Exploring cancer survivors' views of health behaviour change: “<i>Where do you start, where do you stop with everything?</i>”

Corbett, Teresa; Cheetham, Tara; Müller, André; Slodkowska-Barabasz, Joanna; Wilde, Laura Joanne; Krusche, Adele; Richardson, Alison; Foster, Claire; Watson, Eila; Little, Paul; Yardley, Lucy; Bradbury, Katherine

doi:10.1002/pon.4732

Cited by 107 publications

(60 citation statements)

References 30 publications

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“…Weaver et al [33], found that just one in three cancer survivors reported having had a health promotion discussion with their health care provider. It has also been found that some survivors are unsure about how to make changes and perceive a lack of support from their health care team [35]. Lifestyle interventions are known to bring about positive lifestyle changes that result in improved health and functioning [36], and these changes should be a primary goal for cancer survivors.…”

Section: Discussionmentioning

confidence: 99%

Health status, lifestyle habits, and perceived social support in long-term cancer survivors: a cross-sectional study

León-Salas

Zabaleta‐del‐Olmo

Llobera

et al. 2020

Preprint

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Background: The purpose of this study was to compare health status, lifestyle habits, and perceived social support between cancer survivors and people who have never had cancer. Methods: Descriptive, cross-sectional multicenter study nested in phases II and III of the cluster randomized clinical trial ERIA, designed to analyze the effects of a complex primary care intervention compared with care as usual on smoking cessation, improved adherence to the Mediterranean diet, and increased physical activity. For the cross-sectional study, patients were divided into two groups: cancer survivors and people who had never had cancer (controls). Thirty eight Primary care centers Spanish provinces of Barcelona, Girona, Balearic Islands, Malaga, Seville, Salamanca, Soria, Toledo, Vigo, Vizcaya, and Zaragoza. Adults aged between 45 and 75 years with at least two risk behaviors. Patients being treated for active cancer or in end-of-life care were excluded.Primary outcomes: Sociodemographic variables, diet, physical activity, smoking, body mass index, Charlson Comorbidity Index, and self-perceived health and social support.Results: Of the 4259 people included, 190 (4.46%) were cancer survivors. Their mean±SD age was 62.8±7 years versus 58.7±8 years (P<0.01) for people who had never had cancer. Long-term sick leave was also more common in this group (11.9% vs 3.5%, P<0.001). No between-group differences were observed for smoking, adherence to the Mediterranean diet, physical activity, obesity, or perceived social support. Cancer survivors reported worse health (OR 1.82; IC95% 1.02–2.75) and were more likely to have two or more comorbid conditions (OR 1.68; 95% CI 1.18–2.39), chronic pulmonary obstructive disease (OR 2.17; 95% CI 1.25–3.78), and depression (OR 1.65; 95% CI 1.06–2.57). In the multiple regression analysis, older age and worse self-perceived health continued to be significantly associated with having survived cancer.Conclusions: Cancer survivors have more chronic diseases, a greater likelihood of being on long-term sick leave, and worse self-perceived health than people without a history of cancer, regardless of age. The two groups perceived similar levels of social support.

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Section: Discussionmentioning

confidence: 99%

Health status, lifestyle habits, and perceived social support in long-term cancer survivors: a cross-sectional study

León-Salas

Zabaleta‐del‐Olmo

Llobera

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…In addition to our finding that support from health professionals was associated with adoption of a healthy diet, we also found that lack of knowledge made it less likely to make dietary changes. After completion of treatment, cancer survivors may report feeling abandoned and express uncertainty about how to implement adaptive changes (Corbett et al, 2018). The reason for this uncertainty is that the patient often has limited knowledge of beneficial healthy behaviors, and lacks support in identification of evidence-based information on how to implement adaptive changes (Henry et al, 2016;James-Martin et al, 2014;Koutoukidis et al, 2017).…”

