Journal of Cancer Survivorship最新文献

{"title":"Body composition and chemotherapy toxicities in breast cancer: a systematic review of the literature.","authors":"Lori Lewis, Belinda Thompson, Rhiannon Stellmaker, Louise Koelmeyer","doi":"10.1007/s11764-023-01512-z","DOIUrl":"10.1007/s11764-023-01512-z","url":null,"abstract":"<p><strong>Purpose: </strong>Breast cancer is the most diagnosed cancer in women with chemotherapy being a common treatment. Toxicities due to chemotherapy can result in dose reduction, delay, and early cessation of treatment, which along with causing distress for individuals during their cancer treatment might also reduce the therapeutic effect. The purpose of this systematic review is to examine the role of body composition on chemotherapy toxicities in women with breast cancer.</p><p><strong>Methods: </strong>A systematic search of the literature was completed on electronic databases Pubmed, Embase, CINHAHL, and Cochrane. Studies were included if the direct effect of body composition on chemotherapy toxicities was reported and excluded if body composition could not be isolated. A critical appraisal of the studies included was performed using McMasters University Critical Review Form for Quantitative Studies.</p><p><strong>Results: </strong>Eleven studies were included with a total of 2881 female participants. All studies reported significant relationships between body composition and chemotherapy toxicities; however, individual parameters differed between the studies. Adding to the heterogeneity, different thresholds were reported to determine both sarcopenia and myosteatosis, making it difficult to identify a common finding.</p><p><strong>Conclusion: </strong>This review suggests that body composition may be an important factor in predicting the severity of chemotherapy toxicities during treatment for breast cancer; however, the lack of international consensus as to thresholds in the literature for sarcopenia and myosteatosis may result in bias. The review supports the need for further prospective studies, allowing for more robust, pre-determined data collection, to better understand the implications of body composition on toxicities and benefits of using body composition to individualize chemotherapy dosing.</p><p><strong>Implications for cancer survivors: </strong>Toxicities due to chemotherapy can result in treatment being unable to be completed as planned, potentially resulting in poorer survival outcomes. Improved knowledge in this area may give rise to a more reliable way of individualizing chemotherapy dosage to help mitigate this risk.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"914-929"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139417202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of cancer survivors returning to work decision-making: a meta-synthesis of qualitative studies.","authors":"Xiao-Qin Su, Hong-Hua Sang, Ben-Xin Kuai, Ping Xue, Yu-Jie Guo","doi":"10.1007/s11764-023-01530-x","DOIUrl":"10.1007/s11764-023-01530-x","url":null,"abstract":"<p><strong>Purpose: </strong>Return to work for cancer survivors (CSs) may be challenging, and there is a research gap in integrating the relevant experiences of the return-to-work decision-making process for CSs. Our aim was to synthesize existing qualitative research that integrates the dynamic experiences of CSs in the return-to-work decision-making process and highlights the factors influencing the return-to-work decisions of CSs.</p><p><strong>Methods: </strong>We retrieved qualitative studies on a relevant theme published in the PubMed, EBSCO, Scopus, Web of Science, Cochrane Library, and CINAHL databases since construction to December 2023. Literature screening, quality evaluation, and data analysis followed the PRISMA, Joanna Briggs Institute Critical Appraisal Tool (2016), and thematic analysis methods to ensure study reliability. The study was registered on PROSPERO (registration number: CRD42023429623).</p><p><strong>Results: </strong>Ten articles were included, and six key outcomes were identified based on Social Cognitive Career Theory (SCCT) integration: points of concern for individuals, sense of self-efficacy, outcome expectations, work perception and belonging, medical advice and guidance, and effects of the external reactions.</p><p><strong>Conclusion: </strong>The decision-making process for CSs to return to work is affected by various personal and external factors. Effectively addressing personal appearance, financial, and emotional issues can enhance self-efficacy of CSs. Improving external perceptions of cancer patients and enhancing social support in the workplace and medical settings can help CSs make informed decisions regarding their return to work.</p><p><strong>Implications for cancer survivors: </strong>The decision of CSs to return to work is a result of integrating personal, job, and medical care considerations. These findings contribute to the development of future interventions for CSs' return-to-work decisions that target an array of potential factors.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"1043-1058"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can illness representations be used to understand pain experienced in breast cancer survivorship-a cross-sectional study.","authors":"Lewis Langford, Gary Latchford, Matt Mulvey","doi":"10.1007/s11764-024-01533-2","DOIUrl":"10.1007/s11764-024-01533-2","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain is a recognised long-term consequence associated with breast cancer and its treatment; however, it is often underdiagnosed and undertreated. This study aims to explore the associations between illness representations, chronic cancer pain, and HRQoL in women who have survived breast cancer.