Health-related lifestyle communication in oncology: Exploring the experiences and preferences of cancer survivors

A healthy lifestyle, particularly having a balanced diet, regular physical activity, and abstaining from alcohol and smoking, is important for the recovery process of cancer survivors. The extent and form in which lifestyle information is provided by healthcare providers varies substantially, which could leave many patients with unmet information needs. To better understand current practices and areas for improvement in communicating about these health behaviors, we explored survivors' experiences and preferences regarding communication. Using deductive and inductive content analysis, we analyzed questionnaire responses from survivors with various types of cancers. The results revealed the experiences with information provision, and barriers and facilitators to adhere to treatments. Respondents reported having to search for information themselves, which could lead to negative feelings and neglecting vulnerable groups of patients. Most respondents preferred a multimodal distribution of information and receival of recommendations at the beginning of treatment. Additionally, respondents preferred personalized and non-coercive messages about their lifestyle. The results of this study provide insights into current shortcomings and points for improvement of healthy lifestyle communication practices in oncology. Understanding patients' communication preferences and ways in which they can be implemented could lead to adherence to health behaviors, potentially improving long-term survivorship outcomes. Future research could explore whether tailoring recommendations to individual needs and delivering information at critical stages can enhance patient satisfaction and engagement.