Perceived barriers and facilitators to health behaviors in European childhood cancer survivors: A qualitative PanCareFollowUp study
Abstract Background Healthy behaviors, that is, engaging in regular physical activities, maintaining a healthy diet, limiting alcohol consumption, and avoiding tobacco and drug use, decrease the risk of developing late adverse health conditions in childhood cancer survivors. However, childhood cance...
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| Format: | Article |
| Language: | English |
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Wiley
2023-06-01
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| Series: | Cancer Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cam4.5911 |
| _version_ | 1797800211144245248 |
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| author | Eline Bouwman Saskia M. F. Pluijm Iridi Stollman Vera Araujo‐Soares Nicole M. A. Blijlevens Cecilia Follin Jeanette F. Winther Lars Hjorth Tomas Kepak Katerina Kepakova Leontien C. M. Kremer Monica Muraca Helena J. H. van derPal Carina Schneider Anne Uyttebroeck Gertrui Vercruysse Rod Skinner Morven C. Brown Rosella P. M. G. Hermens Jacqueline J. Loonen the PanCareFollowUp Consortium |
| author_facet | Eline Bouwman Saskia M. F. Pluijm Iridi Stollman Vera Araujo‐Soares Nicole M. A. Blijlevens Cecilia Follin Jeanette F. Winther Lars Hjorth Tomas Kepak Katerina Kepakova Leontien C. M. Kremer Monica Muraca Helena J. H. van derPal Carina Schneider Anne Uyttebroeck Gertrui Vercruysse Rod Skinner Morven C. Brown Rosella P. M. G. Hermens Jacqueline J. Loonen the PanCareFollowUp Consortium |
| author_sort | Eline Bouwman |
| collection | DOAJ |
| description | Abstract Background Healthy behaviors, that is, engaging in regular physical activities, maintaining a healthy diet, limiting alcohol consumption, and avoiding tobacco and drug use, decrease the risk of developing late adverse health conditions in childhood cancer survivors. However, childhood cancer survivors may experience barriers to adopting and maintaining healthy behaviors. This study aimed to assess these barriers and facilitators to health behavior adoption and maintenance in childhood cancer survivors. Methods A focus group ( n = 12) and semi‐structured telephone interviews ( n = 20) were conducted with a selected sample of European and Dutch childhood cancer survivors, respectively. The Theoretical Domains Framework (TDF) was used to inform the topic guide and analysis. Inductive thematic analysis was applied to identify categories relating to barriers and facilitators of health behavior adoption and maintenance, after which they were deductively mapped onto the TDF. Results Ten TDF domains were identified in the data of which “Knowledge,” “Beliefs about consequences,” “Environmental context and resources,” and “Social influences” were most commonly reported. Childhood cancer survivors expressed a need for knowledge on the importance of healthy behaviors, possibly provided by healthcare professionals. They indicated physical and long‐term benefits of healthy behaviors, available professional support, and a supporting and health‐consciously minded work and social environment to be facilitators. Barriers were mostly related to a lack of available time and an unhealthy environment. Lastly, (social) media was perceived as both a barrier and a facilitator to healthy behaviors. Conclusion This study has identified education and available professional support in health behaviors and the relevance of healthy behaviors for childhood cancer survivors as key opportunities for stimulating health behavior adoption in childhood cancer survivors. Incorporating health behavior support and interventions for this population should therefore be a high priority. |
| first_indexed | 2024-03-13T04:31:41Z |
| format | Article |
| id | doaj.art-270a628ef1844fd0ab97bf1adb797515 |
| institution | Directory Open Access Journal |
| issn | 2045-7634 |
| language | English |
| last_indexed | 2024-03-13T04:31:41Z |
| publishDate | 2023-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj.art-270a628ef1844fd0ab97bf1adb7975152023-06-19T12:03:52ZengWileyCancer Medicine2045-76342023-06-011211127491276410.1002/cam4.5911Perceived barriers and facilitators to health behaviors in European childhood cancer survivors: A qualitative PanCareFollowUp studyEline Bouwman0Saskia M. F. Pluijm1Iridi Stollman2Vera Araujo‐Soares3Nicole M. A. Blijlevens4Cecilia Follin5Jeanette F. Winther6Lars Hjorth7Tomas Kepak8Katerina Kepakova9Leontien C. M. Kremer10Monica Muraca11Helena J. H. van derPal12Carina Schneider13Anne Uyttebroeck14Gertrui Vercruysse15Rod Skinner16Morven C. Brown17Rosella P. M. G. Hermens18Jacqueline J. Loonen19the PanCareFollowUp ConsortiumCenter of Expertise for Cancer Survivorship, Department of Hematology Radboud University Medical Center Geert Grooteplein Zuid 10 6525 GA Nijmegen the NetherlandsPrincess Máxima Center for Pediatric Oncology Heidelberglaan 25 3584 CS Utrecht the NetherlandsCenter of Expertise for Cancer Survivorship, Department of Hematology Radboud University Medical Center Geert Grooteplein Zuid 10 6525 GA Nijmegen the NetherlandsCenter for Preventive Medicine and Digital Health (CPD), Medical Faculty Mannheim Heidelberg University Röntgenstraße 7 D‐68167 Mannheim GermanyCenter of Expertise for Cancer Survivorship, Department of Hematology Radboud University Medical Center Geert Grooteplein Zuid 10 6525 GA Nijmegen the NetherlandsOncology, Department of Clinical Sciences Lund, Lund University Skåne University Hospital Lasarettsgatan 40 221 85 Lund SwedenChildhood