Healthy Lifestyle Behaviors of Breast Cancer Survivors

2014 ◽  
Vol 24 (5) ◽  
pp. 504-525 ◽  
Author(s):  
Carol DeNysschen ◽  
Jean K. Brown ◽  
Mark Baker ◽  
Gregory Wilding ◽  
Sheldon Tetewsky ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Healthy Lifestyle ◽  
Lifestyle Behaviors ◽  
Healthy Lifestyle Behaviors

Breast cancer survivors’ motivation to perform preventive health behaviors: An application of the protection motivation theory.

2011 ◽  
Vol 29 (27_suppl) ◽  
pp. 251-251
Author(s):  
I. Mohamed ◽  
T. Jordan ◽  
M. Coman
Keyword(s):  
Breast Cancer ◽  
Health Behaviors ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Healthy Lifestyle ◽  
Preventive Health ◽  
Fear Of Recurrence ◽  
Lifestyle Behaviors ◽  
Preventive Health Behaviors ◽  
Healthy Lifestyle Behaviors

251 Background: Little is known about what motivates breast cancer survivors to engage in preventive health behaviors to prevent recurrence of breast cancer. The primary objective was to assess how survivors’ fear of recurrence, spirituality, and perceptions of risk and coping appraisal were associated with their motivation to perform healthy lifestyle and cancer screening behaviors. Methods: A reliable and valid questionnaire was developed. An a priori power analysis indicated that a minimum of 386 completed surveys were needed for adequate statistical power. Based on an estimated 50% return rate, the investigators randomly selected a state-wide sample of 800 survivors from Ohio. A 3-wave mailing was used to increase response rate. Results: 559 surveys were completed (72%). Respondents with higher perceived risks of recurrence were more motivated to perform healthy lifestyle behaviors than those with lower perceived risks (t=2.51, df=521, p=.039). Most (>70%) agreed that healthy lifestyle behaviors such as regular exercise reduce one’s risk of recurrence. Only 43% exercised regularly. Only 54% reported their doctor discussed how to reduce the risk of recurrence. Survivors who were satisfied with their physician’s communication exercised more regularly than those who were not satisfied (chi-square =13.09, p=.016, df=5). Cancer survivors with a high level of motivation and high level of behavioral intentions were more likely to be engaging in preventive health and cancer screening behaviors. Higher levels of spirituality were positively correlated with a higher level of motivation to engage in preventive health behaviors (r=.345, n=468, p<0.001). Conclusions: This study provides strong evidence that the Protection-Motivation Theory (PMT) helps to explain certain factors that impact survivors’ motivation and behavioral intentions to engage in healthy lifestyle behaviors and follow up screening tests. When developing programs for breast cancer survivors, health professionals should consider incorporating spirituality, fear of recurrence, and the constructs of the PMT.

scholarly journals The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea

2021 ◽  
Vol 27 (3) ◽  
pp. 243-255
Author(s):  
Su-Jin Seo ◽  
Ju-Hee Nho ◽  
Youngsam Park
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Mobile Application ◽  
Breast Cancer Survivors ◽  
Lifestyle Modification ◽  
Healthy Lifestyle ◽  
Cancer Recurrence ◽  
Bulletin Board ◽  
Design Development

Purpose: This study aimed to develop a lifestyle modification (LSM) mobile application based on the Android operating system for overweight and obese breast cancer survivors (BCS) in Korea and evaluate its usability.Methods: The content analysis, design, development, implementation, and evaluation of the LSM intervention mobile application for overweight and obese BCS was conducted by identifying survivors’ needs, searching the literature, and reviewing existing mobile applications. The survey was conducted from June 1 to December 28, 2020 at Jeonju city, Korea.Results: The mobile application for BCS included dietary and exercise information, weight logs, as well as distress and daily achievement check. It also included information and videos on the prevention of breast cancer recurrence and used a communication bulletin board. Expert and user usability evaluation of its content and functions confirmed that it was appropriate and satisfactory for overweight and obese BCS.Conclusion: This LSM mobile application developed for overweight and obese BCS was found to be appropriate for use. It can be applied for further study of effectiveness on improving their health and maintaining a healthy lifestyle, to ultimately improve quality of life.

