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Pullen T, Bottorff JL, Sabiston CM, Campbell KL, Eves ND, Ellard SL, Gotay C, Fitzpatrick K, Sharp P, Caperchione CM. Utilizing RE-AIM to examine the translational potential of Project MOVE, a novel intervention for increasing physical activity levels in breast cancer survivors. Transl Behav Med 2020; 9:646-655. [PMID: 30060250 DOI: 10.1093/tbm/iby081] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Translating effective research into community practice is critical for improving breast cancer (BC) survivor health. The purpose of this study is to utilize the RE-AIM framework to evaluate the translational potential of Project MOVE, an innovative intervention focused on increasing physical activity (PA) in BC survivors. A mixed-methods design, including a self-report questionnaire, accelerometry, focus groups, and interviews, was used to inform each RE-AIM dimension. Reach was evaluated by the representativeness of participants. Effectiveness was reflected by change in PA levels and perceptions of satisfaction and acceptability. Adoption was examined using participants' perceived barriers/facilitators to program uptake. Implementation was examined by participants' perceived barriers/facilitators to implementing the program. Maintenance was assessed by participant retention. Assessments occurred at baseline and 6-months. Mixed analysis of variance and content analysis were used to analyze the data. A total of 87 participants participated in Project MOVE and were demographically comparable to similar studies (Reach). Participants indicated high levels of program satisfaction (88%) and previously inactive survivors' significantly increased PA levels from baseline to 6-month follow-up (Effectiveness). Participants reported that a program focused on PA rather than disease helped them overcome barriers to PA (Adoption) and having leaders with BC and exercise expertise was essential to accommodate population specific barriers (Implementation). At 6-months, participant retention was 83% (Maintenance). Project MOVE is an acceptable, practical, and effective program for engaging BC survivors in PA and has the potential to be highly transferable to other populations and regions.
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Affiliation(s)
- Tanya Pullen
- School of Health and Exercise Sciences, University of British Columbia, Kelowna, British Columbia, Canada
| | - Joan L Bottorff
- Institute for Healthy Living and Chronic Disease Prevention, University of British Columbia, Kelowna, British Columbia, Canada
| | | | - Kristin L Campbell
- Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada
| | - Neil D Eves
- School of Health and Exercise Sciences, University of British Columbia, Kelowna, British Columbia, Canada.,Centre for Heart, Lungs and Vascular Health, University of British Columbia, Kelowna, British Columbia, Canada
| | - Susan L Ellard
- Cancer Centre of the Southern Interior, British Columbia Cancer Agency, Kelowna, British Columbia, Canada
| | - Carolyn Gotay
- School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada
| | - Kayla Fitzpatrick
- School of Health and Exercise Sciences, University of British Columbia, Kelowna, British Columbia, Canada
| | - Paul Sharp
- School of Health and Exercise Sciences, University of British Columbia, Kelowna, British Columbia, Canada
| | - Cristina M Caperchione
- School of Health and Exercise Sciences, University of British Columbia, Kelowna, British Columbia, Canada.,Institute for Healthy Living and Chronic Disease Prevention, University of British Columbia, Kelowna, British Columbia, Canada.,Human Performance Research Centre, University of Technology Sydney, Sydney, New South Wales, Australia
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Jo HS, Park K, Jung SM. A scoping review of consumer needs for cancer information. PATIENT EDUCATION AND COUNSELING 2019; 102:1237-1250. [PMID: 30772114 DOI: 10.1016/j.pec.2019.02.004] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2018] [Revised: 01/30/2019] [Accepted: 02/05/2019] [Indexed: 05/08/2023]
Abstract
OBJECTIVE This study was a scoping review of research on cancer-related health information seeking and needs of patients, survivor, non-patients, and caregivers. METHODS This study used the COSI model to search for articles published from 2007 to 2017. RESULTS In total, 117 articles with titles and abstracts including the following terms were selected: cancer, health, information, seeking. Non-patients obtained information from the Internet, doctors, and media, whereas patients obtained information from doctors, the Internet, and media. Information needs were the highest for treatment, prognosis, and psychosocial support. Patients had the highest need for information on prognosis and treatment, whereas non-patients had the highest need for general cancer information, prevention, and cancer examination. Caregivers sought information about treatment, psychosocial support, and prevention. CONCLUSION This study revealed an increase in the number of research articles identifying cancer patients' information needs. Cancer patients rely on health professionals for information; thus, relevant materials are needed. Furthermore, not only medical but also psychosocial support information is needed. PRACTICE IMPLICATIONS There is a need for cancer information from health professionals, and thus for patient-centered training materials. Furthermore, a survey system to evaluate consumers' cancer information needs should be developed.
