“We’re Just Not Prepared for Eating Over Our Whole Life”: A Mixed Methods Approach to Understanding Dietary Behaviors Among Longer Term Cancer Survivors

Ann Carroll Klassen, Katherine Smith, Michelle Shuster, Kisha I. Coa, Laura Caulfield, Kathy J. Helzlsouer, Kimberly Peairs, Lillie Shockney, Dara Stoney, Susan Hannum

Research output: Contribution to journalArticle

Abstract

Background: In many countries, there are growing numbers of persons living with a prior diagnosis of cancer, due to the aging population and more successful strategies for treatment. There is also growing evidence of the importance of healthful diet and weight management for survivorship, yet many long-term cancer survivors are not successfully following recommendations. Methods: We explored this issue in a mixed methods study with 53 adult survivors of 3 cancers (breast, prostate, and non-Hodgkin’s lymphoma), living in Maryland. Participants provided three 24-hour dietary recalls, and results were used to classify respondents on 2 metrics of healthful eating (the Healthy Eating Index 2010, and a 9-item index based on current dietary recommendations). Recalls were also used to guide in-depth qualitative discussions with participants regarding self-assessment of dietary behaviors, healthful eating, and diet’s importance in cancer prevention and survivorship. Results: Survivors following a more healthful diet were more likely to be female, have greater socioeconomic resources, more years since diagnosis, normal weight, and no smoking history. Qualitative discussions revealed a more nuanced understanding of dietary strategies among healthful eaters, as well as the importance of household members in dietary decision making. Discussion: Most survivors had received little nutrition counseling as part of their cancer care, highlighting the importance of holistic, household-oriented nutrition education for maintaining health among long-term cancer survivors.

Original languageEnglish (US)
Pages (from-to)350-362
Number of pages13
JournalIntegrative Cancer Therapies
Volume17
Issue number2
DOIs
StatePublished - Jun 1 2018

Fingerprint

Survivors
Eating
Neoplasms
Diet
Survival Rate
Weights and Measures
Feeding Behavior
Health Education
Non-Hodgkin's Lymphoma
Counseling
Prostatic Neoplasms
Decision Making
Smoking
History
Population
Therapeutics

Keywords

  • cancer survivorship
  • clinician behavior
  • dietary assessment
  • mixed methods
  • nutrition education

ASJC Scopus subject areas

  • Oncology
  • Complementary and alternative medicine

Cite this

“We’re Just Not Prepared for Eating Over Our Whole Life” : A Mixed Methods Approach to Understanding Dietary Behaviors Among Longer Term Cancer Survivors. / Klassen, Ann Carroll; Smith, Katherine; Shuster, Michelle; Coa, Kisha I.; Caulfield, Laura; Helzlsouer, Kathy J.; Peairs, Kimberly; Shockney, Lillie; Stoney, Dara; Hannum, Susan.

In: Integrative Cancer Therapies, Vol. 17, No. 2, 01.06.2018, p. 350-362.

Research output: Contribution to journalArticle

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