Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Supportive Care in Cancer
Published in: Supportive Care in Cancer 4/2019

01-04-2019 | Lung Cancer | Original Article

Enhancing behavioral change among lung cancer survivors participating in a lifestyle risk reduction intervention: a qualitative study

Authors: Darryl Somayaji, Amanda C. Blok, Laura L. Hayman, Yolanda Colson, Michael Jaklisch, Mary E. Cooley

Published in: Supportive Care in Cancer | Issue 4/2019

Login to get access

Abstract

Purpose

Early detection and improved treatment have increased lung cancer survival. Lung cancer survivors have more symptom distress and lower function compared with other cancer survivors; however, few interventions are available to improve health-related quality of life (HR-QOL). Lifestyle risk reduction interventions have improved HR-QOL in other cancer survivors. The purpose of this study was to explore lung cancer survivor perspectives on making behavioral changes in the context of a lifestyle risk reduction intervention.

Methods

Twenty-two lung cancer survivors participated in interviews after completing the Healthy Directions (HD) intervention. Interviews were audiotaped, transcribed, and analyzed using inductive content analysis. Demographic and clinical characteristics were gathered through a survey and analyzed using descriptive statistics.

Results

Five main themes were identified: (1) the diagnosis was a motivator for behavior change, (2) participants had to deal with disease consequences, (3) the coach provided guidance, (4) strategies for change were initiated, and (5) social support sustained behavioral changes. Other important subthemes were the coach helped interpret symptoms, which supported self-efficacy and goal setting, and survivors employed self-monitoring behaviors. Several participants found the recommended goals for physical activity were difficult and were discouraged if unable to attain the goal. Findings underscore the need for individualized prescriptions of physical activity, especially for sedentary survivors.

