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Cancer caregivers’ perceptions of an exercise and nutrition program

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Abstract

Purpose

Little research has addressed exercise and nutrition-based interventions for cancer caregivers. This study explored cancer caregivers’ perceptions of participating in a structured exercise and nutrition program alongside cancer survivors for whom they provided care.

Methods

In-depth, semi-structured interviews were conducted by one interviewer with 12 cancer caregivers about their experiences participating in a structured, 12-week exercise and nutrition program designed for cancer survivors and caregivers to complete concurrently. Interviews were conducted until data saturation was reached.

Results

Inductive content analysis from individual interviews indicated three separate, but interrelated, themes: (1) the program was a positive mechanism through which caregivers shared and supported the cancer journey concurrently with survivors, (2) the program led to perceived physical and psychological benefits for both caregivers and survivors, and (3) participants perceived that participation in the program led to feeling increased social support in their caregiving duties.

Conclusions

Findings from this study suggest that participating in an exercise- and nutrition-based intervention is viewed positively by caregivers and that the outcomes are seen as beneficial to both caregivers and survivors. Interventions that address the health needs of both members of the caregiver–survivor dyad should continue to be encouraged by allied health professionals.

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References

  1. Pitceathly C, Maguire P (2003) The psychological impact of cancer on patients’ partners and other key relatives: a review. Eur J Cancer 39:1517–1524

    Article  PubMed  CAS  Google Scholar 

  2. Kim Y, Given BA (2008) Quality of life of family caregivers of cancer survivors: across the trajectory of the illness. Cancer 112:2556–2568

    Article  PubMed  Google Scholar 

  3. Haley WE, LaMonde LA, Han B, Burton AM, Schonwetter R (2003) Predictors of depression and life satisfaction among spousal caregivers in hospice: application of a stress process model. J Palliat Med 6:215–224

    Article  PubMed  Google Scholar 

  4. Gaston-Johansson F, Lachica EM, Fall-Dickson JM, Kennedy MJ (2004) Psychological distress, fatigue, burden of care, and quality of life in primary caregivers of patients with breast cancer undergoing autologous bone marrow transplantation. Oncol Nurs Forum 31:1161–1169

    Article  PubMed  Google Scholar 

  5. Loveys BJ, Klaich K (1991) Breast cancer: demands of illness. Oncol Nurs Forum 23:1432–1439

    Google Scholar 

  6. Beesley VL, Price MA, Webb PM (2011) Loss of lifestyle: health behaviour and weight changes after becoming a caregiver of a family member diagnosed with ovarian cancer. Support Care Cancer 19:1949–1956

    Article  PubMed  Google Scholar 

  7. Sorensen S, Pinquart M, Duberstein P (2002) How effective are interventions with caregivers? An updated meta-analysis. The Gerontol 42:356–372

    Article  Google Scholar 

  8. Swartz JJ, Keir ST (2007) Program preferences to reduce stress in caregivers of patients with brain tumors. Clin J Oncol Nurs 10:723–727

    Article  Google Scholar 

  9. Keir ST (2007) Levels of stress and intervention preferences of caregivers of brain tumor patients. Cancer Nurs 30:E33–E39

    Article  PubMed  Google Scholar 

  10. James EL, Stacey F, Chapman K, Lubans DR, Asprey G, Sundquist K, Boyes A, Girgis A (2011) Exercise and nutrition routine improving cancer health (ENRICH): the protocol for a randomized efficacy trial of a nutrition and physical activity program for adult cancer survivors and carers. BMC Publ Health 11:236–244

    Article  Google Scholar 

  11. Lawlor DA, Hopker SW (2001) The effectiveness of exercise as an intervention in the management of depression: systematic review and meta-regression analysis of randomized controlled trials. Br Med J 322:1–8

    Article  Google Scholar 

  12. Krogh J, Nordentoft M, Sterne JA, Lawlor DA (2011) The effect of exercise in clinically depressed adults: systematic review and meta-analysis of randomized controlled trials. J Clin Psychiatry 72:529–538

    Article  PubMed  Google Scholar 

  13. Rethorst CD, Wipfli BM, Landers DM (2009) The antidepressive effects of exercise: a meta-analysis of randomized trials. Sports Med 39:491–511

    Article  PubMed  Google Scholar 

  14. Goodwin RD (2003) Association between physical activity and mental disorders among adults in the United States. Prev Med 36:698–703

    Article  PubMed  Google Scholar 

  15. Galper DI, Trivedi MH, Barlow CE, Dunn AL, Kampert JB (2006) Inverse association between physical inactivity and mental health in men and women. Med Sci Sports Exerc 38:173–178

    Article  PubMed  Google Scholar 

  16. Petruzello SJ, Landers DM, Hatfield BD, Kubitz KA, Salazar W (1991) A meta-analysis on the anxiety-reducing effects of acute and chronic exercise: outcomes and mechanisms. Sports Med 11:143–182

    Article  Google Scholar 

  17. Pekmezi DW, Demark-Wahnefried W (2011) Updated evidence in support of diet and exercise interventions in cancer survivors. Acta Oncol 50:167–178

    Article  PubMed  Google Scholar 

  18. Christy SM, Mosher CE, Sloane R, Snyder DC, Lobach DF, Demark-Wahnefried W (2011) Long term dietary outcomes of the FRESH START intervention for breast and prostate cancer survivors. J Am Diet Assoc 111:1844–1851

