An exploration of needs and preferences for dietary support in colorectal cancer survivors: A mixed-methods study

Meeke Hoedjes; Anja De Kruif; Floortje Mols; Martijn Bours; Sandra Beijer; Renate Winkels; Marjan J. Westerman; Jaap C. Seidell; Ellen Kampman

doi:10.1371/journal.pone.0189178

An exploration of needs and preferences for dietary support in colorectal cancer survivors: A mixed-methods study

Meeke Hoedjes^*, Anja De Kruif, Floortje Mols, Martijn Bours, Sandra Beijer, Renate Winkels, Marjan J. Westerman, Jaap C. Seidell, Ellen Kampman

^*Corresponding author for this work

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

PURPOSE: To describe the proportion of colorectal cancer (CRC) survivors who perceive a need for dietary support; to examine which socio-demographic, cancer-related, and health-related characteristics are associated with this need; to explore reasons for (not) needing support; and to explore CRC survivors' specific needs and preferences with regard to lifestyle (i.e., dietary, exercise, and/or weight management) support.

METHODS: This mixed-methods study comprised a cross-sectional survey among 1774 Dutch CRC survivors and three focus groups (n = 16). To examine associations, logistic regression analyses were conducted. Focus groups were audio-taped, transcribed verbatim, and analyzed using a thematic approach.

RESULTS: Of 1458 respondents (82%), 1198 (67.5%) were included for analyses. 17.5% reported a need for dietary support. Characteristics associated with this need were: being younger, living without a partner, having a stoma, having diabetes, and being overweight or obese. The main reason for needing support was being unable to initiate and maintain lifestyle changes without support. CRC survivors preferred receiving information soon after diagnosis to make an autonomous, informed decision on improving their lifestyle. They preferred to receive individually-tailored lifestyle support in an autonomy-supportive environment, preferably with involvement of their family and fellow-sufferers.

CONCLUSIONS: This study has provided knowledge on appropriate support for CRC survivors in need for dietary support to improve health outcomes by promoting adherence to lifestyle and body weight recommendations. Findings can be used to better identify CRC survivors in need for dietary support, and to tailor lifestyle support to their needs and preferences in order to promote uptake, adherence, and effectiveness.

Original language	English
Article number	e0189178
Journal	PLoS ONE
Volume	12
Issue number	12
DOIs	https://doi.org/10.1371/journal.pone.0189178
Publication status	Published - 1 Dec 2017

Funding

This study was funded by a grant from the Dutch Cancer Society/ Alpe D’HuZes (http:// www.kwf.nl; VUL 2011-5234, received by EK), and was based on studies supported by the Dutch Cancer Society/ Alpe D’HuZes (UM 2012-5653) and a VENI grant (#451-10-041) from the Netherlands Organization for Scientific Research, The Hague, The Netherlands received by FM: http:// www.nwo.nl/en. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. We are grateful to Moniek van Zutphen for her assistance with the recruitment of focus group participants, and to Joeri Kalter for his assistance on retrieving data on focus group participants.

Funders	Funder number
Vietnam Education Foundation	451-10-041
Nederlandse Organisatie voor Wetenschappelijk Onderzoek
KWF Kankerbestrijding	2012-5653, 2011-5234

Keywords

Aged
Colorectal Neoplasms
Demography
Diet
Female
Focus Groups
Food Preferences
Health Services Needs and Demand
Humans
Male
Surveys and Questionnaires
Survivors
Journal Article

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1371/journal.pone.0189178

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@article{060ca01e649a4760884a47c52caa5c18,

title = "An exploration of needs and preferences for dietary support in colorectal cancer survivors: A mixed-methods study",

abstract = "PURPOSE: To describe the proportion of colorectal cancer (CRC) survivors who perceive a need for dietary support; to examine which socio-demographic, cancer-related, and health-related characteristics are associated with this need; to explore reasons for (not) needing support; and to explore CRC survivors' specific needs and preferences with regard to lifestyle (i.e., dietary, exercise, and/or weight management) support.METHODS: This mixed-methods study comprised a cross-sectional survey among 1774 Dutch CRC survivors and three focus groups (n = 16). To examine associations, logistic regression analyses were conducted. Focus groups were audio-taped, transcribed verbatim, and analyzed using a thematic approach.RESULTS: Of 1458 respondents (82%), 1198 (67.5%) were included for analyses. 17.5% reported a need for dietary support. Characteristics associated with this need were: being younger, living without a partner, having a stoma, having diabetes, and being overweight or obese. The main reason for needing support was being unable to initiate and maintain lifestyle changes without support. CRC survivors preferred receiving information soon after diagnosis to make an autonomous, informed decision on improving their lifestyle. They preferred to receive individually-tailored lifestyle support in an autonomy-supportive environment, preferably with involvement of their family and fellow-sufferers.CONCLUSIONS: This study has provided knowledge on appropriate support for CRC survivors in need for dietary support to improve health outcomes by promoting adherence to lifestyle and body weight recommendations. Findings can be used to better identify CRC survivors in need for dietary support, and to tailor lifestyle support to their needs and preferences in order to promote uptake, adherence, and effectiveness.",