Section: Tablementioning

confidence: 99%

“…Many cancer patients are motivated to adopt healthy diets following completion of treatment, but these barriers could counteract these motivations. Recent qualitative studies of overall cancer survivors (Corbett et al, 2018), prostate cancer patients (Er et al, 2017), breast cancer patients (Terranova et al, 2017), and adolescent and young-adult cancer patients (Wu et al, 2015) identified barriers and facilitators to adoption of healthy eating. However, no study has yet identified factors that function as barriers and motivators for adopting a high-quality diet in survivors of stomach cancer.…”

Section: Introductionmentioning

confidence: 99%

Motivators and barriers to adoption of a healthy diet by survivors of stomach cancer: A cross-sectional study

Ryu

Son

Lee

2020

European Journal of Oncology Nursing

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“…at a time when individuals may be particularly receptive to advice and motivated to make changes). However, an English study has highlighted that a cancer diagnosis may not necessarily represent a ‘teachable moment’ for everyone (Corbett et al ). Although some individuals make positive lifestyle changes following treatment, others may not engage with diet and physical activity recommendations.…”

Section: Nutrition and Physical Activity In Cancer Survivors In Scotlandmentioning

confidence: 99%

“…Although some individuals make positive lifestyle changes following treatment, others may not engage with diet and physical activity recommendations. Reasons for a lack of engagement vary, including a belief that behaviour change is unnecessary or undesirable, uncertainty about how to implement recommendations for improvement, or a perceived lack of support from healthcare providers (Corbett et al ). Therefore, in addition to providing information on recommendations, interventions to improve diet and physical activity in cancer survivors must address barriers to implementing recommendations.…”

Section: Nutrition and Physical Activity In Cancer Survivors In Scotlandmentioning

confidence: 99%

Nutrition and physical activity recommendations for cancer survivors in Scotland: Feasibility of a short course to promote behaviour change

2020

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More people are living for longer following a cancer diagnosis; however, long‐term survivors are more likely to experience chronic illnesses. Improving their diet and physical activity behaviours may increase survival and reduce the risk of cancer recurrence and other non‐communicable diseases. The World Cancer Research Fund and American Institute for Cancer Research recommend that cancer survivors aim to be a healthy weight and physically active; eat a diet rich in wholegrains, vegetables, fruits and beans; limit consumption of ‘fast foods’, red and processed meat, sugar‐sweetened drinks and alcohol; and meet nutritional needs through diet alone rather than relying on supplements. Evidence suggests that cancer survivors are receptive to receiving advice and making dietary and physical activity changes, but barriers to improving the diet and being physically active need to be explored and addressed. We collaborated with CLAN Cancer Support (an independent charity) to assess the feasibility of a 2‐day course designed to improve diet and physical activity in cancer survivors in Scotland. Further, it explored the barriers and facilitators that cancer survivors identify in relation to eating a healthy diet and being physically active. The course included presentations, practical activities and group discussions. Initial analysis indicates that factors specific to this population need to be designed into the delivery of the course to enhance recruitment and promote behaviour change. Research then needs to be translated into sustainable support programmes accessible by all cancer survivors. This article describes the rationale behind the study, its design and expected outcomes.

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Exploring cancer survivors' views of health behaviour change: “Where do you start, where do you stop with everything?”

Abstract: For many participants in this study, the period that follows treatment for cancer did not represent a "teachable moment." A variety of complex and heterogeneous factors appeared to impact motivation and may limit cancer survivors from engaging with diet and PA changes.

Cited by 107 publications

References 30 publications

Health status, lifestyle habits, and perceived social support in long-term cancer survivors: a cross-sectional study

Health status, lifestyle habits, and perceived social support in long-term cancer survivors: a cross-sectional study

Motivators and barriers to adoption of a healthy diet by survivors of stomach cancer: A cross-sectional study

Nutrition and physical activity recommendations for cancer survivors in Scotland: Feasibility of a short course to promote behaviour change

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