胰腺癌幸存者对身体活动和饮食干预的偏好、障碍及促进因素。
Pancreatic cancer survivors' preferences, barriers, and facilitators related to physical activity and diet interventions.
作者信息
Arthur Anna E, Delk Ashley, Demark-Wahnefried Wendy, Christein John D, Contreras Carlo, Posey James A, Vickers Selwyn, Oster Robert, Rogers Laura Q
机构信息
Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
Division of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
出版信息
J Cancer Surviv. 2016 Dec;10(6):981-989. doi: 10.1007/s11764-016-0544-5. Epub 2016 Apr 30.
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.
目的
开展一项电话调查，以确定胰腺癌幸存者对参与运动和饮食干预计划的兴趣程度、偏好，以及他们所感知到的参与障碍和促进因素。这些数据将为新诊断患者制定此类干预措施提供参考。
方法
通过机构癌症登记处确定了2011年10月至2014年8月期间接受可切除胰腺腺癌治疗的71名幸存者，并通过电话联系他们。在疾病诊断后不久，进行了一项电话调查，询问幸存者对参与运动和饮食干预计划的兴趣程度、偏好，以及他们所感知到的参与障碍和促进因素。还评估了基于技术的视觉通信（如Skype™、FaceTime®）干预的可接受性。
结果
50名参与者完成了调查（回复率71.8%）。超过三分之二的参与者表示对运动和饮食干预计划感兴趣。超过一半的参与者表示对通过技术进行的视觉通信干预感到满意。参与的障碍包括年龄较大以及身体、个人和情绪方面的问题。最常见的促进因素是对计划的了解。对参与者来说，未来研究的重要结果是支持性护理和生活质量。
结论
大多数胰腺癌患者在诊断后不久对运动和饮食干预感兴趣；然而，参与计划存在一些障碍。
对癌症幸存者的启示
未来针对胰腺癌幸存者的研究和干预计划应侧重于制定信息和策略，为生存结果提供支持，提高幸存者的认知度，解决对技术不熟悉的问题，减少对潜在障碍的恐惧，并帮助幸存者克服这些障碍。这样做可以更好地满足这一研究不足人群的生存需求，提高生活质量。
Zotero 插件