A systematic mixed studies review of health behaviour change interventions in colorectal cancer survivors

Abstract

Aims To explore available health behaviour change interventions in improving key health behaviours in colorectal cancer survivors and patient perspectives about these interventions. Design A systematic mixed studies review was conducted. Data Sources Databases searched included Ovid Medline, Ovid Embase, EBSCO PsychoInfo and EBSCO CINAHL. A grey literature search was also completed using Google Scholar and the TRIP database. Identified studies were published between 2003 – 2018. Review methods A parallel‐results convergent synthesis design using narrative syntheses was used. Data analysis was conducted following a process of constant comparison. Quality appraisal was conducted using recognized tools appropriate to different study designs. Results Sixteen unique studies were identified from an initial search of 354 records. There was a pattern of successful physical activity and dietary change associated with behaviour change interventions of varying intensity, modality and length, but sparse description of intervention content was common. Participants preferred clear explanations of health behaviour importance and for interventions to be administered in sessions either with, or led by, other patients. Conclusion The available evidence tentatively suggests that behaviour change interventions can improve the health behaviours of colorectal cancer survivors. However, more research focused on identifying key intervention elements is needed. Patients indicated clear preferences for specific intervention content and delivery, but further research is needed to allow for the appropriate incorporation of patient preferences into the design of such interventions. Impact This review highlights the potential for interventions to improve health behaviours evidenced to influence short and long‐term health outcomes in colorectal cancer survivors. However, the examination of the impact of these interventions and patient perspectives indicated a paucity of research. This is an important finding in demonstrating additional research is necessary to improve the support available to a growing group of patients with complex health needs.

Application of the hospital‐family holistic care model in caregivers of patients with permanent enterostomy: A randomized controlled trial

“…In recent years, scholars at home and abroad have gradually shifted their research focus from cancer patients to caregivers, but few are involved in the intervention research of caregivers' care needs, especially the caregivers of permanent enterostomy patients (Griffin et al., 2014; Kim & Carver, 2012; Lim et al., 2019). Through literature review, intervention research mainly comprised group education, ostomy clubs, and focused solution modes; the process of education intervention lacked stage and effectiveness, and the intervention mainly occurred in the hospital (Karabulut et al., 2014; Millan et al., 2010; Sweeney‐Magee et al., 2020). Moreover, the lack of attention to the dynamic nursing needs of patients with permanent enterostomy leads to deviation between the information provision of medical staff and information absorption of caregivers, affecting the caregiver's care ability.…”

Health-Promoting Lifestyle in Colorectal Cancer Survivors: A Qualitative Study on the Experiences and Perspectives of Colorectal Cancer Survivors and Healthcare Providers

“…This lifestyle improves clinical symptoms, prevents relapses, increases long-term survival, and improves the health-related QOL (HRQoL). [ 17 18 19 20 21 22 ] Despite the known benefits of maintaining a healthy lifestyle, the majority of CRC survivors are physically inactive and overweight[ 23 ] and only 23% adhere to healthy lifestyle recommendations. [ 24 ]…”