Conclusions

Lung cancer survivors described the benefits of coaching to enhance their engagement in behavioral change. Additional research is needed to validate the benefit of the HD intervention to improve HR-QOL among this vulnerable and understudied group of cancer survivors.
Literature
1.
2.
Vijayvergia N, Shah PC, Denlinger CS (2015) Survivorship in non–small cell lung cancer: challenges faced and steps forward. J Natl Compr Cancer Netw 13(9):1151–1161CrossRef
3.
Ostroff JS, Krebs P, Coups EJ, Burkhalter JE, Feinstein MB, Steingart RM, Logue AE, Park BJ (2011) Health-related quality of life among early-stage, non-small cell, lung cancer survivors. Lung Cancer (Amsterdam, Netherlands) 71(1):103–108CrossRef
4.
5.
6.
Aggarwal A, Lewison G, Idir S, Peters M, Aldige C, Boerckel W, Boyle P, Trimble EL, Roe P, Sethi T (2016) The state of lung cancer research: a global analysis. J Thorac Oncol 11(7):1040–1050PubMedCrossRef
7.
8.
9.
Mosher CE, Sloane R, Morey MC, Snyder DC, Cohen HJ, Miller PE, Demark-Wahnefried W (2009) Associations between lifestyle factors and quality of life among older long-term breast, prostate, and colorectal cancer survivors. Cancer: Interdisciplinary International Journal of the American Cancer Society 115 (17):4001–4009
10.
Blanchard CM, Courneya KS, Stein K (2008) Cancer survivors’ adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society’s SCS-II. Journal of clinical oncology: official journal of the American Society of Clinical Oncology 26:2198–2204. https://​doi.​org/​10.​1200/​jco.​2007.​14.​6217 CrossRef
11.
Pelser C, Arem H, Pfeiffer RM, Elena JW, Alfano CM, Hollenbeck AR, Park Y (2014) Prediagnostic lifestyle factors and survival after colon and rectal cancer diagnosis in the National Institutes of Health (NIH)-AARP Diet and Health study. Cancer 120(10):1540–1547PubMedPubMedCentralCrossRef
12.
Eakin EG, Hayes SC, Haas MR, Reeves MM, Vardy JL, Boyle F, Hiller JE, Mishra GD, Goode AD, Jefford M, Koczwara B, Saunders CM, Demark-Wahnefried W, Courneya KS, Schmitz KH, Girgis A, White K, Chapman K, Boltong AG, Lane K, McKiernan S, Millar L, O’Brien L, Sharplin G, Baldwin P, Robson EL (2015) Healthy living after cancer: a dissemination and implementation study evaluating a telephone-delivered healthy lifestyle program for cancer survivors. BMC Cancer 15(1):992. https://​doi.​org/​10.​1186/​s12885-015-2003-5 PubMedPubMedCentralCrossRef
13.
14.
Hoffman AJ, Brintnall RA (2017) A Home-based exercise intervention for non–small cell lung cancer patients post-thoracotomy. In: Seminars in oncology nursing, Elsevier
15.
Granger CL, McDonald CF, Berney S, Chao C, Denehy L (2011) Exercise intervention to improve exercise capacity and health related quality of life for patients with non-small cell lung cancer: a systematic review. Lung Cancer (Amsterdam, Netherlands) 72(2):139–153CrossRef
16.
17.
18.
19.
Blok AC, Blonquist TM, Nayak MM, Somayaji D, Crouter SE, Hayman LL, Colson YL, Bueno R, Emmons KM, Cooley ME (2018) Feasibility and acceptability of “healthy directions” a lifestyle intervention for adults with lung cancer. Psycho-Oncology 27(1):250–257PubMedCrossRef
20.
Szabo V, Strang VR (1997) Secondary analysis of qualitative data. Adv Nurs Sci 20(2):66–74CrossRef
21.
Emmons KM, Stoddard AM, Fletcher R, Gutheil C, Suarez EG, Lobb R, Weeks J, Bigby JA (2005) Cancer prevention among working class, multiethnic adults: results of the Healthy Directions–Health Centers study. Am J Public Health 95(7):1200–1205PubMedPubMedCentralCrossRef
22.
Emmons KM, Puleo E, Greaney ML, Gillman MW, Bennett GG, Haines J, Sprunck-Harrild K, Viswanath K (2014) A randomized comparative effectiveness study of healthy directions 2—a multiple risk behavior intervention for primary care. Prev Med 64:96–102PubMedPubMedCentralCrossRef
23.
Thomas DR (2006) A general inductive approach for analyzing qualitative evaluation data. Am J Eval 27(2):237–246CrossRef
24.
Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H (2014) Qualitative content analysis: a focus on trustworthiness. SAGE Open 4(1):2158244014522633CrossRef
25.
Cope DG (2014) Methods and meanings: credibility and trustworthiness of qualitative research. Oncol Nurs Forum 1
26.
Kuper A, Lingard L, Levinson W (2008) Critically appraising qualitative research. Bmj 337(aug07_3):a1035–a1035PubMedCrossRef
27.
Edhlund B, McDougall A (2017) Nvivo 11 essentials. Lulu. com,
28.
Bederson BB, Shneiderman B, Wattenberg M (2002) Ordered and quantum treemaps: making effective use of 2D space to display hierarchies. AcM Trans Graph 21(4):833–854CrossRef
29.
Morse JM (1995) The significance of saturation. Sage Publications Sage CA, Thousand OaksCrossRef
30.
Guest G, Bunce A, Johnson L (2006) How many interviews are enough? An experiment with data saturation and variability. Field methods 18(1):59–82CrossRef
31.
McBride CM, Emmons KM, Lipkus IM (2003) Understanding the potential of teachable moments: the case of smoking cessation. Health Educ Res 18(2):156–170PubMedCrossRef
32.
Lawson PJ, Flocke SA (2009) Teachable moments for health behavior change: a concept analysis. Patient Educ Couns 76(1):25–30PubMedCrossRef
33.
