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01-03-2020 | Nutrition | Original Article

Meal planning values impacted by the cancer experience in families with school-aged survivors—a qualitative exploration and recommendations for intervention development

Authors: Margaret Raber, Karla Crawford, Tom Baranowski, Shreela V. Sharma, Vanessa Schick, Christine Markham, Michael Roth, Claire E. Wakefield, Joya Chandra

Published in: Supportive Care in Cancer | Issue 3/2020

Abstract

Purpose

Increased cardiovascular disease and second cancer risks among childhood cancer survivors (CCS) makes them and their families important audiences for nutrition intervention. Family meals and home cooking practices have been associated with improved diet and health, but there is a gap in the literature on understanding these behaviors and their motivating values among CCS families. This study qualitatively explores family meal values and behaviors in a sample of CCS parent-child dyads.

Methods

This observational and qualitative study recruited a convenience sample of 11 parent-CCS dyads. Data collection included audio and video recording of food preparation events in participant homes, which were analyzed with an inductive coding technique to examine meal-related values in CCS families.

Results

Analyses revealed four major categories of meal values. Effort, including time and difficulty, as well as budget, healthfulness, and family preferences emerged as recurrent values impacting meal preparation. These values were impacted by the cancer experience upon diagnosis, during treatment, and into survivorship.

Conclusions

A better understanding of CCS family meal planning values, the impact of the cancer experience on these values, and the inclusion of CCS in food preparation reveals potential intervention targets, facilitators, and barriers for future interventions to improve dietary behaviors among CCS.

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Title: Meal planning values impacted by the cancer experience in families with school-aged survivors—a qualitative exploration and recommendations for intervention development
Authors: Margaret Raber
Karla Crawford
Tom Baranowski
Shreela V. Sharma
Vanessa Schick
Christine Markham
Michael Roth
Claire E. Wakefield
Joya Chandra
Publication date: 01-03-2020
Publisher: Springer Berlin Heidelberg
Keyword: Nutrition
Published in: Supportive Care in Cancer / Issue 3/2020
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-019-04928-5

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