Is self‐management feasible and acceptable for addressing nutrition and physical activity needs of cancer survivors?

Lawn, Sharon; Zrim, Stephanie; Leggett, Stephanie; Miller, Michelle; Woodman, Richard; Jones, Lynnette M.; Kichenadasse, Ganessan; Sukumaran, Shawgi; Karapetis, Christos S.; Koczwara, Bogda

doi:10.1111/hex.12327

Cited by 14 publications

(39 citation statements)

References 37 publications

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“…In addition, effective information delivery and adherence to follow-up with health care professionals are of high priority in cancer care and are key elements of successful implementation of ERAS. In the past, most interventions were delivered face-to-face in either individual or group settings [ 12 , 17 ]. However, a face-to-face approach may not be easy for patients who live far away from the hospital or those who have physical difficulties in travelling.…”

Section: Introductionmentioning

confidence: 99%

Development and Feasibility of a Mobile Health–Supported Comprehensive Intervention Model (CIMmH) for Improving the Quality of Life of Patients With Esophageal Cancer After Esophagectomy: Prospective, Single-Arm, Nonrandomized Pilot Study

Cheng¹,

Ho²,

Guo³

et al. 2020

J Med Internet Res

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Background Patients with esophageal cancer often experience clinically relevant deterioration of quality of life (QOL) after esophagectomy owing to malnutrition, lack of physical exercise, and psychological symptoms. Objective This study aimed to evaluate the feasibility, safety, and efficacy of a comprehensive intervention model using a mobile health system (CIMmH) in patients with esophageal cancer after esophagectomy. Methods Twenty patients with esophageal cancer undergoing the modified McKeown surgical procedure were invited to join the CIMmH program with both online and offline components for 12 weeks. The participants were assessed before surgery and again at 1 and 3 months after esophagectomy. QOL, depressive symptoms, anxiety, stress, nutrition, and physical fitness were measured. Results Of the 20 patients, 16 (80%) completed the program. One month after esophagectomy, patients showed significant deterioration in overall QOL (P=.02), eating (P=.005), reflux (P=.04), and trouble with talking (P<.001). At the 3-month follow-up, except for pain (P=.02), difficulty with eating (P=.03), dry mouth (P=.04), and trouble with talking (P=.003), all other QOL dimensions returned to the preoperative level. There were significant reductions in weight (P<.001) and BMI (P=.02) throughout the study, and no significant changes were observed for physical fitness measured by change in the 6-minute walk distance between baseline and the 1-month follow-up (P=.22) or between baseline and the 3-month follow-up (P=.52). Depressive symptoms significantly increased 1 month after surgery (P<.001), while other psychological measures did not show relevant changes. Although there were declines in many measures 1 month after surgery, these were much improved at the 3-month follow-up, and the recovery was more profound and faster than with traditional rehabilitation programs. Conclusions The CIMmH was feasible and safe and demonstrated encouraging efficacy testing with a control group for enhancing recovery after surgery among patients with esophageal cancer in China. Trial Registration Chinese Clinical Trial Registry (ChiCTR-IPR-1800019900); http://www.chictr.org.cn/showprojen.aspx?proj=32811.

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Section: Introductionmentioning

confidence: 99%

Development and Feasibility of a Mobile Health–Supported Comprehensive Intervention Model (CIMmH) for Improving the Quality of Life of Patients With Esophageal Cancer After Esophagectomy: Prospective, Single-Arm, Nonrandomized Pilot Study

Cheng¹,

Ho²,

Guo³

et al. 2020

J Med Internet Res

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“…However, Hawkins et al also indicated the importance for patients to possess awareness and a positive belief stance in regard to observing a healthy diet [37]. Nutritional interventions are highly recommended to include as elements of survivorship programs for CRC survivors, because of their potential to improve the general health of such individuals [38]. Nutritional interventions, as part of behaviour-modification programs, have been found to augment the health and quality of life of survivors [30].…”

Section: Resultsmentioning

confidence: 99%

“…Applying the Theory of Planned Behaviour and the Health Action Process Approach, Moug et al indicated the positive role of adopting positive health behaviours, including consuming a healthy diet and avoiding behaviours that put the individual at risk of cancer recurrence [39]; they also recommended CRC survivors to implement dietary interventions that are based on recognizing the role that poor dietary behaviours play in CRC [39]. Additionally, Lawn et al recommended the inclusion of nutritional interventions in self-management strategies for improving CRC survivors’ health and quality of life [38].…”