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Affiliation(s)
- Heui Sug Jo
- Department of Health Policy and Management, Kangwon National University College of Medicine, Chuncheon, South Korea
| | - Keeho Park
- Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, South Korea
| | - Su Mi Jung
- Department of Health Policy and Management, Kangwon National University College of Medicine, Chuncheon, South Korea.
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Meer LV, Vallance JK, Ball GD, Johnson ST. Examining Lifestyle Information Sources, Needs, and Preferences among Breast Cancer Survivors in Northern British Columbia. CAN J DIET PRACT RES 2017; 78:212-216. [DOI: 10.3148/cjdpr-2017-016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
| | - Jeff K. Vallance
- Centre for Nursing and Health Studies, Athabasca University, Athabasca, AB
| | - Geoff D.C. Ball
- Department of Pediatrics, University of Alberta, Edmonton, AB
| | - Steven T. Johnson
- Centre for Nursing and Health Studies, Athabasca University, Athabasca, AB
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Morley C, MacLellan D, Traviss K, Cividin T. An Evidence-based Approach to Developing the Collaborative, Client-Centred Nutrition Education (3CNE) Framework and Practice Points. CAN J DIET PRACT RES 2016; 77:78-83. [PMID: 26916545 DOI: 10.3148/cjdpr-2015-048] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
PURPOSE The purpose of this, the third phase of a 3-phase research project, was to develop guidelines for client-centred nutrition education (NE). METHODS A 3-phase study was conducted using a progressive development design, where each phase informed the subsequent phase. Phase 1 was a national online survey of dietitians' perceptions of consumers' NE needs and preferences; results informed the Phase 2 national online survey of consumers about their NE needs and preferences. Phase 3 involved national 2-part teleconference consultations with dietitians to discuss implications of the Phase 2 findings for NE practice. This paper is the report of Phase 3. RESULTS Discussion group participants were 22 dietitians from around Canada who had been in practice for an average of 14.5 years. Discussions resulted in the development of the Collaborative Client-Centred Nutrition Education (3CNE) conceptual framework and related Practice Points that explicate the complexity of NE practice. CONCLUSION The 3CNE framework and Practice Points provide a means to inform precepting students and interns, and for use in planning for the professional development of practicing dietitians on providing client-centred NE.
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Affiliation(s)
- Catherine Morley
- a School of Nutrition and Dietetics, Acadia University, Wolfville, NS
| | | | - Karol Traviss
- c Food, Nutrition and Health, University of British Columbia, Vancouver, BC
| | - Theresa Cividin
- d Vancouver Acute Services, Vancouver Coastal Health, Vancouver, BC
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Cox BA, Crow WT, Johnson L. Current nutritional considerations for prevention of cervical cancer. ACTA ACUST UNITED AC 2012. [DOI: 10.1016/j.osfp.2011.09.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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MacLellan D, Morley C, Traviss K, Cividin T. Toward Evidence-based, Client-centred Nutrition Education Guidelines: Dietitian and Consumer Survey Results. CAN J DIET PRACT RES 2011; 72:111-6. [DOI: 10.3148/72.3.2011.111] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Purpose: Dietitian and consumer perspectives on nutrition education needs and preferences were explored, as these relate to health status. Methods: Phases 1 and 2 of a three-phase, mixed-methods study are reported. Phase 1 was a national online survey of dietitians, which was designed to inform the development of a consumer survey (Phase 2). Consumers responded to an online survey about their demographics, medical conditions, and nutrition education needs (what they wanted to learn) and preferences (how they wanted to learn). Phase 3 involved teleconferenced discussion groups with dietitians across Canada to develop guidelines for nutrition education. Results: Dietitian respondents (n=441) perceived that consumer health status was important in predicting needs and preferences for nutrition education; emotional support was considered most important for consumers with life-altering medical conditions. Consumers (n=680) expressed interest in an array of nutrition education approaches; cooking tips, recipes, and supplement advice were the most popular. Respondents with and without medical conditions had similar nutrition education needs and preferences. Conclusions: Because of the complexity of nutrition education and consumers’ preference for a spectrum of approaches and delivery methods, evidence-based nutrition education guidelines are important to inform dietetics training for the provision of client-centred nutrition education.
