Reducing lifestyle risk in <scp>C</scp>hildhood <scp>C</scp>ancer <scp>S</scp>urvivors

Siegel, Robert; Lockhart, Mary Kate; Kist, Christopher

doi:10.1111/apa.13113

Cited by 6 publications

(4 citation statements)

References 10 publications

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“…With regard to the timing of delivery, the largest proportion of respondents believed lifestyle advice should first be provided to TYA cancer patients during treatment. This finding is consistent with emerging evidence that healthy lifestyle behaviours during treatment have a positive impact on quality of life and could influence cancer outcomes among young people [33,34].…”

Section: Discussionsupporting

confidence: 91%

Lifestyle advice provision to teenage and young adult cancer patients: the perspective of health professionals in the UK

Pugh

Hough

Gravestock

et al. 2017

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Section: Discussionsupporting

confidence: 91%

Lifestyle advice provision to teenage and young adult cancer patients: the perspective of health professionals in the UK

Pugh

Hough

Gravestock

et al. 2017

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“…The primary aim of this study was to compare the health behaviours of young people with cancer to general population controls. Our results indicate that, despite the importance of health behaviour in cancer survivorship [27][28][29], young people with cancer in the UK have a similar health behaviour status to their peers in that they are largely inactive, consume diets low in fibre, lean meat and fruit and vegetables and regularly binge on alcohol. Nevertheless, reassuringly, a high proportion of TYA cancer patients and survivors held a desire to make positive lifestyle changes, specifically to be more active and have a healthier diet.…”

Section: Discussionmentioning

confidence: 73%

The health behaviour status of teenage and young adult cancer patients and survivors in the United Kingdom

Pugh

Hough

Gravestock³

et al. 2019

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Purpose The primary aim of this study was to investigate the health behaviour status of teenage and young adult (TYA) cancer patients and survivors; the secondary aim was to determine if TYA cancer patients and survivors health behaviour differs to general population controls. Methods Two hundred sixty-seven young people with cancer (n =83 cancer patients receiving active treatment: n =174 cancer survivors, 57.1% >1 year since treatment completion) and 321 controls completed a health and lifestyle questionnaire which included validated measures of physical activity (PA) (Godin Leisure Time Exercise Questionnaire), diet (Dietary Instrument for Nutrition Education, DINE), smoking status, and alcohol consumption (AUDIT-C). Results General population controls and cancer survivors were more likely to meet current (PA) recommendations (p <0.001) than TYA cancer patients undergoing treatment (54.8% vs 52.3% vs 30.1%, respectively). Less than 40% of young people with cancer and controls met fat intake, sugar intake, fibre intake or current fruit and vegetable recommendations. TYA cancer survivors were more likely to report binge drinking than controls (OR=3.26, 95% CI 2.12-5.02, p <0.001). Very few young people with in the study were current smokers. The majority of TYA cancer patients and survivors reported a desire to make positive changes to their health behaviour. Conclusion Consideration should be given to whether existing health behaviour change interventions which have demonstrated positive effects among the general TYA population could be adapted for young people with cancer.

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“…There is need to develop strategies to reduce treatment-related side effects and preserve health-related quality of life. Trial data from adult patients with solid tumors suggest that positive health-promoting behaviors (particularly physical activity [PA]) can improve multiple outcomes after diagnosis and may reduce the impact of treatment-related toxicities 4–6 . There is also evidence that health-risk behaviors (eg, smoking, excessive alcohol consumption, and sun exposure) may be particularly harmful for TYAs after a cancer diagnosis.…”

Section: Introductionmentioning

confidence: 99%

“…Trial data from adult patients with solid tumors suggest that positive health-promoting behaviors (particularly physical activity [PA]) can improve multiple outcomes after diagnosis and may reduce the impact of treatment-related toxicities. [4][5][6] There is also evidence that health-risk behaviors (eg, smoking, excessive alcohol consumption, and sun exposure) may be particularly harmful for TYAs after a cancer diagnosis. Although more trials in TYAs are required, the strength of current evidence has prompted professional organizations, such as the Children's Oncology Group, to now provide lifestyle recommendations for TYAs.…”

Section: Introductionmentioning

confidence: 99%

Health Professionals’ Views on Lifestyle Advice Delivery to Teenage and Young Adult Cancer Patients

et al. 2020

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Background: Many health professionals working with teenage and young adult cancer patients (TYA-HPs) do not provide advice on physical activity, dietary intake, smoking cessation, and alcohol consumption as part of routine cancer care. Objective: The aim of this study was to understand TYA-HPs' perspectives on the provision of health behavior advice and preferences on an intervention to help develop their health promotion skills.Methods: In-depth, semistructured interviews were conducted with 26 TYA-HPs ( 12nurses, 8 clinicians, and 6 allied health professionals) whose average time working with teenage and young adult (TYA) cancer patients was 8 years. Each interview followed the same semistructured guide, which was based upon constructs of the COM-B model of behavior change (capability, physical opportunity, social opportunity, reflective motivation, and automatic motivation), transcribed verbatim, and analyzed using the Framework analysis. Results: Overall, TYA-HPs recognized the value and importance of promoting health behaviors but felt that their capability to provide health behavior advice was limited by the availability of, and access to, good-quality evidence linking health behavior to cancer outcomes. The TYA-HPs expressed confusion over professional

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Reducing lifestyle risk in Childhood Cancer Survivors

Cited by 6 publications

References 10 publications

Lifestyle advice provision to teenage and young adult cancer patients: the perspective of health professionals in the UK

Lifestyle advice provision to teenage and young adult cancer patients: the perspective of health professionals in the UK

The health behaviour status of teenage and young adult cancer patients and survivors in the United Kingdom

Health Professionals’ Views on Lifestyle Advice Delivery to Teenage and Young Adult Cancer Patients

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