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Erschienen in: Journal of Cancer Survivorship 6/2016

30.04.2016

Pancreatic cancer survivors’ preferences, barriers, and facilitators related to physical activity and diet interventions

verfasst von: Anna E. Arthur, Ashley Delk, Wendy Demark-Wahnefried, John D. Christein, Carlo Contreras, James A. Posey III, Selwyn Vickers, Robert Oster, Laura Q. Rogers

Erschienen in: Journal of Cancer Survivorship | Ausgabe 6/2016

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Abstract

Purpose

To conduct a telephone survey establishing pancreatic cancer survivors’ level of interest in, preferences for, and perceived barriers and facilitators to participating in exercise and diet intervention programming. These data will inform the development of such interventions for newly-diagnosed patients.

Methods

Seventy-one survivors treated for resectable pancreatic adenocarcinoma from October 2011 to August 2014 were identified through an institutional cancer registry and contacted via telephone. A telephone survey was conducted to query survivors’ level of interest in, preferences for, and perceived barriers and facilitators to participating in an exercise and dietary intervention program shortly after disease diagnosis. Acceptability of a technology-based visual communication (e.g., Skype™, FaceTime®) intervention was also assessed.

Results

Fifty participants completed the survey (response rate 71.8 %). Over two-thirds of participants reported interest in exercise and diet intervention programming. Over half reported comfort with a technology-delivered visual communication intervention. Barriers to participation included older age and physical, personal, and emotional problems. The most common facilitator was program awareness. Outcomes for future research important to participants were supportive care and quality of life.

Conclusions

Most pancreatic cancer patients are interested in exercise and diet interventions shortly after diagnosis; however, some barriers to program participation exist.