Bluethmann SM, Basen-Engquist K, Vernon SW, Cox M, Gabriel KP, Stansberry SA, Carmack CL, Blalock JA, Demark-Wahnefried W (2015) Grasping the ‘teachable moment’: time since diagnosis, symptom burden and health behaviors in breast, colorectal and prostate cancer survivors. Psycho-Oncology 24(10):1250–1257PubMedPubMedCentralCrossRef
34.
Porter LS, Keefe FJ, Garst J, McBride CM, Baucom D (2008) Self-efficacy for managing pain, symptoms, and function in patients with lung cancer and their informal caregivers: associations with symptoms and distress. Pain 137(2):306–315PubMedCrossRef
35.
Lin Y-Y, Liu MF, Tzeng J-I, Lin C-C (2015) Effects of walking on quality of life among lung cancer patients: a longitudinal study. Cancer Nurs 38(4):253–259PubMedCrossRef
36.
Dennis SM, Harris M, Lloyd J, Davies GP, Faruqi N, Zwar N (2013) Do people with existing chronic conditions benefit from telephone coaching? A rapid review. Aust Health Rev 37(3):381–388PubMedCrossRef
37.
Galantino M, Schmid P, Milos A, Leonard S, Botis S, Dagan C, Mao J (2009) Longitudinal benefits of wellness coaching interventions for cancer survivors. Int J Interdisciplinary Soc Sci 4(10):41–58
38.
Coups EJ, Park BJ, Feinstein MB, Steingart RM, Egleston BL, Wilson DJ, Ostroff JS (2009) Physical activity among lung cancer survivors: changes across the cancer trajectory and associations with quality of life. Cancer Epidemiol Prev Biomarkers 18(2):664–672CrossRef
39.
Bourke L, Homer K, Thaha M, Steed L, Rosario DJ, Robb K, Saxton J, Taylor S (2014) Interventions to improve exercise behaviour in sedentary people living with and beyond cancer: a systematic review. Br J Cancer 110(4):831–841PubMedCrossRef
40.
Cadmus-Bertram LA, Marcus BH, Patterson RE, Parker BA, Morey BL (2015) Randomized trial of a Fitbit-based physical activity intervention for women. Am J Prev Med 49(3):414–418PubMedPubMedCentralCrossRef
41.
Hartman SJ, Nelson SH, Weiner LS (2018) Patterns of Fitbit use and activity levels throughout a physical activity intervention: exploratory analysis from a randomized controlled trial. JMIR mHealth uHealth 6(2)
42.
Mercer K, Giangregorio L, Schneider E, Chilana P, Li M, Grindrod K (2016) Acceptance of commercially available wearable activity trackers among adults aged over 50 and with chronic illness: a mixed-methods evaluation. JMIR mHealth uHealth 4(1)
43.
Chiauzzi E, Rodarte C, DasMahapatra P (2015) Patient-centered activity monitoring in the self-management of chronic health conditions. BMC Med 13(1):77PubMedPubMedCentralCrossRef
44.
Greaney ML, Puleo E, Sprunck-Harrild K, Haines J, Houghton SC, Emmons KM (2017) Social support for changing multiple behaviors: factors associated with seeking support and the impact of offered support. Health Educ Behav:1090198117712333
45.
Stacey FG, James EL, Chapman K, Courneya KS, Lubans DR (2015) A systematic review and meta-analysis of social cognitive theory-based physical activity and/or nutrition behavior change interventions for cancer survivors. J Cancer Surviv 9(2):305–338PubMedCrossRef
46.
Pinto BM, Floyd A (2008) Theories underlying health promotion interventions among cancer survivors. Semin Oncol Nurs 3. Elsevier:153–163CrossRef
47.
48.
49.
Alvarez RA, Vasquez E, Mayorga CC, Feaster DJ, Mitrani VB (2006) Increasing minority research participation through community organization outreach. West J Nurs Res 28(5):541–560PubMedPubMedCentralCrossRef
50.
Vickers SM, Fouad MN (2014) An overview of EMPaCT and fundamental issues affecting minority participation in cancer clinical trials: enhancing minority participation in clinical trials (EMPaCT): laying the groundwork for improving minority clinical trial accrual. Cancer 120(S7):1087–1090PubMedPubMedCentralCrossRef
Metadata
Title
Enhancing behavioral change among lung cancer survivors participating in a lifestyle risk reduction intervention: a qualitative study
Authors
Darryl Somayaji
Amanda C. Blok
Laura L. Hayman
Yolanda Colson
Michael Jaklisch
Mary E. Cooley
Publication date
01-04-2019
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 4/2019
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-018-4631-1

Other articles of this Issue 4/2019

Supportive Care in Cancer 4/2019 Go to the issue

Original Article

Urine cultures at the onset of febrile neutropenia rarely impact antibiotic management in asymptomatic adult cancer patients

Original Article

Undiagnosed cardiac deficits in non-small cell carcinoma patients in the candidate population for anti-cachexia clinical trials

Original Article

Unmet supportive care needs in Hispanic/Latino cancer survivors: prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden

Original Article

The role of the Patient-Generated Subjective Global Assessment (PG-SGA) and biochemical markers in predicting anemia patients with cancer

Original Article

Timing flexibility of oral NEPA, netupitant-palonosetron combination, administration for the prevention of chemotherapy-induced nausea and vomiting (CINV)

Original Article

Social consequences of advanced cancer in patients and their informal caregivers: a qualitative study
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Watch now

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine
Image Credits