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Erschienen in: Supportive Care in Cancer 6/2007

01.06.2007 | Original Article

The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends

verfasst von: Nancy Humpel, Christopher Magee, Sandra C. Jones

Erschienen in: Supportive Care in Cancer | Ausgabe 6/2007

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Abstract

Goals

The aim of this study was to examine the effect of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends, and to determine whether a cancer diagnosis could be a teachable moment for intervention.

Materials and methods

This was a cross-sectional study of the health behaviors of individuals taking part in a cancer fundraising event. The questionnaire was completed by 657 participants.

Main results

Participants were 81.4% women, had a mean age of 46 years, and comprised of 17.2% cancer survivors. For cancer survivors, 31.3% reported an increase in physical activity, 50% of smokers quit, and 59 to 72% reported dietary improvements within 1 month of diagnosis. Significant differences in behavior change were found by age, but not by gender or education. For individuals without cancer, 24.3% reported improved physical activity and the majority reported some dietary changes. A greater proportion of family and friends who perceived they were at greater risk of developing cancer increased physical activity and sun-smart behavior but did not improve dietary habits.

Conclusions

The results indicate that the cancer survivors made significantly more positive health behavior changes compared to the non-cancer group. For this sample, a personal diagnosis of cancer, or a diagnosis in a family member or friend, may have acted as a ‘cue to action’ to improve lifestyle health behaviors. This field of research is still at an early stage, and further studies are needed to confirm if this situation could be useful as a ‘teachable moment’ for intervention purposes.
Literatur
2.
Zurück zum Zitat Andrykowski M, Beacham A, Schmidt J, Harper K (2006) Application of the theory of planned behavior to understand intentions to engage in physical and psychosocial health behaviors after cancer diagnosis. Psycho-Oncol 15:759–771CrossRef Andrykowski M, Beacham A, Schmidt J, Harper K (2006) Application of the theory of planned behavior to understand intentions to engage in physical and psychosocial health behaviors after cancer diagnosis. Psycho-Oncol 15:759–771CrossRef
3.
Zurück zum Zitat Armstrong T, Bauman A, Davies J (2000) Physical activity patterns of Australian adults. Results of the 1999 National Physical Activity Survey. Australian Institute of Health and Welfare, Canberra Armstrong T, Bauman A, Davies J (2000) Physical activity patterns of Australian adults. Results of the 1999 National Physical Activity Survey. Australian Institute of Health and Welfare, Canberra
4.
Zurück zum Zitat Audrain J, Schwartz M, Herrera J, Goldman P, Bush A (2001) Physical activity in first-degree relatives of breast cancer patients. J Behav Med 24:587–603PubMedCrossRef Audrain J, Schwartz M, Herrera J, Goldman P, Bush A (2001) Physical activity in first-degree relatives of breast cancer patients. J Behav Med 24:587–603PubMedCrossRef
6.
Zurück zum Zitat Baade PD, Fritschi L, Eakin EG (2006) Non-cancer mortality among people diagnosed with cancer. Cancer Causes Control 17(3):287–297PubMedCrossRef Baade PD, Fritschi L, Eakin EG (2006) Non-cancer mortality among people diagnosed with cancer. Cancer Causes Control 17(3):287–297PubMedCrossRef
7.
Zurück zum Zitat Baker F, Denniston M, Smith T, West M (2005) Adult cancer survivors: how are they faring? Cancer 104:2565–2576PubMedCrossRef Baker F, Denniston M, Smith T, West M (2005) Adult cancer survivors: how are they faring? Cancer 104:2565–2576PubMedCrossRef
8.
Zurück zum Zitat Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23:8884–8893PubMedCrossRef Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23:8884–8893PubMedCrossRef
9.
Zurück zum Zitat Blanchard C, Denniston M, Baker F, Ainsworth S, Courneya K, Hann D, Gesme D et al (2003) Do adults change their lifestyle behaviors after a cancer diagnosis? Am J Health Behav 27:246–256PubMed Blanchard C, Denniston M, Baker F, Ainsworth S, Courneya K, Hann D, Gesme D et al (2003) Do adults change their lifestyle behaviors after a cancer diagnosis? Am J Health Behav 27:246–256PubMed
10.
