A systematic review of Motivational Interviewing interventions in cancer patients and survivors

Spencer, Jennifer; Wheeler, Stephanie B.

doi:10.1016/j.pec.2016.02.003

Cited by 135 publications

(113 citation statements)

References 34 publications

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“…Our findings that patients with higher psychological distress and lower outcome expectations were more likely to decline participation, is in line with the previous study evaluating exercise programs in breast cancer survivors during chemotherapy [8]. Aiming to successfully target those subgroups of patients, previous studies suggested that clinical practice may benefit from behavior change strategies such as motivational interviewing [30]. Yet, further evidence is needed to determine which approaches are most efficacious among cancer survivors.…”

Section: Discussionsupporting

confidence: 89%

Participation in and adherence to physical exercise after completion of primary cancer treatment

Kampshoff

Mechelen

Schep

et al. 2016

Int J Behav Nutr Phys Act

123

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BackgroundThe purpose of this study was to identify demographic, clinical, psychosocial, physical and environmental factors that are associated with participation in and adherence to a combined resistance and endurance exercise program among cancer survivors, shortly after completion of primary cancer treatment. Data from the randomized controlled Resistance and Endurance exercise After ChemoTherapy (REACT) study were used for this study.MethodsThe participants of the REACT study were randomly allocated to either a high intensity (HI) or low-to-moderate intensity (LMI) exercise program. Patients’ participation rate was defined as the cancer survivors’ decision to participate in the REACT study. Exercise adherence reflected participants’ attendance to the scheduled exercise sessions and their compliance to the prescribed exercises. High session attendance rates were defined as attending at least 80 % of the sessions. High compliance rates were defined as performing at least of 90 % of the prescribed exercise across all sessions. Correlates of exercise adherence were studied separately for HI and LMI exercise. Demographic, clinical, and physical factors were assessed using self-reported questionnaires. Relevant clinical information was extracted from medical records. Multivariable logistic regression analyses were applied to identify correlates that were significantly associated with participation, high session attendance, high compliance with resistance and high compliance with endurance exercises.ResultsParticipants were more likely to have higher education, be non-smokers, have lower psychological distress, higher outcome expectations, and perceive more exercise barriers than non-participants. In HI exercise, higher self-efficacy was significantly associated with high session attendance and high compliance with endurance exercises, and lower psychological distress was significantly associated with high compliance with resistance exercises. In LMI exercise, being a non-smoker was significantly associated with high compliance with resistance exercises and higher BMI was significantly associated with high compliance with resistance and endurance exercises. Furthermore, breast cancer survivors were less likely to report high compliance with resistance and endurance exercises in LMI exercise compared to survivors of other types of cancer. The discriminative ability of the multivariable models ranged from 0.62 to 0.75.ConclusionSeveral demographic, clinical and psychosocial factors were associated with participation in and adherence to exercise among cancer survivors. Psychosocial factors were more strongly associated with adherence in HI than LMI exercise.Trial registrationThis study was registered at the Netherlands Trial Register [NTR2153] on the 5th of January 2010.

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Section: Discussionsupporting

confidence: 89%

Participation in and adherence to physical exercise after completion of primary cancer treatment

Kampshoff

Mechelen

Schep

et al. 2016

Int J Behav Nutr Phys Act

123

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“…Although our review is the first to report on the effects on weight of lifestyle interventions in overweight cancer survivors of any cancer type after completion of initial treatment, previous reviews have reported on the effects of lifestyle interventions in cancer survivors [32, 33, 35–38, 40, 81–83] and on effects on body weight in particular [35, 38, 81, 82]. However, these studies did not only include overweight cancer survivors and/or cancer survivors after completion of initial treatment and all included survivors of a specific cancer type only (breast cancer [35, 38, 82] and prostate cancer [81]).…”

Section: Discussionmentioning

confidence: 99%

“…However, these studies did not only include overweight cancer survivors and/or cancer survivors after completion of initial treatment and all included survivors of a specific cancer type only (breast cancer [35, 38, 82] and prostate cancer [81]). Additionally, other reviews on intervention effects among cancer survivors did not report effects on body weight [36, 37] or did not primarily focus on effects on body weight [32, 33, 40, 83]. …”