Impact of Young and Strong on physical activity in young breast cancer survivors.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 175-175
Author(s):  
Jennifer A. Ligibel ◽  
William Thomas Barry ◽  
Kathryn Jean Ruddy ◽  
Mary Greaney ◽  
Shoshana M. Rosenberg ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Cancer Survivors ◽  
Young Women ◽  
Breast Cancer Survivors ◽  
Physical Activity Intervention ◽  
Healthy Lifestyle ◽  
Randomized Study ◽  
Significant Difference ◽  
Young Breast Cancer

175 Background: Inactivity is common in breast cancer survivors and has been linked to poor outcomes. Few trials have tested physical activity (PA) interventions in young women with breast cancer, who may face unique PA barriers due to demands of jobs and young families. Methods: Young and Strong was a cluster-randomized study evaluating the effect of education interventions for young breast cancer survivors.Sites were randomized 1:1 to a young women’s intervention (YWI), focused on fertility and other issues facing young women, or to a physical activity intervention (PAI). At PAI sites, providers were instructed to discuss PA with patients, and participants were given materials to encourage PA. PA was measured with the modified Godin Leisure Score Index at baseline, and 3, 6, and 12 months. Medical records were reviewed to assess provider attention to PA. Changes in weekly min of PA were compared between the PAI and YWI groups using general estimating equations to evaluate clustered binary and Gaussian data. Results: 467 patients enrolled between 7/12 -12/13 across 54 sites. Median age at dx was 40yrs (range 22-45). At baseline, participants were moderately active. PA increased in both groups over time (Table); there was no significant difference in PA between groups at any time (all p > 0.1). Provider attention to PA was documented in 74% of participants on PAI and 61% on YWI (p = 0.15), and correlated with PA at 12 months (median 100 min/wk of PA in participants with provider attention to PA vs. 60 min/wk in those without, p = 0.016). Participants who reported reading all or most the PAI materials reported higher levels of PA vs. those who read less (78% vs. 64%, p = 0.05) Conclusions: Young breast cancer survivors assigned to a PA intervention did not increase PA more than those assigned to an intervention focused on young women’s issues. However, the higher levels of PA among women who engaged with the PAI materials and those whose oncology providers addressed PA suggests the importance of enhancing patient and provider engagement with healthy lifestyle information and recommendations. Clinical trial information: NCT01647607. [Table: see text]

scholarly journals Design and implementation of a standard care programme of therapeutic exercise and education for breast cancer survivors

2021 ◽  
Author(s):  
Cristina Roldán-Jiménez ◽  
Bella Pajares ◽  
Sofía Ruiz-Medina ◽  
Manuel Trinidad-Fernández ◽  
Manuel González-Sánchez ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Real World ◽  
Clinical Setting ◽  
Breast Cancer Survivors ◽  
Healthy Lifestyle ◽  
Therapeutic Exercise ◽  
Nutritional Education ◽  
Care Programme ◽  
Referral Compliance

Abstract Background Breast cancer survivors (BCS) face several symptoms and are at higher risk of weight gain following diagnosis. Current literature shows that both exercise and diet play a key role in recovery of BCS. However, there is a gap between current guidelines and the real-world context. The aim of this article is to describe the process behind a free, not-for-profit community-based therapeutic exercise and education programme (TEEP) for BCS in the clinical setting. Methods The “Onco-Health Club” (OHC) consists of therapeutic exercise (TE) intervention aimed at ameliorating cancer-related fatigue (CRF) and improving QoL and physical function. TE is supplemented with nutritional education, providing information about the Mediterranean diet. To this end, patients are recruited from an oncologist and are referred to a physiotherapist and a nutritionist for baseline assessment. TEEP consists of a 3-month intervention, delivered twice a week in a group format with 1 h of TE and 30 min of nutritional education. BCS then have a final assessment and are advised to continue with a healthy lifestyle. Data about referral, compliance and assessment were collected. Results From May 2017 to February of 2020, a total of 158 patients were recruited from 8 cohorts and 142 initially started the OHC. From 119 that joined the program, 96 patients were considered to have finished it with good adherence (assistance > 80%). BCS significantly improved their QoL, as well as upper and lower limb’s function, and increased their level of physical activity. CRF tended to decrease (p = 0.005). Conclusions This study obtained data on recruitment, compliance, and possible limitations of these kinds of programmes in a real-world context. Further research is needed in order to optimize patient engagement and compliance, as well as to determine the transferability of these programmes in the clinical setting. Trial registration NCT03879096, Registered 18th March 2019. Retrospectively registered.

scholarly journals Physical activity and body weight of breast cancer survivors – VICAN national survey