Zurück zum Zitat Booth ML, Owen N, Bauman A, Gore CJ (1996) Relationship between a 14-day recall measure of leisure time physical activity and a submaximal test of physical work capacity in a population sample of Australian adults. Res Q Exerc Sport 67:221–227PubMed Booth ML, Owen N, Bauman A, Gore CJ (1996) Relationship between a 14-day recall measure of leisure time physical activity and a submaximal test of physical work capacity in a population sample of Australian adults. Res Q Exerc Sport 67:221–227PubMed
11.
Zurück zum Zitat Booth ML, Owen N, Bauman A, Gore CJ (1996) Retest reliability of recall measures of leisure-time physical activity in Australian adults. Int J Epidemiol 25:153–159PubMedCrossRef Booth ML, Owen N, Bauman A, Gore CJ (1996) Retest reliability of recall measures of leisure-time physical activity in Australian adults. Int J Epidemiol 25:153–159PubMedCrossRef
12.
Zurück zum Zitat Commonwealth Department of Health and Aged Care (1999) National physical activity guidelines for Australians. Australian Government Publishing Service, Canberra Commonwealth Department of Health and Aged Care (1999) National physical activity guidelines for Australians. Australian Government Publishing Service, Canberra
13.
Zurück zum Zitat Coups E, Ostroff J (2005) A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med 40:702–711PubMedCrossRef Coups E, Ostroff J (2005) A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med 40:702–711PubMedCrossRef
14.
Zurück zum Zitat Courneya K (2003) Exercise in cancer survivors: an overview of research. Med Sci Sports Exerc 35:1846–1852PubMedCrossRef Courneya K (2003) Exercise in cancer survivors: an overview of research. Med Sci Sports Exerc 35:1846–1852PubMedCrossRef
15.
Zurück zum Zitat Courneya K, Friedenreich C (1997) Relationship between exercise pattern across the cancer experience and current quality of life in colorectal cancer survivors. J Altern Complement Med 3:215–266PubMed Courneya K, Friedenreich C (1997) Relationship between exercise pattern across the cancer experience and current quality of life in colorectal cancer survivors. J Altern Complement Med 3:215–266PubMed
16.
Zurück zum Zitat Deimling GT, Kahana B, Bowman KF, Schaefer ML (2002) Cancer survivorship and psychological distress in later life. Psycho-Oncol 11:479–494CrossRef Deimling GT, Kahana B, Bowman KF, Schaefer ML (2002) Cancer survivorship and psychological distress in later life. Psycho-Oncol 11:479–494CrossRef
17.
Zurück zum Zitat Demark-Wahnefried W, Aziz N, Rowland JH, Pinto B (2005) Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol 23:5814–5830PubMedCrossRef Demark-Wahnefried W, Aziz N, Rowland JH, Pinto B (2005) Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol 23:5814–5830PubMedCrossRef
18.
Zurück zum Zitat Demark-Wahnefried W, Peterson B, McBride C, Lipkus I, Clipp E (2000) Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas. Cancer 88:674–684PubMedCrossRef Demark-Wahnefried W, Peterson B, McBride C, Lipkus I, Clipp E (2000) Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas. Cancer 88:674–684PubMedCrossRef
19.
Zurück zum Zitat Dimeo F, Stieglitz R, Novelli-Fischer U, Keul J (1999) Effects of physical activity on the fatigue and psychological status of cancer patients during chemotherapy. Cancer 85:2273–2277PubMedCrossRef Dimeo F, Stieglitz R, Novelli-Fischer U, Keul J (1999) Effects of physical activity on the fatigue and psychological status of cancer patients during chemotherapy. Cancer 85:2273–2277PubMedCrossRef
20.
Zurück zum Zitat Hervouet S, Savard J, Simard S, Ivers H, Laverdiere J, Vigneault E, Fradet Y, Lacombe L (2005) Psychological functioning associated with prostate cancer: cross-sectional comparison of patients treated with radiotherapy, brachytherapy, or surgery. J Pain Symptom Manage 30:474–484PubMedCrossRef Hervouet S, Savard J, Simard S, Ivers H, Laverdiere J, Vigneault E, Fradet Y, Lacombe L (2005) Psychological functioning associated with prostate cancer: cross-sectional comparison of patients treated with radiotherapy, brachytherapy, or surgery. J Pain Symptom Manage 30:474–484PubMedCrossRef
21.
Zurück zum Zitat Hewitt M, Rowland JH, Yancik R (2003) Cancer survivors in the United States: age, health, and disability. J Gerontol 58A:82–91 Hewitt M, Rowland JH, Yancik R (2003) Cancer survivors in the United States: age, health, and disability. J Gerontol 58A:82–91
22.
