Barriers, facilitators, and other factors associated with health behaviors in childhood, adolescent, and young adult cancer survivors: A systematic review.

Autor: de Beijer IAE; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Bouwman E; Department of Hematology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands., Mulder RL; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Steensma P; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Brown MC; Population Health Sciences Institute, Centre for Cancer, Newcastle University, Newcastle upon Tyne, UK., Araújo-Soares V; Center for Preventive Medicine and Digital Health, Department for Prevention, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany., Balcerek M; Department of Pediatric Oncology and Hematology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany., Bardi E; St Anna Children's Hospital, Vienna, Austria.; Department of Pediatric and Adolescent Medicine, Kepler University Clinic, Linz, Austria., Falck Winther J; Childhood Cancer Research Group, Danish Cancer Society Research Center, Copenhagen, Denmark.; Department of Clinical Medicine and Faculty of Health, Aarhus Universitet, Aarhus, Denmark., Frederiksen LE; Childhood Cancer Research Group, Danish Cancer Society Research Center, Copenhagen, Denmark., van Gorp M; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Oberti S; DOPO clinic, Department of Hematology/Oncology, IRCCS Istituto Giannina Gaslini, Genoa, Italy., van Kalsbeek RJ; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Kepak T; International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic., Kepakova K; International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic., Gsell H; Childhood Cancer International Europe, Vienna, Austria., Kienesberger A; Childhood Cancer International Europe, Vienna, Austria., van Litsenburg R; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Mader L; Childhood Cancer Research Group, Danish Cancer Society Research Center, Copenhagen, Denmark.; Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland., Michel G; Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland., Muraca M; DOPO clinic, Department of Hematology/Oncology, IRCCS Istituto Giannina Gaslini, Genoa, Italy., van den Oever SR; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., van der Pal HJH; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.; PanCare, Bussum, The Netherlands., Roser K; Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland., Skinner R; Great North Children's Hospital, Royal Victoria Infirmary, Newcastle Upon Tyne, UK.; Translational and Clinical Research Institute, Wolfson Childhood Cancer Research Centre, Newcastle Upon Tyne, UK., Stolman I; Department of Hematology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands., Uyttebroeck A; Department of Oncology, Paediatric Oncology, KU Leuven, Department of Paediatric Haematology and Oncology, University Hospitals Leuven, Leuven, Belgium., Kremer LCM; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.; Department of Paediatrics, Emma Children's Hospital, Amsterdam, The Netherlands.; Faculty of Medicine, Utrecht University and Utrecht Medical Center, Utrecht, The Netherlands., Loonen J; Department of Hematology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands., van Dalen EC; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Pluijm SMF; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Jazyk: angličtina
Zdroj: Cancer medicine [Cancer Med] 2024 Jun; Vol. 13 (12), pp. e7361.
DOI: 10.1002/cam4.7361
Abstrakt: Background: Healthy behaviors are paramount in preventing long-term adverse health outcomes in childhood, adolescent, and young adult (CAYA) cancer survivors. We systematically reviewed and synthesized existing literature on barriers, facilitators, and other factors associated with health behaviors in this population.
Methods: MEDLINE and PsycInfo were searched for qualitative and quantitative studies including survivors aged 16-50 years at study, a cancer diagnosis ≤25 years and ≥2 years post diagnosis. Health behaviors included physical activity, smoking, diet, alcohol consumption, sun exposure, and a combination of these behaviors (defined as health behaviors in general).
Results: Barriers, facilitators, and other factors reported in ≥2 two studies were considered relevant. Out of 4529 studies, 27 were included (n = 31,905 participants). Physical activity was the most frequently examined behavior (n = 12 studies), followed by smoking (n = 7), diet (n = 7), alcohol (n = 4), sun exposure (n = 4), and health behavior in general (n = 4). Relevant barriers to physical activity were fatigue, lack of motivation, time constraints, and current smoking. Relevant facilitators were perceived health benefits and motivation. Influence of the social environment and poor mental health were associated with more smoking, while increased energy was associated with less smoking. No relevant barriers and facilitators were identified for diet, alcohol consumption, and sun exposure. Barriers to healthy behavior in general were unmet information needs and time constraints whereas lifestyle advice, information, and discussions with a healthcare professional facilitated healthy behavior in general. Concerning other factors, women were more likely to be physically inactive, but less likely to drink alcohol and more likely to comply with sun protection recommendations than men. Higher education was associated with more physical activity, and lower education with more smoking.
Conclusion: This knowledge can be used as a starting point to develop health behavior interventions, inform lifestyle coaches, and increase awareness among healthcare providers regarding which survivors are most at risk of unhealthy behaviors.
(© 2024 The Author(s). Cancer Medicine published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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