 21 or older Diagnosed with early breast cancer, Stages I-III Completed primary treatment (Surgery, chemotherapy, radiation) within past 2 years Body mass Index of equal or greater than 30 Exclusion Criteria: Cannot understand and speak English INclusion Criteria for Oncology provider cohort: Breast cancer oncology provider in North Carolina with MD/DO/PA/NP/RN associated with community-based practices

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Early Breast Cancer Patients<br>Early breast cancer patients (Stage I-III) who have completed primary treatment with a current Body mass index (BMI) over 30. | Other: Focus Group<br>* Breast cancer patients and oncology clinicians will participate in separate focus groups discussing patient-centered communication about healthy weight.<br>|
| Medical Oncology Clinicians<br>Oncology providers associated with community-based practices | Other: Focus Group<br>* Breast cancer patients and oncology clinicians will participate in separate focus groups discussing patient-centered communication about healthy weight.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feedback from patients regarding healthy weight communication through focus groups | Summary of conversation based on 5A's Behavioral Change Model | 3 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feedback from oncology providers regarding healthy weight communication through semi-structured interview | Provider suggestions on how to implement 5A's Behavioral change model into patient care | 3 year |