Barriers and facilitators for healthy lifestyle and recommendations for counseling in endometrial cancer follow-up care: a qualitative study

Objectives Lifestyle promotion during follow-up consultations may improve long-term health and quality of life in endometrial cancer patients. This study aimed to identify barriers and facilitators to improve and sustain a healthy lifestyle that can be translated to behavioral methods and strategies...

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Main Authors: Anne M. de Korte, Belle H. de Rooij, Dorry Boll, Ingrid van Loon, Noor Vincent, Meeke Hoedjes, Chantal R.M. Lammens, Floor Mols, Marije L. van der Lee, M. Caroline Vos, Nicole P. M. Ezendam
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Journal of Psychosomatic Obstetrics and Gynecology
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Online Access:https://www.tandfonline.com/doi/10.1080/0167482X.2024.2340465
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author Anne M. de Korte
Belle H. de Rooij
Dorry Boll
Ingrid van Loon
Noor Vincent
Meeke Hoedjes
Chantal R.M. Lammens
Floor Mols
Marije L. van der Lee
M. Caroline Vos
Nicole P. M. Ezendam
author_facet Anne M. de Korte
Belle H. de Rooij
Dorry Boll
Ingrid van Loon
Noor Vincent
Meeke Hoedjes
Chantal R.M. Lammens
Floor Mols
Marije L. van der Lee
M. Caroline Vos
Nicole P. M. Ezendam
author_sort Anne M. de Korte
collection DOAJ
description Objectives Lifestyle promotion during follow-up consultations may improve long-term health and quality of life in endometrial cancer patients. This study aimed to identify barriers and facilitators to improve and sustain a healthy lifestyle that can be translated to behavioral methods and strategies for lifestyle counseling.Methods Endometrial cancer patients from three hospitals were recruited to participate in a semi-structured interview. The data were transcribed and coded. Thematic analysis was applied to identify themes and the behavior change wheel was used as a theoretical framework. Data saturation was confirmed after 18 interviews.Results Barriers included knowledge gaps as well as lack of motivation and environmental opportunities to engage in health-promoting behavior. Facilitators included applying incremental lifestyle changes, social support, positive reinforcements, and the ability to overcome setbacks.Conclusions We propose the following intervention functions: education, persuasion, training, environmental restructuring, and enablement. Suitable behavior change techniques to deliver the intervention functions include information about the consequences of certain behavior, feedback on behavior, credible source, graded tasks, habit formation, restructuring of the environment, prompts/cues, goal setting, action planning, and social support. Including these recommendations in lifestyle counseling could aid lasting lifestyle change since it suits the needs and preferences of patients.
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spelling doaj-art-7ecbadb842a845a69ec3fdc3ba98eba22025-08-20T02:57:29ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422024-12-0145110.1080/0167482X.2024.2340465Barriers and facilitators for healthy lifestyle and recommendations for counseling in endometrial cancer follow-up care: a qualitative studyAnne M. de Korte0Belle H. de Rooij1Dorry Boll2Ingrid van Loon3Noor Vincent4Meeke Hoedjes5Chantal R.M. Lammens6Floor Mols7Marije L. van der Lee8M. Caroline Vos9Nicole P. M. Ezendam10The Netherlands Comprehensive Cancer Organisation, Utrecht, The NetherlandsThe Netherlands Comprehensive Cancer Organisation, Utrecht, The NetherlandsDepartment of Gynecology, Catharina Hospital, Eindhoven, The NetherlandsDepartment of Obstetrics and Gynecology, Amphia Hospital, Breda, The NetherlandsDepartment of Gynecology, Catharina Hospital, Eindhoven, The NetherlandsDepartment of Medical and Clinical Psychology, CoRPS – Centre of Research on Psychological Disorders and Somatic Diseases, Tilburg University, Tilburg, The NetherlandsThe Netherlands Comprehensive Cancer Organisation, Utrecht, The NetherlandsThe Netherlands Comprehensive Cancer Organisation, Utrecht, The NetherlandsDepartment of Medical and Clinical Psychology, CoRPS – Centre of Research on Psychological Disorders and Somatic Diseases, Tilburg University, Tilburg, The NetherlandsDepartment of Obstetrics and Gynecology, Elisabeth-TweeSteden Hospital, Tilburg and Waalwijk, The NetherlandsThe Netherlands Comprehensive Cancer Organisation, Utrecht, The NetherlandsObjectives Lifestyle promotion during follow-up consultations may improve long-term health and quality of life in endometrial cancer patients. This study aimed to identify barriers and facilitators to improve and sustain a healthy lifestyle that can be translated to behavioral methods and strategies for lifestyle counseling.Methods Endometrial cancer patients from three hospitals were recruited to participate in a semi-structured interview. The data were transcribed and coded. Thematic analysis was applied to identify themes and the behavior change wheel was used as a theoretical framework. Data saturation was confirmed after 18 interviews.Results Barriers included knowledge gaps as well as lack of motivation and environmental opportunities to engage in health-promoting behavior. Facilitators included applying incremental lifestyle changes, social support, positive reinforcements, and the ability to overcome setbacks.Conclusions We propose the following intervention functions: education, persuasion, training, environmental restructuring, and enablement. Suitable behavior change techniques to deliver the intervention functions include information about the consequences of certain behavior, feedback on behavior, credible source, graded tasks, habit formation, restructuring of the environment, prompts/cues, goal setting, action planning, and social support. Including these recommendations in lifestyle counseling could aid lasting lifestyle change since it suits the needs and preferences of patients.https://www.tandfonline.com/doi/10.1080/0167482X.2024.2340465Endometrial cancerlifestylebehavior changebehavior change wheelfollow-up care
spellingShingle Anne M. de Korte
Belle H. de Rooij
Dorry Boll
Ingrid van Loon
Noor Vincent
Meeke Hoedjes
Chantal R.M. Lammens
Floor Mols
Marije L. van der Lee
M. Caroline Vos
Nicole P. M. Ezendam
Barriers and facilitators for healthy lifestyle and recommendations for counseling in endometrial cancer follow-up care: a qualitative study
Journal of Psychosomatic Obstetrics and Gynecology
Endometrial cancer
lifestyle
behavior change
behavior change wheel
follow-up care
title Barriers and facilitators for healthy lifestyle and recommendations for counseling in endometrial cancer follow-up care: a qualitative study
title_full Barriers and facilitators for healthy lifestyle and recommendations for counseling in endometrial cancer follow-up care: a qualitative study
title_fullStr Barriers and facilitators for healthy lifestyle and recommendations for counseling in endometrial cancer follow-up care: a qualitative study
title_full_unstemmed Barriers and facilitators for healthy lifestyle and recommendations for counseling in endometrial cancer follow-up care: a qualitative study
title_short Barriers and facilitators for healthy lifestyle and recommendations for counseling in endometrial cancer follow-up care: a qualitative study
title_sort barriers and facilitators for healthy lifestyle and recommendations for counseling in endometrial cancer follow up care a qualitative study
topic Endometrial cancer
lifestyle
behavior change
behavior change wheel
follow-up care
url https://www.tandfonline.com/doi/10.1080/0167482X.2024.2340465
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