Zurück zum Zitat Hickok JT, Morrow GR, Roscoe JA, Mustian K, Okunieff P (2005) Occurrence, severity, and longitudinal course of twelve common symptoms in 1129 consecutive patients during radiotherapy for cancer. J Pain Symptom Manage 30:433–442PubMedCrossRef Hickok JT, Morrow GR, Roscoe JA, Mustian K, Okunieff P (2005) Occurrence, severity, and longitudinal course of twelve common symptoms in 1129 consecutive patients during radiotherapy for cancer. J Pain Symptom Manage 30:433–442PubMedCrossRef
23.
Zurück zum Zitat Janz N, Champion V, Strecher V (2002) The health belief model. In: Glanz K, Rimer B, Lewis F (eds) Health behavior and health education: theory, research, and practice, 3rd edn. Jossey–Bass, San Francisco, pp 45–66 Janz N, Champion V, Strecher V (2002) The health belief model. In: Glanz K, Rimer B, Lewis F (eds) Health behavior and health education: theory, research, and practice, 3rd edn. Jossey–Bass, San Francisco, pp 45–66
24.
Zurück zum Zitat Kristeller J, Hebert J, Edmiston K, Liepman M, Wertheimer M, Ward A, Luippold R (1996) Attitudes toward risk factor behavior of relatives of cancer patients. Prev Med 25:162–169PubMedCrossRef Kristeller J, Hebert J, Edmiston K, Liepman M, Wertheimer M, Ward A, Luippold R (1996) Attitudes toward risk factor behavior of relatives of cancer patients. Prev Med 25:162–169PubMedCrossRef
25.
Zurück zum Zitat Lemon SC, Zapka JG, Clemow L (2004) Health behavior change among women with recent familial diagnosis of breast cancer. Prev Med 39:253–262PubMedCrossRef Lemon SC, Zapka JG, Clemow L (2004) Health behavior change among women with recent familial diagnosis of breast cancer. Prev Med 39:253–262PubMedCrossRef
26.
Zurück zum Zitat MacVicar M, Winningham M, Nickel J (1989) Effects of aerobic interval training on cancer patients’ functional capacity. Nurs Res 38:251–348CrossRef MacVicar M, Winningham M, Nickel J (1989) Effects of aerobic interval training on cancer patients’ functional capacity. Nurs Res 38:251–348CrossRef
27.
28.
Zurück zum Zitat Maunsell E, Drolet M, Brisson J, Robert J, Deschenes L (2002) Dietary change after breast cancer: extent, predictors, and relation with psychological distress. J Clin Oncol 20:1017–1025PubMedCrossRef Maunsell E, Drolet M, Brisson J, Robert J, Deschenes L (2002) Dietary change after breast cancer: extent, predictors, and relation with psychological distress. J Clin Oncol 20:1017–1025PubMedCrossRef
29.
Zurück zum Zitat McBride C, Emmons K, Lipkus I (2003) Understanding the potential of teachable moments: the case of smoking cessation. Health Educ Res 18:156–170PubMedCrossRef McBride C, Emmons K, Lipkus I (2003) Understanding the potential of teachable moments: the case of smoking cessation. Health Educ Res 18:156–170PubMedCrossRef
30.
Zurück zum Zitat McKee J (1994) Cues to action in prostate cancer screening. Oncol Nurs Forum 21:1171–1176PubMed McKee J (1994) Cues to action in prostate cancer screening. Oncol Nurs Forum 21:1171–1176PubMed
31.
Zurück zum Zitat Mock V, Hassey Dow K, Meares C, Grimm P, Dienemann J, Haisfield-Wolfe M, Quitasol W et al (1997) Effects of exercise on fatigue, physical functioning, and emotional distress during radiation therapy for breast cancer. Oncol Nurs Forum 24:991–1000PubMed Mock V, Hassey Dow K, Meares C, Grimm P, Dienemann J, Haisfield-Wolfe M, Quitasol W et al (1997) Effects of exercise on fatigue, physical functioning, and emotional distress during radiation therapy for breast cancer. Oncol Nurs Forum 24:991–1000PubMed
32.
Zurück zum Zitat Mock V, Pickett M, Ropka M, Lin E, Stewart K, Rhodes V et al (2001) Fatigue and quality of life outcomes of exercise during cancer treatment. Cancer Pract 9:119–127PubMedCrossRef Mock V, Pickett M, Ropka M, Lin E, Stewart K, Rhodes V et al (2001) Fatigue and quality of life outcomes of exercise during cancer treatment. Cancer Pract 9:119–127PubMedCrossRef
33.
Zurück zum Zitat Oldervoll LM, Kaasa S, Hjermstad MJ, Lund JA, Loge JH (2004) Physical exercise results in the improved subjective well-being of a few or is effective rehabilitation for all cancer patients? Eur J Cancer 40:951–962PubMedCrossRef Oldervoll LM, Kaasa S, Hjermstad MJ, Lund JA, Loge JH (2004) Physical exercise results in the improved subjective well-being of a few or is effective rehabilitation for all cancer patients? Eur J Cancer 40:951–962PubMedCrossRef
34.