</p><p><strong>Design and methods: </strong>A cross-sectional online survey design was used. Data from 182 women who participated in the survey were analysed.</p><p><strong>Results: </strong>Chronic cancer pain was reported by 66% of respondents. Using the BPI-SF (score 0-10), participants were categorised into one of four pain categories: no chronic pain (BPI score 0; 34.1%), mild pain (BPI score 1-3; 35.7%), moderate pain (BPI score 4-6; 25.3%), and severe pain (BPI score 7 + ; 4.9%). The main findings were that having a strong illness identity (IPQ-R subscale which assesses the number of symptoms an individual attributes to their illness) was found to be a significant predictor of pain severity (OR 1.21 (95% CI 1.07-1.37), p = 0.003). Furthermore, HRQoL was significantly associated and predictive of pain severity (OR 0.97 (95% CI 0.95-0.99), p < 0.001). An additional finding was that not being in paid work was strongly associated with being in a higher pain category (OR 5.92 (95% CI 1.84-19.05), p = 0.003).</p><p><strong>Conclusions: </strong>The findings of this study highlight the high prevalence of chronic cancer pain experienced by this population. Results show that dimensions of illness representations are associated with chronic cancer pain experienced by breast cancer survivors. Furthermore, having a strong illness identity and HRQoL were found to be independent, significant predictors of pain severity.</p><p><strong>Implications for cancer survivors: </strong>These findings demonstrate that chronic pain is an unmet clinical need experienced by breast cancer survivors, which is associated with reduced overall HRQoL. Therefore, consideration is needed regarding the assessment and management of chronic pain experienced by this population.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"1080-1089"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139570161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep quality and lymphedema in breast cancer survivors: a mixed method analysis.","authors":"Karen Bock, Jill Peltzer, Wen Liu, Yvonne Colgrove, Irina Smirnova, Catherine Siengsukon","doi":"10.1007/s11764-023-01516-9","DOIUrl":"10.1007/s11764-023-01516-9","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this convergent mixed methods study was to assess the perceptions and characteristics of sleep in breast cancer survivors (BCSs) and elucidate perceptions of sleep among BCS with lymphedema.</p><p><strong>Methods: </strong>Participants were BCS with and without lymphedema. Both groups completed the Pittsburgh Sleep Quality Index (PSQI), PROMIS® Sleep Disturbance (8a short form), and wore an actigraph on their wrist to capture sleep/wake cycles for 7 days/nights while logging their sleep using a sleep diary. The coefficient of variation of sleep efficiency was calculated from the sleep diary to assess intraindividual variability. In addition, a subsample of BCS with lymphedema participated in a semi-structured qualitative interview. The qualitative data was analyzed separately, and the themes were applied to provide a more nuanced explanation of the quantitative outcomes.</p><p><strong>Results: </strong>The BCS with lymphedema (n=23) had a significant difference in PSQI (p=0.002), PROMIS® Sleep Disturbance (p=0.084), and sleep efficiency coefficient of variation (p=0.014) compared to BCS without lymphedema (n=23). There were no statistically significant differences between groups in the actigraphy results. BCS with lymphedema perceived that lymphedema management contributed to their sleep disturbance, further exacerbating their mind/body fatigue.</p><p><strong>Conclusion: </strong>This study provides the foundation for future research to investigate the integration of sleep interventions with lymphedema management for holistic survivorship care for BCS with lymphedema.</p><p><strong>Implications for cancer survivors: </strong>An innovative sleep health intervention designed to consider the unique factors contributing to sleep disturbance in BCS with lymphedema will fill a gap in their post-cancer treatment quality of life.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"978-992"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139110986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From pelvic radiation to social isolation: a qualitative study of survivors' experiences of chronic bowel symptoms after pelvic radiotherapy.","authors":"A Biran, C Dobson, C Rees, R Brooks-Pearson, A Cunliffe, L Durrant, J Hancock, H Ludlow, L Neilson, A Wilson, L Sharp","doi":"10.1007/s11764-023-01527-6","DOIUrl":"10.1007/s11764-023-01527-6","url":null,"abstract":"<p><strong>Purpose: </strong>We explored survivors' experiences of chronic bowel symptoms following pelvic radiotherapy, strategies employed in living with these symptoms, effects on daily activities, and roles at home and in the workplace.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 28 individuals (10 gynaecological, 14 prostate, four anal/rectal cancer survivors) who had completed pelvic radiotherapy at least six months prior to data collection and who had experience of bowel symptoms during this post-treatment period. Reflexive thematic analysis was undertaken.