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Making lifestyle changes after colorectal cancer: insights for program development.

D L Dennis1, J L Waring, N Payeur

  • 1Clinical Research, BC Cancer Agency-Vancouver Island Centre, Victoria, BC. ; Supportive Care Research Centre, The Alex and Jo Campbell Patient and Family Support Centre, BC Cancer Agency-Vancouver Island Centre, Victoria, BC.

Current Oncology (Toronto, Ont.)
|December 7, 2013
PubMed
Summary

People with colorectal cancer (CRC) show similar lifestyle behaviors but a greater desire for change, particularly in physical activity and diet. Tailored resources and support programs are recommended throughout their cancer journey.

Keywords:
Colorectal cancerhealth behaviourslifestyle resourceslifestyle supportmixed-methods

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Area of Science:

  • Oncology
  • Behavioral Science
  • Public Health

Background:

  • Healthy lifestyle behaviors can positively impact outcomes for individuals with colorectal cancer (CRC).
  • Behavioral change intentions may be influenced by time and resource availability.
  • Understanding current behaviors and desires for change is crucial for effective support.

Purpose of the Study:

  • To estimate the prevalence of current lifestyle behaviors in individuals with and without CRC.
  • To identify the desire for lifestyle changes among CRC patients.
  • To determine preferred resources for facilitating lifestyle modifications.

Main Methods:

  • A mixed-methods survey was administered to participants.
  • Participants included individuals with CRC at various treatment stages (pre-treatment, undergoing, post-treatment) and a cancer-free control group.
  • Sample sizes: 54 (pre-treatment CRC), 62 (ongoing treatment CRC), 67 (post-treatment <6 months CRC), 178 (post-treatment >6 months CRC), 83 (cancer-free).

Main Results:

  • Lifestyle behaviors were generally similar across groups, except for lower vigorous physical activity in pre-treatment and ongoing treatment CRC patients.
  • CRC survivors reported making more lifestyle changes compared to cancer-free individuals.
  • Among CRC patients, dietary changes were most common (39.3%), and increased physical activity was most desired (39.1%).
  • Desired resources included complementary and alternative medicine (CAM), reading materials, self-efficacy tools, and group activities.

Conclusions:

  • Lifestyle change resources should be accessible for individuals diagnosed with CRC.
  • Resources should specifically target physical activity, CAM, and dietary modifications.
  • Lifestyle programs integrated throughout the cancer care continuum, including post-treatment, may be beneficial and well-received.