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. Author manuscript; available in PMC: 2015 Oct 23.
Published in final edited form as: Integr Cancer Ther. 2015 Feb 25;14(3):240–248. doi: 10.1177/1534735415572882

Table 1.

Survivor-level and Capacity-level Barriers and Facilitators to Survivors’ Weight Management Identified by Providers.

Barriers Facilitators
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