Healthcare professionals' perceived barriers and facilitators of health behavior support provision: A qualitative study

Bouwman, Eline; Pluijm, Saskia M F; Stollman, Iridi; Araujo‐Soares, Vera; Blijlevens, Nicole M A; Follin, Cecilia; Winther, Jeanette Falck; Hjorth, Lars; Kepák, Tomáš; Kepakova, Katerina; Kremer, Leontien C. M.; Muraca, Monica; Pal, Helena van der; Schneider, Carina; Uyttebroeck, Anne; Vercruysse, Gertrui; Skinner, Roderick; Brown, Morven C.; Hermens, R.P.M.G.; Loonen, Jacqueline J.

doi:10.1002/cam4.5445

Cited by 3 publications

(1 citation statement)

References 34 publications

(84 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A healthy lifestyle including regular physical activity and nutrient and vitamin rich diet can reduce this risk (36). It is important to include health care professionals in survivorship care to support a healthy lifestyle among this cohort (37). Generally, due to limited resources, regular lifestyle counseling might not be feasible for every CCS during LTFU which is why it is particularly important to identify CCS at risk for metabolic complications.…”

Section: Discussionmentioning

confidence: 99%

High incidence of metabolic diseases and sedentary lifestyle underline the need for regular counseling in LTFU for CCS- results from a monocentric prospective study

Richter,

Kronziel,

König

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Many childhood cancer survivors (CCS) develop treatment-related late effects years after the end of treatment, including increased risk of obesity, metabolic syndrome and related diseases. A healthy lifestyle can reduce the risk of associated comorbidities. Lifestyle counseling during regular long term follow up (LTFU) care could benefit these at-risk CCS. Methods Lifestyle counseling was implemented within LTFU care over the study period of one year. Metabolic markers and activity levels were prospectively evaluated as screening parameters for different risk groups. Perspectives of CCS, Physician and sports scientist were compared to identify those in need of counseling. Additionally, a follow-up appointment after one month was performed. Results During the counseling offer, 155 CCS (65% female, 35% male) aged between 18 and 63 years (median:30 years) were contacted. Among them, 112 CCS (72%) had an indication for lifestyle counseling based on assessments from physicians, sports scientists, or CCS themselves. 45% were affected by metabolic disorders, 25% met the criteria through BMI and 46% did not meet the recommended activity levels. A total of 120 CCS (77%) received lifestyle counseling, with those who underwent intensive cancer treatment showing the highest need. During the follow-up appointment, CCS indicated high adherence to recommendations and successful implementation into their daily lives. Conclusion Metabolic disorders and reduced physical activity impact around two-thirds (68%) of CCS. Nearly all survivors (97%) find the provision of lifestyle counseling during regular LTFU beneficial. Incorporating specialized healthcare professionals into survivorship care enhances the multidisciplinary approach and can aid in promoting a healthy lifestyle, potentially reducing long-term morbidity among CCS.

show abstract

Section: Discussionmentioning

confidence: 99%

High incidence of metabolic diseases and sedentary lifestyle underline the need for regular counseling in LTFU for CCS- results from a monocentric prospective study

Richter,

Kronziel,

König

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Sufficiency for PSS tracking gait disorders in multiple sclerosis: A managerial perspective

Grijalvo,

Ordieres-Meré,

Villalba-Díez

et al. 2024

Heliyon

View full text Add to dashboard Cite

Implementation of regular lifestyle counseling during long-term follow up care of childhood cancer survivors: a monocentric prospective study (Preprint)

Richter,

Kronziel,

König

et al. 2024

Preprint

View full text Add to dashboard Cite

BACKGROUND Many childhood cancer survivors (CCS) develop treatment-related late effects, including increased risk of obesity and metabolic syndrome. A healthy lifestyle can reduce the risk of associated comorbidities. Therefore, at-risk CCS could benefit from lifestyle counseling during regular long term follow up (LTFU). OBJECTIVE We implemented a new form of care to decrease the long-term morbidity among CCS and to gain new insights about the lifestyle of those patients. METHODS Over a one-year study period, lifestyle counseling was integrated into LTFU care. Metabolic disorders, including hypercholesterolemia, diabetes mellitus, over-/underweight, and low activity levels, were assessed as screening parameters for various risk groups. The perspectives of CCS, physicians, and sports scientists were compared to identify those with the highest needs. A follow-up appointment after one month was performed. RESULTS Of the 155 CCS aged 18 to 63 years (65% female, 35% male), 112 (72%) had an indication for lifestyle counseling, identified by physicians, sports scientists, or the CCS themselves. Metabolic disorders affected 45%, and 46% did not meet recommended activity levels. A total of 120 CCS (77%) received lifestyle counseling, including 8 initially uninterested individuals who became open to recommendations. Those with intensive cancer treatment history showed the greatest need. Follow-up revealed high adherence to recommendations and successful integration into daily lives, with 97% of survivors finding the provision of lifestyle counseling during LTFU beneficial. CONCLUSIONS Incorporating specialized healthcare professionals into survivorship care enhances the multidisciplinary approach, promoting a healthy lifestyle and potentially reducing long-term morbidity among CCS.

show abstract

Healthcare professionals' perceived barriers and facilitators of health behavior support provision: A qualitative study

Abstract: Background: Childhood cancer survivors (CCSs) have an increased risk of developing chronic health conditions.

Cited by 3 publications

References 34 publications

High incidence of metabolic diseases and sedentary lifestyle underline the need for regular counseling in LTFU for CCS- results from a monocentric prospective study

High incidence of metabolic diseases and sedentary lifestyle underline the need for regular counseling in LTFU for CCS- results from a monocentric prospective study

Sufficiency for PSS tracking gait disorders in multiple sclerosis: A managerial perspective

Implementation of regular lifestyle counseling during long-term follow up care of childhood cancer survivors: a monocentric prospective study (Preprint)

Contact Info

Product

Resources

About