The Acceptability and Experiences of Participating in a Preoperative Intentional Weight-Loss Programme From Diagnosis to Surgery for Colorectal Cancer.
Amelia Talbot, Claire Foster, Susan A Jebb et al.
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In 30 seconds
This qualitative study, embedded in the CARE randomised controlled trial, explored how patients with colorectal cancer experienced an intensive, dietitian-supported weight-loss programme between diagnosis and surgery. Thirty-one participants were interviewed after following the programme for an average of 24 (12) days, with surgery an average of 12 (7) days later. Participants generally understood the potential surgical benefits, valued dietitian support, and described positive effects of rapid weight loss and improved health markers. However, family concerns about safety, social eating, and side effects could impede adherence. The programme was mostly acceptable to participants who had enrolled.
Key findings
- Participants saw potential benefits including technically easier surgery and faster hospital discharge, as explained by healthcare professionals.
- Dietitian support helped participants continue the programme; rapid weight loss and improved health markers also shaped their perceptions.
- Family distrust of safety, social eating occasions, and side effects sometimes prevented full acceptability and adherence.
Why it matters
The findings show that acceptability depends not only on patients’ understanding of potential benefits and professional support, but also on practical and social circumstances. Recognising family concerns, eating contexts, and side effects may help services identify barriers to participation and adherence during the short preoperative period.
What to keep in mind
The qualitative findings came from 31 people who had already joined the intervention, so they may not reflect the views of patients who declined to participate.