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

Abstract

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.