Grasping the 'teachable moment': time since diagnosis, symptom burden and health behaviors in breast, colorectal and prostate cancer survivors

Background A cancer diagnosis may provide a ‘teachable moment’ in cancer recovery. To better understand factors influencing lifestyle choices following diagnosis, we examined associations between time since diagnosis and symptom burden with recommended dietary (e.g., five or more fruit/vegetable ser...

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Vydané v:Psycho-oncology (Chichester, England) Ročník 24; číslo 10; s. 1250 - 1257
Hlavní autori: Bluethmann, Shirley M., Basen-Engquist, Karen, Vernon, Sally W., Cox, Matthew, Gabriel, Kelley Pettee, Stansberry, Sandra A., Carmack, Cindy L., Blalock, Janice A., Demark-Wahnefried, Wendy
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: England Blackwell Publishing Ltd 01.10.2015
Wiley Subscription Services, Inc
Predmet:
Behavior
Breast cancer
Burden
Cancer
Consumption
Diet
Exercise
Fruit
Grasping
Health behavior
Health education
Health promotion
Healthy food
Latin American cultural groups
lifestyle behaviors
Lifestyles
Medical diagnosis
Medical treatment
Moderated
oncology
Physical activity
Physical fitness
Prostate
Prostate cancer
Proximity
psychosocial
Recovery
Regression analysis
Respondents
Smoking
Survivor
survivors
Symptoms
Time
Tobacco
United States > US
symptoms
psychosocial
lifestyle behaviors
survivors
oncology
ISSN:1057-9249, 1099-1611
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Shrnutí:Background A cancer diagnosis may provide a ‘teachable moment’ in cancer recovery. To better understand factors influencing lifestyle choices following diagnosis, we examined associations between time since diagnosis and symptom burden with recommended dietary (e.g., five or more fruit/vegetable servings/day), physical activity (e.g., >150 active min, 3–5 times/week), and smoking behaviors (i.e., eliminate tobacco use) in cancer survivors. Methods We analyzed cross‐sectional survey data collected from breast (n = 528), colorectal (n = 106), and prostate (n = 419) cancer survivors following active treatment at The University of Texas MD Anderson Cancer Center. Four regression models were tested for behaviors of interest. Additionally, we assessed symptom burden as a potential moderator and/or mediator between time since diagnosis and behaviors. Results Respondents were mostly female (55%) and non‐Hispanic White (68%) with a mean age of 62.8 ± 11.4 years and mean time since diagnosis of 4.6 ± 3.1 years. In regression models, greater time since diagnosis predicted lower fruit and vegetable consumption (B = −0.05, p = 0.02) and more cigarette smoking (B = 0.06, p = 0.105). Greater symptom burden was a significant negative predictor for physical activity (B = −0.08, p < .001). We did not find evidence that symptom burden moderated or mediated the association between time since diagnosis and health behaviors. Conclusion We assessed the prevalence of recommended behaviors in the context of other challenges that survivors face, including time since diagnosis and symptom burden. Our results provide indirect evidence that proximity to a cancer diagnosis may provide a teachable moment to improve dietary and smoking behaviors and that symptom burden may impede physical activity following diagnosis. Copyright © 2015 John Wiley & Sons, Ltd.
Bibliografia:ark:/67375/WNG-HRRMGP58-C
National Cancer Institute - No. R25CA57712
Susan G. Komen Foundation - No. KG111378
ArticleID:PON3857
istex:5D20670D501F956BD9B59D0B9CD8111DC1CF7285
Patient-reported Outcomes, Survey & Population Research Shared Resource - No. CA016672
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Dr. Bluethmann is now a Cancer Prevention Fellow at the National Cancer Institute
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.3857