Yếu tố hỗ trợ thay đổi hành vi và giảm cân trong cuộc can thiệp dành cho những người sống sót sau ung thư vú người Mỹ gốc Phi

Cancer Causes & Control - Tập 31 - Trang 737-747 - 2020
J. L. Kwarteng1, K. M. M. Beyer2, A. Banerjee3, M. R. Stolley4
1Division of Community Health, Institute for Health & Equity, Medical College of Wisconsin, Milwaukee, USA
2Division of Epidemiology, Institute for Health & Equity, Medical College of Wisconsin, Milwaukee, USA
3Division of Biostatistics, Institute for Health & Equity, Medical College of Wisconsin, Milwaukee, USA
4Division of Hematology and Oncology, Medicine, Medical College of Wisconsin, Milwaukee, USA

Tóm tắt

Mục tiêu của nghiên cứu này là kiểm tra các yếu tố hỗ trợ thay đổi hành vi và giảm cân ở phụ nữ gốc Phi tham gia thử nghiệm hiệu quả Moving Forward. Các mô hình hỗn hợp tuyến tính đã được sử dụng để xem xét vai trò của tự tin vào bản thân, sự hỗ trợ xã hội và cảm nhận về khả năng tiếp cận việc ăn uống lành mạnh, tập thể dục và an toàn khu vực lân cận đối với trọng lượng cơ thể, hoạt động thể chất và chế độ ăn. Chúng tôi cũng đã kiểm tra sự trung gian của tự tin vào bản thân, sự hỗ trợ xã hội và cảm nhận về khả năng tiếp cận việc ăn uống lành mạnh, tập thể dục và an toàn khu vực lân cận đối với giảm cân, hoạt động thể chất và chế độ ăn bằng cách sử dụng thống kê Freedman Schatzkin. Chúng tôi không tìm thấy bằng chứng cho thấy có sự trung gian, nhưng đã phát hiện một số mối liên hệ trực tiếp của tự tin vào bản thân, một số loại sự hỗ trợ xã hội và cảm nhận về khả năng tiếp cận tập thể dục đối với giảm cân và thay đổi hành vi. Chúng tôi xác định rằng tự tin vào bản thân, sự hỗ trợ xã hội và khả năng tiếp cận tập thể dục đóng vai trò trong việc giảm cân, tăng cường hoạt động thể chất và chế độ ăn tốt hơn. Vai trò của tự tin vào bản thân và cảm nhận về khả năng tiếp cận tập thể dục nhất quán hơn so với sự hỗ trợ xã hội.

Từ khóa

#thay đổi hành vi #giảm cân #tự tin vào bản thân #sự hỗ trợ xã hội #người sống sót sau ung thư vú #người Mỹ gốc Phi #hoạt động thể chất #chế độ ăn uống chính.

