Breast Cancer Survivors’ Diet and Physical Activity Preferences and Barriers: How COVID-19 Changed the Intervention Landscape
Background: Existing studies on breast cancer survivors (BCS) have primarily focused on individual aspects of either diet or exercise preferences and barriers. Our study aims to examine BCS’ perceptions toward diet and exercise combined. Given the transformative impact of COVID-19, there is a crucia...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Current Developments in Nutrition |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2475299124024533 |
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| author | Xin Chen Chungyi Chiu Helen Hoi Ting Cheung Sylvia L Crowder Xi Chen Linda Trinh Anna E Arthur |
| author_facet | Xin Chen Chungyi Chiu Helen Hoi Ting Cheung Sylvia L Crowder Xi Chen Linda Trinh Anna E Arthur |
| author_sort | Xin Chen |
| collection | DOAJ |
| description | Background: Existing studies on breast cancer survivors (BCS) have primarily focused on individual aspects of either diet or exercise preferences and barriers. Our study aims to examine BCS’ perceptions toward diet and exercise combined. Given the transformative impact of COVID-19, there is a crucial need for insights in the post-pandemic era to address the distinct challenges faced by BCS in maintaining their health and well-being. Objectives: This exploratory study aims to understand BCS’ preferences for and barriers to diet and exercise to inform future intervention development. Methods: A cross-sectional survey was administered to adults diagnosed with ductal carcinoma in situ or stage I–IV breast cancer (BC) from 2019 to 2021 regarding interest, preferences, and barriers to participating in diet and exercise interventions. Descriptive analysis compared pre-COVID-19 (pre-C) and during-COVID-19 pandemic (during-C) subsets. Results: There were 224 participants. Over half expressed interest in a BC research study related to diet and exercise. Most preferred receiving consultations in-person with relevant specialists, education or counseling in one-on-one sections, and information from written materials, in-person, or via technology. Barriers were fatigue, family, and work. One hundred and thirty participants completed the survey pre-C, and 94 during-C. Compared with pre-C, during-C participants preferred visual communication tools for information on nutrition and exercise over in-person methods (P < 0.05). In most categories, the percentage of barriers noted during-C was greater than pre-C. Conclusions: Participants indicated preference for dual-modal diet and exercise interventions. The pandemic impacted participation preferences and barriers, with shifts toward favoring visual communication tools over in-person services and increasing psychosocial and COVID-related barriers. Hybrid care, combining in-person with technology-based delivery, shows promise in enhancing flexibility and accessibility in nutrition and exercise interventions amid the pandemic. |
| format | Article |
| id | doaj-art-a77b4ebf5a1a459ebaacd829f5496f30 |
| institution | Kabale University |
| issn | 2475-2991 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Current Developments in Nutrition |
| spelling | doaj-art-a77b4ebf5a1a459ebaacd829f5496f302025-01-23T05:27:30ZengElsevierCurrent Developments in Nutrition2475-29912025-01-0191104519Breast Cancer Survivors’ Diet and Physical Activity Preferences and Barriers: How COVID-19 Changed the Intervention LandscapeXin Chen0Chungyi Chiu1Helen Hoi Ting Cheung2Sylvia L Crowder3Xi Chen4Linda Trinh5Anna E Arthur6Department of Dietetics and Nutrition, University of Kansas Medical Center, Kansas City, KS, United StatesDepartment of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Urbana, IL, United StatesDepartment of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, New Territories, Hong KongDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, United StatesDepartment of Food Science and Human Nutrition, University of Illinois Urbana-Champaign, Urbana, IL, United StatesFaculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, CanadaDepartment of Dietetics and Nutrition, University of Kansas Medical Center, Kansas City, KS, United States; Department of Food Science and Human Nutrition, University of Illinois Urbana-Champaign, Urbana, IL, United States; Corresponding author.Background: Existing studies on breast cancer survivors (BCS) have primarily focused on individual aspects of either diet or exercise preferences and barriers. Our study aims to examine BCS’ perceptions toward diet and exercise combined. Given the transformative impact of COVID-19, there is a crucial need for insights in the post-pandemic era to address the distinct challenges faced by BCS in maintaining their health and well-being. Objectives: This exploratory study aims to understand BCS’ preferences for and barriers to diet and exercise to inform future intervention development. Methods: A cross-sectional survey was administered to adults diagnosed with ductal carcinoma in situ or stage I–IV breast cancer (BC) from 2019 to 2021 regarding interest, preferences, and barriers to participating in diet and exercise interventions. Descriptive analysis compared pre-COVID-19 (pre-C) and during-COVID-19 pandemic (during-C) subsets. Results: There were 224 participants. Over half expressed interest in a BC research study related to diet and exercise. Most preferred receiving consultations in-person with relevant specialists, education or counseling in one-on-one sections, and information from written materials, in-person, or via technology. Barriers were fatigue, family, and work. One hundred and thirty participants completed the survey pre-C, and 94 during-C. Compared with pre-C, during-C participants preferred visual communication tools for information on nutrition and exercise over in-person methods (P < 0.05). In most categories, the percentage of barriers noted during-C was greater than pre-C. Conclusions: Participants indicated preference for dual-modal diet and exercise interventions. The pandemic impacted participation preferences and barriers, with shifts toward favoring visual communication tools over in-person services and increasing psychosocial and COVID-related barriers. Hybrid care, combining in-person with technology-based delivery, shows promise in enhancing flexibility and accessibility in nutrition and exercise interventions amid the pandemic.http://www.sciencedirect.com/science/article/pii/S2475299124024533breast cancerlifestyle interventiondietexercisepreferencesbarriers |
| spellingShingle | Xin Chen Chungyi Chiu Helen Hoi Ting Cheung Sylvia L Crowder Xi Chen Linda Trinh Anna E Arthur Breast Cancer Survivors’ Diet and Physical Activity Preferences and Barriers: How COVID-19 Changed the Intervention Landscape Current Developments in Nutrition breast cancer lifestyle intervention diet exercise preferences barriers |
| title | Breast Cancer Survivors’ Diet and Physical Activity Preferences and Barriers: How COVID-19 Changed the Intervention Landscape |
| title_full | Breast Cancer Survivors’ Diet and Physical Activity Preferences and Barriers: How COVID-19 Changed the Intervention Landscape |
| title_fullStr | Breast Cancer Survivors’ Diet and Physical Activity Preferences and Barriers: How COVID-19 Changed the Intervention Landscape |
| title_full_unstemmed | Breast Cancer Survivors’ Diet and Physical Activity Preferences and Barriers: How COVID-19 Changed the Intervention Landscape |
| title_short | Breast Cancer Survivors’ Diet and Physical Activity Preferences and Barriers: How COVID-19 Changed the Intervention Landscape |
| title_sort | breast cancer survivors diet and physical activity preferences and barriers how covid 19 changed the intervention landscape |
| topic | breast cancer lifestyle intervention diet exercise preferences barriers |
| url | http://www.sciencedirect.com/science/article/pii/S2475299124024533 |
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