Health behavior changes in African American family members facing lung cancer: Tensions and compromises

McDonnell, Karen Kane; Owens, Otis L.; Messias, DeAnne K. Hilfinger; Heiney, Sue P.; Friedman, Daniela B.; Campbell, Callie; Webb, Lisa A.

doi:10.1016/j.ejon.2018.12.002

Cited by 14 publications

(24 citation statements)

References 29 publications

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“…Prolonged stress related to caregiving has been shown to increase physical impairment over time, resulting in chronic conditions such as heart disease. 27 The prioritization of the survivor is in line with the current body of literature, highlighting that a caregiving family member would forgo care to support a loved one 28,29 or that the caregiver may not recognize how caregiver strain may be negatively affecting them.…”

Section: Resultsmentioning

confidence: 78%

A Focus Group Evaluation of Breathe Easier: A Mindfulness-Based mHealth App for Survivors of Lung Cancer and Their Family Members

et al. 2020

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Purpose: To explore attitudes and acceptance (i.e., intent for future adoption) of survivors of lung cancer and their family members toward a dyad-focused mHealth mindfulness-based intervention (MBI). Approach: Focus groups. Setting: Community hospital setting in South Carolina. Participants: Survivors n = 11 (M = 64.6 years; 73% female; 64% African American) of non-small cell lung cancer (stage I-IIIa) and their family members, n = 8 (M = 58.6 years; 38% female; 75% African American). Intervention: A fully functional prototype mHealth app to deliver a tailored MBI for survivors of lung cancer and their family members. Method: Semi-structured focus groups were conducted and assessed using thematic data analysis to identify the benefits, concerns, needs, and expectations of the app. Results: Convenience and health were the top benefits of using the app, while cost and difficulty of use were the top concerns. Survivors mentioned benefits more than their family members did. Participants felt positively about adding a community network to the app. Finally, participants expected to hear about Breathe Easier from their care provider. Conclusion: Participants perceived a benefit to having credible health information delivered through an mHealth app. Guidance and credible health information regarding lung cancer survivorship should be accessible and convenient for everyone impacted by the disease. Thus, future research should explore platforms for a virtual support system and understanding dissemination of mHealth apps through health care providers.

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Section: Resultsmentioning

confidence: 78%

A Focus Group Evaluation of Breathe Easier: A Mindfulness-Based mHealth App for Survivors of Lung Cancer and Their Family Members

et al. 2020

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“…11 Previous research shows that both survivors and family members live with unhealthy lifestyle behaviors and compromised health. 11,16,17 An emerging consensus in the literature is that when both the survivor and family member are treated simultaneously, the well-being of each individual may improve. When their needs are not addressed, family members are at risk for impaired mental and physical health which in turn affects the survivor.…”

Section: Introductionmentioning

confidence: 99%

A Prospective Pilot Study Evaluating Feasibility and Preliminary Effects of Breathe Easier: A Mindfulness-based Intervention for Survivors of Lung Cancer and Their Family Members (Dyads)

et al. 2020

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Objective: Symptom burden remains a distressing problem for survivors with non-small-cell lung cancer (stages I-IIIa). This pilot study evaluated feasibility and preliminary effects of a tailored mindfulness-based intervention, Breathe Easier, which encompasses meditation, 2 levels of mindful hatha yoga, breathing exercises, and participant interaction. Methods: Participants were recruited from 2 cancer programs in the US Southeast. A family member was required for participation. Sixty-two participants enrolled (20% recruitment) and 49 completed the intervention (79% retention). Participants chose level 1 yoga (basic) or level 2 (more advanced). Of the completers, survivors were 39% male and 65% Black. A community-based participatory research framework helped identify the specific needs and interests of potential participants and foreseeable barriers to implementation. A 2-month prospective, 1-group, pre-post design evaluated feasibility. Intervention dosage was measured using written protocols. Attendance and completion of daily home assignments measured adherence. Acceptability was assessed using a 10-item questionnaire, completed at three time points. Preliminary outcome data collected pre- and post-intervention tested the hypothesis that participants who received the 8-week intervention Breathe Easier would, post-intervention, demonstrate (a) less dyspnea, (b) less fatigue, (c) less stress, (d) improved sleep, (e) improved anxiety and depression, and (f) improved functional exercise capacity. Exit interviews were conducted, transcribed verbatim, and analyzed for content using descriptive statistics. Results: Quantitative and qualitative measures indicated strong feasibility. Over time, level 1 participants had statistically less dyspnea, fatigue and improved exercise capacity, as well as improved sleep, and stress scores. Level 2 participants experienced slightly increased dyspnea and fatigue but improved sleep, stress, and exercise capacity. All participants experienced anxiety and depression within normal limits pre- and post-intervention. Five major themes emerged out of exit interviews: Learning to Breathe Easier; Interacting with Others as a Personal Benefit; Stretching, Releasing Tension, and Feeling Energized; Enhancing Closeness with Committed Partners; Refocusing on Living; and Sustaining New Skills as a Decision. Conclusions: The study offers insight into the feasibility of an 8-week in-person mindfulness-based intervention with a unique subset of understudied survivors of lung cancer and family members. Outcome data interpretation is limited by the 1-group design and sample size.

