I.CAN: health coaching provides tailored nutrition and physical activity guidance to people diagnosed with cancer in a rural region in West Gippsland, Australia

Ristevsk, E; Trinh, Thi; Vo, Ngan; Byrne, Alison; Jamieson, Philip; Greenall, A; Barber, Georgina; Román, Ana; Schmidt, Ulla

doi:10.1007/s11764-019-00818-1

Cited by 11 publications

(20 citation statements)

References 10 publications

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“…Non-metropolitan survivors desired accountability and allied health professionals' (dieticians, exercise physiologists, coaches) and group support, while metropolitan survivors focused on doctors' support. This disparity has not been recognised previously, although research in rural survivors indicates insu cient social and health professional support [9,25], reduced access to health professionals [29], and potential for health coaching [24,30]. Non-metropolitan survivors reported physical environment, cost, and accessibility to facilities as barriers, especially concerning physical activity.…”

Section: Discussionmentioning

confidence: 95%

Metropolitan and Non-Metropolitan Cancer Survivors’ Health Behaviour Change Barriers and Desired Supports

Maxwell-Smith

Cohen

Platell

et al. 2022

Preprint

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Purpose. Cancer survivors are at risk of comorbidities, with those in non-metropolitan areas being particularly susceptible. Survivors identify unique barriers and supports to facilitate change, which may differ across survivors’ geographical classification. Methods. Survivors from metropolitan (n = 103) and non-metropolitan (n = 80) areas in Australia described barriers and suggested supports for physical activity and dietary change via open-ended survey items. Responses underwent thematic analysis. Results. Survivors’ barriers were primarily motivational and social. Survivors suggested change supports that corresponded with barriers, encompassing accountability, information from health professionals, and supportive social environments. Non-metropolitan survivors expressed logistical barriers and desired health professionals’ support. Conclusion. Novel insights have revealed the importance of social influences in supporting behavioural change. As poor motivation was a primary barrier across health behaviours and locations, programs may focus on strengthening commitment for change and harnessing the value of local support networks.

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Section: Discussionmentioning

confidence: 95%

Metropolitan and Non-Metropolitan Cancer Survivors’ Health Behaviour Change Barriers and Desired Supports

Maxwell-Smith

Cohen

Platell

et al. 2022

Preprint

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“…Exercise training included supervised and/or home-based walking and/or resistance training. Although there is growing interest in multidisciplinary care plans for cancer patients, acknowledging the potential beneficial effects of these interventions on patients' quality of life, a limited number of studies have examined the effectiveness of these interventions in upper GI cancers to date [30][31][32].…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Nutrition Interventions Combined with Exercise in Upper Gastrointestinal Cancers: A Systematic Review

et al. 2021

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Malnutrition and muscle wasting are associated with impaired physical functioning and quality of life in oncology patients. Patients diagnosed with upper gastrointestinal (GI) cancers are considered at high risk of malnutrition and impaired function. Due to continuous improvement in upper GI cancer survival rates, there has been an increased focus on multimodal interventions aimed at minimizing the adverse effects of cancer treatments and enhancing survivors’ quality of life. The present study aimed to evaluate the effectiveness of combined nutritional and exercise interventions in improving muscle wasting, physical functioning, and quality of life in patients with upper GI cancer. A comprehensive search was conducted in MEDLINE, EMBASE, Web of Science, Cochrane Library, and CINHAL. Of the 4780 identified articles, 148 were selected for full-text review, of which 5 studies met the inclusion criteria. Whilst reviewed studies showed promising effects of multimodal interventions on physical functioning, no significant differences in postoperative complications and hospital stay were observed. Limited available evidence showed conflicting results regarding the effectiveness of these interventions on preserving muscle mass and improving health-related quality of life. Further studies examining the impact of nutrition and exercise interventions on upper GI patient outcomes are required and would benefit from reporting a core outcome set.

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“…The median sample size was 91 (range, 23 to 160). Four studies were based in rural areas in the United States (36)(37)(38)(39), and three studies were based in rural areas in Australia (40)(41)(42). Five studies conducted RCTs (37-41), and the remaining two studies used a prepost design (36,42).…”

Section: Study Characteristicsmentioning

confidence: 99%

Effectiveness of Physical Activity Interventions among Rural Cancer Survivors: A Systematic Review and Meta-Analysis

Mama

López-Olivo

Bhuiyan

et al. 2021

Cancer Epidemiology, Biomarkers &Amp; Prevention

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This review estimated the effectiveness of behavior change interventions to increase physical activity (PA) among rural adult cancer survivors. PubMed Medline, CINAHL, and PsychINFO were systematically searched through July 2020. Two independent investigators screened citations to identify studies to increase PA in adults residing in rural areas who had received any cancer diagnosis. Meta-analyses were conducted to assess proportion of participants achieving PA goal, paired mean difference (MD) in aerobic PA and strength training, and retention from baseline to post-intervention. Seven studies met inclusion criteria encompassing a total of 722 participants (591 in intervention and 131 controls). Overall quality of evidence was low to medium. The pooled proportion of participants achieving PA goals (150–225 min/wk) was 39% [95% confidence interval (CI), 18%–62%]. The mean time spent engaging in aerobic PA increased from baseline to post-intervention (range, 6–52 weeks) by 97.7 min/wk (95% CI, 75.0–120.4), and the MD in time spent on strength training was 12.2 min/wk (95% CI, −8.3–32.8). The pooled retention rate was 82% (95% CI, 69%–92%) at 6 to 78 weeks. Because of the modest intervention effects, low quality of evidence, and small number of studies, further rigorously designed behavior change interventions, including randomized controlled trials with long-term follow up, are needed to confirm efficacy for increasing PA in rural cancer survivors and to test innovative implementation strategies to enhance reach and effectiveness.

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I.CAN: health coaching provides tailored nutrition and physical activity guidance to people diagnosed with cancer in a rural region in West Gippsland, Australia

Cited by 11 publications

References 10 publications

Metropolitan and Non-Metropolitan Cancer Survivors’ Health Behaviour Change Barriers and Desired Supports

Metropolitan and Non-Metropolitan Cancer Survivors’ Health Behaviour Change Barriers and Desired Supports

The Effectiveness of Nutrition Interventions Combined with Exercise in Upper Gastrointestinal Cancers: A Systematic Review

Effectiveness of Physical Activity Interventions among Rural Cancer Survivors: A Systematic Review and Meta-Analysis

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