Dolan Hanne R, Alvarez Alexis A, Freylersythe Sarah J, Penaloza Irlena, Grijalva Sofia, Taylor-Piliae Ruth, Crane Tracy E
College of Nursing, University of Arizona, 1305 N. Martin, Tucson, AZ, 85721, USA.
The University of Arizona Cancer Center, Tucson, AZ, USA.
Support Care Cancer. 2022 Mar;30(3):2649-2659. doi: 10.1007/s00520-021-06596-w. Epub 2021 Nov 24.
Cancer is the leading cause of death among Hispanics/Latinos in the USA. Latina cancer survivors experience higher symptom burden than other cancer survivors. A healthy lifestyle can decrease recurrent cancer risk, increase well-being, and may decrease symptom burden in cancer survivors. The purpose of this study was to explore the barriers and facilitators for adopting healthy lifestyle behaviors among Latina cancer survivors.
Using the Health Belief Model as the theoretical framework, qualitative descriptive methodology was used for secondary analysis of data from a previously conducted randomized clinical trial. Transcripts from the telephone health coaching calls, analyzed in the original language (English or Spanish), were used for this qualitative analysis.
Intervention telephone call transcript data from Latina cancer survivors (n = 14) were analyzed. Major themes were as follows: Perceived susceptibility to other chronic illnesses, perceived benefits of a healthy lifestyle, and perceived barriers and facilitators of adopting a healthy lifestyle. Lack of knowledge about healthy lifestyle behaviors could prevent participants from adopting a healthy lifestyle; gaining new knowledge about healthy lifestyle behaviors was a facilitator for changing lifestyle. Family responsibility and wearable technology could both prevent and motivate the participants to adopt a healthy lifestyle.
Developing culturally appropriate interventions for Latina cancer survivors is vital to decrease symptom burden and health risks, as well as improve health outcomes in this population.
癌症是美国西班牙裔/拉丁裔人群的主要死因。拉丁裔癌症幸存者比其他癌症幸存者承受着更高的症状负担。健康的生活方式可以降低癌症复发风险，提高幸福感，并可能减轻癌症幸存者的症状负担。本研究的目的是探讨拉丁裔癌症幸存者采取健康生活方式行为的障碍和促进因素。
以健康信念模型为理论框架，采用定性描述方法对先前进行的一项随机临床试验的数据进行二次分析。来自电话健康指导通话的原始语言（英语或西班牙语）记录用于本次定性分析。
对拉丁裔癌症幸存者（n = 14）的干预电话记录数据进行了分析。主要主题如下：对其他慢性疾病的感知易感性、健康生活方式的感知益处以及采取健康生活方式的感知障碍和促进因素。对健康生活方式行为缺乏了解可能会阻碍参与者采取健康的生活方式；获得有关健康生活方式行为的新知识是改变生活方式的一个促进因素。家庭责任和可穿戴技术既可能阻碍也可能激励参与者采取健康的生活方式。
为拉丁裔癌症幸存者制定适合其文化背景的干预措施对于减轻症状负担和健康风险以及改善该人群的健康结局至关重要。
