Faculty of Health and Medical Sciences, School of Health Sciences, University of Surrey, UK.
Faculty of Health and Medical Sciences, School of Psychology, University of Surrey, UK.
Psychooncology. 2019 Mar;28(3):593-599. doi: 10.1002/pon.4983. Epub 2019 Jan 24.
It is well established that exercise and lifestyle behaviours improve men's health outcomes from prostate cancer. With 3.8 million men living with the disease worldwide, the challenge is creating accessible intervention approaches that lead to sustainable lifestyle changes. We carried out a phase II feasibility study of a lifestyle intervention delivered by nine community pharmacies in the United Kingdom to inform a larger efficacy study. Qualitative interviews explored how men experienced the intervention, and these data are presented here.
Community pharmacies delivered a multicomponent lifestyle intervention to 116 men with prostate cancer. The intervention included a health, strength, and fitness assessment, immediate feedback, lifestyle prescription with telephone support, and reassessment 12 weeks later. Three months after receiving the intervention, 33 participants took part in semistructured telephone interviews.
Our framework analysis identified how a teachable moment can be created by a community pharmacy intervention. There was evidence of this when men's self-perception was challenged and coupled to a positive interaction with a pharmacist. Our findings highlight the social context of behaviour change with men identifying how their lifestyle choices were negotiated within their household. There was a ripple effect as lifestyle behaviours made a positive impact on friends and family.
The teachable moment is not a serendipitous opportunity but can be created by an intervention. Our study adds insight into how community pharmacists can support cancer survivors to make positive lifestyle behaviour changes and suggests a role for doing rather than just telling.
运动和生活方式行为可改善男性前列腺癌的健康结果，这一点已得到充分证实。目前全球有 380 万男性患有这种疾病，因此面临的挑战是创建易于接受的干预方法，以促使生活方式发生可持续的改变。我们对英国 9 家社区药店提供的生活方式干预措施进行了 II 期可行性研究，以为更大规模的疗效研究提供信息。本研究采用定性访谈的方法探讨了男性对干预措施的体验，现将这些数据呈现如下。
社区药店为 116 名前列腺癌男性患者提供了多组分生活方式干预措施。该干预措施包括健康、力量和健身评估、即时反馈、生活方式处方和电话支持，以及 12 周后的重新评估。在接受干预措施 3 个月后，有 33 名参与者参加了半结构化电话访谈。
我们的框架分析确定了社区药房干预措施如何创造可教时刻。当男性的自我认知受到挑战并与药剂师的积极互动相结合时，就有证据表明了这一点。我们的研究结果突出了行为改变的社会背景，男性确定了他们的生活方式选择是如何在家庭中协商的。生活方式的改变也对朋友和家人产生了积极影响，产生了连锁反应。
可教时刻不是偶然的机会，而是可以通过干预措施创造的。我们的研究进一步了解了社区药剂师如何支持癌症幸存者做出积极的生活方式行为改变，并提出了一种不仅仅是告诉，而是要采取行动的角色。
