scholarly journals Perception and Performance of Physical Activity Behavior after Head and Neck Cancer Treatment: Exploration and Integration of Qualitative and Quantitative Findings

Author(s):  
Martine J. Sealy ◽  
Martijn M. Stuiver ◽  
Julie Midtgaard ◽  
Cees P. van der Schans ◽  
Jan L. N. Roodenburg ◽  
...  

Maintaining or increasing physical activity (PA) may prevent loss of muscle mass and strength after completion of head and neck cancer (HNC) treatment. However, the exercise level of HNC patients may not meet PA guidelines. We aimed to explore HNC survivors’ views on PA, their report of PA, and to compare these with objectively measured PA. Combined qualitative and quantitative data of HNC survivors were explored post-treatment. Data from semi-structured interviews, questionnaires, and objective measurements of PA were collected, analyzed, and integrated. This resulted in the identification of five themes related to prioritizing, day-to-day life, intention, positive feelings, and social support, respectively, in nine HNC survivors (male: n = 5; age: 52–67 years). Objectively measured PA levels were sedentary to low. The lack of intention to increase PA may be related to HNC survivors’ perception that their current activity level is sufficient, despite low levels of measured PA. While some participants feel they need no help with PA, others are insecure about possible harms. Healthcare professionals may be able to help improve PA in HNC survivors with a tailored approach that reduces fear of harm and helps to incorporate higher intensity PA in daily activities.

2016 ◽  
Vol 41 (3) ◽  
pp. 241-248 ◽  
Author(s):  
L. Sammut ◽  
L.R. Fraser ◽  
M.J. Ward ◽  
T. Singh ◽  
N.N. Patel

2007 ◽  
Vol 39 (Supplement) ◽  
pp. S450-S451 ◽  
Author(s):  
Laura Q. Rogers ◽  
Kerry S. Courneya ◽  
Krishna Rao ◽  
Tom Robbins ◽  
James Malone ◽  
...  

BMC Cancer ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Chen-Lin Lin ◽  
Wei-Ting Lee ◽  
Chun-Yen Ou ◽  
Jenn-Ren Hsiao ◽  
Cheng-Chih Huang ◽  
...  

2008 ◽  
Vol 19 (10) ◽  
pp. 1391-1399 ◽  
Author(s):  
Michael F. Leitzmann ◽  
Corinna Koebnick ◽  
Neal D. Freedman ◽  
Yikyung Park ◽  
Rachel Ballard-Barbash ◽  
...  

2017 ◽  
Vol 36 ◽  
pp. S160-S161
Author(s):  
M.J. Sealy ◽  
M.M. Stuiver ◽  
J. Midtgaard ◽  
C.P. van der Schans ◽  
J.L. Roodenburg ◽  
...  

2009 ◽  
Vol 27 (12) ◽  
pp. 1969-1975 ◽  
Author(s):  
Sonia A. Duffy ◽  
David L. Ronis ◽  
Scott McLean ◽  
Karen E. Fowler ◽  
Stephen B. Gruber ◽  
...  

Purpose Our prior work has shown that the health behaviors of head and neck cancer patients are interrelated and are associated with quality of life; however, other than smoking, the relationship between health behaviors and survival is unclear. Patients and Methods A prospective cohort study was conducted to determine the relationship between five pretreatment health behaviors (smoking, alcohol, diet, physical activity, and sleep) and all-cause survival among 504 head and neck cancer patients. Results Smoking status was the strongest predictor of survival, with both current smokers (hazard ratio [HR] = 2.4; 95% CI, 1.3 to 4.4) and former smokers (HR = 2.0; 95% CI, 1.2 to 3.5) showing significant associations with poor survival. Problem drinking was associated with survival in the univariate analysis (HR = 1.4; 95% CI, 1.0 to 2.0) but lost significance when controlling for other factors. Low fruit intake was negatively associated with survival in the univariate analysis only (HR = 1.6; 95% CI, 1.1 to 2.1), whereas vegetable intake was not significant in either univariate or multivariate analyses. Although physical activity was associated with survival in the univariate analysis (HR = 0.95; 95% CI, 0.93 to 0.97), it was not significant in the multivariate model. Sleep was not significantly associated with survival in either univariate or multivariate analysis. Control variables that were also independently associated with survival in the multivariate analysis were age, education, tumor site, cancer stage, and surgical treatment. Conclusion Variation in selected pretreatment health behaviors (eg, smoking, fruit intake, and physical activity) in this population is associated with variation in survival.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 204-204
Author(s):  
Dottington Fullwood ◽  
Roger Fillingim ◽  
Diana Wilkie

Abstract Pain impacts wellbeing and is among the most common symptoms of cancer. Factors that decrease pain severity have been understudied despite their importance for high-quality cancer care. The study purpose was to describe pain alleviating factors and their association with type of cancer. This secondary comparative analysis included 579 participants from studies of inpatients and outpatients with cancer (mean age=58.7±12.3; 27.3% female; 85.5% White, 5.7% Black, 7.6% Other). They completed the McGill Pain Questionnaire on paper or a tablet computer. To determine factors that alleviated pain, we focused on the open-ended question: 1) What kinds of things relieve your pain? We coded text responses into six outcome categories: 1) Activity level, 2) Cognitive, 3) Environmental, 4) Medical, 5) Physical, and 6) Sedentary behavior. We counted the number of activities/factors in each category and conducted multivariable regression analysis adjusting for sociodemographic constructs. Adjusted models revealed that activity (ρ=0.02), cognition (ρ<0.001) and medication (ρ<0.001) were more often endorsed as alleviating factors among individuals living with lung cancer compared to head and neck cancer participants. Those diagnosed with lung cancer (ρ=0.02) and males (ρ=0.02) utilized significantly less physical alleviating factors than head and neck cancer individuals and females. This is the first study to examine pain-alleviating factors among individuals living with cancer. These findings contribute new information regarding activities that alleviate pain among cancer survivors. These findings could inform interventions to promote safe, personalized care designed to alleviate cancer-pain.


2020 ◽  
Author(s):  
Justin R Smith ◽  
Torres Woolley ◽  
Amy Brown ◽  
Venkat Vangaveti ◽  
Madhavi Chilkuri

Abstract Background This study investigated the smoking behaviours and cessation rates of head and neck cancer patients and explored the barriers and facilitators to cessation. Methods A mixed methods sequential explanatory design was utilised. The quantitative data was collected through surveys prior to treatment commencement. The current smokers were followed up after treatment to determine their smoking status. One-on-one, semi-structured interviews were then conducted. Results A total of 64 participants were recruited. Participants who were current smokers were more likely to live in a rural location (p = 0.015), have lower education (p = 0.047), and report reduced social and family well-being (p = 0.005) when compared with those who were former or never smokers. The 7-day point prevalence cessation rate was 72% at 1-month follow-up and 67% at 3 months, while continuous smoking cessation was 54% at 1 month and 42% at 3 months. Participants who continued smoking were found to consume more alcohol (p = 0.032) and have higher psychological distress (p = 0.052). Qualitative analysis revealed 5 key themes associated with smoking cessation: the teachable moment of a cancer diagnosis and treatment, willpower and cessation aids, psychosocial environment, relationship with alcohol and marijuana, and health knowledge and beliefs surrounding smoking and cancer. Conclusion This study demonstrates that the majority of head and neck cancer patients are able to achieve smoking cessation, but relapses are common. Future cessation programs should be comprehensive, sustained and address co-morbid factors such as alcohol, marijuana and depression.


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