{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T12:01:28Z","timestamp":1777982488775,"version":"3.51.4"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Pilot grant by the Department of Surgery, Perelman School of Medicine at the University of Pennsylvania"},{"name":"Philanthropic funds to Dr. Tchou"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>\n                      Breast cancer survivors with overweight or obesity have worse breast cancer specific survival and outcomes as compared to those with average weight by Yung and Ligibel (Clin Adv Hematol Oncol 14:790\u2013797,\u00a02016) and Druesne-Pecollo et al. (Breast Cancer Res Treat 135:647\u2013654,\u00a02012). Our pilot Group-bas\n                      <jats:italic>E<\/jats:italic>\n                      d\n                      <jats:italic>T<\/jats:italic>\n                      elehealth behavioral\u00a0\n                      <jats:italic>We<\/jats:italic>\n                      ight\u00a0\n                      <jats:italic>L<\/jats:italic>\n                      os (GET-WEL) Program showed that fewer Black breast cancer survivors (BBCS) enrolled and lost less weight than White breast cancer survivors by Allison et al. (Obesity\u00a0Science and Practice 10:e70023,\u00a02024). This study is aimed at using a community-based participatory research approach to assess barriers and facilitators of implementing a behavioral weight loss intervention among BBCS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eight BBCS from a predominantly Black community were invited to participate in semi-structured interviews that were voice recorded, transcribed, coded, and analyzed via comparative thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thematic analyses revealed multiple barriers within participants. These included lack of affordable healthy food access, safety concerns with regards to outdoor activities, lack of affordable fitness center memberships, time constraints related to competing work\/life obligations, and steep learning curves with technology use. Most BBCS preferred an integrated community-based coach to guide their weight loss interventions via a combination of both virtual and in-person sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our results indicate that a multimodal approach including nutrition education, reducing physical activity barriers, limiting time constraints by implementing both in-person and virtual platforms, and assisting with technology courses, is necessary to improve the equitable implementation of weight loss interventions. BBCS recommended utilizing established community facilities and leveraging known community members such as nutrition counselors and physical trainers to increase successful implementation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-10548-7","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T01:23:11Z","timestamp":1775438591000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A community based participatory research approach to evaluate barriers and facilitators for behavioral weight loss intervention implementation in a predominantly black community"],"prefix":"10.1007","volume":"34","author":[{"given":"Elizabeth","family":"De Jesus","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Woo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert S.","family":"Krouse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen E.","family":"Guerra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharine A.","family":"Rendle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamara","family":"Cadet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly C.","family":"Allison","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Tchou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"10548_CR1","first-page":"790","volume":"14","author":"RL Yung","year":"2016","unstructured":"Yung RL, Ligibel JA (2016) Obesity and breast cancer: risk, outcomes, and future considerations. Clin Adv Hematol Oncol 14:790\u2013797","journal-title":"Clin Adv Hematol Oncol"},{"key":"10548_CR2","doi-asserted-by":"publisher","first-page":"647","DOI":"10.1007\/s10549-012-2187-1","volume":"135","author":"N Druesne-Pecollo","year":"2012","unstructured":"Druesne-Pecollo N, Touvier M, Barrandon E, Chan DS, Norat T, Zelek L, Hercberg S, Latino-Martel P (2012) Excess body weight and second primary cancer risk after breast cancer: a systematic review and meta-analysis of prospective studies. Breast Cancer Res Treat 135:647\u2013654. https:\/\/doi.org\/10.1007\/s10549-012-2187-1","journal-title":"Breast Cancer Res Treat"},{"key":"10548_CR3","doi-asserted-by":"publisher","DOI":"10.1002\/osp4.70023","volume":"10","author":"KC Allison","year":"2024","unstructured":"Allison KC, McCuen-Wurst C, Raevsky A, Holmes N, Goldbach M, Guerra CE, Rendle KA, Cadet TJ, Krouse RS, Tchou J (2024) The group-basEd telehealth behavioral WEight loss program among breast cancer survivors: a pilot and feasibility study. Obesity Science & Practice 10:e70023. https:\/\/doi.org\/10.1002\/osp4.70023","journal-title":"Obesity Science & Practice"},{"key":"10548_CR4","doi-asserted-by":"publisher","DOI":"10.1002\/edm2.70104","volume":"8","author":"CY Liao","year":"2025","unstructured":"Liao CY, Schapiro D, Mojdami D, Sheffield KM, Hoog MM, Keni R, Gathirua-Mwangi WG, Kan H (2025) Intentional weight loss and associated cancer incidence among people with overweight or obesity: a systematic literature review. Endocrinol Diabetes Metab 8:e70104. https:\/\/doi.org\/10.1002\/edm2.70104","journal-title":"Endocrinol Diabetes Metab"},{"key":"10548_CR5","doi-asserted-by":"publisher","unstructured":"(2000) The diabetes prevention program: baseline characteristics of the randomized cohort. The Diabetes Prevention Program Research