Cancer Research Group Danish Cancer Society Research Center Strandboulevarden 49 2100 Copenhagen DenmarkPediatrics, Department of Clinical Sciences Lund, Lund University Skåne University Hospital Lasarettsgatan 40 221 85 Lund SwedenInternational Clinical Research Center (FNUSA‐ICRC) at St. Anne's University Hospital Masaryk University Pekařská 53 Brno 656 91 Czech RepublicInternational Clinical Research Center (FNUSA‐ICRC) at St. Anne's University Hospital Masaryk University Pekařská 53 Brno 656 91 Czech RepublicPrincess Máxima Center for Pediatric Oncology Heidelberglaan 25 3584 CS Utrecht the NetherlandsDOPO Clinic, Division of Pediatric Hematology and Oncology IRCCS Istituto Giannina Gaslini Via G. Gaslini, 5 16147 Genoa ItalyPrincess Máxima Center for Pediatric Oncology Heidelberglaan 25 3584 CS Utrecht the NetherlandsChildhood Cancer International ‐ Europe Servitengasse 5/16 1090 Vienna AustriaDepartment of Oncology, Pediatric Oncology KU Leuven Leuven BelgiumDepartment of Oncology, Pediatric Oncology KU Leuven Leuven BelgiumWolfson Childhood Cancer Research Center, Newcastle University Center for Cancer Newcastle University NE1 7RU Newcastle upon Tyne Herschel Building, Brewery Lane UKWolfson Childhood Cancer Research Center, Newcastle University Center for Cancer Newcastle University NE1 7RU Newcastle upon Tyne Herschel Building, Brewery Lane UKScientific Institute for Quality of Healthcare (IQ Healthcare) Radboud University Medical Center Geert Grooteplein 21 6525 EZ Nijmegen the NetherlandsCenter of Expertise for Cancer Survivorship, Department of Hematology Radboud University Medical Center Geert Grooteplein Zuid 10 6525 GA Nijmegen the NetherlandsAbstract Background Healthy behaviors, that is, engaging in regular physical activities, maintaining a healthy diet, limiting alcohol consumption, and avoiding tobacco and drug use, decrease the risk of developing late adverse health conditions in childhood cancer survivors. However, childhood cancer survivors may experience barriers to adopting and maintaining healthy behaviors. This study aimed to assess these barriers and facilitators to health behavior adoption and maintenance in childhood cancer survivors. Methods A focus group ( n = 12) and semi‐structured telephone interviews ( n = 20) were conducted with a selected sample of European and Dutch childhood cancer survivors, respectively. The Theoretical Domains Framework (TDF) was used to inform the topic guide and analysis. Inductive thematic analysis was applied to identify categories relating to barriers and facilitators of health behavior adoption and maintenance, after which they were deductively mapped onto the TDF. Results Ten TDF domains were identified in the data of which “Knowledge,” “Beliefs about consequences,” “Environmental context and resources,” and “Social influences” were most commonly reported. Childhood cancer survivors expressed a need for knowledge on the importance of healthy behaviors, possibly provided by healthcare professionals. They indicated physical and long‐term benefits of healthy behaviors, available professional support, and a supporting and health‐consciously minded work and social environment to be facilitators. Barriers were mostly related to a lack of available time and an unhealthy environment. Lastly, (social) media was perceived as both a barrier and a facilitator to healthy behaviors. Conclusion This study has identified education and available professional support in health behaviors and the relevance of healthy behaviors for childhood cancer survivors as key opportunities for stimulating health behavior adoption in childhood cancer survivors. Incorporating health behavior support and interventions for this population should therefore be a high priority.https://doi.org/10.1002/cam4.5911behavioral sciencecancer preventioncancer risk factorspediatric cancersurvival |
| spellingShingle | Eline Bouwman Saskia M. F. Pluijm Iridi Stollman Vera Araujo‐Soares Nicole M. A. Blijlevens Cecilia Follin Jeanette F. Winther Lars Hjorth Tomas Kepak Katerina Kepakova Leontien C. M. Kremer Monica Muraca Helena J. H. van derPal Carina Schneider Anne Uyttebroeck Gertrui Vercruysse Rod Skinner Morven C. Brown Rosella P. M. G. Hermens Jacqueline J. Loonen the PanCareFollowUp Consortium Perceived barriers and facilitators to health behaviors in European childhood cancer survivors: A qualitative PanCareFollowUp study Cancer Medicine behavioral science cancer prevention cancer risk factors pediatric cancer survival |
| title | Perceived barriers and facilitators to health behaviors in European childhood cancer survivors: A qualitative PanCareFollowUp study |
| title_full | Perceived barriers and facilitators to health behaviors in European childhood cancer survivors: A qualitative PanCareFollowUp study |
| title_fullStr | Perceived barriers and facilitators to health behaviors in European childhood cancer survivors: A qualitative PanCareFollowUp study |
| title_full_unstemmed | Perceived barriers and facilitators to health behaviors in European childhood cancer survivors: A qualitative PanCareFollowUp study |
| title_short | Perceived barriers and facilitators to health behaviors in European childhood cancer survivors: A qualitative PanCareFollowUp study |
| title_sort | perceived barriers and facilitators to health behaviors in european childhood cancer survivors a qualitative pancarefollowup study |
| topic | behavioral science cancer prevention cancer risk factors pediatric cancer survival |
| url | https://doi.org/10.1002/cam4.5911 |
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