Implications for cancer survivors

Future research and intervention planning for pancreatic cancer survivors should focus on developing messaging and strategies that provide support for survivorship outcomes, increase survivor awareness, address lack of familiarity with technology, reduce fears about potential barriers, and help survivors overcome these barriers. In so doing, survivorship needs can be better met and quality of life improved in this understudied population.
Literatur
1.
Zurück zum Zitat ACS. Cancer Facts & Figures 2014. Atlanta: American Cancer Society; 2014. ACS. Cancer Facts & Figures 2014. Atlanta: American Cancer Society; 2014.
2.
Zurück zum Zitat Sauerland C, Engelking C, Wickham R, Pearlstone DB. Cancers of the pancreas and hepatobiliary system. Semin Oncol Nurs. 2009;25:76–92.CrossRefPubMed Sauerland C, Engelking C, Wickham R, Pearlstone DB. Cancers of the pancreas and hepatobiliary system. Semin Oncol Nurs. 2009;25:76–92.CrossRefPubMed
3.
Zurück zum Zitat Carter R, Stocken DD, Ghaneh P, Bramhall SR, Olah A, Kelemen D, et al. Longitudinal quality of life data can provide insights on the impact of adjuvant treatment for pancreatic cancer-Subset analysis of the ESPAC-1 data. Int J Cancer. 2009;124:2960–5.CrossRefPubMed Carter R, Stocken DD, Ghaneh P, Bramhall SR, Olah A, Kelemen D, et al. Longitudinal quality of life data can provide insights on the impact of adjuvant treatment for pancreatic cancer-Subset analysis of the ESPAC-1 data. Int J Cancer. 2009;124:2960–5.CrossRefPubMed
4.
Zurück zum Zitat Tran TC, van Lanschot JJ, Bruno MJ, van Eijck CH. Functional changes after pancreatoduodenectomy: diagnosis and treatment. Pancreatology. 2009;9:729–37.CrossRefPubMed Tran TC, van Lanschot JJ, Bruno MJ, van Eijck CH. Functional changes after pancreatoduodenectomy: diagnosis and treatment. Pancreatology. 2009;9:729–37.CrossRefPubMed
5.
Zurück zum Zitat Muller-Nordhorn J, Roll S, Bohmig M, Nocon M, Reich A, Braun C, et al. Health-related quality of life in patients with pancreatic cancer. Digestion. 2006;74:118–25.CrossRefPubMed Muller-Nordhorn J, Roll S, Bohmig M, Nocon M, Reich A, Braun C, et al. Health-related quality of life in patients with pancreatic cancer. Digestion. 2006;74:118–25.CrossRefPubMed
6.
Zurück zum Zitat Nieveen van Dijkum EJ, Kuhlmann KF, Terwee CB, Obertop H, de Haes JC, Gouma DJ. Quality of life after curative or palliative surgical treatment of pancreatic and periampullary carcinoma. Br J Surg. 2005;92:471–7.CrossRefPubMed Nieveen van Dijkum EJ, Kuhlmann KF, Terwee CB, Obertop H, de Haes JC, Gouma DJ. Quality of life after curative or palliative surgical treatment of pancreatic and periampullary carcinoma. Br J Surg. 2005;92:471–7.CrossRefPubMed
7.
Zurück zum Zitat Shaw CM, O’Hanlon DM, McEntee GP. Long-term quality of life following pancreaticoduodenectomy. Hepatogastroenterology. 2005;52:927–32.PubMed Shaw CM, O’Hanlon DM, McEntee GP. Long-term quality of life following pancreaticoduodenectomy. Hepatogastroenterology. 2005;52:927–32.PubMed
8.
Zurück zum Zitat Gupta D, Lis CG, Grutsch JF. The European organization for research and treatment of cancer quality of life questionnaire: implications for prognosis in pancreatic cancer. Int J Gastrointest Cancer. 2006;37:65–73.CrossRefPubMed Gupta D, Lis CG, Grutsch JF. The European organization for research and treatment of cancer quality of life questionnaire: implications for prognosis in pancreatic cancer. Int J Gastrointest Cancer. 2006;37:65–73.CrossRefPubMed
9.
Zurück zum Zitat Tas F, Sen F, Odabas H, Kilic L, Keskin S, Yildiz I. Performance status of patients is the major prognostic factor at all stages of pancreatic cancer. Int J Clin Oncol. 2013;18:839–46.CrossRefPubMed Tas F, Sen F, Odabas H, Kilic L, Keskin S, Yildiz I. Performance status of patients is the major prognostic factor at all stages of pancreatic cancer. Int J Clin Oncol. 2013;18:839–46.CrossRefPubMed
10.
Zurück zum Zitat Zabernigg A, Giesinger JM, Pall G, Gamper EM, Gattringer K, Wintner LM, et al. Quality of life across chemotherapy lines in patients with cancers of the pancreas and biliary tract. BMC Cancer. 2012;12:390.CrossRefPubMedPubMedCentral Zabernigg A, Giesinger JM, Pall G, Gamper EM, Gattringer K, Wintner LM, et al. Quality of life across chemotherapy lines in patients with cancers of the pancreas and biliary tract. BMC Cancer. 2012;12:390.CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Speck RM, Courneya KS, Masse LC, Duval S, Schmitz KH. An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv. 2010;4:87–100.CrossRefPubMed Speck RM, Courneya KS, Masse LC, Duval S, Schmitz KH. An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv. 2010;4:87–100.CrossRefPubMed
