International Agency for Research on Cancer, CEDEX 08, 69372 Lyon, France.
Centre Léon Bérard, 69008 Lyon, France.
Nutrients. 2021 Oct 20;13(11):3685. doi: 10.3390/nu13113685.
Current evidence suggests that 30-50% of cancers are attributable to established lifestyle risk factors. Cancer-screening has been identified as an opportunity for delivering advice on lifestyle behaviour change for cancer prevention. This study aimed to evaluate the feasibility and acceptance of promoting advice on the latest evidence-based lifestyle recommendations for cancer prevention at the time of colorectal cancer screening at two hospitals in Lyon, France. This feasibility study included 49 patients (20 men and 29 women) who were invited for colonoscopy. Patients received a leaflet with lifestyle recommendations for cancer prevention, accompanied with a logbook to plan and monitor their behavioural changes. Feedback from patients, hospital staff, and researchers was received via evaluation questionnaires ( = 26) completed after testing the educational material for at least two weeks and via two focus group discussions ( = 7 and = 9 respectively) organized at the end of the study. All interviewed patients were interested in lowering their cancer risk, and the majority felt ready to change their lifestyle (88%), although most did not know how to decrease their risk of cancer (61%). All patients found the educational material easy to understand and sufficiently attractive and 50% of the patients reported having achieved at least one of the healthy behaviours recommended within the two weeks following the intervention. All hospital staff and almost all patients (92%) involved found that the screening program and the visits planned for colonoscopy was an appropriate moment to provide them with the educational material. This feasibility study has shown that the content, paper-based format, and time of delivery of the intervention were adequate. Health professionals seem to be willing to provide lifestyle recommendations, and patients appear interested in receiving advice for lowering their cancer risk during screening visits.
目前的证据表明，30-50%的癌症可归因于已确立的生活方式风险因素。癌症筛查已被确定为提供有关生活方式行为改变以预防癌症的建议的机会。本研究旨在评估在法国里昂的两家医院进行结直肠癌筛查时，推广最新循证预防癌症生活方式建议的可行性和可接受性。这项可行性研究包括 49 名患者（20 名男性和 29 名女性），他们被邀请进行结肠镜检查。患者收到了一份有关预防癌症的生活方式建议的传单，并附有一个日志本，用于计划和监测他们的行为变化。通过至少两周后测试教育材料后完成的评估问卷（=26）以及在研究结束时组织的两次焦点小组讨论（=7 和=9），从患者、医院工作人员和研究人员那里收到了反馈。所有接受采访的患者都有降低癌症风险的兴趣，大多数人感到准备好改变他们的生活方式（88%），尽管大多数人不知道如何降低患癌症的风险（61%）。所有患者都认为教育材料易于理解且足够吸引人，50%的患者报告在干预后的两周内至少实现了建议的健康行为之一。所有医院工作人员和几乎所有患者（92%）都认为，筛查计划和计划进行的结肠镜检查访问是提供教育材料的合适时机。这项可行性研究表明，干预的内容、纸质格式和交付时间都是合适的。卫生专业人员似乎愿意提供生活方式建议，而患者似乎有兴趣在筛查就诊时获得降低癌症风险的建议。