keywords = "Aged, Colorectal Neoplasms, Demography, Diet, Female, Focus Groups, Food Preferences, Health Services Needs and Demand, Humans, Male, Surveys and Questionnaires, Survivors, Journal Article",

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AU - Hoedjes, Meeke

AU - De Kruif, Anja

AU - Mols, Floortje

AU - Bours, Martijn

AU - Beijer, Sandra

AU - Winkels, Renate

AU - Westerman, Marjan J.

AU - Seidell, Jaap C.

AU - Kampman, Ellen

PY - 2017/12/1

Y1 - 2017/12/1

N2 - PURPOSE: To describe the proportion of colorectal cancer (CRC) survivors who perceive a need for dietary support; to examine which socio-demographic, cancer-related, and health-related characteristics are associated with this need; to explore reasons for (not) needing support; and to explore CRC survivors' specific needs and preferences with regard to lifestyle (i.e., dietary, exercise, and/or weight management) support.METHODS: This mixed-methods study comprised a cross-sectional survey among 1774 Dutch CRC survivors and three focus groups (n = 16). To examine associations, logistic regression analyses were conducted. Focus groups were audio-taped, transcribed verbatim, and analyzed using a thematic approach.RESULTS: Of 1458 respondents (82%), 1198 (67.5%) were included for analyses. 17.5% reported a need for dietary support. Characteristics associated with this need were: being younger, living without a partner, having a stoma, having diabetes, and being overweight or obese. The main reason for needing support was being unable to initiate and maintain lifestyle changes without support. CRC survivors preferred receiving information soon after diagnosis to make an autonomous, informed decision on improving their lifestyle. They preferred to receive individually-tailored lifestyle support in an autonomy-supportive environment, preferably with involvement of their family and fellow-sufferers.CONCLUSIONS: This study has provided knowledge on appropriate support for CRC survivors in need for dietary support to improve health outcomes by promoting adherence to lifestyle and body weight recommendations. Findings can be used to better identify CRC survivors in need for dietary support, and to tailor lifestyle support to their needs and preferences in order to promote uptake, adherence, and effectiveness.

AB - PURPOSE: To describe the proportion of colorectal cancer (CRC) survivors who perceive a need for dietary support; to examine which socio-demographic, cancer-related, and health-related characteristics are associated with this need; to explore reasons for (not) needing support; and to explore CRC survivors' specific needs and preferences with regard to lifestyle (i.e., dietary, exercise, and/or weight management) support.METHODS: This mixed-methods study comprised a cross-sectional survey among 1774 Dutch CRC survivors and three focus groups (n = 16). To examine associations, logistic regression analyses were conducted. Focus groups were audio-taped, transcribed verbatim, and analyzed using a thematic approach.RESULTS: Of 1458 respondents (82%), 1198 (67.5%) were included for analyses. 17.5% reported a need for dietary support. Characteristics associated with this need were: being younger, living without a partner, having a stoma, having diabetes, and being overweight or obese. The main reason for needing support was being unable to initiate and maintain lifestyle changes without support. CRC survivors preferred receiving information soon after diagnosis to make an autonomous, informed decision on improving their lifestyle. They preferred to receive individually-tailored lifestyle support in an autonomy-supportive environment, preferably with involvement of their family and fellow-sufferers.CONCLUSIONS: This study has provided knowledge on appropriate support for CRC survivors in need for dietary support to improve health outcomes by promoting adherence to lifestyle and body weight recommendations. Findings can be used to better identify CRC survivors in need for dietary support, and to tailor lifestyle support to their needs and preferences in order to promote uptake, adherence, and effectiveness.

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KW - Surveys and Questionnaires

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An exploration of needs and preferences for dietary support in colorectal cancer survivors: A mixed-methods study

Abstract

Funding

Keywords

UN SDGs

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