Sarah J Hardcastle1, Chloe Maxwell-Smith1, Nik Zeps2, Cameron Platell2, Moira O'Connor1, Martin S Hagger1,3,4. 1. Health Psychology and Behavioural Medicine Research Group, School of Psychology and Speech Pathology, Curtin University, Perth, Australia. 2. Department of Oncology, St John of God Hospital, Subiaco, Australia. 3. School of Applied Psychology and Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia. 4. Finnish Distinguished Professor (FiDiPro) Programme, School of Sport Sciences, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Abstract
PURPOSE: The purpose of the study was to explore colorectal cancer survivors' health perceptions following cessation of active treatment for cancer and to explore the factors influencing participation in health-promoting behaviors that may help reduce cardiovascular disease risk. METHODS: Face-to-face interviews were conducted with participants that had completed active treatment for cancer within the previous 2 years. Participants were colorectal cancer survivors (N = 24, men = 11, women = 13, M age = 69.38 years, SD = 4.19) recruited from a private hospital in Perth, Australia on the basis that they had existing morbidities that put them at increased risk of cardiovascular disease. Interview transcripts were analyzed using thematic analysis. RESULTS: Five main themes emerged: back to normal; the pleasures in life: 'is it worth it?'; beliefs about health behavior; skepticism of eating guidelines; and lack of motivation. The majority of participants felt they were in good health and had made a full recovery. Participants questioned whether it was worth changing their lifestyle given their life stage and referred to the desire to enjoy life. Lay health beliefs, skepticism of eating guidelines, and a lack of motivation were barriers to change. CONCLUSIONS: Interventions should target lay beliefs and skepticism in relation to health behaviors in order to reinforce the importance and value of participating in health-related behavior. IMPLICATIONS FOR CANCER SURVIVORS: Findings may inform the development of effective, patient-centered interventions that target lay health beliefs and build motivation for health behavior change.
PURPOSE: The purpose of the study was to explore colorectal cancer survivors' health perceptions following cessation of active treatment for cancer and to explore the factors influencing participation in health-promoting behaviors that may help reduce cardiovascular disease risk. METHODS: Face-to-face interviews were conducted with participants that had completed active treatment for cancer within the previous 2 years. Participants were colorectal cancer survivors (N = 24, men = 11, women = 13, M age = 69.38 years, SD = 4.19) recruited from a private hospital in Perth, Australia on the basis that they had existing morbidities that put them at increased risk of cardiovascular disease. Interview transcripts were analyzed using thematic analysis. RESULTS: Five main themes emerged: back to normal; the pleasures in life: 'is it worth it?'; beliefs about health behavior; skepticism of eating guidelines; and lack of motivation. The majority of participants felt they were in good health and had made a full recovery. Participants questioned whether it was worth changing their lifestyle given their life stage and referred to the desire to enjoy life. Lay health beliefs, skepticism of eating guidelines, and a lack of motivation were barriers to change. CONCLUSIONS: Interventions should target lay beliefs and skepticism in relation to health behaviors in order to reinforce the importance and value of participating in health-related behavior. IMPLICATIONS FOR CANCER SURVIVORS: Findings may inform the development of effective, patient-centered interventions that target lay health beliefs and build motivation for health behavior change.
Authors: Sarah J Hardcastle; Maddison Galliott; Brigid M Lynch; Nga H Nguyen; Paul A Cohen; Ganendra Raj Mohan; Niloufer J Johansen; Christobel Saunders Journal: Int J Behav Med Date: 2019-10
Authors: Chloé Maxwell-Smith; Paul A Cohen; Cameron Platell; Jason Tan; Christobel Saunders; Sophie Nightingale; Craig Lynch; Frank Sardelic; Jacob McCormick; Sarah J Hardcastle Journal: Support Care Cancer Date: 2020-08-21 Impact factor: 3.603
Authors: Sarah J Hardcastle; Chloe Maxwell-Smith; Sviatlana Kamarova; Stephanie Lamb; Lesley Millar; Paul A Cohen Journal: Support Care Cancer Date: 2017-10-31 Impact factor: 3.603
Authors: Sarah J Hardcastle; Robert Kane; Paola Chivers; Dana Hince; Andrew Dean; Dominic Higgs; Paul A Cohen Journal: Support Care Cancer Date: 2018-05-08 Impact factor: 3.603
Authors: Leah L Zullig; Karen M Goldstein; Hayden B Bosworth; Sara M Andrews; Susanne Danus; George L Jackson; Dawn Provenzale; Morris Weinberger; Michael J Kelley; Corrine I Voils Journal: BMC Health Serv Res Date: 2018-03-09 Impact factor: 2.655
Authors: Sarah J Hardcastle; Dana Hince; Ruth Jiménez-Castuera; Terry Boyle; Vinicius Cavalheri; Greg Makin; Patrick Tan; Stuart Salfinger; Jason Tan; Ganendra Raj Mohan; Michael Levitt; Paul A Cohen; Christobel Saunders; Cameron Platell Journal: BMJ Open Date: 2019-05-24 Impact factor: 2.692
Authors: Sarah J Hardcastle; Maddison Galliott; Brigid M Lynch; Nga H Nguyen; Paul A Cohen; Ganendra Raj Mohan; Niloufer J Johansen; Christobel Saunders Journal: PLoS One Date: 2018-12-31 Impact factor: 3.240
Authors: Chloe Maxwell-Smith; Paul A Cohen; Cameron Platell; Patrick Tan; Michael Levitt; Paul Salama; Gregory B Makin; Jason Tan; Stuart Salfinger; Ganendra Raj Kader Ali Mohan; Robert T Kane; Dana Hince; Ruth Jiménez-Castuera; Sarah J Hardcastle Journal: Int J Clin Health Psychol Date: 2018-04-14