Health behaviour models and patient preferences regarding nutrition and physical activity after breast or prostate cancer diagnosis

Green, Heather; Steinnagel, G.; Morris, Cécile; Laakso, E-Liisa

doi:10.1111/ecc.12190

Cited by 30 publications

(43 citation statements)

References 46 publications

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“…Following 3 consecutive literature searches and full‐text coding by the first author (using a coding manual and coding sheet: see Appendixes S3 and S4), the final number of studies for the systematic review was 54, with 38 included in the meta‐analysis (on the basis of relevant data) . A flowchart of the study selection process can be found in Figure , with a detailed description of the search process in Appendix S5.…”

Section: Methodsmentioning

confidence: 99%

Illness representations, coping, and illness outcomes in people with cancer: a systematic review and meta-analysis

et al. 2016

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Objective Cancer is associated with negative health and emotional outcomes in those affected by it, suggesting the need to better understand the psychosocial determinants of illness outcomes and coping. The common sense model is the leading psychological model of selfregulation in the face of illness and assumes that subjective illness representations explain how people attempt to cope with illness. This systematic review and meta-analysis examines the associations of the common sense model's illness representation dimensions with health and coping outcomes in people with cancer.Methods A systematic literature search located 54 studies fulfilling the inclusion criteria, with 38 providing sufficient data for meta-analysis. A narrative review of the remaining studies was also conducted.Results Random-effects models revealed small to moderate effect sizes (Fisher Z) for the relations between illness representations and coping behaviors (in particular between control perceptions, problem-focused coping, and cognitive reappraisal) and moderate to large effect sizes between illness representations and illness outcomes (in particular between identity, consequences, emotional representations, and psychological distress). The narrative review of studies with insufficient data provided similar results. ConclusionsThe results indicate how illness representations relate to illness outcomes in people with cancer. However, more high-quality studies are needed to examine causal effects of illness representations on coping and outcomes. High heterogeneity indicates potential moderators of the relationships between illness representations and health and coping outcomes, including diagnostic, prognostic, and treatment-related variables. This review can inform the design of interventions to improve coping strategies and mental health outcomes in people with cancer. | Illness representations and the common sense modelThe common sense model of self-regulation of health and illness (CSM) 9 is a widely accepted psychological model of the processes underlying health and coping in people with chronic illness. According

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Section: Methodsmentioning

confidence: 99%

Illness representations, coping, and illness outcomes in people with cancer: a systematic review and meta-analysis

et al. 2016

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“…Furthermore, change methods derived from of the self-regulation theory [ 45 ] were applied. Previous research has demonstrated that interventions targeting cancer survivors’ behavior change, such as PA and dieting are effective when these incorporate social-cognitive theories [ 46 , 47 ]. The theoretical models explain behavior change as a dynamic process with a series of awareness, initiation, and maintenance phases that are influenced by pre-motivational (awareness and knowledge), motivational (intention, attitude, self-efficacy), and post-motivational determinants (goal setting, action, and coping planning) [ 48 – 50 ].…”

Section: Introductionmentioning

confidence: 99%

Lifestyle-related effects of the web-based Kanker Nazorg Wijzer (Cancer Aftercare Guide) intervention for cancer survivors: a randomized controlled trial

et al. 2016

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PurposeThe web-based Kanker Nazorg Wijzer (Cancer Aftercare Guide) responds to the needs of cancer survivors and oncology care providers to improve the counseling related to self-management of lifestyle and psychosocial challenges. In present study, overall intervention effects and the effects of using specific components were evaluated on vegetable, fruit, whole grain bread, and fish consumption, physical activity (PA), and smoking behavior.MethodsCancer survivors from 21 Dutch hospitals were recruited for a randomized controlled trial (N = 432). Intervention effects after 6 months were evaluated using multilevel linear regression analysis (complete cases and intention-to-treat). By conducting moderation analyses, additional effects of following the behavior-related modules were explored. The false discovery rate correction was applied to account for multiple testing.ResultsAfter 6 months, 409 participants completed follow-up (dropout = 11.5 %). Indications were found that access to the intervention may result in increases of moderate PA and vegetable intake. The moderate PA increase was meaningful: 74.74 min p/w higher increase in the intervention condition. Effect sizes of moderate PA (d = .25) and vegetable (d = .37) consumption were comparable to prior effective interventions. Visiting behavior-related modules affected moderate PA, fruit, and fish consumption. However, after correction for multiple testing, significances expired. No significant intervention effect was found on smoking behavior due to low numbers of smokers.Implications for Cancer SurvivorsAlthough the effectiveness was only shown only to a limited extend, this study provided several indications that this theory-based, comprehensive, and personalized eHealth intervention provides valuable content to complement usual cancer aftercare.

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“…Therefore, strategies to enhance physical activity are indicated (Moyad, Newton, Tunn, & Gruca, ; Nguyen et al., ; Taaffe et al., ). PCa patients show a positive attitude towards exercise programmes (Cormie et al., , Green, Steinnagel, Morris, & Laakso, ). Furthermore, a multicentre randomised controlled trial showed that a supervised exercise programme is more effective than providing educational material about physical activity (Galvao et al., ).…”

Section: Discussionmentioning

confidence: 99%

Availability of prostate cancer exercise rehabilitation resources and practice patterns in Belgium: Results of a cross-sectional study

et al. 2017

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Exercise is recommended for prostate cancer (PCa) patients treated with androgen deprivation therapy. The goal of the study was to assess the availability of hospital-based rehabilitation resources and national practice patterns for PCa in Belgium. A questionnaire was conducted with rehabilitation physical therapists in all Belgian hospital with urology and rehabilitation departments. Practice patterns were compared with the American College of Sports Medicine guidelines. PCa prevalence data were obtained from the Belgian Cancer Registry and attitude of physicians towards physical activity was documented. We included 98 Belgian hospitals. Only 25% of the PCa population had access to PCa-specific programmes. The occupancy rate of PCa-specific rehabilitation slots was 69%. The main perceived barriers to organise PCa-specific rehabilitation were existence of general programmes (40%) and low referrals (18%). All PCa programmes consisted of aerobic and resistance exercise and 62% included flexibility. Minimal criteria for frequency and duration per session were followed in 83%. The majority (89%) of physicians believed in the positive effects of supervised exercise programmes. The majority of PCa programmes follow the evidence-based guidelines except for flexibility exercises. The minority of PCa patients has access to specific programmes, although not all treatment slots are occupied.

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Health behaviour models and patient preferences regarding nutrition and physical activity after breast or prostate cancer diagnosis

Cited by 30 publications

References 46 publications

Illness representations, coping, and illness outcomes in people with cancer: a systematic review and meta-analysis

Illness representations, coping, and illness outcomes in people with cancer: a systematic review and meta-analysis

Lifestyle-related effects of the web-based Kanker Nazorg Wijzer (Cancer Aftercare Guide) intervention for cancer survivors: a randomized controlled trial

Availability of prostate cancer exercise rehabilitation resources and practice patterns in Belgium: Results of a cross-sectional study

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