Attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer: a qualitative study
Objectives Interventions designed to improve men’s diet and physical activity (PA) have been recommended as methods of cancer prevention. However, little is known about specific factors that support men’s adherence to these health behaviour changes, which could inform theory-led diet and PA interven...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e055566.full |
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| author | Richard M Martin Raj Persad J Athene Lane Ellie Shingler Luke A Robles Edward Rowe Anthony Koupparis Amit Bahl Constance Shiridzinomwa Lucy McGeagh |
| author_facet | Richard M Martin Raj Persad J Athene Lane Ellie Shingler Luke A Robles Edward Rowe Anthony Koupparis Amit Bahl Constance Shiridzinomwa Lucy McGeagh |
| author_sort | Richard M Martin |
| collection | DOAJ |
| description | Objectives Interventions designed to improve men’s diet and physical activity (PA) have been recommended as methods of cancer prevention. However, little is known about specific factors that support men’s adherence to these health behaviour changes, which could inform theory-led diet and PA interventions. We aimed to explore these factors in men following prostatectomy for prostate cancer (PCa).Design, setting and participants A qualitative study using semistructured interviews with men, who made changes to their diet and/or PA as part of a factorial randomised controlled trial conducted at a single hospital in South West England. Participants were 17 men aged 66 years, diagnosed with localised PCa and underwent prostatectomy. Interview transcripts underwent thematic analysis.Results Men were ambivalent about the relationship of nutrition and PA with PCa risk. They believed their diet and level of PA were reasonable before being randomised to their interventions. Men identified several barriers and facilitators to performing these new behaviours. Barriers included tolerance to dietary changes, PA limitations and external obstacles. Facilitators included partner involvement in diet, habit formation and brisk walking as an individual activity. Men discussed positive effects associated with brisk walking, such as feeling healthier, but not with nutrition interventions.Conclusions The facilitators to behaviour change suggest that adherence to trial interventions can be supported using well-established behaviour change models. Future studies may benefit from theory-based interventions to support adherence to diet and PA behaviour changes in men diagnosed with PCa. |
| format | Article |
| id | doaj-art-67206a11816f4d0386c49ab28e76e313 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-67206a11816f4d0386c49ab28e76e3132025-01-28T01:40:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-055566Attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer: a qualitative studyRichard M Martin0Raj Persad1J Athene Lane2Ellie Shingler3Luke A Robles4Edward Rowe5Anthony Koupparis6Amit Bahl7Constance Shiridzinomwa8Lucy McGeagh9Department of Social Medicine, University of Bristol, Bristol BS8 2PR6 Bristol Urology Institute, Department of Urology, North Bristol NHS Trust, Bristol, UKBristol Medical School, Population Health Sciences, University of Bristol, Bristol, UK1 National Institute for Health Research (NIHR) Biomedical Research Centre (Nutrition Theme), University of Bristol, Bristol, UKNIHR Bristol Biomedical Research Centre, University of Bristol, Bristol, UK6 Bristol Urology Institute, Department of Urology, North Bristol NHS Trust, Bristol, UK6 Bristol Urology Institute, Department of Urology, North Bristol NHS Trust, Bristol, UK2 University Hospitals Bristol NHS Foundation Trust, Bristol, UK8 Clinical Research Centre, North Bristol NHS Trust, Bristol, UKFaculty of Health and Life Sciences, Oxford Brookes University, Oxford, UKObjectives Interventions designed to improve men’s diet and physical activity (PA) have been recommended as methods of cancer prevention. However, little is known about specific factors that support men’s adherence to these health behaviour changes, which could inform theory-led diet and PA interventions. We aimed to explore these factors in men following prostatectomy for prostate cancer (PCa).Design, setting and participants A qualitative study using semistructured interviews with men, who made changes to their diet and/or PA as part of a factorial randomised controlled trial conducted at a single hospital in South West England. Participants were 17 men aged 66 years, diagnosed with localised PCa and underwent prostatectomy. Interview transcripts underwent thematic analysis.Results Men were ambivalent about the relationship of nutrition and PA with PCa risk. They believed their diet and level of PA were reasonable before being randomised to their interventions. Men identified several barriers and facilitators to performing these new behaviours. Barriers included tolerance to dietary changes, PA limitations and external obstacles. Facilitators included partner involvement in diet, habit formation and brisk walking as an individual activity. Men discussed positive effects associated with brisk walking, such as feeling healthier, but not with nutrition interventions.Conclusions The facilitators to behaviour change suggest that adherence to trial interventions can be supported using well-established behaviour change models. Future studies may benefit from theory-based interventions to support adherence to diet and PA behaviour changes in men diagnosed with PCa.https://bmjopen.bmj.com/content/12/6/e055566.full |
| spellingShingle | Richard M Martin Raj Persad J Athene Lane Ellie Shingler Luke A Robles Edward Rowe Anthony Koupparis Amit Bahl Constance Shiridzinomwa Lucy McGeagh Attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer: a qualitative study BMJ Open |
| title | Attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer: a qualitative study |
| title_full | Attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer: a qualitative study |
| title_fullStr | Attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer: a qualitative study |
| title_full_unstemmed | Attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer: a qualitative study |
| title_short | Attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer: a qualitative study |
| title_sort | attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer a qualitative study |
| url | https://bmjopen.bmj.com/content/12/6/e055566.full |
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