XXXX Survivors' Perceptions of Provider Obesity Counseling and Attempted Behavior Change: Are We Seizing the Moment?

@entity1 @entity1204 @entity353 @entity28 @entity5
OBJECTIVE: To determine @entity1 ' perceptions of provider-based counseling and behavior changes made by @entity1204 survivors. MATERIALS AND METHODS: Endometrial @entity5 survivors (diagnosed from 2011 to 2012) from a single institution were surveyed. Exclusion criteria included persistent or recurrent disease or those actively undergoing treatment. Information collected included demographics, weight assessments, health behaviors, and physician counseling. Statistical analysis was performed using descriptive statistics, Fisher exact test, McNemar test, and the k statistic as a measure of agreement. RESULTS: Of 233 surveys sent, 46% were returned. Median body mass index was 29.8 kg/m (range, 17.1-64.8 kg/m). Comparing primary care providers with gynecologic oncologists (GOs), 47% (n = 46) versus 25% (n = 23) provided dietary counseling and 62% (n = 60) versus 37% (n = 34) provided physical activity counseling (Fisher exact test, P = 0.001 and P < 0.001, respectively). Only 29% (n = 30) reported being told of the link between @entity1204 and @entity28 . Fifty-two percent of responders attempted @entity353 after their diagnosis. Fifty-nine percent of responders reported making changes in their diet. Fifty-six percent of @entity1 made dietary changes within 3 months of diagnosis. Forty-eight percent of responders increased physical activity, with 62% implementing changes within 3 to 6 months of their diagnosis. The responders most likely to attempt @entity353 were those who received counseling by a provider. All @entity1 reporting attempted @entity353 after their @entity5 diagnosis report being counseled by either a primary care provider or a GO to lose weight. Weight loss counseling was significantly associated with attempting @entity353 (P < 0.001). CONCLUSIONS: One third of @entity1204 survivors report counseling by their GO to lose weight. One half of @entity1204 survivors reported attempted @entity353 . All @entity1 reporting @entity353 counseling from their oncologist reported attempted @entity353 . Most behavioral change occurred 3 to 6 months after a @entity5 diagnosis. Obesity in @entity1204 survivors is not adequately addressed and represents a critical area for improvement.
