Barriers and facilitators for adopting a healthy lifestyle among Latina cancer survivors: A qualitative descriptive study

Dolan, Hanne; Alvarez, Alexis; Freylersythe, Sarah; Penaloza, Irlena; Grijalva, Sofia; Taylor-Piliae, Ruth E.; Crane, Tracy E.

doi:10.1007/s00520-021-06596-w

Cited by 8 publications

(12 citation statements)

References 27 publications

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“…45 Previous studies indicated that people did not perceive healthy lifestyle behaviors to be important in the progression of an illness. 46,47 In our study, we found that the people who had healthier lifestyles were more likely to have lower prevalence of multimorbidity. Using a simple and quantified way to educate people with or without multimorbidity the importance of modifying their lifestyle will benefit both individuals and the society.…”

Section: Discussionmentioning

confidence: 49%

Relationship between multimorbidity and composite lifestyle status in Shenzhen, China

Yang

Molassiotis

et al. 2022

Journal of Multimorbidity and Comorbidity

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Objective The study aimed to understand multimorbidity among adults in a high-tech city in southern coastal China that has undergone rapid economic development and to investigate its relationship with lifestyle status. Methods A population-based survey was conducted among 24 community centers in the Nanshan District of Shenzhen from February to December of 2018. Participants were recruited using a stratified random sampling approach. A self-administered questionnaire on typical chronic diseases, lifestyle factors, body composition, and social demographics was used to collect data. Multimorbidity was defined as two or more chronic diseases coexisting in a single person. An algorithm on body mass index, physical activity, drinking, smoking, and sleep quality was used to calculate lifestyle scores (0–9), with higher scores predicting a healthier lifestyle. Results A total of 2,905 participants were included in the analysis, with men accounting for 52.4%, and single for 25%. The prevalence of multimorbidity was 4.8%, and the mean lifestyle score was 4.79 ± 1.55. People who were old, retired, married, and had less education were more likely to have multimorbidity (all P < .05). A higher prevalence of multimorbidity was found among those who were obese, less engaged in physical activity, consumed more alcohol, and had poorer sleep quality (all p < .05). After adjusting for age, employment, education, and marital status, one unit increase in lifestyle score was associated with 0.74 times lower to have multimorbidity (OR: 0.74; 95% CI: 0.63–0.87, p < .05). Conclusion The prevalence of multimorbidity was relatively low in economically developed Shenzhen. Keeping a healthy lifestyle was related to the lower possibility of suffering from multiple chronic diseases.

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Section: Discussionmentioning

confidence: 49%

Relationship between multimorbidity and composite lifestyle status in Shenzhen, China

Yang

Molassiotis

et al. 2022

Journal of Multimorbidity and Comorbidity

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“…The native Spanish speakers were grouped to code the Spanish transcripts, and the native English speakers were grouped to code the English transcripts. Each transcript was verified against the recording, and corrections were made as needed (Dolan et al, 2022). All transcripts were then imported into the software program Dedoose (Version 8.3.17; https://www.dedoose.com/), which is a qualitative data analysis software program that permits multiple coders for the same data set.…”

Section: Resultsmentioning

confidence: 99%

“…The method was developed based on the theoretical foundation of Gee's (2014) linguistic concepts, Leininger's theory of culture care diversity and universality, and the synthesis of recommendations for multilanguage qualitative data analysis, content analysis, and trustworthiness. The method brought forth cultural themes that may otherwise have been overlooked if the Spanish transcripts had been translated into English and if the research team had not been both multilingual and multicultural (Dolan et al, 2022; Ragavan & Cowden, 2020). The method outlines a systematic and pragmatic way for qualitative research teams to organize and analyze qualitative data in multiple languages.…”

Section: Discussionmentioning

confidence: 99%

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Methodology for Analyzing Qualitative Data in Multiple Languages

Dolan,

Alvarez,

Freylersythe

et al. 2023

Nursing Research

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Background Translation strategies are commonly used for qualitative interview data to bridge language barriers. Inconsistent translation of interviews can lead to conceptual inequivalence, where meanings of participants' experiences are distorted, threatening scientific rigor. Objectives Our objective is to describe a systematic method developed to analyze multilingual, qualitative interview data while maintaining the original language of the transcripts. Methods A literature review of translation strategies, cross-language, and multilingual qualitative research was conducted. Combined with criteria for qualitative content analysis and trustworthiness, the methodology was developed and used for a qualitative descriptive study. Results The study had interview data in both English and Spanish. The research team consisted of both native Spanish and English speakers, who were grouped based on language. Verbatim transcription of data occurred in the original languages. All codes were kept in English, allowing the research team to view the data set as a whole. Two researchers within each group coded each transcript independently before reaching a consensus. The entire research team discussed all transcripts, and finally, major themes were determined. Participants' quotes remained in the original language for publication, with an English translation included when needed. Discussion Analyzing transcripts in the original language brought forth cultural themes that otherwise may have been overlooked. This methodology promotes conceptual equivalence and trustworthiness that is paramount in cultural, linguistic, and social determinants of health research to advance health equity.

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“…However, numerous observational studies have linked the support from family members or caregivers to survivors’ adherence to healthy diets, especially for those who live with survivors [ 19 , 20 , 65 , 66 , 67 ]. Cancer survivors have also described that family intimacy and responsibilities motivate them to adhere to healthy lifestyle behaviors, including healthy diets, to regain and maintain their health for family members [ 68 ]. Hence, a survivor-identified family member or caregiver who frequently contacts and constantly supports cancer survivors may be the best supporter for inclusion in dietary interventions.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Dietary Interventions for Cancer Survivors and Their Families or Caregivers

Xu,

Hoover,

Woodard

et al. 2023

Nutrients

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Family or caregiver engagement has the potential to support healthy dietary changes among cancer survivors. However, little is known about these family- or caregiver-involved dietary interventions and their effects. This systematic review aimed to identify the behavior change techniques (BCTs) used in dietary interventions for cancer survivors and their families or caregivers and to synthesize intervention effects on dietary and health outcomes. Following the PRISMA guidelines, we conducted systematic searches in three databases and identified 12 trials (16 peer-reviewed manuscripts) for inclusion in this review. Data were extracted from these manuscripts and the BCT taxonomy was used to identify the BCTs. A total of 38 BCTs were identified from 12 trials, 13 of which were used in at least half of the 12 trials. Ten studies reported significant intervention effects on health outcomes (e.g., adiposity) and six suggested significant improvements in dietary behaviors (e.g., fruit and vegetable intake). Overall, this review found that family- or caregiver-involved interventions for cancer survivors significantly improved dietary and health outcomes. Future research should identify BCTs particularly for dietary changes and develop effective dyadic strategies to facilitate diet-related interactions between survivors and their families or caregivers to enhance their engagement in healthy diets.

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Barriers and facilitators for adopting a healthy lifestyle among Latina cancer survivors: A qualitative descriptive study

Cited by 8 publications

References 27 publications

Relationship between multimorbidity and composite lifestyle status in Shenzhen, China

Relationship between multimorbidity and composite lifestyle status in Shenzhen, China

Methodology for Analyzing Qualitative Data in Multiple Languages

A Systematic Review of Dietary Interventions for Cancer Survivors and Their Families or Caregivers

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