Health Promotion Among Mexican-Origin Survivors of Breast Cancer and Caregivers Living in the United States-Mexico Border Region: Qualitative Analysis From the Vida Plena Study.
Health Promotion Among Mexican-Origin Survivors of Breast Cancer and Caregivers Living in the United States-Mexico Border Region: Qualitative Analysis From the Vida Plena Study.
复制标题
DOI：
10.2196/33083
复制
发表时间：
2022-02-24
期刊：
影响因子：
2.8
通讯作者：
Thomson CA
中科院分区：
文献类型：
--
作者：
Skiba MB;Lopez-Pentecost M;Werts SJ;Ingram M;Vogel RM;Enriquez T;Garcia L;Thomson CA
拉美裔癌症幸存者的癌症负担增加。生活方式行为，包括饮食和体育锻炼，可能会减轻癌症负担。关于生活在美国-墨西哥边境的拉美裔癌症幸存者的治疗后生活方式经历，人们的了解有限。这项研究旨在支持为居住在边境社区的墨西哥裔拉美裔癌症幸存者制定一种利益相关者知情的、具有文化相关性的、基于证据的生活方式干预措施，以改善他们的饮食质量和体力活动。通过基于互联网的电话会议，对12名墨西哥裔乳腺癌幸存者和7名照顾者进行了半结构化采访。采访探讨了癌症对生活方式和治疗相关症状的影响，人们对癌症后生活方式对健康的影响的看法，以及干预内容和交付偏好。访谈采用基于癌症生存质量护理框架的演绎主题方法进行分析。幸存者的主要主题包括认为墨西哥饮食不健康，需要可靠的饮食相关信息，癌症治疗后体力活动的好处，家人对健康生活方式(身体和情感)的支持，癌症相关症状的存在干扰生活方式，以及健康生活方式的经济障碍。在护理者中，关键主题包括癌症护理经历对护理者生活方式和癌症预防行为的影响，以及为幸存者提供支持的满足感。这些采访揭示了适应、发展和实施一项基于理论、基于证据、与文化相关的生活方式计划的关键考虑因素，该计划旨在支持生活在边境社区的墨西哥裔拉美裔癌症幸存者的生活方式行为改变。我们的定性发现突出了可以在健康促进规划中实施的具体战略，旨在鼓励癌症保护行为，以减轻生活在边境社区的墨西哥裔癌症幸存者的癌症负担和共病。
Hispanic survivors of cancer experience increased cancer burden. Lifestyle behaviors, including diet and physical activity, may reduce the cancer burden. There is limited knowledge about the posttreatment lifestyle experiences of Hispanic survivors of cancer living on the United States–Mexico border. This study aims to support the development of a stakeholder-informed, culturally relevant, evidence-based lifestyle intervention for Mexican-origin Hispanic survivors of cancer living in a border community to improve their dietary quality and physical activity. Semistructured interviews with 12 Mexican-origin Hispanic survivors of breast cancer and 7 caregivers were conducted through internet-based teleconferencing. The interviews explored the impact of cancer on lifestyle and treatment-related symptoms, perception of lifestyle as an influence on health after cancer, and intervention content and delivery preferences. Interviews were analyzed using a deductive thematic approach grounded in the Quality of Cancer Survivorship Care Framework. Key survivor themes included perception of Mexican diet as unhealthy, need for reliable diet-related information, perceived benefits of physical activity after cancer treatment, family support for healthy lifestyles (physical and emotional), presence of cancer-related symptoms interfering with lifestyle, and financial barriers to living a healthy lifestyle. Among caregivers, key themes included effects of the cancer caregiving experience on caregivers’ lifestyle and cancer-preventive behaviors and gratification in providing support to the survivors. The interviews revealed key considerations to the adaptation, development, and implementation of a theory-informed, evidence-based, culturally relevant lifestyle program to support lifestyle behavior change among Mexican-origin Hispanic survivors of cancer living in border communities. Our qualitative findings highlight specific strategies that can be implemented in health promotion programming aimed at encouraging cancer protective behaviors to reduce the burden of cancer and comorbidities in Mexican-origin survivors of cancer living in border communities.
登录
查看更多内容
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
4.2
作者：
Orzech, Kathryn M.;Vivian, James;Shaw, Susan J.
通讯作者：
Shaw, Susan J.
影响因子：
3.3
作者：
Lindberg NM;Stevens VJ;Halperin RO
通讯作者：
Halperin RO
DOI：
10.1016/j.ejon.2011.09.001
发表时间：
2012-09
期刊：
European journal of oncology nursing : the official journal of European Oncology Nursing Society
影响因子：
--
作者：
Fletcher BS;Miaskowski C;Given B;Schumacher K
通讯作者：
Schumacher K
影响因子：
1.9
作者：
Montoya, Jared A.;Salinas, Jennifer J.;Reininger, Belinda
通讯作者：
Reininger, Belinda