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叙事我的生活方式改变:乳腺癌幸存者如何体验和反思他们参与试点健康生活方式干预。

Storying My Lifestyle Change: How Breast Cancer Survivors Experience and Reflect on Their Participation in a Pilot Healthy Lifestyle Intervention.

机构信息

Department of Psychology, York University , Toronto, Ontario, Canada.

Odette Cancer Centre, Sunnybrook Health Sciences Centre , Toronto, Ontario, Canada.

出版信息

Int J Qual Stud Health Well-being. 2021 Dec;16(1):1864903. doi: 10.1080/17482631.2020.1864903.

Abstract

: Healthy lifestyle interventions after breast cancer treatment have generally been studied in terms of weight-loss outcomes, which leaves a gap in our understanding of the phenomenological experience of such programs. Our knowledge of or women recovering from breast cancer engage or do not engage in these programs is limited. Thus, we aimed to share subjective experiences of lifestyle change within a 12-week group intervention entitled "Healthy Lifestyle Modification After Breast Cancer" (HLM-ABC). : The present research entailed a multiple case study of four breast cancer survivors who participated in the HLM-ABC. Participants were interviewed longitudinally at four time-points: (1) pre-intervention; (2) mid-way intervention; (3) post-intervention, and (4) three-months post-intervention. : We analysed storytelling of participation in the HLM-ABC program to investigate participants' unique and gradual endeavours towards living a healthier lifestyle. A qualitative, narrative analysis was applied to each participant's set of interviews, which yielded two distinct story-telling patterns while participating in the HLM-ABC program: one "plot-driven" and one "character-driven". : These two narrative styles appeared to correspond with differing levels of intervention uptake and perceived success in the program. The implications of these narrative styles and their relationship to healthy lifestyle intervention are discussed.

摘要

健康的生活方式干预措施在乳腺癌治疗后通常以减肥效果为研究重点,这使得我们对这些项目的现象体验了解不足。我们对女性在乳腺癌康复过程中参与或不参与这些项目的了解是有限的。因此,我们旨在分享在名为“乳腺癌后健康生活方式的调整”(HLM-ABC)的 12 周小组干预中生活方式改变的主观体验。

本研究采用了四位乳腺癌幸存者的多个案例研究,他们参加了 HLM-ABC。参与者在四个时间点进行了纵向访谈:(1)干预前;(2)干预中期;(3)干预后;(4)干预后三个月。

我们分析了参与 HLM-ABC 计划的故事讲述,以调查参与者朝着更健康生活方式的独特而逐渐的努力。对每位参与者的一组访谈进行了定性、叙事分析,在参与 HLM-ABC 计划时产生了两种不同的叙事模式:一种是“情节驱动”,另一种是“角色驱动”。

这两种叙事风格似乎与不同程度的干预参与度和对项目的感知成功有关。讨论了这些叙事风格及其与健康生活方式干预的关系。

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本文引用的文献

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Lifestyle change experiences among breast cancer survivors participating in a pilot intervention: A narrative thematic analysis.
Eur J Oncol Nurs. 2019 Aug;41:97-103. doi: 10.1016/j.ejon.2019.06.001. Epub 2019 Jun 4.
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Br J Sports Med. 2019 Apr;53(8):504-512. doi: 10.1136/bjsports-2017-098389. Epub 2017 Nov 21.
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