Zurück zum Zitat Patterson RE, Neuhouser ML, Hedderson MM, Schwartz SM, Standish LJ, Bowen DJ (2003) Changes in diet, physical activity, and supplement use among adults diagnosed with cancer. J Am Diet Assoc 103:323–328PubMed Patterson RE, Neuhouser ML, Hedderson MM, Schwartz SM, Standish LJ, Bowen DJ (2003) Changes in diet, physical activity, and supplement use among adults diagnosed with cancer. J Am Diet Assoc 103:323–328PubMed
35.
Zurück zum Zitat Pinto B, Clark M, Maruyama N, Feder S (2003) Psychological and fitness changes associated with exercise participation among women with breast cancer. Psycho-Oncol 12:118–126CrossRef Pinto B, Clark M, Maruyama N, Feder S (2003) Psychological and fitness changes associated with exercise participation among women with breast cancer. Psycho-Oncol 12:118–126CrossRef
36.
Zurück zum Zitat Pinto B, Eakin E, Marumaya N (2000) Health behavior changes after a cancer diagnosis: what do we know and where do we go from here? Ann Behav Med 22:38–52PubMedCrossRef Pinto B, Eakin E, Marumaya N (2000) Health behavior changes after a cancer diagnosis: what do we know and where do we go from here? Ann Behav Med 22:38–52PubMedCrossRef
37.
Zurück zum Zitat Pinto B, Maruyama N, Clark M, Cruess D, Park E, Roberts M (2002) Motivation to modify lifestyle risk behaviors in women treated for breast cancer. Mayo Clin Proc 77:122–129PubMedCrossRef Pinto B, Maruyama N, Clark M, Cruess D, Park E, Roberts M (2002) Motivation to modify lifestyle risk behaviors in women treated for breast cancer. Mayo Clin Proc 77:122–129PubMedCrossRef
38.
Zurück zum Zitat Pinto B, Trunzo J (2005) Health behaviors during and after a cancer diagnosis. Cancer 104:2614–2623PubMedCrossRef Pinto B, Trunzo J (2005) Health behaviors during and after a cancer diagnosis. Cancer 104:2614–2623PubMedCrossRef
39.
Zurück zum Zitat Pinto B, Trunzo J, Reiss P, Shui S (2002) Exercise participation after diagnosis of breast cancer: trends and effects on mood and quality of life. Psycho-Oncol 11:389–400CrossRef Pinto B, Trunzo J, Reiss P, Shui S (2002) Exercise participation after diagnosis of breast cancer: trends and effects on mood and quality of life. Psycho-Oncol 11:389–400CrossRef
40.
Zurück zum Zitat Rabin C, Pinto B (2006) Cancer-related beliefs and health behavior change among breast cancer survivors and their first-degree relatives. Psycho-Oncol 15:701–712CrossRef Rabin C, Pinto B (2006) Cancer-related beliefs and health behavior change among breast cancer survivors and their first-degree relatives. Psycho-Oncol 15:701–712CrossRef
41.
Zurück zum Zitat Raison CL, Miller AH (2003) Depression in cancer: new developments regarding diagnosis and treatment. Biol Psychiatry 54:283–294PubMedCrossRef Raison CL, Miller AH (2003) Depression in cancer: new developments regarding diagnosis and treatment. Biol Psychiatry 54:283–294PubMedCrossRef
42.
Zurück zum Zitat Satia J, Campbell M, Galanko J, James A, Carr C, Sandler R (2004) Longitudinal changes in lifestyle behaviors and health status in colon cancer survivors. Cancer Epidemiol Biomark 13:1022–1031 Satia J, Campbell M, Galanko J, James A, Carr C, Sandler R (2004) Longitudinal changes in lifestyle behaviors and health status in colon cancer survivors. Cancer Epidemiol Biomark 13:1022–1031
43.
Zurück zum Zitat Schwartz M, Lerman C, Miller S, Daly M, Mansy A (1995) Coping disposition, perceived risk, and psychological distress among women at increased risk for ovarian cancer. Health Psychol 14:232–235PubMedCrossRef Schwartz M, Lerman C, Miller S, Daly M, Mansy A (1995) Coping disposition, perceived risk, and psychological distress among women at increased risk for ovarian cancer. Health Psychol 14:232–235PubMedCrossRef
44.
Zurück zum Zitat Tracey E, Roder D, Bishop J, Chen S, Chen W (2005) Cancer in New South Wales: incidence and mortality 2003. NSW Cancer Institute, Sydney Tracey E, Roder D, Bishop J, Chen S, Chen W (2005) Cancer in New South Wales: incidence and mortality 2003. NSW Cancer Institute, Sydney
45.
Zurück zum Zitat USDHHS (1996) Physical activity and health: a report of the Surgeon General. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta USDHHS (1996) Physical activity and health: a report of the Surgeon General. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta
Metadaten
Titel
The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends
verfasst von
Nancy Humpel
Christopher Magee
Sandra C. Jones
Publikationsdatum
01.06.2007
Verlag
Springer-Verlag
Erschienen in
Supportive Care in Cancer / Ausgabe 6/2007
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-006-0207-6

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