</p><p><strong>Results: </strong>We propose four themes describing a process leading from experience of symptoms to withdrawal from activities and roles. These are (1) losing control (the experience of unintended anal leakage or discharge); (2) experiencing embarrassment and fear (the experience of embarrassment or fear of embarrassment as a result of discharge becoming public); (3) managing and reacting (acting to reduce the likelihood of discharge or to prevent this becoming public); and (4) restriction and withdrawal (avoiding specific activities or situations so as to reduce or remove the risk of embarrassment). Returning to the workplace presented additional challenges across these themes.</p><p><strong>Conclusions: </strong>Impacts of chronic bowel symptoms can be severe. Survivors employ a variety of methods and strategies in living with their symptoms. Some of these support continued role fulfilment but some constitute a withdrawal from pre-treatment roles. Current healthcare provision and statutory protections fail to fully meet needs following pelvic radiotherapy.</p><p><strong>Implications for cancer survivors: </strong>There is a need to develop and implement evidence-based services and supported self-management programmes for survivors experiencing chronic bowel problems post-radiotherapy.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"1019-1027"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139106188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A meta-analysis of healthy lifestyle interventions addressing quality of life of cancer survivors in the post treatment phase.","authors":"Morgan Leske, Christina Galanis, Bogda Koczwara, Lisa Beatty","doi":"10.1007/s11764-023-01514-x","DOIUrl":"10.1007/s11764-023-01514-x","url":null,"abstract":"<p><strong>Purpose: </strong>This study's primary aim was to investigate whether including a mental health component to healthy lifestyle interventions are associated with greater effects on quality of life (QoL) for post-treatment cancer survivors than addressing physical activity and/or nutrition alone.</p><p><strong>Methods: </strong>PsycINFO, Scopus, Medline, CINAHL, and Google Scholar were searched to identify randomised control trials of healthy lifestyle interventions for post-treatment cancer survivors, with a usual care or waitlist control, and measured QoL. Meta-analyses quantified the effects of interventions vs controls at post-treatment on total QoL, physical, emotional, and social well-being. Subgroup analyses compared interventions with vs without a mental health component, modes of delivery, and duration. The quality of the included studies was assessed using the Cochrane Risk of Bias 2.</p><p><strong>Results: </strong>Eighty-eight papers evaluating 110 interventions were included: 66 effect sizes were extracted for meta-analysis, and 22 papers were narratively synthesised. The pooled effect size demonstrated a small, significant effect of healthy lifestyle interventions in comparison to control for all QoL outcomes (total g = 0.32, p >.001; physical g = 0.19, p = 0.05; emotional g = 0.20, p >.001; social g = 0.18, p = 0.01). There was no significant difference between interventions with vs without a mental health component. Face-to-face delivered interventions were associated with greater total QoL and physical well-being compared to other modalities. Interventions delivered ≤12 weeks were associated with greater physical well-being than those delivered ≥13 weeks. Overall, studies had substantial levels of heterogeneity and 55.9% demonstrated high risk of bias.</p><p><strong>Conclusions: </strong>Participating in a healthy lifestyle intervention following cancer treatment improves QoL. Few trials addressed mental health or evaluated online or telephone modalities; future research should develop and evaluate interventions that utilise these features.</p><p><strong>Implications for cancer survivors: </strong>Brief healthy lifestyle interventions can be recommended for cancer survivors, particularly those interested in improving physical well-being.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"940-956"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139417201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professionally led support groups for people living with advanced or metastatic cancer: a systematic scoping review of effectiveness and factors critical to implementation success within real-world healthcare and community settings.","authors":"Zhicheng Li, Kitty-Jean Laginha, Frances Boyle, Michele Daly, Fiona Dinner, Pia Hirsch, Kim Hobbs, Laura Kirsten, Carolyn Mazariego, Ros McAuley, Mary O'Brien, Amanda O'Reilly, Natalie Taylor, Lisa Tobin, Sophie Lewis, Andrea L Smith","doi":"10.1007/s11764-023-01515-w","DOIUrl":"10.1007/s11764-023-01515-w","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the effectiveness of professionally led support groups for people with advanced or metastatic cancer, and identify factors critical to implementation success within real-world settings.</p><p><strong>Methods: </strong>Databases (MEDLINE; PsychINFO; CINAHL) and grey literature were searched for empirical publications and evaluations. Articles were screened for eligibility and data systematically extracted, charted and summarised using a modified scoping review methodology. Implementation factors were mapped using Proctor's implementation framework and the Consolidated Framework for Implementation Research 2.0.