Are cancer survivors following the national comprehensive cancer network health behavior guidelines? An assessment of patients attending a cancer survivorship clinic

Hyland, Kelly A.; Jacobs, Jamie M.; Lennes, Inga T.; Pirl, William F.; Park, Elyse R.

doi:10.1080/07347332.2017.1399193

Cited by 30 publications

(26 citation statements)

References 52 publications

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“…This discrepancy might be related to the sample size and the classification of a survivorship period in the studies. Overall, given the low guideline adherence rate on MHB in cancer survivors and the role of health behaviors in reducing medical and psychological effects during the survivorship period, results from the current study suggest that appropriately timed advice and continuous support for survivors' behavior change during the course of the survivorship period are required. Moreover, lifestyle modification needs to be a core component of cancer survivorship care.…”

Section: Discussionmentioning

confidence: 92%

Multiple health behaviors before and after a cancer diagnosis among women: A repeated cross‐sectional analysis over 15 years

et al. 2020

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Background: Cancer diagnosis may be a cue for health behavior change. Previous research that assessed the impact of a cancer diagnosis on multiple health behavior (MHB) change is limited by small sample size, cross-sectional study design, and a focus on individual rather than multiple behaviors. This study investigated the impact of a cancer diagnosis on compliance with MHB recommendations. Methods: Data from Australian Longitudinal Study on Women's Health (ALSWH) were utilized. Compliance with MHB was assessed by cancer survivorship period; 0-3 years pre-diagnosis, 0-3 years postdiagnosis, 4-12 years postdiagnosis, and compared to controls. A MHB score based on the WCRF/AICR guidelines was calculated for six behaviors (physical activity, smoking, alcohol, BMI, fruit, and vegetable intake); scores ranged from 0 to 6, with a higher score indicating higher compliance. Generalized estimating equation (GEE) was used for statistical analysis. Results: Participants comprised 7585 women from the 2001 ALSWH survey, of whom 2285 developed cancer during 15 years of follow-up. Compared to controls, the mean MHB score was slightly lower (Mean Difference (MD) = −0.015, P > .05) in survivors pre-diagnosis, after adjusting for confounders; however, the compliance score increased during postdiagnosis, with the mean difference score being significantly higher in recent survivors (0-3 years post diagnosis; MD = 0.055, P < .01). Likewise, within cancer survivors, the mean compliance score significantly increased 0-3 years postdiagnosis (MD = 0.07, P < .05) compared to pre-diagnosis, but this significant improvement was not maintained over the longer term (MD = 0.037, P > .05). Conclusion: In this sample, survivors had higher MHB score than controls. A cancer diagnosis may provide a teachable moment for health behavior change in the period immediately following diagnosis, but this effect was not sustained during longerterm survivorship. K E Y W O R D S cancer survivors, multiple health behaviors (MHB), survivorship period | 3225 TOLLOSA eT AL.

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Section: Discussionmentioning

confidence: 92%

Multiple health behaviors before and after a cancer diagnosis among women: A repeated cross‐sectional analysis over 15 years

et al. 2020

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“…Crucially, GA can also help to predict risk for chemotherapy toxicity, functional decline, and other adverse outcomes [15].While there are currently no completed RCTs that demonstrate that GA-based care improves outcomes of older adults LWBC, GA has been shown to improve outcomes in older noncancer populations and is likely to be transferable to older patients with cancer [11,15]. Given global policy shifts towards self-management of long-term conditions, a significant portion of follow-up care will be delivered in the community [4] . Primary care has an important role in addressing post-cancer treatment concerns and barriers to health behaviours, such as symptom burden (e.g., fatigue, lymphedema), psychological distress, functional limitations [2,4] .…”

Section: Discussionmentioning

confidence: 99%

“…Given global policy shifts towards self-management of long-term conditions, a significant portion of follow-up care will be delivered in the community [4] . Primary care has an important role in addressing post-cancer treatment concerns and barriers to health behaviours, such as symptom burden (e.g., fatigue, lymphedema), psychological distress, functional limitations [2,4] . Nevertheless, some research suggests that primary care practitioners have suboptimal knowledge of cancer survivorship care [2] and that oncology providers provide suboptimal non-oncology care [22].…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 50% of those diagnosed with cancer live 10 years beyond their diagnosis, and two-thirds have lived beyond 5 years [1][2][3]. Those living with and beyond cancer (LWBC) report long-lasting physical and psychological symptoms after (or on continuous) treatment [4,5]. Moreover, a diagnosis of cancer is associated with a significantly lower health-related QoL (HRQOL) compared to those who have never had cancer-particularly in relation to physical symptom burden, activities of daily living, social activities and psychological well-being [6].…”

Section: Introductionmentioning

confidence: 99%

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Multimorbidity in older adults living with and beyond cancer

Corbett¹,

Bridges²

2019

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of review: This review draws attention to the need for longer-term management of multiple conditions in older adults with cancer.Recent findings: Older people living with and beyond cancer (LWBC) are more likely than younger people to have higher prevalence of multimorbidity leading to an overall increase in illness and treatment burdens, and limiting health-related quality of life and capacity to self-manage. Older age presents a higher risk of cancer treatment side-effects and development or progression of other conditions, leading to worsening health, long-lasting functional problems and social isolation. While many prioritise functional independence and continuance of valued activities over survival, older people living with multimorbidity are more likely to experience poor physical functioning during and beyond cancer treatment.Summary: Cancer treatment decisions and survivorship plans should be developed in the context of other conditions and in line with the individual's priorities for continued quality of life. More research is needed to guide service development and clinical practice in this important area.

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“…Although consensus regarding an ideal time to start the conversation about exercise was not reached in our study, previous research has identified the ideal 'teachable moment' is within the year after diagnosis [38]. It is likely to be an iterative conversation at several time points and dependent on individual need and circumstance [39].…”

Section: Importance Of Exercisementioning

confidence: 71%

An integrated model of exercise support for people affected by cancer: consensus through scoping

Humphreys

Crank

Dixey

et al. 2020

Disability and Rehabilitation

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Introduction: Exercise support for people with cancer is a national priority. The purpose of this study was to identify the success factors necessary to create a model of exercise support for people affected by cancer in a large city in the north of England.Method: Two groups of participants were recruited; people affected by cancer (n=26) and professional stakeholders (n=14) contributing to either focus groups or semi-structured interviews. Data were analysed using framework analysis.Results: Results from this study suggest that the promotion of exercise is not a priority in routine cancer care. Patients identified a lack of support and difficulty attaining information as a barrier to becoming active, emphasising a gulf between the patients' needs and the health professionals' priorities. People affected by cancer and professionals agreed that exercise was beneficial to cancer patients both during and after treatment. For an exercise pathway to be successful, key factors were identified including accessibility; tailored support; social interaction; affordability; competence of exercise delivery staff.Conclusions: There was consensus on the importance of exercise and critical factors required to develop a sustainable, accessible and effective service.Evidence to inform the development of an exercise pathway for people affected by cancer is provided.

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Are cancer survivors following the national comprehensive cancer network health behavior guidelines? An assessment of patients attending a cancer survivorship clinic

Cited by 30 publications

References 52 publications

Multiple health behaviors before and after a cancer diagnosis among women: A repeated cross‐sectional analysis over 15 years

Multiple health behaviors before and after a cancer diagnosis among women: A repeated cross‐sectional analysis over 15 years

Multimorbidity in older adults living with and beyond cancer

An integrated model of exercise support for people affected by cancer: consensus through scoping

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