Margaret Raber1, Karla Crawford2, Tom Baranowski3, Shreela V Sharma4, Vanessa Schick5, Christine Markham6, Michael Roth7, Claire E Wakefield8, Joya Chandra9. 1. Department of Pediatrics Research, University of Texas MD Anderson Cancer Center, 7777 Knight Rd, Houston, TX, 77054, USA. mpraber@mdanderson.org. 2. Department of Integrative Medicine, University of Texas MD Anderson Cancer Center, 1515 Holcombe, Houston, TX, 77030, USA. 3. Department of Pediatrics, USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, 1100 Bates St, Houston, TX, 77030, USA. 4. Department of Epidemiology University of Texas School of Public Health, 1200 Pressler Dr, Houston, TX, 77030, USA. 5. Department of Community Health Practice, University of Texas School of Public Health, 1200 Pressler Dr, Houston, TX, 77030, USA. 6. Department of Health Promotion and Behavioral Science, University of Texas School of Public Health, 7000 Fannin, Houston, TX, 77030, USA. 7. Department of Pediatrics Patient Care, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA. 8. School of Women's and Children's Health, University of New South Wales, Level 1 South, Sydney Children's Hospital, High Street Randwick, Sydney, NSW 2031, Australia. 9. Department of Pediatrics Research, University of Texas MD Anderson Cancer Center, 7777 Knight Rd, Houston, TX, 77054, USA.
Abstract
PURPOSE: Increased cardiovascular disease and second cancer risks among childhood cancer survivors (CCS) makes them and their families important audiences for nutrition intervention. Family meals and home cooking practices have been associated with improved diet and health, but there is a gap in the literature on understanding these behaviors and their motivating values among CCS families. This study qualitatively explores family meal values and behaviors in a sample of CCS parent-child dyads. METHODS: This observational and qualitative study recruited a convenience sample of 11 parent-CCS dyads. Data collection included audio and video recording of food preparation events in participant homes, which were analyzed with an inductive coding technique to examine meal-related values in CCS families. RESULTS: Analyses revealed four major categories of meal values. Effort, including time and difficulty, as well as budget, healthfulness, and family preferences emerged as recurrent values impacting meal preparation. These values were impacted by the cancer experience upon diagnosis, during treatment, and into survivorship. CONCLUSIONS: A better understanding of CCS family meal planning values, the impact of the cancer experience on these values, and the inclusion of CCS in food preparation reveals potential intervention targets, facilitators, and barriers for future interventions to improve dietary behaviors among CCS.
PURPOSE: Increased cardiovascular disease and second cancer risks among childhood cancer survivors (CCS) makes them and their families important audiences for nutrition intervention. Family meals and home cooking practices have been associated with improved diet and health, but there is a gap in the literature on understanding these behaviors and their motivating values among CCS families. This study qualitatively explores family meal values and behaviors in a sample of CCS parent-child dyads. METHODS: This observational and qualitative study recruited a convenience sample of 11 parent-CCS dyads. Data collection included audio and video recording of food preparation events in participant homes, which were analyzed with an inductive coding technique to examine meal-related values in CCS families. RESULTS: Analyses revealed four major categories of meal values. Effort, including time and difficulty, as well as budget, healthfulness, and family preferences emerged as recurrent values impacting meal preparation. These values were impacted by the cancer experience upon diagnosis, during treatment, and into survivorship. CONCLUSIONS: A better understanding of CCS family meal planning values, the impact of the cancer experience on these values, and the inclusion of CCS in food preparation reveals potential intervention targets, facilitators, and barriers for future interventions to improve dietary behaviors among CCS.
Entities:
Keywords:
Childhood cancer survivorship; Family meals; Food preparation; Intervention development
Authors: Jennifer Cohen; Claire E Wakefield; Linda C Tapsell; Karen Walton; Catharine A K Fleming; Richard J Cohn Journal: Support Care Cancer Date: 2014-08-17 Impact factor: 3.603
Authors: Margaret Raber; Maria C Swartz; Diane Santa Maria; Teresia O'Connor; Tom Baranowski; Rhea Li; Joya Chandra Journal: Pediatr Res Date: 2016-04-11 Impact factor: 3.756