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“…Given the relative newness of LDCT lung cancer screening, providers also require education regarding the USPSTF LDCT guidelines. Kowalski Frank (2020) confirmed the findings of other studies (Ersek et al, 2016;Kanodra et al, 2016;McDonnell et al, 2019) reporting that physicians and nurses need such education. Educational opportunities may target various disciplines that provide primary care, such as alternative care providers, as well as providers who function as PCPs, such as women's health providers.…”

Section: Educationmentioning

confidence: 57%

Lung Cancer Screening Policy in Alaska and Occupational Therapy

Kowalski

Krusen

2021

The American Journal of Occupational Therapy

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Lung cancer claims more lives than any other cancer in the world and remains difficult to diagnose in the early stages. This article examines the current state of lung cancer detection and screening via low-dose computed tomography (LDCT) in Alaska and considers potential opportunities for occupational therapy practitioners in primary care settings. Medicare requires at least one documented shared decision-making encounter between provider and patient before LDCT lung cancer screening occurs. As a result of time constraints, documentation requirements, and the plethora of preventive health services they provide, primary care physicians often lack the time and training to conduct this essential service. This provides an opportunity for occupational therapy practitioners to perform these services as part of their practice and to play a role in this area as patient educators and prevention specialists in primary care settings.What This Article Adds: This article explores the national health crisis of lung cancer and describes how occupational therapists can participate in providing care in primary care settings.L ung cancer claims more lives than any other cancer in the world. In 2018, an estimated 142,670 people in the United States died from lung cancer, with an estimated 228,150 new lung cancer diagnoses (Centers for Medicare & Medicaid Services [CMS], 2020). The incidence of lung cancer is predicted to increase in developed countries, especially among women; lung cancer now claims more lives than breast cancer (Martín-Sańchez et al., 2018).Late diagnosis of lung cancer is a global concern that transcends disciplines and health care systems. Late diagnoses are attributed to many causes, such as late presentation by the patient to providers, imprecise screening tools, lack of provider knowledge about lung cancer, and gaps in health care systems with respect to referrals and follow-up care (Singh et al., 2010(Singh et al., , 2012Wagland et al., 2017). The current literature highlights a need for research from a variety of perspectives and professions to fully address the issue (Salomaa et al., 2005;Singh et al., 2007). To promote early detection of lung cancer and decrease mortality, global experts recommend more research and policies targeting early detection and diagnostic methods, including the multidimensional factors associated with lung cancer detection (Andreano et al., 2018;Wong, 2018). Late diagnosis is especially disheartening for lung cancer researchers because survival rates for people diagnosed with Stage III or IV lung cancer have increased only modestly in the past 40 yr (Johnson et al., 2014). More research, especially in geographic areas that lack access to health care, is necessary to understand the barriers to lung cancer detection in community settings (Rai et al., 2019). Literature ReviewMany screening options, such as sputum cytology, chest radiography, and low-dose computed tomography (LDCT), have been trialed to diagnose lung cancer and reduce mortality. In 2013, the U.S. Preventive Services...

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Health behavior changes in African American family members facing lung cancer: Tensions and compromises

Cited by 14 publications

References 29 publications

A Focus Group Evaluation of Breathe Easier: A Mindfulness-Based mHealth App for Survivors of Lung Cancer and Their Family Members

A Focus Group Evaluation of Breathe Easier: A Mindfulness-Based mHealth App for Survivors of Lung Cancer and Their Family Members

A Prospective Pilot Study Evaluating Feasibility and Preliminary Effects of Breathe Easier: A Mindfulness-based Intervention for Survivors of Lung Cancer and Their Family Members (Dyads)

Lung Cancer Screening Policy in Alaska and Occupational Therapy

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