    Article  PubMed  Google Scholar 

  19. Clutter Snyder D, Morey MC, Sloane R, Stull V, Cohen HJ, Peterson B, Pieper C, Hartman TJ, Miller PE, Mitchell DC, Demark-Wahnefried W (2009) Reach out to ENhancE Wellness in Older Cancer Survivors (RENEW): design, methods and recruitment challenges of a home-based exercise and diet intervention to improve physical function among long term survivors of breast, prostate, and colorectal cancer. Psycho-Oncol 18:429–439

    Article  Google Scholar 

  20. Martire LM, Lustig AP, Schulz R, Miller GE, Helgeson VS (2004) Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychol 23:599–611

    Article  PubMed  Google Scholar 

  21. Thorne S (1985) The family cancer experience. Canc Nurs 8:285–291

    CAS  Google Scholar 

  22. Schmitz K (2012) Exercise prescription and programming adaptations based on surgery, treatment, and side effects. In: Irwin M (ed) ACSM’s guide to exercise and cancer survivorship. Human Kinetics, Champaign, pp 87–111

    Google Scholar 

  23. American Cancer Society (2012) New healthy living guidelines for cancer survivors. http://www.cancer.org/Cancer/News/ExpertVoices/post/2012/04/26. Accessed 22 July 2012

  24. Patton MQ (2002) Qualitative research & evaluation, 3rd edn. Sage, London

    Google Scholar 

  25. Maxwell JA (2005) Qualitative research design: an interactive approach, 2nd edn. Sage, London

    Google Scholar 

  26. Fontana A, Frey JH (2008) The interview: from neutral stance to political involvement. In: Denzin NK, Lincoln YS (eds) Collecting and interpreting qualitative materials, 3rd edn. Sage, London, pp 115–160

    Google Scholar 

  27. Rivera HR Jr (2009) Depression symptoms in cancer caregivers. Clin J Oncol Nurs 13:195–202

    Article  PubMed  Google Scholar 

  28. Bambauer K, Zhang B, Maciejewski PK, Sahay N, Pirl WF, Block SD et al (2006) Mutuality and specificity of mental disorders in advanced cancer patients and caregivers. Soc Psychiatry Psychiatric Epidemiol 41:819–824

    Article  Google Scholar 

  29. Kim Y, Kashy DA, Wellisch DK, Spillers RL, Kaw CK, Smith TG (2008) Quality of life of couples dealing with cancer: dyadic and individual adjustment among breast and prostate cancer survivors and their spousal caregivers. Ann Behav Med 35:230–238

    Article  PubMed  Google Scholar 

  30. Burg MM, Seeman TE (1994) Families and health: the negative side of social ties. Ann Behav Med 16:109–115

    Google Scholar 

  31. Hodges LJ, Humphris GM, Macfarlane G (2005) A meta-analytic investigation of the relationship between the psychological distress of cancer patients and their carers. Soc Sci Med 60:1–12

    Article  PubMed  CAS  Google Scholar 

  32. Burton L, Newsom J, Schulz R, Hirsch C, German P (1997) Preventive health behaviors among spousal caregivers. Prev Med 26:162–169

    Article  PubMed  CAS  Google Scholar 

  33. Sherwood P, Given B, Given C, Schiffman R, Murman D, Lovely M (2004) Caregivers of persons with a brain tumor: a conceptual model. Nurs Inq 11:43–53

    Article  PubMed  Google Scholar 

  34. Humpel N, Magee C, Jones SC (2007) The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends. Support Care Cancer 15:621–630

    Article  PubMed  Google Scholar 

  35. Nijboer C, Templaar R, Triemstra M, van der Bos G, Sanderman R (2001) The role of social and psychologic resources in caregiving of cancer patients. Cancer 91:1029–1039

    Article  PubMed  CAS  Google Scholar 

  36. Schwarz K (1999) A study of the relationship of caregiving appraisal to depressive symptomology and home care utilization. J Community Health Nurs 16:95–108

    Article  PubMed  CAS  Google Scholar 

  37. Carron AV, Hausenblas HA, Mack DE (1996) Social influence and exercise: a meta-analysis. J Sport Exerc Psychol 18:1–16

    Google Scholar 

  38. Blaney J, Lowe-Strong A, Rankin J, Campbell A, Allen J, Gracey J (2010) The cancer rehabilitation journey: barriers to and facilitators of exercise among patients with cancer-related fatigue. Phys Ther 90:1135–1147

    Article  PubMed  Google Scholar 

  39. Beauchamp MR, Carron AV, McCutcheon S, Harper O (2007) Older adults’ preferences for exercising alone versus in groups: considering contextual congruence. Ann Behav Med 33:200–206

    Article  PubMed  Google Scholar 

  40. Kvale S (1996) Interviews: an introduction to qualitative research interviewing. Sage, Thousand Oaks

    Google Scholar 

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Conflict of interest

This research had no internal or external funding supporting it, so there is no conflict of interest to report. The authors had full control of all primary data, and Supportive Care in Cancer has permission to review the data at any time if they wish to do so.

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Correspondence to Philip M. Anton.

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Anton, P.M., Partridge, J.A. & Morrissy, M.J. Cancer caregivers’ perceptions of an exercise and nutrition program. Support Care Cancer 21, 803–810 (2013). https://doi.org/10.1007/s00520-012-1583-8

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  • DOI: https://doi.org/10.1007/s00520-012-1583-8

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