Beehler Gregory P, Rodrigues Amy E, Kay Morgan A, Kiviniemi Marc T, Steinbrenner Lynn
VA Center for Integrated Healthcare, VA Western New York Healthcare System, 3495 Bailey Avenue, Buffalo, NY 14215.
Behavioral VA Careline, VA Western New York Healthcare System, 3495 Bailey Avenue, Buffalo, NY 14215.
Mil Med. 2014 Sep;179(9):998-1005. doi: 10.7205/MILMED-D-14-00027.
This study aimed to identify barriers and facilitators to health behavior change related to body size in a sample of veteran cancer survivors.
A qualitative study was conducted with a sample of 35 male and female cancer survivors receiving care at a Veterans Administration comprehensive cancer center. Participants completed individual interviews regarding barriers and facilitators to lifestyle change and responded to a brief questionnaire regarding current health behaviors.
Participants reported suboptimal adherence to recommended health behavior goals and the majority were overweight or obese (80%). Qualitative analysis revealed numerous barriers and facilitators to health behavior change across six broad categories: environmental factors, health services delivery factors, health-related factors, factors related to attitudes toward change, factors related to enacting change, and motivational factors. Veteran cancer survivors were impacted by common barriers to change affecting the general population, cancer-specific factors related to personal diagnosis and treatment history, and health service delivery factors related to the Veterans Administration health care system.
There are many barriers and facilitators that exist in diverse domains for veteran cancer survivors, each of which offers unique challenges and opportunities for improving engagement in behavior change following cancer diagnosis and treatment.
本研究旨在确定退伍军人癌症幸存者样本中与体型相关的健康行为改变的障碍和促进因素。
对在退伍军人管理局综合癌症中心接受治疗的35名男性和女性癌症幸存者样本进行了一项定性研究。参与者完成了关于生活方式改变的障碍和促进因素的个人访谈，并回答了一份关于当前健康行为的简短问卷。
参与者报告对推荐的健康行为目标的依从性不理想，大多数人超重或肥胖（80%）。定性分析揭示了六个广泛类别中健康行为改变的众多障碍和促进因素：环境因素、卫生服务提供因素、健康相关因素、与对改变的态度相关的因素、与实施改变相关的因素和动机因素。退伍军人癌症幸存者受到影响普通人群的常见改变障碍、与个人诊断和治疗史相关的癌症特定因素以及与退伍军人管理局医疗保健系统相关的卫生服务提供因素的影响。
退伍军人癌症幸存者在不同领域存在许多障碍和促进因素，每一个都为改善癌症诊断和治疗后行为改变的参与度带来了独特的挑战和机遇。
