Patient and Medical Oncologists’ Perspectives on Prescribed Lifestyle Intervention—Experiences of Women with Breast Cancer and Providers
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Collection
2.2. Data Analysis
3. Results
3.1. Sample Demographics
3.2. Perceptions of the “Prescription”
I would respond to somebody that I had a relationship with and who I knew. I would say there has to be a trust relationship before it can be introduced. And then it’s less important—if there’s already a relationship—it’s less important how it’s introduced, and more important that you trust the person.
3.3. Benefits of the Lifestyle Intervention
3.3.1. Reframing Disease as Health
My mother is a breast cancer survivor, and she stayed on the couch. I was a breast cancer survivor, and I hauled myself to the gym. I went hiking during my cancer treatment. I actually embraced life and lived during my treatment.
What’s taken away from you is your health through the actual treatment. I had some control over that, I could exercise through it. You know … not feeling great at all, but not just getting through the day, but actually exercising is psychologically strong!
It was easy to offer and recruit—when patients are feeling very overwhelmed and losing control because of cancer, then having something that they can do proactively—that in itself is therapeutic.
3.3.2. Coping with the Physical Consequences of Cancer and Beyond
3.3.3. Managing Distress
The doctor’s going to only do so much, and they deal with the medication and the surgery and the following you. Obviously, you need that to survive. But if you’re going to start building up some strength again and energy and confidence and then the emotional support that I got from being at the gym, where are you going to get that? Clearly the body, I think, recovers better when it’s being looked after in every way.
3.3.4. Gaining Social Support
One person, she said, ‘We go to tea on this day. Do you want to join us?’ and we developed a posse. We also started a book club, we try to hike once a month, we try to get together once a while for a dinner. And if one person has a question … she emailed her posse and you would not believe the fan-out of response from other people with the same situation.
I didn’t give too much information to my kids or family … just the basics because I didn’t want him to stress out because he’s stressed already, worrying about me. So, a lot of it was with the ladies at the gym. They really provided a lot of support because we could laugh about it, and they would know what we’re going through. You need people who will listen and understand what you’re going through. And then you deal with it and move forward.
3.3.5. Perceived Challenges of the Lifestyle Intervention
It can be a bit challenging for some people. A lot of people talking about cancer and chemo, it can get a bit depressing. Some people like to talk about it, others don’t really like to talk about it. So, there is also that emotional, psychological aspect of it that you want to be careful with, because it really depends on who they are and how they are living with their situation.
3.4. Participant Recommendations
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Characteristics | n (%) |
---|---|
Age (years) | Mean 51.9 ± 14.2 SD (Range 30–72) |
Marital status | |
Married/Common-law | 10 (83.0) |
Single | 1 (8.0) |
Widowed | 1 (8.0) |
Education | |
Some university | 3 (25.0) |
Bachelor’s degree | 3 (25.0) |
Above a bachelor’s degree | 6 (50.0) |
Personal income | |
<$50,000 | 2 (16.0) |
$50,000–79,999 | 3 (25.0) |
$80,000–125,000 | 5 (42.0) |
Prefer not to answer | 1 (8.0) |
Missing | 1 (8.0) |
Ethnicity | |
Caucasian | 8 (67.0) |
Asian | 3 (25.0) |
African Canadian | 1 (8.0) |
Pre-diagnosis work status | |
Full time | 6 (50.0) |
Self-employed | 3 (25.0) |
Retired | 2 (17.0) |
Full time student | 1 (8.0) |
Work status during treatment | |
Working | 2 (17.0) |
Working part-time/casual | 2 (17.0) |
Not working | 8 (67.0) |
Menopausal status | |
Premenopausal | 4 (33.0) |
Postmenopausal | 7 (58.0) |
Perimenopausal | 1 (8.0) |
Cancer diagnosis | |
Stage I | 4 (33.0) |
Stage II | 8 (67.0) |
Characteristics | n (%) |
---|---|
Gender | |
Female | 6 (75.0) |
Male | 2 (25.0) |
Age | |
30–39 | 2 (25.0) |
40–49 | 2 (25.0) |
50–59 | 3 (37.5) |
Missing | 1 (12.5) |
Training | |
Medical oncologist | 7 (87.5) |
General Practitioner in Oncology | 1 (12.5) |
Years of Practice | |
5–9 years | 2 (25.0) |
10–14 years | 2 (25.0) |
≥15 years | 4 (50.0) |
Program Characteristics | Recommended Modifications |
---|---|
Awareness |
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Structure |
|
Content |
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Balneaves, L.G.; Truant, T.L.O.; Van Patten, C.; Kirkham, A.A.; Waters, E.; Campbell, K.L. Patient and Medical Oncologists’ Perspectives on Prescribed Lifestyle Intervention—Experiences of Women with Breast Cancer and Providers. J. Clin. Med. 2020, 9, 2815. https://doi.org/10.3390/jcm9092815
Balneaves LG, Truant TLO, Van Patten C, Kirkham AA, Waters E, Campbell KL. Patient and Medical Oncologists’ Perspectives on Prescribed Lifestyle Intervention—Experiences of Women with Breast Cancer and Providers. Journal of Clinical Medicine. 2020; 9(9):2815. https://doi.org/10.3390/jcm9092815
Chicago/Turabian StyleBalneaves, Lynda G., Tracy L. O. Truant, Cheri Van Patten, Amy A. Kirkham, Erin Waters, and Kristin L. Campbell. 2020. "Patient and Medical Oncologists’ Perspectives on Prescribed Lifestyle Intervention—Experiences of Women with Breast Cancer and Providers" Journal of Clinical Medicine 9, no. 9: 2815. https://doi.org/10.3390/jcm9092815
APA StyleBalneaves, L. G., Truant, T. L. O., Van Patten, C., Kirkham, A. A., Waters, E., & Campbell, K. L. (2020). Patient and Medical Oncologists’ Perspectives on Prescribed Lifestyle Intervention—Experiences of Women with Breast Cancer and Providers. Journal of Clinical Medicine, 9(9), 2815. https://doi.org/10.3390/jcm9092815