A qualitative study of stress experiences, health behaviors, and intervention preferences in young adult cancer survivors.
A qualitative study of stress experiences, health behaviors, and intervention preferences in young adult cancer survivors.
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DOI：
10.1007/s00520-023-07756-w
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发表时间：
2023-04-24
期刊：
影响因子：
--
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中科院分区：
文献类型：
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为了告知行为干预的发展，本研究检查了年轻成年人（YA）癌症幸存者与压力，饮食和体力活动相关的经验和未满足的需求。在2022年5月至7月期间，通过Zoom对YA癌症幸存者（n = 12，年龄在18-29岁之间; n = 11，年龄在30-39岁之间; 57%为种族或少数民族）进行了23次半结构化访谈。数据进行了分析，使用编码的可靠性方法进行专题分析。与压力相关的主题包括健康和医疗保健、经济稳定、社会和社区背景以及平衡责任。年轻参与者（18-29岁）讨论了向独立成年人过渡的问题。与应对相关的主题包括放手，保持信仰，分散注意力。年龄较大的参与者（30-39岁）报告了更多样化的应对策略。常规和一致性以及压力的影响是与健康行为相一致的主题。控制是一个跨领域的主题，关于压力源，应对和健康行为。与干预偏好相关的主题包括个性化方法，专家为基础的内容，同伴支持，综合自我护理和自我护理。年轻的参与者更喜欢多种干预形式（例如，网站，跟踪日志）。研究结果强调了YA癌症幸存者对社会和环境压力源的未满足需求，以及在压力管理增强的行为干预中对个性化，基于专家的内容和同伴支持的偏好。这些干预措施可以针对特定年龄组，以考虑到压力经历和干预偏好的差异。
To inform behavioral intervention development, this study examined experiences and unmet needs related to stress, diet, and physical activity in young adult (YA) cancer survivors. Twenty-three semi-structured interviews were conducted with a purposive sample of YA cancer survivors (n = 12 aged 18–29 years; n = 11 aged 30–39 years; 57% racial or ethnic minority) between May and July 2022 via Zoom. Data were analyzed using a coding reliability approach to thematic analysis. Stressor-related themes included health and health care, economic stability, social and community context, and balancing responsibilities. Transition to independent adulthood was discussed among younger participants (18–29 years). Coping-related themes included letting go, keeping anchored in faith, and distraction. Older participants (30–39 years) reported more diverse coping strategies. Routine and consistency and the impact of stress were themes aligning with health behaviors. Control was a cross-cutting theme regarding stressors, coping, and health behaviors. Themes related to intervention preferences included individualized approach, expert-based content, peer support, integrative self-care, and manageability. Younger participants preferred multiple intervention formats (e.g., website, tracking logs). Findings highlighted unmet needs regarding social and environmental stressors in YA cancer survivors and a preference for individualized, expert-based content and peer support in stress management-enhanced behavioral interventions. Such interventions may be tailored for specific age groups to account for differences in stress experiences and intervention preferences.
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DOI：
10.1093/annonc/mdu042
发表时间：
2014-10
期刊：
Annals of oncology : official journal of the European Society for Medical Oncology
影响因子：
--
作者：
Chan DSM;Vieira AR;Aune D;Bandera EV;Greenwood DC;McTiernan A;Navarro Rosenblatt D;Thune I;Vieira R;Norat T
通讯作者：
Norat T
影响因子：
2.6
作者：
Alexander, Gina K.;Bashore, Lisa;Brooks, Vicki
通讯作者：
Brooks, Vicki
影响因子：
45.3
作者：
Green, Daniel M.;Cox, Cheryl L.;Robison, Leslie L.
通讯作者：
Robison, Leslie L.
影响因子：
45.3
作者：
Chao, Chun;Xu, Lanfang;Armenian, Saro H.
通讯作者：
Armenian, Saro H.
影响因子：
2.9
作者：
Adam, Tanja C.;Epel, Elissa S.
通讯作者：
Epel, Elissa S.