</p><p><strong>Results: </strong>A total of 1691 publications were identified; 19 were eligible for inclusion (8 randomised controlled trials, 7 qualitative studies, 2 cohort studies, 2 mixed methods studies). Most (n=18) studies focused on tumour-specific support groups. Evidence supported professionally led support groups in reducing mood disturbances (n=5), distress (i.e. traumatic stress, depression) (n=4) and pain (n=2). Other benefits included social connectedness (n=6), addressing existential distress (n=5), information and knowledge (n=6), empowerment and sense of control (n=2), relationships with families (n=2) and communication with health professionals (n=2). Thirteen studies identified factors predicting successful adoption, implementation or sustainment, including acceptability (n=12; 63%), feasibility (n=6; 32%) and appropriateness (n=1; 5%). Key determinants of successful implementation included group leaders' skills/experience, mode of operation, travelling distance, group composition and membership and resourcing.</p><p><strong>Conclusions: </strong>Professionally led tumour-specific support groups demonstrate effectiveness in reducing mood disturbances, distress and pain among patients. Successful implementation hinges on factors such as leadership expertise, operational methods and resource allocation.</p><p><strong>Implications for cancer survivors: </strong>Professionally led support groups may fill an important gap in supportive care for people with advanced or metastatic cancer.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"957-977"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a dose-graded aerobic exercise regimen on cardiopulmonary fitness and physical performance in pediatric survivors of acute lymphoblastic leukemia: a randomized clinical trial.","authors":"Ragab K Elnaggar, Ahmad M Osailan, Mohammed F Elbanna, Amira M Abd-Elmonem","doi":"10.1007/s11764-024-01534-1","DOIUrl":"10.1007/s11764-024-01534-1","url":null,"abstract":"<p><strong>Purpose: </strong>To determine whether a 12-week supervised dose-graded aerobic exercise (D-GAE) training, when implemented in conjunction with traditional rehabilitation, could help pediatric survivors of acute lymphoblastic leukemia (ALL) enhance their cardiopulmonary capacity and improve their physical performance.</p><p><strong>Methods: </strong>Fifty-eight pediatric survivors of ALL (age 13.78 ± 2.47 years; boys 60.34%) were assigned at random to either undergo the D-GAE in addition to the traditional physical rehabilitation (D-GAE group; n = 29) or the traditional physical rehabilitation solely (control group; n = 29). The cardiopulmonary fitness (peak oxygen uptake (VO_2peak), ventilatory equivalent (VEq/VO₂), minute ventilation (V_E, L/min), oxygen pulse (O₂P), maximum heart rate (HR_max), 1-min heart rate recovery (HRR₁), and respiratory exchange ratio (RER)) and physical performance (6-min walk test (6-MWT), timed up and down stairs (TUDS), and 4 × 10-m shuttle run test (4 × 10mSRT)) were assessed on the pre- and post-intervention occasions.</p><p><strong>Results: </strong>The mixed-model ANOVA revealed a meaningful increase of VO_2peak (P = .002), V_E (P = .026), O₂P (P = .0009), HR_max (P = .004), and HRR₁ (P = .011), and reduction of VEq/VO₂ (P = .003) and RER (P = .003) in the D-GAE group compared with the control group. Besides, the analysis detected a favorable increase in the physical performance for the D-GAE group (6-MWT (P = .007), TUDS (P < .001), 4 × 10mSRT (P = .009)).</p><p><strong>Conclusion: </strong>A 12-week D-GAE program in conjunction with traditional rehabilitation holds promise in enhancing cardiopulmonary fitness and improving the physical performance of pediatric survivors of ALL. Clinicians and physical rehabilitation professionals can, therefore, integrate the D-GAE into the traditional rehabilitation protocols for such a patient population to optimize their cardiopulmonary fitness and physical function, while also facilitating a gradual transition to practice and adaption.</p><p><strong>Implications for cancer survivors: </strong>The favorable outcomes of this study bolster the inclusion of D-GAE as a crucial element in the care and rehabilitation of pediatric survivors of ALL. By embracing these findings, healthcare professionals and oncologists can contribute to mitigating the long-term cardiopulmonary and physical complications associated with cancer treatments and fostering a state of enhanced well-being and increased physical activity among survivors.