An exploration of needs and preferences for dietary support in colorectal cancer survivors: A mixed-methods study

M. Hoedjes, Anja De Kruif, F. Mols, Martijn Bours, Sandra Beijer, Renate Winkels, Marjan J. Westerman, Jaap C. Seidell, Ellen Kampman, Russell J. De Souza (Editor)

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Abstract

Purpose:
To describe the proportion of colorectal cancer (CRC) survivors who perceive a need for dietary support; to examine which socio-demographic, cancer-related, and health-related characteristics are associated with this need; to explore reasons for (not) needing support; and to explore CRC survivors' specific needs and preferences with regard to lifestyle (i.e., dietary, exercise, and/or weight management) support.
Methods:
This mixed-methods study comprised a cross-sectional survey among 1774 Dutch CRC survivors and three focus groups (n = 16). To examine associations, logistic regression analyses were conducted. Focus groups were audio-taped, transcribed verbatim, and analyzed using a thematic approach.
Results:
Of 1458 respondents (82%), 1198 (67.5%) were included for analyses. 17.5% reported a need for dietary support. Characteristics associated with this need were: being younger, living without a partner, having a stoma, having diabetes, and being overweight or obese. The main reason for needing support was being unable to initiate and maintain lifestyle changes without support. CRC survivors preferred receiving information soon after diagnosis to make an autonomous, informed decision on improving their lifestyle. They preferred to receive individually-tailored lifestyle support in an autonomy-supportive environment, preferably with involvement of their family and fellow-sufferers.
Conclusions:
This study has provided knowledge on appropriate support for CRC survivors in need for dietary support to improve health outcomes by promoting adherence to lifestyle and body weight recommendations. Findings can be used to better identify CRC survivors in need for dietary support, and to tailor lifestyle support to their needs and preferences in order to promote uptake, adherence, and effectiveness.
Original languageEnglish
Article numbere0189178
JournalPLoS ONE
Volume12
Issue number12
DOIs
Publication statusPublished - 2017

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Survivors
Health
Medical problems
Logistics
Focus Groups
Cross-Sectional Studies
Logistic Models
Exercise
Weights and Measures
Neoplasms

Cite this

Hoedjes, M. ; De Kruif, Anja ; Mols, F. ; Bours, Martijn ; Beijer, Sandra ; Winkels, Renate ; Westerman, Marjan J. ; Seidell, Jaap C. ; Kampman, Ellen ; De Souza, Russell J. (Editor). / An exploration of needs and preferences for dietary support in colorectal cancer survivors : A mixed-methods study. In: PLoS ONE. 2017 ; Vol. 12, No. 12.
@article{c3afac3eade54acba3dc5dfc7aefb492,
title = "An exploration of needs and preferences for dietary support in colorectal cancer survivors: A mixed-methods study",
abstract = "Purpose:To describe the proportion of colorectal cancer (CRC) survivors who perceive a need for dietary support; to examine which socio-demographic, cancer-related, and health-related characteristics are associated with this need; to explore reasons for (not) needing support; and to explore CRC survivors' specific needs and preferences with regard to lifestyle (i.e., dietary, exercise, and/or weight management) support.Methods:This mixed-methods study comprised a cross-sectional survey among 1774 Dutch CRC survivors and three focus groups (n = 16). To examine associations, logistic regression analyses were conducted. Focus groups were audio-taped, transcribed verbatim, and analyzed using a thematic approach.Results:Of 1458 respondents (82{\%}), 1198 (67.5{\%}) were included for analyses. 17.5{\%} reported a need for dietary support. Characteristics associated with this need were: being younger, living without a partner, having a stoma, having diabetes, and being overweight or obese. The main reason for needing support was being unable to initiate and maintain lifestyle changes without support. CRC survivors preferred receiving information soon after diagnosis to make an autonomous, informed decision on improving their lifestyle. They preferred to receive individually-tailored lifestyle support in an autonomy-supportive environment, preferably with involvement of their family and fellow-sufferers.Conclusions:This study has provided knowledge on appropriate support for CRC survivors in need for dietary support to improve health outcomes by promoting adherence to lifestyle and body weight recommendations. Findings can be used to better identify CRC survivors in need for dietary support, and to tailor lifestyle support to their needs and preferences in order to promote uptake, adherence, and effectiveness.",
author = "M. Hoedjes and {De Kruif}, Anja and F. Mols and Martijn Bours and Sandra Beijer and Renate Winkels and Westerman, {Marjan J.} and Seidell, {Jaap C.} and Ellen Kampman and {De Souza}, {Russell J.}",
year = "2017",
doi = "10.1371/journal.pone.0189178",
language = "English",
volume = "12",
journal = "PLoS ONE",
issn = "1932-6203",
publisher = "PUBLIC LIBRARY SCIENCE",
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}