12.
Zurück zum Zitat Yeo TP, Burrell SA, Sauter PK, Kennedy EP, Lavu H, Leiby BE, et al. A progressive postresection walking program significantly improves fatigue and health-related quality of life in pancreas and periampullary cancer patients. J Am Coll Surg. 2012;214:463–75. discussion 75-7.CrossRefPubMed Yeo TP, Burrell SA, Sauter PK, Kennedy EP, Lavu H, Leiby BE, et al. A progressive postresection walking program significantly improves fatigue and health-related quality of life in pancreas and periampullary cancer patients. J Am Coll Surg. 2012;214:463–75. discussion 75-7.CrossRefPubMed
13.
Zurück zum Zitat Vashi P, Popiel B, Lammersfeld C, Gupta D. Outcomes of systematic nutritional assessment and medical nutrition therapy in pancreatic cancer. Pancreas. 2015;44:750–5.CrossRefPubMed Vashi P, Popiel B, Lammersfeld C, Gupta D. Outcomes of systematic nutritional assessment and medical nutrition therapy in pancreatic cancer. Pancreas. 2015;44:750–5.CrossRefPubMed
14.
Zurück zum Zitat Nitenberg G, Raynard B. Nutritional support of the cancer patient: issues and dilemmas. Crit Rev Oncol Hematol. 2000;34:137–68.CrossRefPubMed Nitenberg G, Raynard B. Nutritional support of the cancer patient: issues and dilemmas. Crit Rev Oncol Hematol. 2000;34:137–68.CrossRefPubMed
15.
Zurück zum Zitat Mueller TC, Burmeister MA, Bachmann J, Martignoni ME. Cachexia and pancreatic cancer: are there treatment options? World J Gastroenterol. 2014;20:9361–73.CrossRefPubMedPubMedCentral Mueller TC, Burmeister MA, Bachmann J, Martignoni ME. Cachexia and pancreatic cancer: are there treatment options? World J Gastroenterol. 2014;20:9361–73.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Ferrucci LM, Bell D, Thornton J, Black G, McCorkle R, Heimburger DC, et al. Nutritional status of patients with locally advanced pancreatic cancer: a pilot study. Support Care Cancer. 2011;19:1729–34.CrossRefPubMed Ferrucci LM, Bell D, Thornton J, Black G, McCorkle R, Heimburger DC, et al. Nutritional status of patients with locally advanced pancreatic cancer: a pilot study. Support Care Cancer. 2011;19:1729–34.CrossRefPubMed
17.
Zurück zum Zitat Beckjord EB, Finney Rutten LJ, Squiers L, Arora NK, Volckmann L, Moser RP, et al. Use of the internet to communicate with health care providers in the United States: estimates from the 2003 and 2005 Health Information National Trends Surveys (HINTS). J Med Internet Res. 2007;9:e20.CrossRefPubMedPubMedCentral Beckjord EB, Finney Rutten LJ, Squiers L, Arora NK, Volckmann L, Moser RP, et al. Use of the internet to communicate with health care providers in the United States: estimates from the 2003 and 2005 Health Information National Trends Surveys (HINTS). J Med Internet Res. 2007;9:e20.CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Valle CG, Tate DF, Mayer DK, Allicock M, Cai J. A randomized trial of a Facebook-based physical activity intervention for young adult cancer survivors. J Cancer Surviv. 2013;7:355–68.CrossRefPubMedPubMedCentral Valle CG, Tate DF, Mayer DK, Allicock M, Cai J. A randomized trial of a Facebook-based physical activity intervention for young adult cancer survivors. J Cancer Surviv. 2013;7:355–68.CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Chou WY, Liu B, Post S, Hesse B. Health-related Internet use among cancer survivors: data from the Health Information National Trends Survey, 2003-2008. J Cancer Surviv. 2011;5:263–70.CrossRefPubMed Chou WY, Liu B, Post S, Hesse B. Health-related Internet use among cancer survivors: data from the Health Information National Trends Survey, 2003-2008. J Cancer Surviv. 2011;5:263–70.CrossRefPubMed
20.
Zurück zum Zitat Hatchett A, Hallam JS, Ford MA. Evaluation of a social cognitive theory-based email intervention designed to influence the physical activity of survivors of breast cancer. Psychooncology. 2013;22:829–36.CrossRefPubMed Hatchett A, Hallam JS, Ford MA. Evaluation of a social cognitive theory-based email intervention designed to influence the physical activity of survivors of breast cancer. Psychooncology. 2013;22:829–36.CrossRefPubMed
21.