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Rey ◽  
R Touzani ◽  
A Monet ◽  
M K Bendiane ◽  
A D Bouhnik ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Healthy Lifestyle ◽  
Well Being ◽  
Healthy Habits ◽  
Mental Well Being

Abstract Background Cancer recurrence and poor quality of life are major challenges of the growing population of breast cancer (BC) survivors. International guidelines encourage survivors to engage in regular physical activity (PA) and to maintain a healthy body weight (BW), as both have a proven benefit on survival. Our aims were (1) to describe PA and BW 5 years after a BC diagnosis and (2) to define the predictors of long-term engagement in healthy lifestyle, in a representative sample of French survivors. Methods The French National VICAN surveys were implemented in 2012 and 2015 among cancer survivors. This analysis focused on 723 women with BC, without progression at 5 years, and who participated in both surveys. The questionnaires dealt with several topics including socioeconomic status, treatments and side effects, psychometric scales and lifestyle habits. Results Five years after diagnosis, 26% of women reported regular PA, 61% occasional PA and 14% no PA. Moreover, 27% reported a weight gain ≥5kg, and 10% a weight loss ≥5kg. Half of the women had decreased or stopped PA since diagnosis. In logistic regression, long-term regular PA was associated with better mental quality of life (aOR=1.04; 1.01-1.07), no depression (aOR=3.42; 1.21-9.65), higher Post Traumatic Growth Inventory score (aOR=1.02; 1.01-1.04), normal arm mobility (aOR=3.7; 1.6-8.4) and healthy and stable BW since diagnosis (aOR=4.47; 1.61-12.37). Weight gain ≥5kg was associated with younger age (aOR=0.96; 0.93-0.99), higher BW at diagnosis (aOR=1.02; 1.01-1.04), and lymphedema 5 years after diagnosis (aOR=1.69; 1.02-2.83). Conclusions For BC survivors, mental well-being is essential for successful long-term investment in healthy habits. More psychological and dietary support, and a better management of sequelae are needed in this population. Key messages For breast cancer survivors, mental well-being is essential for successful long-term investment in healthy habits. More psychological and dietary support, and better sequelae management are needed to help breast cancer survivors to persist in healthy lifestyle.

scholarly journals Improving Lifestyle Behaviors After Breast Cancer Treatment Among African American Women With and Without Diabetes: Role of Health Care Professionals

2020 ◽  
Author(s):  
Soghra Jarvandi ◽  
Maria Pérez ◽  
Julie Margenthaler ◽  
Graham A Colditz ◽  
Matthew W Kreuter ◽  
...  
Keyword(s):  
Breast Cancer ◽  
African American ◽  
Health Professionals ◽  
Healthy Lifestyle ◽  
Dietary Advice ◽  
Lifestyle Behaviors ◽  
Breast Cancer Patients ◽  
Diet And Exercise ◽  
Healthy Lifestyle Behaviors

Abstract Background Little is known about the effect of health professionals’ advice on promoting healthy lifestyle behaviors (diet and exercise) among breast cancer patients. Purpose To identify predictors of receiving lifestyle advice from health professionals and its impact on healthy lifestyle behaviors. Methods We used data from a randomized controlled trial of an interactive, cancer-communication video program using African American breast cancer survivor stories for newly diagnosed African American breast cancer patients (Stages 0–III). Participants completed five interviews over 2 years. This intervention did not significantly affect changes in quality-of-life outcomes. In secondary analysis, we examined differences in baseline variables between women with and without diabetes. Logistic regression models identified independent predictors of receiving advice from “a doctor or other health professional” to improve diet and exercise and of self-reported change in diet and exercise habits at 2 year follow-up. Results Of 193 patients included (85% of 228 enrolled), 53 (28%) had diabetes. At 2 year follow-up, a greater proportion of women with (vs. without) diabetes reported receiving advice by a doctor/health professional to improve their diet (73% vs. 57%, p = .04,). Predictors of receiving dietary advice were obesity, diabetes, and breast-conserving surgery (each p &lt; .05). Women receiving dietary advice were 2.75 times more likely to report improving their diet (95% confidence interval: 1.17, 6.46) at follow-up, but receiving physical activity advice was not significantly associated with patients reporting an increase in exercise. Conclusions Although receiving dietary advice predicted dietary improvements, receiving exercise advice did not lead to an increase in physical activity. Clinical Trial Registration Trial Number NCT00929084.

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