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01.03.2013 | Original Research

“It’s up to you and God”: understanding health behavior change in older African American survivors of colorectal cancer

verfasst von: Felicity W K Harper, PhD, Andrea Nevedal, PhD, Susan Eggly, PhD, Carie Francis, BA, Kendra Schwartz, MD, MSPH, Terrance L Albrecht, PhD

Erschienen in: Translational Behavioral Medicine | Ausgabe 1/2013

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ABSTRACT

This study investigated the beliefs and attitudes of older African American colorectal cancer (CRC) survivors that may influence health behavior changes after treatment. Drawing from existing theories of health behavior change and cultural beliefs about health, a semi-structured interview guide was developed to elicit survivors’ perspectives. Qualitative focus groups and interviews were conducted with 17 survivors identified through the Detroit Surveillance Epidemiology and End Results registry. Using verbatim transcripts from the sessions and NVivo software, thematic analysis was conducted to analyze patterns of responses. Transcripts were coded for seven categories (health behaviors, who/what motivates change, self-efficacy, fatalism, religion/spirituality, beliefs about cancer, race/ethnicity). Five themes emerged from the data (personal responsibility, resilience, desire for information, intentions to change, beliefs in divine control). Findings support the relevance of existing theories of health behavior change to older African American CRC survivors. Cultural considerations are suggested to improve interventions seeking to maximize changes in diet and exercise among this group of survivors.

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Titel: “It’s up to you and God”: understanding health behavior change in older African American survivors of colorectal cancer
verfasst von: Felicity W K Harper, PhD
Andrea Nevedal, PhD
Susan Eggly, PhD
Carie Francis, BA
Kendra Schwartz, MD, MSPH
Terrance L Albrecht, PhD
Publikationsdatum: 01.03.2013
Verlag: Springer-Verlag
Erschienen in: Translational Behavioral Medicine / Ausgabe 1/2013
Print ISSN: 1869-6716
Elektronische ISSN: 1613-9860
DOI: https://doi.org/10.1007/s13142-012-0188-6

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

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“It’s up to you and God”: understanding health behavior change in older African American survivors of colorectal cancer

ABSTRACT

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

ABSTRACT

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