Hoedjes, M, De Kruif, A, Mols, F, Bours, M, Beijer, S, Winkels, R, Westerman, MJ, Seidell, JC, Kampman, E & De Souza, RJ (ed.) 2017, 'An exploration of needs and preferences for dietary support in colorectal cancer survivors: A mixed-methods study' PLoS ONE, vol. 12, no. 12, e0189178. https://doi.org/10.1371/journal.pone.0189178

An exploration of needs and preferences for dietary support in colorectal cancer survivors : A mixed-methods study. / Hoedjes, M.; De Kruif, Anja; Mols, F.; Bours, Martijn; Beijer, Sandra; Winkels, Renate; Westerman, Marjan J.; Seidell, Jaap C.; Kampman, Ellen; De Souza, Russell J. (Editor).

In: PLoS ONE, Vol. 12, No. 12, e0189178, 2017.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - An exploration of needs and preferences for dietary support in colorectal cancer survivors

T2 - A mixed-methods study

AU - Hoedjes, M.

AU - De Kruif, Anja

AU - Mols, F.

AU - Bours, Martijn

AU - Beijer, Sandra

AU - Winkels, Renate

AU - Westerman, Marjan J.

AU - Seidell, Jaap C.

AU - Kampman, Ellen

A2 - De Souza, Russell J.

PY - 2017

Y1 - 2017

N2 - Purpose:To describe the proportion of colorectal cancer (CRC) survivors who perceive a need for dietary support; to examine which socio-demographic, cancer-related, and health-related characteristics are associated with this need; to explore reasons for (not) needing support; and to explore CRC survivors' specific needs and preferences with regard to lifestyle (i.e., dietary, exercise, and/or weight management) support.Methods:This mixed-methods study comprised a cross-sectional survey among 1774 Dutch CRC survivors and three focus groups (n = 16). To examine associations, logistic regression analyses were conducted. Focus groups were audio-taped, transcribed verbatim, and analyzed using a thematic approach.Results:Of 1458 respondents (82%), 1198 (67.5%) were included for analyses. 17.5% reported a need for dietary support. Characteristics associated with this need were: being younger, living without a partner, having a stoma, having diabetes, and being overweight or obese. The main reason for needing support was being unable to initiate and maintain lifestyle changes without support. CRC survivors preferred receiving information soon after diagnosis to make an autonomous, informed decision on improving their lifestyle. They preferred to receive individually-tailored lifestyle support in an autonomy-supportive environment, preferably with involvement of their family and fellow-sufferers.Conclusions:This study has provided knowledge on appropriate support for CRC survivors in need for dietary support to improve health outcomes by promoting adherence to lifestyle and body weight recommendations. Findings can be used to better identify CRC survivors in need for dietary support, and to tailor lifestyle support to their needs and preferences in order to promote uptake, adherence, and effectiveness.

AB - Purpose:To describe the proportion of colorectal cancer (CRC) survivors who perceive a need for dietary support; to examine which socio-demographic, cancer-related, and health-related characteristics are associated with this need; to explore reasons for (not) needing support; and to explore CRC survivors' specific needs and preferences with regard to lifestyle (i.e., dietary, exercise, and/or weight management) support.Methods:This mixed-methods study comprised a cross-sectional survey among 1774 Dutch CRC survivors and three focus groups (n = 16). To examine associations, logistic regression analyses were conducted. Focus groups were audio-taped, transcribed verbatim, and analyzed using a thematic approach.Results:Of 1458 respondents (82%), 1198 (67.5%) were included for analyses. 17.5% reported a need for dietary support. Characteristics associated with this need were: being younger, living without a partner, having a stoma, having diabetes, and being overweight or obese. The main reason for needing support was being unable to initiate and maintain lifestyle changes without support. CRC survivors preferred receiving information soon after diagnosis to make an autonomous, informed decision on improving their lifestyle. They preferred to receive individually-tailored lifestyle support in an autonomy-supportive environment, preferably with involvement of their family and fellow-sufferers.Conclusions:This study has provided knowledge on appropriate support for CRC survivors in need for dietary support to improve health outcomes by promoting adherence to lifestyle and body weight recommendations. Findings can be used to better identify CRC survivors in need for dietary support, and to tailor lifestyle support to their needs and preferences in order to promote uptake, adherence, and effectiveness.

U2 - 10.1371/journal.pone.0189178

DO - 10.1371/journal.pone.0189178

M3 - Article

VL - 12

JO - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 12

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