Changing health behaviour with rehabilitation in thoracic cancer: A systematic review and synthesis

Bayly, Joanne; Wakefield, Dominique; Hepgul, Nilay; Wilcock, Andrew; Higginson, Irene J; Maddocks, Matthew

doi:10.1002/pon.4684

Cited by 19 publications

(14 citation statements)

References 80 publications

(269 reference statements)

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“…The more tailored a programme is, the more relevant it will be and is more likely to result in behaviour change [76]. A recent systematic review highlighted the lack of behaviour change technique (BCT) use among thoracic cancer interventions [77]. Though we found mixed results of the effectiveness of theory-based interventions in our review, lifestyle behaviour change programmes that use appropriate BCTs to guide interventions are generally more effective [78].…”

Section: Discussionmentioning

confidence: 72%

Physical activity and nutrition interventions for older adults with cancer: a systematic review

et al. 2020

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The aim of this review was to summarize the current literature for the effectiveness of activity and nutritional based interventions on health-related quality of life (HRQoL) in older adults living with and beyond cancer (LWBC). Methods We conducted systematic structured searches of CINAHL, Embase, Medline, Cochrane CENTRAL databases, and bibliographic review. Two independent researchers selected against inclusion criteria: (1) lifestyle nutrition and/or activity intervention for people with any cancer diagnosis, (2) measured HRQoL, (3) all participants over 60 years of age and (4) randomized controlled trials. Results Searches identified 5179 titles; 114 articles had full text review, with 14 studies (participant n = 1660) included. Three had nutrition and activity components, one, nutrition only and ten, activity only. Duration ranged from 7 days to 1 year. Interventions varied from intensive daily prehabilitation to home-based gardening interventions. Studies investigated various HRQoL outcomes including fatigue, general and cancer-specific quality of life (QoL), distress, depression, global side-effect burden and physical functioning. Eight studies reported significant intervention improvements in one or more QoL measure. Seven studies reported using a psychosocial/theoretical framework. There is a gap in tailored nutrition advice. Conclusions Among the few studies that targeted older adults with cancer, most were activity-based programmes with half reporting improvements in QoL. Future research should focus on or include tailored nutrition components and consider appropriate behaviour change techniques to maximize potential QoL improvement. Implications for Cancer Survivors More research is needed to address the research gap regarding older adults as current recommendations are derived from younger populations.

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Section: Discussionmentioning

confidence: 72%

Physical activity and nutrition interventions for older adults with cancer: a systematic review

et al. 2020

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“…[ 6 ] One possible reason may be the failure to incorporate behavioral change techniques (BCTs) along with the intervention. [ 17 ] Our PA intervention adopted several critical components of BCTs,[ 18 ] including goal setting, action planning and instruction, self-monitoring via diaries, and feedback from instructors. We also repeatedly enhanced patients’ risk perception about the possibility of developing cachexia, physical dysfunction, and disability in their cancer trajectory, which might have contributed to the low attrition rate and high compliance in our study.…”

Section: Discussionmentioning

confidence: 99%

Promotion of Behavioral Change and the Impact on Quality of Life in Elderly Patients with Advanced Cancer: A Physical Activity Intervention of the Multimodal Nutrition and Exercise Treatment for Advanced Cancer Program

Miyamae

Naito

Morikawa

et al. 2018

Asia-Pacific Journal of Oncology Nursing

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Objective:Physical activity (PA) may improve the quality of life (QOL) of cancer survivors. However, the impact on patients with advanced cancer with high cachectic potential is unknown. We analyzed the feasibility of PA intervention using the multimodal program Nutrition and Exercise Treatment for Advanced Cancer (NEXTAC) and the impact on QOL in elderly patients with advanced cancer.Methods:We recruited 30 patients aged ≥70 years who were scheduled to receive the first-line chemotherapy for newly diagnosed advanced pancreatic or non-small-cell lung cancer. The QOL was assessed using the European Organization for Research and Treatment of Cancer QOL Questionnaire version 3.0, while the PA was measured using a pedometer/accelerometer. Instructors counseled patients to increase daily activity in an 8-week educational intervention. We assessed patient attendance, compliance, and intervention efficacy.Results:The median patients’ age was 75 years (range, 70–84 years). Twelve patients (40%) were cachectic at baseline. Twenty-eight (93%) patients attended all sessions. Six (21%) and 15 (52%) patients increased their indoor and outdoor activity, respectively. There were significant differences in measured PA, global QOL, and role and emotional functioning between the patients who increased outdoor activity and those who did not.Conclusions:The PA intervention of the NEXTAC program was feasible as the elderly patients with advanced cancer in this study were highly compliant. The majority of patients demonstrated behavioral changes that were associated with the improvement in global QOL. We conduct a randomized phase II study to measure the impact of the NEXTAC program on QOL and functional prognosis.

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“…50 The most commonly used behaviour change techniques in interventions to improve physical activity levels are collaborative health-related goal setting, instruction regarding how to perform the behaviour and action planning. 51 Use and reporting of behaviour change techniques is suboptimal in thoracic cancer exercise studies, making it difficult to assess the efficacy of these techniques in improving physical activity. 51…”

Section: Physical Activity Interventions and Behaviour Changementioning

confidence: 99%

Physical activity for people with lung cancer

2020

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Changing health behaviour with rehabilitation in thoracic cancer: A systematic review and synthesis

Abstract: The application of behavioural change tools appears sub-optimal in this group of patients. Explicit use of BCTs targeting behavioural components upon which outcomes depend may improve the uptake and effectiveness of rehabilitation interventions.

Cited by 19 publications

References 80 publications

Physical activity and nutrition interventions for older adults with cancer: a systematic review

Physical activity and nutrition interventions for older adults with cancer: a systematic review

Promotion of Behavioral Change and the Impact on Quality of Life in Elderly Patients with Advanced Cancer: A Physical Activity Intervention of the Multimodal Nutrition and Exercise Treatment for Advanced Cancer Program

Physical activity for people with lung cancer

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