Section: Discussionmentioning

confidence: 99%

Toward the optimal strategy for sustained weight loss in overweight cancer survivors: a systematic review of the literature

et al. 2017

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PurposeTo gain more insight into the optimal strategy to achieve weight loss and weight loss maintenance in overweight and obese cancer survivors after completion of initial treatment, this systematic review aimed to provide an overview of the literature on intervention effects on weight, to describe intervention components used in effective interventions, to identify and synthesize behaviour change techniques (BCTs) and to assess the frequency with which these BCTs were used in effective interventions.MethodsSix databases were searched for original research articles describing weight changes in adult overweight cancer survivors after participation in a lifestyle intervention initiated after completion of initial treatment. Two researchers independently screened the retrieved papers and extracted BCTs using the BCT Taxonomy version 1.ResultsThirty-two papers describing 27 interventions were included. Interventions that were evaluated with a robust study design (n = 8) generally showed <5% weight loss and did not evaluate effects at ≥12 months after intervention completion. Effective interventions promoted both diet and physical activity and used the BCTs ‘goal setting (behaviour)’, ‘action planning’, ‘social support (unspecified)’ and ‘instruction on how to perform the behaviour’.ConclusionsThe results of this first review on intervention components of effective interventions could be used to inform intervention development and showed a need for future publications to report long-term effects, a detailed intervention description and an extensive process evaluation.Implications for cancer survivorsThis study contributed to increasing knowledge on the optimal strategy to achieve weight loss, which is recommended for overweight cancer survivors to improve health outcomes.

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“…Our participants demonstrated a strong preference to receive the SCP during a face-to-face consultation with a doctor or specialist nurse; possibly reflecting traditional experiences of post-treatment care or indicating the significance placed on a face-to-face consultation [18]. Telephone or Skype may be effective in promoting healthy living recommendations for survivors [25].…”

Section: Discussionmentioning

confidence: 82%

How will cancer survivors use survivorship care plans?

2016

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Background: Survivorship care plans (SCPs) are internationally endorsed as an important tool to enhance post-treatment survivorship care. To support broad implementation of SCPs, we investigated survivors' preferences regarding SCPs. Material and methods: The study was conducted at a comprehensive cancer center. Eligible patients from 10 clinical services, generally up to 12 months following end of treatment (EOT) were approached in clinics or via telephone. A purpose-designed survey assessed survivors' intended use of a SCP and preferences regarding format and content. Intended minimum sample size of 200. Results: Two hundred and thirty surveys were returned (response rate 68%). Of the 230 participants, over 55% had completed treatment within six months, 35% between six and 12 months, and 10% were receiving ongoing treatments. Most (82%) had not received a SCP and more than one third (42%) reported receiving no information resources at EOT. Almost all (98%) desired further information. Most common information elements desired in a SCP: 'list of symptoms to watch out for and report' (76%), 'summary of treatment received' (70%) and 'things I can do to look after myself' (67%). Most common suggested uses were as: 'a record of cancer treatment' (63%), 'a reminder of things to do to look after myself ' (57%) and 'to help me understand my cancer experience' (56%). Over half (52%) would share the information with their general practitioner. Most indicated preference for paper-based SCPs (91%). There was support for both brief (36%) and detailed versions (42%). Over half requested the information be delivered in a face-to-face discussion with a health professional. Regular telephone support from the treating health care team was most commonly suggested as an additional service to support survivors after EOT. Conclusions: Although similar to international findings, results suggest alternate ways of providing the information that survivors desire. Most desired SCP elements have been defined. A flexible approach to SCP interventions is justified.

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A systematic review of Motivational Interviewing interventions in cancer patients and survivors

Cited by 135 publications

References 34 publications

Participation in and adherence to physical exercise after completion of primary cancer treatment

Participation in and adherence to physical exercise after completion of primary cancer treatment

Toward the optimal strategy for sustained weight loss in overweight cancer survivors: a systematic review of the literature

How will cancer survivors use survivorship care plans?

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