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首页> 外文期刊>Psycho-Oncology: Journal of the Psychological Social and Behavioral Dimensions of Cancer >Exploring cancer survivors' views of health behaviour change: “ Where do you start, where do you stop with everything? Where do you start, where do you stop with everything? ”
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Exploring cancer survivors' views of health behaviour change: “ Where do you start, where do you stop with everything? Where do you start, where do you stop with everything? ”

机译：探索癌症幸存者对健康行为的看法变化：“你在哪里开始，你在哪里停下来？ 你在哪里开始，你在哪里停止一切？ “

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Abstract Objective Physical activity (PA) and a healthy diet can improve the well‐being of cancer survivors. However, cancer survivors often do not engage in these behaviours. This study aimed to explore barriers and facilitators to engaging in these behaviours following cancer treatment. Methods During the development of a Web‐based intervention to enhance health‐related quality of life in cancer survivors, 32 people who had completed treatment for breast, colon, or prostate cancer were presented with an intervention for PA and healthy eating. In‐depth think‐aloud and semi‐structured interviewing techniques were used to elicit perceptions of both behaviours. Data were analysed using thematic analysis. Results Some individuals reported implementing positive health behaviour changes to maintain health and prevent recurrence, or to help them to move forward after cancer. However, others reported feeling abandoned, and many did not report an intention to engage in lifestyle changes. Individuals discussed contextual and health‐related barriers that were specifically linked to their situation as post‐treatment cancer survivors: individuals described uncertainty about how to implement adaptive changes and perceived a lack of support from health care providers. Others viewed behaviour change as unnecessary or undesirable, with some arguing that non‐modifiable factors contributed more to their cancer diagnosis than lifestyle‐related factors. Conclusions For many participants in this study, the period that follows treatment for cancer did not represent a “teachable moment.” A variety of complex and heterogeneous factors appeared to impact motivation and may limit cancer survivors from engaging with diet and PA changes.
机译：摘要客观体力活动（PA）和健康饮食可以改善癌症幸存者的福祉。然而，癌症幸存者往往没有参与这些行为。本研究旨在探索癌症治疗后探讨这些行为的障碍和促进者。方法在发展基于网络的干预过程中，以提高癌症幸存者中与健康相关的生活质量，32人已经完成了乳腺，结肠或前列腺癌的治疗，并患有PA和健康饮食。深入思考和半结构化的面试技术用于引出对两种行为的看法。使用主题分析分析数据。结果有些人报告说，实施积极的健康行为，以维持健康，防止复发，或帮助他们在癌症后向前发展。然而，其他人报告的感觉被遗弃了，许多人没有报告有意从事生活方式的变化。个人讨论了与其状况相关的背景和健康有关的障碍，作为治疗后癌症幸存者：个人描述了如何实施自适应变革的不确定性，并感受到医疗保健提供者缺乏支持。其他人认为行为变化是不必要或不受欢迎的，有些人认为不可修改的因素促使其癌症诊断更多，而不是生活方式相关的因素。结论本研究的许多参与者，患有癌症治疗的时期并没有代表“可教的时刻”。各种复杂和异质因素似乎影响了动机，可能会限制癌症幸存者与饮食和PA变化。

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