Group. Diabetes Care 23, 1619\u20131629. https:\/\/doi.org\/10.2337\/diacare.23.11.1619","DOI":"10.2337\/diacare.23.11.1619"},{"key":"10548_CR6","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-024-08999-x","volume":"32","author":"Y Liu","year":"2024","unstructured":"Liu Y, De Jesus E, Goldbach M et al (2024) Perceptions, facilitators, and barriers of participation for a behavioral weight loss group-based telehealth program for breast cancer survivors: a qualitative study. Support Care Cancer 32:808. https:\/\/doi.org\/10.1007\/s00520-024-08999-x","journal-title":"Support Care Cancer"},{"key":"10548_CR7","doi-asserted-by":"publisher","first-page":"2213","DOI":"10.1200\/jco.21.02973","volume":"40","author":"B Qin","year":"2022","unstructured":"Qin B, Kim K, Goldman N, Rundle AG, Chanumolu D, Zeinomar N, Xu B, Pawlish KS, Ambrosone CB, Demissie K, Hong CC, Lovasi GS, Bandera EV (2022) Multilevel factors for adiposity change in a population-based prospective study of Black breast cancer survivors. J Clin Oncol 40:2213\u20132223. https:\/\/doi.org\/10.1200\/jco.21.02973","journal-title":"J Clin Oncol"},{"key":"10548_CR8","doi-asserted-by":"publisher","first-page":"884","DOI":"10.1037\/amp0000167","volume":"73","author":"SE Collins","year":"2018","unstructured":"Collins SE, Clifasefi SL, Stanton J, The Leap Advisory Board, Straits KJE, Gil-Kashiwabara E, Rodriguez Espinosa P, Nicasio AV, Andrasik MP, Hawes SM, Miller KA, Nelson LA, Orfaly VE, Duran BM, Wallerstein N (2018) Community-based participatory research (CBPR): towards equitable involvement of community in psychology research. Am Psychol 73:884\u2013898. https:\/\/doi.org\/10.1037\/amp0000167","journal-title":"Am Psychol"},{"key":"10548_CR9","unstructured":"Pennsylvania Department of Health (2025) County Health Profile: Philadelphia County. https:\/\/www.health.pa.gov\/topics\/HealthStatistics\/VitalStatistics\/CountyHealthProfiles\/Documents\/current\/index.aspx"},{"key":"10548_CR10","unstructured":"U.S. Census Bureau (2024) QuickFacts: Chester city, Pennsylvania. https:\/\/www.census.gov\/quickfacts\/table\/PST045215\/4213208"},{"key":"10548_CR11","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1177\/109019817400200405","volume":"2","author":"IM Rosenstock","year":"1974","unstructured":"Rosenstock IM (1974) The health belief model and preventive health behavior. Health Educ Monogr 2:354\u2013386","journal-title":"Health Educ Monogr"},{"key":"10548_CR12","doi-asserted-by":"publisher","DOI":"10.1177\/16094069231179433","volume":"22","author":"C Herzog","year":"2023","unstructured":"Herzog C, Kelly P (2023) Applying thematic analysis to analyse press coverage in cross-country comparative research: a qualitative study protocol. Int J Qual Methods 22:16094069231179433","journal-title":"Int J Qual Methods"},{"key":"10548_CR13","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-062288","volume":"12","author":"B Lake","year":"2022","unstructured":"Lake B, Damery S, Jolly K (2022) Effectiveness of weight loss interventions in breast cancer survivors: a systematic review of reviews. BMJ Open 12:e062288. https:\/\/doi.org\/10.1136\/bmjopen-2022-062288","journal-title":"BMJ Open"},{"key":"10548_CR14","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1002\/oby.20245","volume":"21","author":"HA Greenlee","year":"2013","unstructured":"Greenlee HA, Crew KD, Mata JM, McKinley PS, Rundle AG, Zhang W, Liao Y, Tsai WY, Hershman DL (2013) A pilot randomized controlled trial of a commercial diet and exercise weight loss program in minority breast cancer survivors. Obesity Silver Spring 21:65\u201376. https:\/\/doi.org\/10.1002\/oby.20245","journal-title":"Obesity Silver Spring"},{"key":"10548_CR15","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2019.00765","volume":"9","author":"T Agurs-Collins","year":"2019","unstructured":"Agurs-Collins T, Ross SA, Dunn BK (2019) The many faces of obesity and its influence on breast cancer risk. Front Oncol 9:765. https:\/\/doi.org\/10.3389\/fonc.2019.00765","journal-title":"Front Oncol"},{"key":"10548_CR16","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1002\/oby.23287","volume":"30","author":"LM Delahanty","year":"2022","unstructured":"Delahanty LM, Wadden TA, Goodwin PJ, Alfano CM, Thomson CA, Irwin ML, Neuhouser ML, Crane TE, Frank E, Spears PA, Gillis BP, Hershman DL, Paskett ED, Hopkins J, Bernstein V, Stearns V, White J, Hudis C, Winer EP, A Carey L, Partridge AH, Ligibel JA (2022) The Breast Cancer Weight Loss trial (Alliance A011401): a description and evidence for the lifestyle intervention. Obesity (Silver Spring) 30:28\u201338. https:\/\/doi.org\/10.1002\/oby.23287","journal-title":"Obesity (Silver Spring)"},{"key":"10548_CR17","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1016\/j.jclinepi.2013.08.015","volume":"67","author":"J McCambridge","year":"2014","unstructured":"McCambridge J, Witton J, Elbourne DR (2014) Systematic review of the Hawthorne effect: new concepts are needed to study research participation effects. J Clin Epidemiol 67:267\u2013277. https:\/\/doi.org\/10.1016\/j.jclinepi.2013.08.015","journal-title":"J Clin Epidemiol"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10548-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-10548-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10548-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T06:41:54Z","timestamp":1776235314000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-026-10548-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10548"],"URL":"https:\/\/doi.org\/10.1007\/s00520-026-10548-7","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-7104686\/v1","asserted-by":"object"}]},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"11 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"406"}}