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Affiliation(s)
- Deborah MacLellan
- Department of Family and Nutritional Sciences, University of Prince Edward Island, Charlottetown, PE
| | - Catherine Morley
- School of Nutrition and Dietetics, Acadia University, Wolfville, NS
| | - Karol Traviss
- Faculty of Land and Food Systems, University of British Columbia, Vancouver, BC
| | - Theresa Cividin
- Vancouver Acute Services, Vancouver Coastal Health, Vancouver, BC
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Burris L, Paisley J, Greenberg M. Knowledge of antioxidants and breast cancer risk among women attending breast cancer risk assessment clinics. Health Promot Pract 2010; 13:98-105. [PMID: 21191082 DOI: 10.1177/1524839910370426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This qualitative study used semistructured interviews to examine the accuracy of knowledge concerning antioxidants and health among a convenience sample of 79 women attending a breast cancer risk assessment clinic. Despite a high level of familiarity (98%) with the word antioxidant, few participants could name more than one of these compounds and most relied on print media (41.6%) and radio/TV (22.2%) for antioxidant information. Thematic content analysis revealed participants' beliefs that antioxidants were strongly linked to reduced breast cancer risk and improved health. They described antioxidant functions that take place before (e.g., "Prevention . . . a best defense mechanism" and "To boost strength and good health") or after (e.g., "Fights diseases, free radicals, and cancer," "Acts as a cleanser or purifier," and "Undoes the harm that I am consciously or unconsciously doing to my body") a health threat. Participants' understandings of the links between antioxidant intake and breast cancer risk did not accurately reflect the scientific evidence. This large priority population group needs tailored, evidence-based nutrition communications to address inaccurate understandings about antioxidant intake and breast cancer risk.
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Choi KH, Park JH, Park SM. Cancer patients' informational needs on health promotion and related factors: a multi-institutional, cross-sectional study in Korea. Support Care Cancer 2010; 19:1495-504. [PMID: 20694821 DOI: 10.1007/s00520-010-0973-z] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2010] [Accepted: 07/27/2010] [Indexed: 11/25/2022]
Abstract
BACKGROUND As the survival rates of cancer patients increase, health promotion for cancer survivors becomes a more important issue. This study examines whether the informational needs on health promotion by cancer patients is being met and evaluates other factors associated with those informational needs. METHODS Questionnaires were collected from a total of 2,661 cancer patients at ten cancer centers in Korea from July to August 2008. The questionnaire was designed to elicit informational needs related to healthy behaviors, nutrition, and complementary and alternative medicine (CAM). Multiple logistic regression models were developed to identify factors affecting the informational needs of cancer survivors regarding health promotion. RESULTS In our study sample, we found that 64.83%, 66.38%, and 47.40% of patients have unmet informational needs regarding healthy behaviors, nutrition, and CAM, respectively. The desire for information about health promotion appears to be related to socio-demographic factors, clinical factors, behavioral factors, and quality of life. Younger patients with higher levels of education, shorter time since diagnosis, greater stress levels, previous experience using CAM, and problems identified on EQ5D expressed greater needs for health-related information. Cancer recurrence and smoking status were also associated with greater informational needs about nutrition and CAM. CONCLUSIONS A significant proportion of cancer patients have unmet informational needs on health promotion. We identified several factors that influence the desire for more health-related information. A tailored approach to providing informational resources to patient groups with unmet informational needs is recommended to enhance the quality of life of cancer patients.
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Affiliation(s)
- Kyung-Hyun Choi
- Department of Family Medicine, Dongnam Institute of Radiological and Medical Sciences, Pusan, South Korea
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