Journal article
Capitalizing on the “teachable moment” to promote healthy dietary changes among cancer survivors: the perspectives of health care providers
Supportive care in cancer, v 23(3), pp 679-686
Mar 2015
PMID: 25160494
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Although cancer is often thought of as a teachable moment, many cancer survivors do not adhere to behavioral recommendations that might improve their health. This study explored health care providers’ perspectives on the importance and feasibility of addressing behavior change, specifically healthy diet, with cancer survivors.In-depth interviews were conducted with 33 health care providers who care for posttreatment survivors of breast cancer, prostate cancer, and non-Hodgkin’s lymphoma. Interviews were analyzed thematically.Health care providers emphasized the strength of evidence linking diet/obesity to recurrence in their assessment of the importance of promoting dietary change among their survivor patients. Cancer specialists (e.g., oncologists, surgeons) generally brought up dietary change with patients if they considered the evidence to be strong. In contrast, primary care providers viewed health promotion as important for all patients and reported treating cancer survivor patients the same as others when it came to making dietary recommendations. There was a lack of consensus among providers on the best timing to bring up behavior change. Providers described specific subgroups of patients who they saw as more motivated to make behavior changes and patient barriers to making dietary changes.Health care providers can play an important role in promoting healthy diet among cancer survivors. As the evidence base around diet and cancer recurrence/prognosis grows, it is important that this information is communicated to providers. Strategies such as incorporating behavior change messages into survivor care plans may help standardize recommendations to survivors.
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Details
- Title
- Capitalizing on the “teachable moment” to promote healthy dietary changes among cancer survivors: the perspectives of health care providers
- Creators
- Kisha Coa - Department of Health, Behavior, and Society Johns Hopkins Bloomberg School of Public Health 624 N. Broadway St. Baltimore MD 21205 USAKatherine Smith - Department of Health, Behavior, and Society Johns Hopkins Bloomberg School of Public Health 624 N. Broadway St. Baltimore MD 21205 USAAnn Klassen - Department of Community Health and Prevention Drexel University School of Public Health 3215 Market St. Room 435 Philadelphia PA 19104 USALaura Caulfield - Center for Human Nutrition, Department of International Health Johns Hopkins Bloomberg School of Public Health 615 North Wolfe St. W2041 Baltimore MD 21205 USAKathy Helzlsouer - The Prevention and Research Center Mercy Medical Center 227 St. Paul Place Baltimore MD 21202 USAKim Peairs - Division of General Internal Medicine Johns Hopkins Hospital 10753 Falls Rd., Suite 325 Lutherville MD 21093 USALillie Shockney - Johns Hopkins Avon Foundation Breast Center 601 North Caroline St., 4th Floor Baltimore MD 21287 USA
- Publication Details
- Supportive care in cancer, v 23(3), pp 679-686
- Publisher
- Springer Berlin Heidelberg; Berlin/Heidelberg
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000349020000011
- Scopus ID
- 2-s2.0-84961380353
- Other Identifier
- 991014878146504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Oncology
- Rehabilitation