Tài liệu tham khảo

DeSantis CE, Siegel RL, Sauer AG, Miller KD, Fedewa SA, Alcaraz KI, Jemal A (2016) Cancer statistics for African Americans, 2016: progress and opportunities in reducing racial disparities. CA: Cancer J Clin 66(4):290–308. https://doi.org/10.3322/caac.21340 Coughlin SS, Yoo W, Whitehead MS, Smith SA (2015) Advancing breast cancer survivorship among African-American women. Breast Cancer Res Treat 153(2):253–261. https://doi.org/10.1007/s10549-015-3548-3 Williams DR, Mohammed SA, Shields AE (2016) Understanding and effectively addressing breast cancer in African American women: unpacking the social context. Cancer. https://doi.org/10.1002/cncr.29935 Chan DSM, Vieira AR, Aune D, Bandera EV, Greenwood DC, McTiernan A, Navarro Rosenblatt D, Thune I, Vieira R, Norat T (2014) Body mass index and survival in women with breast cancer—systematic literature review and meta-analysis of 82 follow-up studies. Ann Oncol 25(10):1901–1914. https://doi.org/10.1093/annonc/mdu042 Greenlee HA, Crew KD, Mata JM, McKinley PS, Rundle AG, Zhang W, Liao Y, Tsai WY, Hershman DL (2013) A pilot randomized controlled trial of a commercial diet and exercise weight loss program in minority breast cancer survivors. Obesity 21(1):65–76 Greenlee H, Shi Z, Molmenti CLS, Rundle A, Tsai WY (2016) Trends in obesity prevalence in adults with a history of cancer: results from the US National Health Interview Survey, 1997 to 2014. J Clin Oncol 34(26):3133 Ligibel JA, Alfano CM, Courneya KS, Demark-Wahnefried W, Burger RA, Chlebowski RT, Fabian CJ, Gucalp A, Hershman DL, Hudson MM (2014) American Society of Clinical Oncology position statement on obesity and cancer. J Clin Oncol 32(31):3568–3574 Paxton RJ, Garner W, Logan G, Dean LT, Allen-Watts K (2019) Health behaviors and lifestyle interventions in African American breast cancer survivors: a systematic review. Front Oncol 9:3 Stolley M, Sheean P, Gerber B, Arroyo C, Schiffer L, Banerjee A, Visotcky A, Fantuzzi G, Strahan D, Matthews L, Dakers R, Carridine-Andrews C, Seligman K, Springfield S, Odoms-Young A, Hong S, Hoskins K, Kaklamani V, Sharp L (2017) Efficacy of a weight loss intervention for African American breast cancer survivors. J Clin Oncol 35(24):2820–2828. https://doi.org/10.1200/JCO.2016.71.9856 Stolley MR, Sharp LK, Oh A, Schiffer L (2009) A weight loss intervention for African American breast cancer survivors, 2006. Prev Chronic Dis 6(1):A22 Spector D, Battaglini C, Groff D (2013) Perceived exercise barriers and facilitators among ethnically diverse breast cancer survivors. Oncol Nurs Forum 40(5):472–480. https://doi.org/10.1188/13.onf.472-480 Oyekanmi G, Paxton RJ (2014) Barriers to physical activity among African American breast cancer survivors. Psycho-Oncology 23(11):1314–1317. https://doi.org/10.1002/pon.3527 Hong S, Bardwell WA, Natarajan L, Flatt SW, Rock CL, Newman VA, Madlensky L, Mills PJ, Dimsdale JE, Thomson CA, Hajek RA, Chilton JA, Pierce JP (2007) Correlates of physical activity level in breast cancer survivors participating in the Women's Healthy Eating and Living (WHEL) Study. Breast Cancer Res Treat 101(2):225–232. https://doi.org/10.1007/s10549-006-9284-y Bandura A (1986) Social foundations of thought and action: a social cognitive theory. Prentice-Hall Inc, Englewood Cliffs, NJ Heaney CA, Israel BA (2008) Social networks and social support. Health Behav Health Educ 4:189–210 Barber FD (2012) Social support and physical activity engagement by cancer survivors. Clin J Oncol Nurs. https://doi.org/10.1188/12.CJON.E84-E98 Hoedjes M, van Stralen MM, Joe STA, Rookus M, van Leeuwen F, Michie S, Seidell JC, Kampman E (2017) Toward the optimal strategy for sustained weight loss in overweight cancer survivors: a systematic review of the literature. J Cancer Surviv 11(3):360–385 Sheppard VB, Hicks J, Makambi K, Hurtado-de-Mendoza A, Demark-Wahnefried W, Adams-Campbell L (2016) The feasibility and acceptability of a diet and exercise trial in overweight and obese black breast cancer survivors: the Stepping STONE study. Contemp Clin Trials 46:106–113. https://doi.org/10.1016/j.cct.2015.12.005 Djuric Z, Mirasolo J, Kimbrough L, Brown DR, Heilbrun LK, Canar L, Venkatranamamoorthy R, Simon MS (2009) A pilot trial of spirituality counseling for weight loss maintenance in African American breast cancer survivors. J Natl Med Assoc 101(6):552 Jones A, Paxton RJ (2015) Neighborhood disadvantage, physical activity barriers, and physical activity among African American breast cancer survivors. Prev Med Rep 2:622–627. https://doi.org/10.1016/j.pmedr.2015.07.010 Walcott-McQuigg JA, Prohaska TR (2001) Factors influencing participation of African American elders in exercise behavior. Public Health Nurs 18(3):194–203 Bronner Y, Boyington JE (2002) Developing weight loss interventions for African-American women: elements of successful models. J Natl Med Assoc 94(4):224–235 Wolfe WA (2004) A review: maximizing social support-A neglected strategy for improving weight management with African-American women. Ethn Dis 14(2):212–218 Haughton CF, Silfee VJ, Wang ML, Lopez-Cepero AC, Estabrook DP, Frisard C, Rosal MC, Pagoto SL, Lemon SC (2018) Racial/ethnic representation in lifestyle weight loss intervention studies in the United States: a systematic review. Prev Med Rep 9:131–137. https://doi.org/10.1016/j.pmedr.2018.01.012 Schulz AJ (2011) Urban environments and health. In: Nriagu J (ed) Encyclopedia of environmental health. Elsevier, Burlington, MA, pp 549–555 Shariff-Marco