Barriers to and facilitators of improving physical activity and nutrition behaviors during chemotherapy for breast cancer: a sequential mixed methods study.


Journal

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957

Informations de publication

Date de publication:
14 Aug 2024
Historique:
received: 10 05 2024
accepted: 06 08 2024
medline: 14 8 2024
pubmed: 14 8 2024
entrez: 14 8 2024
Statut: epublish

Résumé

Use qualitative and quantitative methods to explore factors influencing the adoption of guideline-based physical activity (PA) and dietary recommendations among participants enrolled in a lifestyle intervention during and after chemotherapy for breast cancer. Among women with stage I-III breast cancer who participated in the intervention arm of the Lifestyle, Exercise, and Nutrition early after diagnosis (LEANer) trial, we used stratified, purposeful sampling to interview women who met both, one, or neither intervention goal after the 1-year intervention: (1) 150 min/week moderate-to-vigorous intensity exercise via a self-reported PA questionnaire and (2) improved self-reported diet quality measured by the Healthy Eating Index-2015. Semi-structured interviews were audio-recorded, transcribed verbatim, and analyzed using thematic content analysis. The 29 women interviewed were 52 ± 11 years old on average, with a mean body mass index of 29.6 ± 7.7 kg/m Women reported the external support, tailored education, and experiencing the physical and mental benefits of the LEANer intervention facilitated the adoption of the interventions' behavioral goals. Addressing chemotherapy-related symptoms and competing priorities may facilitate adherence to lifestyle interventions during chemotherapy for breast cancer.

Identifiants

pubmed: 39141176
doi: 10.1007/s00520-024-08789-5
pii: 10.1007/s00520-024-08789-5
doi:

Substances chimiques

Antineoplastic Agents 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

590

Subventions

Organisme : NCI NIH HHS
ID : F31CA268894
Pays : United States
Organisme : NCI NIH HHS
ID : R25CA203650
Pays : United States
Organisme : NCI NIH HHS
ID : 5R01CA207753
Pays : United States
Organisme : NCATS NIH HHS
ID : TR001864
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01HL151603
Pays : United States
Organisme : NIMHD NIH HHS
ID : R01MD014853
Pays : United States

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Leah S Puklin (LS)

Yale School of Public Health, Yale University, 47 College St., New Haven, CT, 06510, USA. leah.puklin@yale.edu.

Melinda L Irwin (ML)

Yale School of Public Health, Yale University, 47 College St., New Haven, CT, 06510, USA.
Yale Cancer Center, New Haven, CT, 06510, USA.

Tara Sanft (T)

Yale Cancer Center, New Haven, CT, 06510, USA.
Yale School of Medicine, 333 Cedar St, New Haven, CT, 06520, USA.

Leah M Ferrucci (LM)

Yale School of Public Health, Yale University, 47 College St., New Haven, CT, 06510, USA.
Yale Cancer Center, New Haven, CT, 06510, USA.

Maura Harrigan (M)

Yale School of Public Health, Yale University, 47 College St., New Haven, CT, 06510, USA.

Courtney McGowan (C)

Yale Cancer Center, New Haven, CT, 06510, USA.

Brenda Cartmel (B)

Yale School of Public Health, Yale University, 47 College St., New Haven, CT, 06510, USA.
Yale Cancer Center, New Haven, CT, 06510, USA.

Michelle Zupa (M)

Yale Cancer Center, New Haven, CT, 06510, USA.

Eric P Winer (EP)

Yale Cancer Center, New Haven, CT, 06510, USA.
Yale School of Medicine, 333 Cedar St, New Haven, CT, 06520, USA.

Maryann Deyling (M)

Yale School of Public Health, Yale University, 47 College St., New Haven, CT, 06510, USA.

Jennifer A Ligibel (JA)

Dana Farber Cancer Institute, Boston, MA, USA.

Karen Basen-Engquist (K)

Center for Energy Balance, Department of Behavioral Science, MD Anderson Cancer Center, Houston, TX, 77030, USA.

Donna Spiegelman (D)

Yale School of Public Health, Yale University, 47 College St., New Haven, CT, 06510, USA.
Yale Cancer Center, New Haven, CT, 06510, USA.

Mona Sharifi (M)

Yale School of Public Health, Yale University, 47 College St., New Haven, CT, 06510, USA.
Yale School of Medicine, 333 Cedar St, New Haven, CT, 06520, USA.

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