TY - JOUR
T1 - An investigation of the colorectal cancer experience and receptivity to family-based cancer prevention programs
AU - Radecki Breitkopf, Carmen
AU - Asiedu, Gladys B.
AU - Egginton, Jason
AU - Sinicrope, Pamela
AU - Opyrchal, Seung M.L.
AU - Howell, Lisa A.
AU - Patten, Christi
AU - Boardman, Lisa
N1 - Funding Information:
Acknowledgments This research was funded by the National Cancer Institute, National Institutes of Health, with grant number CA142065 awarded to Drs. Sinicrope and Radecki Breitkopf.
PY - 2014/9
Y1 - 2014/9
N2 - Purpose: Cancer is a shared family experience and may provide a "teachable moment" to motivate at-risk family members to adopt cancer prevention and health promotion behaviors. This study explored how a diagnosis of colorectal cancer (CRC) is experienced by family members and may be used to develop a family-based CRC prevention program. Preferences regarding content, timing, and modes of program delivery were examined. Social cognitive theory provided the conceptual framework for the study. Methods: This study employed mixed methodology (semi-structured interviews and self-report questionnaires). Participants included 73 adults (21 patients, 52 family members) from 23 families (two patients were deceased prior to being interviewed). Most patients (n=14; 67%) were interviewed 1-5 years post-diagnosis. Individual interviews were audio-recorded, transcribed, and content analyzed. Results: For many, a CRC diagnosis was described as a shared family experience. Family members supported each other's efforts to prevent CRC through screening, exercising, and maintaining a healthy diet. Teachable moments for introducing a family-based program included the time of the patient's initial cancer surgery and post-chemotherapy. Reported willingness to participate in a family-based program was associated with risk perception, self-efficacy, outcome expectancies, and the social/community context in which the program would be embedded. Program preferences included cancer screening, diet/nutrition, weight management, stress reduction, and exercise. Challenges included geographic dispersion, variation in education levels, generational differences, and scheduling. Conclusions: CRC patients and family members are receptive to family-based programs. Feasibility concerns, which may be mitigated but not eliminated with technological advances, must be addressed for successful family-based programs.
AB - Purpose: Cancer is a shared family experience and may provide a "teachable moment" to motivate at-risk family members to adopt cancer prevention and health promotion behaviors. This study explored how a diagnosis of colorectal cancer (CRC) is experienced by family members and may be used to develop a family-based CRC prevention program. Preferences regarding content, timing, and modes of program delivery were examined. Social cognitive theory provided the conceptual framework for the study. Methods: This study employed mixed methodology (semi-structured interviews and self-report questionnaires). Participants included 73 adults (21 patients, 52 family members) from 23 families (two patients were deceased prior to being interviewed). Most patients (n=14; 67%) were interviewed 1-5 years post-diagnosis. Individual interviews were audio-recorded, transcribed, and content analyzed. Results: For many, a CRC diagnosis was described as a shared family experience. Family members supported each other's efforts to prevent CRC through screening, exercising, and maintaining a healthy diet. Teachable moments for introducing a family-based program included the time of the patient's initial cancer surgery and post-chemotherapy. Reported willingness to participate in a family-based program was associated with risk perception, self-efficacy, outcome expectancies, and the social/community context in which the program would be embedded. Program preferences included cancer screening, diet/nutrition, weight management, stress reduction, and exercise. Challenges included geographic dispersion, variation in education levels, generational differences, and scheduling. Conclusions: CRC patients and family members are receptive to family-based programs. Feasibility concerns, which may be mitigated but not eliminated with technological advances, must be addressed for successful family-based programs.
KW - Cancer
KW - Colorectal
KW - Oncology
KW - Qualitative methods
KW - Social cognitive theory
KW - Teachable moment
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U2 - 10.1007/s00520-014-2245-9
DO - 10.1007/s00520-014-2245-9
M3 - Article
C2 - 24728620
AN - SCOPUS:84906306448
SN - 0941-4355
VL - 22
SP - 2517
EP - 2525
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
IS - 9
ER -