Department of Pediatrics Research, University of Texas MD Anderson Cancer Center, 7777 Knight Rd, Houston, TX, 77054, USA.
Department of Integrative Medicine, University of Texas MD Anderson Cancer Center, 1515 Holcombe, Houston, TX, 77030, USA.
Support Care Cancer. 2020 Mar;28(3):1305-1313. doi: 10.1007/s00520-019-04928-5. Epub 2019 Jun 26.
Increased cardiovascular disease and second cancer risks among childhood cancer survivors (CCS) makes them and their families important audiences for nutrition intervention. Family meals and home cooking practices have been associated with improved diet and health, but there is a gap in the literature on understanding these behaviors and their motivating values among CCS families. This study qualitatively explores family meal values and behaviors in a sample of CCS parent-child dyads.
This observational and qualitative study recruited a convenience sample of 11 parent-CCS dyads. Data collection included audio and video recording of food preparation events in participant homes, which were analyzed with an inductive coding technique to examine meal-related values in CCS families.
Analyses revealed four major categories of meal values. Effort, including time and difficulty, as well as budget, healthfulness, and family preferences emerged as recurrent values impacting meal preparation. These values were impacted by the cancer experience upon diagnosis, during treatment, and into survivorship.
A better understanding of CCS family meal planning values, the impact of the cancer experience on these values, and the inclusion of CCS in food preparation reveals potential intervention targets, facilitators, and barriers for future interventions to improve dietary behaviors among CCS.
儿童癌症幸存者（CCS）心血管疾病和第二癌症风险增加，使他们及其家人成为营养干预的重要受众。家庭用餐和家庭烹饪实践与改善饮食和健康有关，但在了解 CCS 家庭的这些行为及其动机价值观方面，文献中存在空白。本研究定性探讨了 CCS 亲子对中的家庭用餐价值观和行为。
本观察性和定性研究招募了一组方便的 11 对父母-CCS 亲子对。数据收集包括在参与者家中录制音频和视频记录食物准备活动，然后使用归纳编码技术对这些数据进行分析，以检查 CCS 家庭中的与膳食相关的价值观。
分析显示出四大类膳食价值观。努力，包括时间和难度，以及预算、健康和家庭偏好，作为影响膳食准备的反复出现的价值观出现。这些价值观受到诊断时、治疗期间和生存期间癌症经历的影响。
更好地了解 CCS 家庭膳食计划的价值观、癌症经历对这些价值观的影响，以及将 CCS 纳入食物准备中，可以揭示未来干预措施改善 CCS 饮食行为的潜在干预目标、促进因素和障碍。