S, Yang J, John EM, Sangaramoorthy M, Hertz A, Koo J, Nelson DO, Schupp CW, Shema SJ, Cockburn M (2014) Impact of neighborhood and individual socioeconomic status on survival after breast cancer varies by race/ethnicity: the Neighborhood and Breast Cancer Study. Cancer Epidemiol Biomark Prev. https://doi.org/10.1158/1055-9965 Beyer KM, Zhou Y, Matthews K, Bemanian A, Laud PW, Nattinger AB (2016) New spatially continuous indices of redlining and racial bias in mortgage lending: links to survival after breast cancer diagnosis and implications for health disparities research. Health Place 40:34–43 Stolley MR, Sharp LK, Fantuzzi G, Arroyo C, Sheean P, Schiffer L, Campbell R, Gerber B (2015) Study design and protocol for moving forward: a weight loss intervention trial for African-American breast cancer survivors. BMC Cancer 15:1018. https://doi.org/10.1186/s12885-015-2004-4 Kriska AM, Caspersen CJ (1997) Introduction to a collection of physical activity questionnaires. Med Sci Sports Exerc 29(6):5–9 Irwin ML, Crumley D, McTiernan A, Bernstein L, Baumgartner R, Gilliland FD, Kriska A, Ballard-Barbash R (2003) Physical activity levels before and after a diagnosis of breast carcinoma. Cancer 97(7):1746–1757 Block G, Hartman AM, Naughton D (1990) A reduced dietary questionnaire: development and validation. Epidemiology 1:58–64 Block G, Wakimoto P (1998) A revision of the Block Dietary Questionnaire and database, based on NHANES III data. University of California at Berkeley, Berkeley Guenther PM, Casavale KO, Reedy J, Kirkpatrick SI, Hiza HA, Kuczynski KJ, Kahle LL, Krebs-Smith SM (2013) Update of the healthy eating index: HEI-2010. J Acad Nutr Diet 113(4):569–580 Latimer L, Walker LO, Kim S, Pasch KE, Sterling BS (2011) Self-efficacy scale for weight loss among multi-ethnic women of lower income: a psychometric evaluation. J Nutr Educ Behav 43(4):279–283 Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR (1987) The development of scales to measure social support for diet and exercise behaviors. Prev Med 16(6):825–836 Bennett JA, Lyons KS, Winters-Stone K, Nail LM, Scherer J (2007) Motivational interviewing to increase physical activity in long-term cancer survivors: a randomized controlled trial. Nurs Res 56(1):18–27 Wang YJ, Boehmke M, Wu YW, Dickerson SS, Fisher N (2011) Effects of a 6-week walking program on Taiwanese women newly diagnosed with early-stage breast cancer. Cancer Nurs 34(2):E1–13. https://doi.org/10.1097/NCC.0b013e3181e4588d Mosher CE, Lipkus I, Sloane R, Snyder DC, Lobach DF, Demark-Wahnefried W (2013) Long-term outcomes of the FRESH START Trial: exploring the role of self-efficacy in cancer survivors’ maintenance of dietary practices and physical activity. Psycho-Oncology 22(4):876–885. https://doi.org/10.1002/pon.3089 Rieger E, Sellbom M, Murray K, Caterson I (2018) Measuring social support for healthy eating and physical activity in obesity. Br J Health Psychol 23(4):1021–1039 Kiernan M, Moore SD, Schoffman DE, Lee K, King AC, Taylor CB, Kiernan NE, Perri MG (2012) Social support for healthy behaviors: scale psychometrics and prediction of weight loss among women in a behavioral program. Obesity 20(4):756–764 Uchino BN (2004) Social support and physical health: understanding the health consequences of relationships. Yale University Press, New Haven Cohen S, Underwood LG, Gottlieb BH (2000) Social support measurement and intervention: a guide for health and social scientists. Oxford University Press, Oxford Kampshoff CS, Stacey F, Short CE, van Mechelen W, Chinapaw MJ, Brug J, Plotnikoff R, James EL, Buffart LM (2016) Demographic, clinical, psychosocial, and environmental correlates of objectively assessed physical activity among breast cancer survivors. Support Care Cancer 24(8):3333–3342. https://doi.org/10.1007/s00520-016-3148-8 Olson EA, Mullen SP, Rogers LQ, Courneya KS, Verhulst S, McAuley E (2014) Meeting physical activity guidelines in rural breast cancer survivors. Am J Health Behav 38(6):890–899 Crookes DM, Shelton RC, Tehranifar P, Aycinena C, Gaffney AO, Koch P, Contento IR, Greenlee H (2016) Social networks and social support for healthy eating among Latina breast cancer survivors: implications for social and behavioral interventions. J Cancer Surviv 10(2):291–301. https://doi.org/10.1007/s11764-015-0475-6 Kong A, Tussing-Humphreys LM, Odoms-Young AM, Stolley MR, Fitzgibbon ML (2014) Systematic review of behavioural interventions with culturally adapted strategies to improve diet and weight outcomes in African American women. Obes Rev 15(Suppl 4):62–92. https://doi.org/10.1111/obr.12203 Dean LT, Gehlert S, Neuhouser ML, Oh A, Zanetti K, Goodman M, Thompson B, Visvanathan K, Schmitz KH (2018) Social factors matter in cancer risk and survivorship. Cancer Causes Control 29(7):611–618. https://doi.org/10.1007/s10552-018-1043-y Joseph RP, Ainsworth BE, Keller C, Dodgson JE (2015) Barriers to physical activity among African American women: an integrative review of the literature. Women Health 55(6):679–699. https://doi.org/10.1080/03630242.2015.1039184 Schulz AJ, Israel BA, Mentz GB, Bernal C, Caver D, DeMajo R, Diaz G, Gamboa C, Gaines C, Hoston B, Opperman A, Reyes AG, Rowe Z, Sand SL, Woods S (2015) Effectiveness of a walking group intervention to promote physical activity and cardiovascular health in predominantly non-Hispanic black and Hispanic urban neighborhoods: findings from the walk your heart to health intervention. Health Educ Behav. https://doi.org/10.1177/1090198114560015