Self-management of Chemotherapy-Related Nausea and Vomiting

Lou, Yan; Yates, Patsy; McCarthy, Alexandra; Wang, Hemei

doi:10.1097/ncc.0b013e318291b6f5

Cited by 15 publications

(2 citation statements)

References 34 publications

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“… 49 Females who lived in urban areas exhibited higher dietary behavior scores. This result was consistent with another study 50 from China that assessed cancer patients’ self-management behaviors after chemotherapy; however, the latter study did not provide significant information on specific dietary-related practices. The reason may be that large hospitals and high-quality medical resources in China are primarily concentrated in cities, and women who live in urban areas find it easier to obtain comprehensive and continuous health care.…”

Section: Discussionsupporting

confidence: 90%

Dietary Behavior and Its Association with Nutrition Literacy and Dietary Attitude Among Breast Cancer Patients Treated with Chemotherapy: A Multicenter Survey of Hospitals in China

Tang,

Wang,

Yan

et al. 2023

PPA

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Background Chemotherapy often negatively impacts the nutritional status of breast cancer patients, and healthy dietary behaviors are important for patient wellbeing. With the guidance of the “Knowledge, Attitude and Practice model” (KAP model), the objective of this survey was to determine the frequency with which patients engage in healthy dietary behaviors and to explore the association between healthy dietary behaviors and nutrition literacy and dietary attitudes. Methods This study included a total of 284 breast cancer patients undergoing chemotherapy from three hospitals spanning three cities in China. Face-to-face interviews were conducted to collect demographic and clinical characteristics as well as the Dietary Nutritional Knowledge, Attitude and Practice Questionnaire (DNKAPQ) and the Nutrition Literacy Measurement Scale for Chinese Adult (NLMS-CA). Results Participants exhibited medium to high scores for nutrition literacy, dietary attitude and dietary behavior. Nutrition literacy ( r = 0.505, p < 0.001) and dietary attitude ( r = 0.326, p < 0.001) scores were both positively correlated with the total dietary behavior score. The total nutrition literacy score was positively correlated with the total dietary behavior score ( r = 0.286, p < 0.001). In the univariate analysis, age, body mass index, living environment, education level, monthly family income, work status, menopausal status, number of comorbidities, relapse and endocrine therapy were significantly associated with dietary behavior ( p < 0.05). In the multiple linear regression analysis, patients’ dietary behavior was significantly associated with nutrition literacy ( β = 0.449, p < 0.001) and dietary attitude ( β = 0.198, p < 0.001). These two factors accounted for 28.6% of the variation in the patients’ dietary behavior scores. Conclusion There is an important need for targeted dietary and nutritional interventions designed and implemented by health professionals to improve dietary behaviors. Intervention design and content should take the patients’ nutrition literacy and dietary attitudes into consideration. In particular, women who are older, overweight, unemployed, and postmenopausal and live in rural areas, exhibit fewer comorbidities, have a lower family income and education level, have not relapsed and are currently receiving endocrine therapy are in urgent need of diet-specific intervention.

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Section: Discussionsupporting

confidence: 90%

Dietary Behavior and Its Association with Nutrition Literacy and Dietary Attitude Among Breast Cancer Patients Treated with Chemotherapy: A Multicenter Survey of Hospitals in China

Tang,

Wang,

Yan

et al. 2023

PPA

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“…One such method is self-management, which is currently one of the best methods for cancer management [33]. Self-management emphasizes the role of education in preventive and therapeutic care activities [16]; highlights the role of the patient or caregiver in symptom identification, assessment, and reporting to health care providers; and helps the adoption of suitable measures for symptom prevention or control [34,35]. Usually, self-management interventions are implemented with the participation of health care specialists [16]; therefore, with the participation of clinical specialists, patients, and families, they can enhance patients' knowledge and empower them to achieve therapeutic goals in different stages of treatment [33,35].…”

Section: Introductionmentioning

confidence: 99%

An mHealth Self-management System for Support Children With Acute Lymphocytic Leukemia and Their Caregivers: Qualitative Co-design Study (Preprint)

Mehdizadeh¹,

Asadi²,

Emami³

et al. 2022

Preprint

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BACKGROUND The unique features of smartphones have extended their use in different fields, especially in the health care domain. These features offer new opportunities to support patients with chronic conditions by providing them with information, education, and self-management skills. We developed a digital self-management system to support children with cancer and their caregivers in Iran (low- and middle-income country). OBJECTIVE This study is aimed at the development and preliminary evaluation of a cancer self-management system (CanSelfMan) tailored to the needs of children with cancer and their parents or caregivers. METHODS This study was conducted in collaboration with a multidisciplinary team between January and February 2020 at MAHAK’s Pediatric Cancer Treatment and Research Center. We developed a self-management system in six stages: requirement analysis, conformity assessment, preparation of educational content, app prototyping, preliminary evaluation, and developing the final version. RESULTS A total of 35 people (n=24, 69% parents and n=11, 31% children) volunteered to participate in the study. However, only 63% (15/24) of parents and 73% (8/11) of children were eligible to participate. By adopting a user-centered design approach, we developed a mobile app, CanSelfMan, that includes five main modules (knowledge base, self-management tips, self-assessment report, ask a question, and reminders) that provide access to reliable information about acute lymphocytic leukemia and the self-management skills required for side effect measurement and reporting. A web-based dashboard was also developed for oncologists and included a dashboard to monitor users’ symptoms and answer their questions. CONCLUSIONS The CanSelfMan app can support these groups by providing access to reliable information about cancer, facilitating communication between children or parents and health care providers, and helping promote medication adherence through a reminder function. The active participation of the target group can help identify their needs. Therefore, through the involvement of stakeholders such as patients, caregivers, and oncologists in the design process, we improved usability and ensured that the final product was useful. This app is now ready to proceed with feasibility studies.

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Symptom and Life Quality Management in Oncology Patients

Doğan¹

2022

Translational Bioinformatics

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Self-management of Chemotherapy-Related Nausea and Vomiting

Cited by 15 publications

References 34 publications

Dietary Behavior and Its Association with Nutrition Literacy and Dietary Attitude Among Breast Cancer Patients Treated with Chemotherapy: A Multicenter Survey of Hospitals in China

Dietary Behavior and Its Association with Nutrition Literacy and Dietary Attitude Among Breast Cancer Patients Treated with Chemotherapy: A Multicenter Survey of Hospitals in China

An mHealth Self-management System for Support Children With Acute Lymphocytic Leukemia and Their Caregivers: Qualitative Co-design Study (Preprint)

Symptom and Life Quality Management in Oncology Patients

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