Zurück zum Zitat Spark LC, Fjeldsoe BS, Eakin EG, Reeves MM. Efficacy of a text message-delivered extended contact intervention on maintenance of weight loss, physical activity, and dietary behavior change. JMIR Mhealth Uhealth. 2015;3:e88.CrossRefPubMedPubMedCentral Spark LC, Fjeldsoe BS, Eakin EG, Reeves MM. Efficacy of a text message-delivered extended contact intervention on maintenance of weight loss, physical activity, and dietary behavior change. JMIR Mhealth Uhealth. 2015;3:e88.CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Goode AD, Lawler SP, Brakenridge CL, Reeves MM, Eakin EG. Telephone, print, and Web-based interventions for physical activity, diet, and weight control among cancer survivors: a systematic review. J Cancer Surviv. 2015;9:660–82.CrossRefPubMed Goode AD, Lawler SP, Brakenridge CL, Reeves MM, Eakin EG. Telephone, print, and Web-based interventions for physical activity, diet, and weight control among cancer survivors: a systematic review. J Cancer Surviv. 2015;9:660–82.CrossRefPubMed
23.
Zurück zum Zitat Bluethmann SM, Vernon SW, Gabriel KP, Murphy CC, Bartholomew LK. Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors. Breast Cancer Res Treat. 2015;149:331–42.CrossRefPubMedPubMedCentral Bluethmann SM, Vernon SW, Gabriel KP, Murphy CC, Bartholomew LK. Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors. Breast Cancer Res Treat. 2015;149:331–42.CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Klaren RE, Hubbard EA, Motl RW. Efficacy of a behavioral intervention for reducing sedentary behavior in persons with multiple sclerosis: a pilot examination. Am J Prev Med. 2014;47:613–6.CrossRefPubMed Klaren RE, Hubbard EA, Motl RW. Efficacy of a behavioral intervention for reducing sedentary behavior in persons with multiple sclerosis: a pilot examination. Am J Prev Med. 2014;47:613–6.CrossRefPubMed
25.
Zurück zum Zitat Alley S, Jennings C, Plotnikoff RC, Vandelanotte C. My Activity Coach - using video-coaching to assist a web-based computer-tailored physical activity intervention: a randomised controlled trial protocol. BMC Public Health. 2014;14:738.CrossRefPubMedPubMedCentral Alley S, Jennings C, Plotnikoff RC, Vandelanotte C. My Activity Coach - using video-coaching to assist a web-based computer-tailored physical activity intervention: a randomised controlled trial protocol. BMC Public Health. 2014;14:738.CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Ylimaki EL, Kanste O, Heikkinen H, Bloigu R, Kyngas H. The effects of a counselling intervention on lifestyle change in people at risk of cardiovascular disease. Eur J Cardiovasc Nurs. 2015;14:153–61.CrossRefPubMed Ylimaki EL, Kanste O, Heikkinen H, Bloigu R, Kyngas H. The effects of a counselling intervention on lifestyle change in people at risk of cardiovascular disease. Eur J Cardiovasc Nurs. 2015;14:153–61.CrossRefPubMed
27.
Zurück zum Zitat Beesley VL, Janda M, Goldstein D, Gooden H, Merrett ND, O’Connell DL, et al. A tsunami of unmet needs: pancreatic and ampullary cancer patients’ supportive care needs and use of community and allied health services. Psychooncology. 2016;25(2):150–7.CrossRefPubMed Beesley VL, Janda M, Goldstein D, Gooden H, Merrett ND, O’Connell DL, et al. A tsunami of unmet needs: pancreatic and ampullary cancer patients’ supportive care needs and use of community and allied health services. Psychooncology. 2016;25(2):150–7.CrossRefPubMed
28.
Zurück zum Zitat Papadakos J, Urowitz S, Olmstead C, Jusko Friedman A, Zhu J, Catton P. Informational needs of gastrointestinal oncology patients. Health Expect. 2015;18(6):3088–98.CrossRefPubMed Papadakos J, Urowitz S, Olmstead C, Jusko Friedman A, Zhu J, Catton P. Informational needs of gastrointestinal oncology patients. Health Expect. 2015;18(6):3088–98.CrossRefPubMed
29.
Zurück zum Zitat Rogers LQ, Malone J, Rao K, Courneya KS, Fogleman A, Tippey A, et al. Exercise preferences among patients with head and neck cancer: prevalence and associations with quality of life, symptom severity, depression, and rural residence. Head Neck. 2009;31:994–1005.CrossRefPubMed Rogers LQ, Malone J, Rao K, Courneya KS, Fogleman A, Tippey A, et al. Exercise preferences among patients with head and neck cancer: prevalence and associations with quality of life, symptom severity, depression, and rural residence. Head Neck. 2009;31:994–1005.CrossRefPubMed
30.
Zurück zum Zitat Rogers LQ, Markwell SJ, Verhulst S, McAuley E, Courneya KS. Rural breast cancer survivors: exercise preferences and their determinants. Psychooncology. 2009;18:412–21.CrossRefPubMed Rogers LQ, Markwell SJ, Verhulst S, McAuley E, Courneya KS. Rural breast cancer survivors: exercise preferences and their determinants. Psychooncology. 2009;18:412–21.CrossRefPubMed
32.
