A longitudinal examination of the interrelationships between multiple health behaviors in cancer patients

Q1 Social Sciences

JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH Pub Date : 2019-05-27 DOI:10.1111/jabr.12168

Paquito Bernard, Hans Ivers, Marie-Hélène Savard, Josée Savard

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引用次数: 2

Abstract

Purpose

A healthy lifestyle following a cancer diagnosis is associated with reduced risk for a cancer recurrence. Better understanding the interrelationships between multiple health behaviors (HB) in cancer survivors could inform the development of more effective interventions to promote a healthy lifestyle.

Methods

This prospective study assessed the longitudinal interrelationships between smoking, physical activity, alcohol intake, and caffeine consumption among patients with mixed cancer sites at the peri-operative period and 2, 6, 10, 14, and 18 months later. A cross-lagged design and structural equation modeling were used to assess the relationships between all four HBs over time.

Results

The study included 962 participants. The model showed a good fit to the data. For all four HBs, continuity paths consistently indicated that one particular health behavior was significantly predicted by the same health behavior at the previous time point. However, no consistent pattern of cross-lagged relationships between HBs emerged. Physical activity at 14- and 18-month evaluations was the HB most consistently involved either as a predictor as a predicted variable.

Conclusion

Overall, this study indicates that HBs assessed following cancer surgery are mostly independent and that interventions promoting HB changes during the cancer treatment trajectory need to target each health behavior separately.

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癌症患者多种健康行为之间相互关系的纵向研究

目的癌症诊断后的健康生活方式与癌症复发风险降低相关。更好地了解癌症幸存者多种健康行为(HB)之间的相互关系，可以为制定更有效的干预措施提供信息，以促进健康的生活方式。方法本前瞻性研究评估了围手术期及术后2、6、10、14和18个月混合性癌症患者吸烟、体育活动、饮酒和咖啡因摄入之间的纵向相互关系。使用交叉滞后设计和结构方程模型来评估所有四个HBs之间随时间的关系。结果共纳入962名受试者。该模型与实际数据拟合良好。对于所有四种HBs，连续性路径一致表明，一种特定的健康行为被前一个时间点的相同健康行为显著预测。然而，哈佛商学院之间并没有出现一致的交叉滞后关系模式。在14个月和18个月的评估中，身体活动是HB最一致的预测因子和预测变量。总体而言，本研究表明，癌症手术后评估的HB大多是独立的，在癌症治疗过程中促进HB变化的干预措施需要分别针对每种健康行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH PSYCHOLOGY, CLINICAL-

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： The Journal of Applied Biobehavioral Research, launched in 1993, aims to disseminate findings of behavioral science research which have applications to current problems of society. By publishing relevant research and emphasizing the excellence of experimental design, as well as potential applicability of experimental results, the journal bridges the theoretical and applied areas of biobehavioral research. The Journal of Applied Biobehavioral Research serves as a means of communication among scientists, as well as between researchers and those engaged in the task of solving social and biomedical problems.