乳腺癌幸存者采用健康生活方式的障碍和促进因素：系统评价方案。

Barriers and facilitators for adopting healthy lifestyles in breast cancer survivors: a scoping review protocol.

机构信息

University of Nicosia Medical School, Nicosia, Cyprus.

Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus.

出版信息

JBI Evid Synth. 2023 Nov 1;21(11):2218-2226. doi: 10.11124/JBIES-22-00395.

DOI:10.11124/JBIES-22-00395

PMID:37395535

Abstract

OBJECTIVE

This scoping review will identify barriers and facilitators for the adoption of 7 healthy lifestyle components by female breast cancer survivors. This will be achieved by mapping the World Cancer Research Fund/American Institute for Cancer Research recommendations and the Lifestyle Medicine pillars.

INTRODUCTION

Adherence to healthy lifestyle components (including weight management, physical activity, healthy diet, restorative sleep, avoidance of risky substances, forming and maintaining healthy relationships, and stress management) may improve the quality of life of breast cancer survivors and reduce the risk of adverse patient outcomes. However, cancer survivors' adherence to recommendations of multiple healthy lifestyle components is low, and decreases over time.

INCLUSION CRITERIA

The review will consider peer-reviewed studies investigating barriers and facilitators for adopting any of the 7 healthy lifestyle components by female adult (18+ years old) breast cancer survivors (ie, from the time of diagnosis) in community, hospital, and/or cancer care settings, without any geographical restrictions. All study designs and articles published in English will be included.

METHODS

The review will follow the JBI methodology for scoping reviews. Databases to be searched will include MEDLINE (PubMed), Embase, CINAHL (EBSCOhost), PsycINFO (Ovid), and the Cochrane Library databases. Articles published from 2007 to the present will be considered since this was the year in which the World Cancer Research Fund/American Institute for Cancer Research recommendations were published. Two independent reviewers will screen the retrieved articles and extract the data. Barriers and facilitators for each lifestyle component will be grouped according to the Theoretical Domain Framework. A narrative summary will explicate the charted data.

REVIEW REGISTRATION

Open Science Framework https://osf.io/cn3va.

摘要

目的

本范围综述旨在确定女性乳腺癌幸存者采用 7 种健康生活方式组成部分的障碍和促进因素。这将通过映射世界癌症研究基金会/美国癌症研究所的建议和生活方式医学支柱来实现。

引言

坚持健康的生活方式组成部分（包括体重管理、身体活动、健康饮食、恢复性睡眠、避免危险物质、形成和维持健康的关系以及管理压力）可能会提高乳腺癌幸存者的生活质量并降低不良患者结局的风险。然而，癌症幸存者对多种健康生活方式组成部分的建议的依从性较低，并且随着时间的推移而降低。

纳入标准

本综述将考虑同行评议的研究，这些研究调查了女性成年（18 岁及以上）乳腺癌幸存者（即从诊断时起）在社区、医院和/或癌症护理环境中采用任何 7 种健康生活方式组成部分的障碍和促进因素，无任何地理限制。所有研究设计和以英文发表的文章都将包括在内。

方法

本综述将遵循 JBI 用于范围综述的方法。将搜索的数据库包括 MEDLINE（PubMed）、Embase、CINAHL（EBSCOhost）、PsycINFO（Ovid）和 Cochrane 图书馆数据库。将考虑从 2007 年至今发表的文章，因为这是世界癌症研究基金会/美国癌症研究所建议发布的年份。两名独立评审员将筛选检索到的文章并提取数据。根据理论领域框架，将按生活方式组成部分对障碍和促进因素进行分组。叙述性摘要将阐明图表数据。