Section: Resultsmentioning

confidence: 99%

“…Part of the mission of the American Cancer Society is to focus on informed decision-making for cancer survivors and their families. Critical information concerning diet and PA is important for positive outcomes [38]. A high level of adherence to the WCRF/AICR’s eight recommendations—regarding diet, PA, and body weight—has been shown to correlate with a tendency to change lifestyle and adapt positive dietary behaviours [42].…”

Section: Discussionmentioning

confidence: 99%

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Impact of physical activity and diet on colorectal cancer survivors’ quality of life: a systematic review

2019

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Background Post-treatment management is essential for improving the health and quality of life of colorectal cancer (CRC) survivors. The number of cancer survivors is continually increasing, which is causing a corresponding growth in the need for effective post-treatment management programs. Current research on the topic indicates that such programs should include aspects such as physical activity and a proper diet, which would form the basis of lifestyle change among CRC survivors. Therefore, this study aimed to identify the impact of physical activity and diet on the quality of life of CRC survivors. Methods We performed a systematic literature review regarding CRC survivors. We searched the Embase, PubMed, and EBSCOhost databases, considering papers published between January 2000 and May 2017 in any language, using a combination of the following subject headings: “colorectal cancer,” “colorectal carcinoma survivor,” “survivorship plan,” “survivorship care plan,” “survivorship program,” “lifestyle,” “activities,” “exercise,” “diet program,” and “nutrition.” Results A total of 14,036 articles were identified, with 35 satisfying the eligibility criteria for the systematic review. These articles were grouped by the study questions into physical activity and diet: 24 articles were included in the physical activity group and 11 in the diet group. Conclusions The research showed that an effective survivorship program can significantly help CRC survivors maintain good health and quality of life for long periods. However, there is a lack of consensus and conclusive evidence regarding how the guidelines for such a program should be designed, in terms of both its form and content.

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“…Commencing chemotherapy has also been identified as a timely opportunity for receiving information about diet and weight management (James-Martin et al, 2014;Heinze and Williams, 2015;Kelly et al, 2015). Improving nutrition in women during chemotherapy may provide benefits such as enhancing general health and wellbeing (Lawn et al, 2015); enabling women to better cope with chemotherapy side effects (Breast Cancer Care 2014; Boltong and Keast, 2015); and reducing the subsequent risk of cancer recurrence (Tramm et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Support with nutrition for women receiving chemotherapy for breast cancer

Gilmour

Williams

2018

Br J Nurs

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Nurses are in a unique position to provide nutritional advice and information to women with breast cancer who are undergoing chemotherapy, supporting them with making decisions regarding nutrition and diet. This narrative review evaluated the research evidence relating to the nutritional challenges experienced during chemotherapy and the most effective approaches for supporting women in dietary choice. Weight gain was identified as a specific problem for women undergoing chemotherapy. The evidence indicated that information about nutrition and food preparation support may go some way in assisting women to overcome some of the nutrition-related difficulties experienced during chemotherapy treatment for breast cancer. However, further research is required to better inform person-centred nursing practice in this area.

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Is self‐management feasible and acceptable for addressing nutrition and physical activity needs of cancer survivors?

Abstract: Background Self-management is recommended for patients with chronic conditions, but its use with cancer survivors is underexplored. Optimal strategies for achieving lifestyle changes in cancer survivors are not known.

Cited by 14 publications

References 37 publications

Development and Feasibility of a Mobile Health–Supported Comprehensive Intervention Model (CIMmH) for Improving the Quality of Life of Patients With Esophageal Cancer After Esophagectomy: Prospective, Single-Arm, Nonrandomized Pilot Study

Development and Feasibility of a Mobile Health–Supported Comprehensive Intervention Model (CIMmH) for Improving the Quality of Life of Patients With Esophageal Cancer After Esophagectomy: Prospective, Single-Arm, Nonrandomized Pilot Study

Impact of physical activity and diet on colorectal cancer survivors’ quality of life: a systematic review

Support with nutrition for women receiving chemotherapy for breast cancer

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