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"1090-1101"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diet and physical activity intervention preferences for young adult cancer survivors.","authors":"Sylvia L Crowder, Bihe Hu, Aasha I Hoogland, Lisa M Gudenkauf, Xiaoyin Li, Yvelise Rodriguez, Nathaly E Irizarry-Arroyo, Laura B Oswald, Brian D Gonzalez, Brent J Small, Andrew Galligan, Heather S L Jim, Marilyn Stern","doi":"10.1007/s11764-025-01832-2","DOIUrl":"10.1007/s11764-025-01832-2","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Patient preferences for diet and physical activity interventions likely vary by patient age at cancer diagnosis, gender, and ethnicity. Efficacious multiple health behavior interventions to improve diet and physical activity in young adult cancer survivors are critically needed. This study aimed to collect data to inform preferences for diet and physical activity interventions for young adult cancer survivors that could be modified, if needed, based on gender and ethnicity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Between May 2022 and April 2024, young adult cancer survivors between 20 and 30 years of age participated in an observational study to assess diet and physical activity habits and preferences. Participants completed a survey of diet and physical activity intervention preferences to be used for planning future intervention development. Descriptive statistics were calculated for multiple choice question responses. Intervention preferences for diet and physical activity were compared across self-reported gender (i.e., male vs. female) and race/ethnicity (i.e., Hispanic vs. other) using chi-square tests or Fisher's exact tests (α = 0.05). Responses to open-ended questions were recorded and verified via quality assurance checks by a coauthor.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Study participants (N = 88) completed the preferences survey. Participants' mean age at diagnosis was 23 years, 67% were female, 23% were from a racial/ethnic minority background, and common cancer types included thyroid (24%), lymphoid (19%), and sarcoma (15%). All participants had completed treatment at least 1 year prior to study enrollment (range 1-8 years). Overall, for a dietary intervention, most participants preferred remote-based (e.g., Zoom), one-on-one counseling with a registered dietitian beginning before treatment, and respondents expressed enthusiasm for free dietary coaching and virtual cooking classes. For a physical activity intervention, most participants preferred one-on-one, in-person sessions beginning before treatment, ideally within 1-15 miles from their home that would be free of charge. Participants reported interest in a variety of physical activities, including yoga, strength training, and cardiovascular-based activities (e.g., HIIT, interval training, swimming). There were few differences among gender and ethnicity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Results indicate that future diet and physical activity intervention development for young adult cancer survivors should focus on strategies to promote one-on-one telehealth dietary counseling and in-person physical activity training. Virtual cooking classes and cookbooks coupled with in-person fitness training were preferred methodologies for young adult cancer survivors in this study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for cancer survivors: &lt;/strong&gt;Study results highlight an opportunity to design a combined diet and physical activity intervention healthy lifestyle program for you","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can't I continue to exercise here? Exploring experiences, barriers, and facilitators for physical therapists and survivors of cancer to promote exercise maintenance.","authors":"S C Agasi-Idenburg, M M J Joosten, M Hoedjes, L M Buffart, C S Kampshoff, M M Stuiver","doi":"10.1007/s11764-025-01767-8","DOIUrl":"https://doi.org/10.1007/s11764-025-01767-8","url":null,"abstract":"<p><strong>Purpose: </strong>Maintaining exercise behavior is crucial for cancer survivors, yet adherence to exercise recommendations remains low. This study explores the experiences and perspectives of community-working physical therapists and survivors of cancer regarding barriers and facilitators that support the maintenance of exercise behavior post-treatment.</p><p><strong>Methods: </strong>A qualitative, exploratory focus group design was employed, using purposive sampling to recruit oncology physical therapists and cancer survivors who had undergone physical therapy. The study assessed current physical therapy practices, barriers, and facilitators to exercise maintenance through thematic content analysis Braun and Clarke.</p><p><strong>Results: </strong>Six focus groups with 26 participants (12 cancer survivors and 14 physical therapists) revealed three main themes: (1) transition challenges from supervised therapy to independent exercise, (2) environmental constraints on exercise adherence, and (3) motivators and supportive factors to help independent exercise. Transition challenges included a lack of knowledge and skills, persistent symptoms, and psychological recovery. Environmental constraints involved prioritizing exercise over work and family and limited financial resources. Motivators and supportive factors included goal-setting, gradual reduction in physical therapy sessions, and building confidence in self-management among cancer survivors.</p><p><strong>Conclusions: </strong>Both physical therapists and cancer survivors experience challenges in concluding the treatment relationship. The identified facilitators for independent exercise can assist physical therapists in developing effective exercise programs that promote patient independence during and after physical therapy treatment.</p><p><strong>Implications for cancer survivors: </strong>Understanding these barriers and facilitators can help tailor interventions that enhance long-term exercise adherence, ultimately improving health outcomes and quality of life for cancer survivors.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}