Survivorship care plans and adherence to lifestyle recommendations among breast cancer survivors
| Autor: | Dawn L. Hershman, Kevin Kalinsky, Katherine D. Crew, Lois Brafman, Wei-Yann Tsai, Christine L. Sardo Molmenti, Heather Greenlee, Danielle Awad, Alfred I. Neugut, D. Fuentes, Zaixing Shi |
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| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Breast Neoplasms Health informatics Patient Care Planning 03 medical and health sciences 0302 clinical medicine Breast cancer Survivorship curve Care plan parasitic diseases Medicine Humans 030212 general & internal medicine Survivors Survival rate Exercise Life Style Quality of Life Research Oncology (nursing) business.industry Life style Public health Middle Aged medicine.disease humanities Survival Rate Oncology 030220 oncology & carcinogenesis Family medicine Physical therapy Female business |
| Zdroj: | Journal of cancer survivorship : research and practice. 10(6) |
| ISSN: | 1932-2267 |
| Popis: | The effectiveness of survivorship care plans has not been widely tested. We evaluated whether a one-time brief lifestyle consultation as part of a broader survivorship care plan was effective at changing diet and lifestyle patterns.A diverse sample of women with stage 0-III breast cancer were randomized to control or intervention groups within 6 weeks of completing adjuvant treatment. Both groups received the National Cancer Institute publication, "Facing Forward: Life after Cancer Treatment." The intervention group also met with a nurse (1 h) and a nutritionist (1 h) to receive personalized lifestyle recommendations based upon national guidelines. Diet, lifestyle, and perceived health were assessed at baseline, 3 and 6 months. Linear regression analyses evaluated the effects of the intervention adjusted for covariates.A total of 126 women completed the study (60 control/66 intervention, 61 Hispanic/65 non-Hispanic). At 3 months, the intervention group reported greater knowledge of a healthy diet (P = 0.047), importance of physical activity (P = 0.03), and appropriate use of dietary supplements (P = 0.006) and reported lower frequency of alcohol drinking (P = 0.03) than controls. At 6 months, only greater knowledge of a healthy diet (P = 0.01) persisted. The intervention was more effective among non-Hispanics than Hispanics on improving attitude towards healthy eating (P = 0.03) and frequency of physical activity (P = 0.006).The intervention changed lifestyle behaviors and knowledge in the short-term, but the benefits did not persist.Culturally competent long-term behavioral interventions should be tested beyond the survivorship care plan to facilitate long-term behavior change among breast cancer survivors. |
| Databáze: | OpenAIRE |
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