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Open Access 01-04-2017 | Original paper

The provision of dietary and physical activity advice for men diagnosed with prostate cancer: a qualitative study of the experiences and views of health care professionals, patients and partners

Authors: Eileen Sutton, Lucy E. Hackshaw-McGeagh, Jonathan Aning, Amit Bahl, Anthony Koupparis, Raj Persad, Richard M. Martin, J. Athene Lane

Published in: Cancer Causes & Control | Issue 4/2017

Abstract

Purpose

To explore the views and experiences of health care professionals (HCPs), men diagnosed with localised prostate cancer and their partners about the provision of advice on diet and physical activity after diagnosis and treatment for localised prostate cancer.

Methods

Semi-structured in-depth interviews with ten HCPs (Consultant Urological Surgeons, Uro-Oncology Clinical Nurse Specialists and Allied Health Professionals: see Table 1) and sixteen men diagnosed with localised prostate cancer and seven of their partners. Data from interviews were thematically analysed using the Framework Approach.

Results

The men and their partners provided differing accounts to the HCPs and sometimes to each other concerning the provision of advice on diet and physical activity. Some men were unable to recall receiving such advice from HCPs. Factors impacting upon advice-giving included the perceived lack of an evidence base to support dietary and physical activity advice and the credibility of advice providers. The timing of advice provision was a contentious issue as some HCPs believed that patients might not be willing to receive dietary and physical activity advice at the time of diagnosis, whilst others viewed this an opportune time to provide behaviour change information. Patients concurred with the latter opinion.

Conclusions

Men and their partners would value nutritional and physical activity advice from their HCP, after a localised prostate cancer diagnosis. Men would prefer to receive this advice at an early stage in their cancer journey and may implement behaviour change if the received advice is clear and evidence-based. HCPs should receive suitable training regarding what information to provide to men and how best to deliver this information.

The Eatwell Plate is a UK government initiative, which highlights the different types of food that make up our diet, and shows the proportions we should eat them in to have a well-balanced and healthy diet. The USA equivalent is called ChooseMyPlate.

Prostate Cancer/Lifestyle events (funded and run by the hospital Trust) are half/full day of talks by a range of health care professionals, providing information and education about health and wellbeing, recovery and rehabilitation, education in self-management, signs and symptoms of recurrence, reducing risk factors, managing side effects of disease and treatment, diet and exercise, anxiety and stress management and financial advice. The aim of the event is to ensure that those living with and beyond cancer get the care and support they need to lead as healthy and active a life as possible, for as long as possible.

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Title: The provision of dietary and physical activity advice for men diagnosed with prostate cancer: a qualitative study of the experiences and views of health care professionals, patients and partners
Authors: Eileen Sutton
Lucy E. Hackshaw-McGeagh
Jonathan Aning
Amit Bahl
Anthony Koupparis
Raj Persad
Richard M. Martin
J. Athene Lane
Publication date: 01-04-2017
Publisher: Springer International Publishing
Published in: Cancer Causes & Control / Issue 4/2017
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI: https://doi.org/10.1007/s10552-017-0861-7

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