Zurück zum Zitat Vroman KG, Arthanat S, Lysack C. Who over 65 is online? Older adults’ dispositions toward information communication is technology. Comput Human Behav. 2015;43:156–66.CrossRef Vroman KG, Arthanat S, Lysack C. Who over 65 is online? Older adults’ dispositions toward information communication is technology. Comput Human Behav. 2015;43:156–66.CrossRef
33.
Zurück zum Zitat Kelsen DP, Portenoy RK, Thaler HT, Niedzwiecki D, Passik SD, Tao Y, et al. Pain and depression in patients with newly diagnosed pancreas cancer. J Clin Oncol. 1995;13:748–55.PubMed Kelsen DP, Portenoy RK, Thaler HT, Niedzwiecki D, Passik SD, Tao Y, et al. Pain and depression in patients with newly diagnosed pancreas cancer. J Clin Oncol. 1995;13:748–55.PubMed
34.
Zurück zum Zitat Capozzi LC, Nishimura KC, McNeely ML, Lau H, Culos-Reed SN. The impact of physical activity on health-related fitness and quality of life for patients with head and neck cancer: a systematic review. Br J Sports Med. 2016;50(6):325–38.CrossRefPubMed Capozzi LC, Nishimura KC, McNeely ML, Lau H, Culos-Reed SN. The impact of physical activity on health-related fitness and quality of life for patients with head and neck cancer: a systematic review. Br J Sports Med. 2016;50(6):325–38.CrossRefPubMed
35.
Zurück zum Zitat Mustian KM, Sprod LK, Janelsins M, Peppone LJ, Mohile S. Exercise recommendations for cancer-related fatigue, cognitive impairment, sleep problems, depression, pain, anxiety, and physical dysfunction: a review. Oncol Hematol Rev. 2012;8:81–8.CrossRefPubMedPubMedCentral Mustian KM, Sprod LK, Janelsins M, Peppone LJ, Mohile S. Exercise recommendations for cancer-related fatigue, cognitive impairment, sleep problems, depression, pain, anxiety, and physical dysfunction: a review. Oncol Hematol Rev. 2012;8:81–8.CrossRefPubMedPubMedCentral
36.
Zurück zum Zitat Brown JC, Huedo-Medina TB, Pescatello LS, Pescatello SM, Ferrer RA, Johnson BT. Efficacy of exercise interventions in modulating cancer-related fatigue among adult cancer survivors: a meta-analysis. Cancer Epidemiol Biomarkers Prev. 2011;20:123–33.CrossRefPubMed Brown JC, Huedo-Medina TB, Pescatello LS, Pescatello SM, Ferrer RA, Johnson BT. Efficacy of exercise interventions in modulating cancer-related fatigue among adult cancer survivors: a meta-analysis. Cancer Epidemiol Biomarkers Prev. 2011;20:123–33.CrossRefPubMed
37.
Zurück zum Zitat Forbes CC, Blanchard CM, Mummery WK, Courneya KS. A comparison of physical activity preferences among breast, prostate, and colorectal cancer survivors in Nova Scotia, Canada. J Phys Act Health. 2015;12:823–33.CrossRefPubMed Forbes CC, Blanchard CM, Mummery WK, Courneya KS. A comparison of physical activity preferences among breast, prostate, and colorectal cancer survivors in Nova Scotia, Canada. J Phys Act Health. 2015;12:823–33.CrossRefPubMed
38.
Zurück zum Zitat Jones LW, Courneya KS. Exercise counseling and programming preferences of cancer survivors. Cancer Pract. 2002;10:208–15.CrossRefPubMed Jones LW, Courneya KS. Exercise counseling and programming preferences of cancer survivors. Cancer Pract. 2002;10:208–15.CrossRefPubMed
39.
Zurück zum Zitat Zebrack B. Information and service needs for young adult cancer survivors. Support Care Cancer. 2009;17:349–57.CrossRefPubMed Zebrack B. Information and service needs for young adult cancer survivors. Support Care Cancer. 2009;17:349–57.CrossRefPubMed
40.
Zurück zum Zitat Zebrack B. Information and service needs for young adult cancer patients. Support Care Cancer. 2008;16:1353–60.CrossRefPubMed Zebrack B. Information and service needs for young adult cancer patients. Support Care Cancer. 2008;16:1353–60.CrossRefPubMed
41.
Zurück zum Zitat Stull VB, Snyder DC, Demark-Wahnefried W. Lifestyle interventions in cancer survivors: designing programs that meet the needs of this vulnerable and growing population. J Nutr. 2007;137:243S–8S.PubMed Stull VB, Snyder DC, Demark-Wahnefried W. Lifestyle interventions in cancer survivors: designing programs that meet the needs of this vulnerable and growing population. J Nutr. 2007;137:243S–8S.PubMed
Metadaten
Titel
Pancreatic cancer survivors’ preferences, barriers, and facilitators related to physical activity and diet interventions
verfasst von
Anna E. Arthur
Ashley Delk
Wendy Demark-Wahnefried
John D. Christein
Carlo Contreras
James A. Posey III
Selwyn Vickers
Robert Oster
Laura Q. Rogers
Publikationsdatum
30.04.2016
Verlag
Springer US
Erschienen in
Journal of Cancer Survivorship / Ausgabe 6/2016
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-016-0544-5

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