Survivor-Level |
Age Factors |
Older age (habits, metabolism changes, post-menopause) |
Younger age (healthier lifestyles pre-diagnosis) |
Physiological Factors |
Side effects of treatment (fatigue, neuropathy, joint pain) |
|
Arthritis |
|
Psychological Factors |
Depression |
Self-motivation |
Emotional eating |
Readiness |
Coping with physical changes |
|
Frustration |
|
Lack of motivation |
|
Environmental/Socioeconomic Factors |
Unsafe neighborhoods |
Adequate resources for exercise facilities, weight loss services, and healthy foods |
Lack of access to exercise facilities |
Cost of exercise facilities, weight loss services, and healthy foods |
Time constraints of multiple jobs or long hours |
Lack of nutrition education |
Sociocultural Factors |
Culturally-bound beliefs about weight |
|
Underutilization of interventions by some demographics |
|
Family/Friend Factors |
Family concerns about weight loss, rest |
Supportive spouses |
Family responsibilities |
Community support |
Family resistance/lack of buy-in |
|
Poor food environment at home |
|
|
Capacity-Level |
Message Reinforcement |
Discontinuity of weight messages |
Positive patient-provider relationships |
|
Hearing messages from multiple providers |
Referral, Insurance, and Intervention Issues |
Lack of referral options |
Ability to refer to nutritionists/dietitians |
Referral options not tailored to weight loss |
|
Inadequate insurance coverage of referral services |
|
Lack of efficacious weight loss strategies for clinical use |
|