Comorbidities in breast cancer survival account for 49% of overall survival difference between black and white women. Many obesity-related comorbidities disproportionately affect black women, therefore pointing to a need to address obesity related comorbidities in survival disparities in early breast cancer patients. This study tinvestigates how messages and messaging about healthy weight can be tailored for racially diverse breast cancer survivors with obesity in order to ensure that clinic-based communications between patients and their oncology provider are patient-centered and culturally sensitive.

The overall goal of this research is to collect essential input for the future development of a quality improvement intervention to foster "Patient-Center Communication about Healthy Weigh in clinical practice

Primary Objective:

1. Understand patient-centered perspectives on health weight communication with oncology clinicians by conducting focus groups

   Secondary Objective

2. Understand oncology clinician perspectives on patient center communications for healthy weight interactions through semi-structured interviews.

Inclusion Criteria for Breast Cancer Cohort:

• Age 21 or older
• Diagnosed with early breast cancer, Stages I-III
• Completed primary treatment (Surgery, chemotherapy, radiation) within past 2 years
• Body mass Index of equal or greater than 30

Exclusion Criteria:

• Cannot understand and speak English

INclusion Criteria for Oncology provider cohort:

• Breast cancer oncology provider in North Carolina with MD/DO/PA/NP/RN
• associated with community-based practices

Breast Cancer patients and Breast oncology providers will be eligible for this study