Pertinence d’un programme associant un suivi diététique et une activité physique adaptée au regard des priorités de patientes atteintes de cancer du sein traitées par chimiothérapie adjuvante
- 29 Downloads
Résumé
Objectif
Cet article vise à explorer l’impact d’un programme associant suivi diététique et activité physique adaptée pendant les traitements sur la qualité de vie de patientes atteintes de cancer du sein. Nous nous intéresserons plus particulièrement à l’expérience des patients et à la cohérence du programme avec leurs objectifs et priorités.
Méthode
Trois focus groups ont été réalisés avec les participantes au programme.
Résultats
Nos résultats suggèrent que le programme est associé à un haut niveau de satisfaction, notamment lié au fait de partager des expériences communes. La fin du programme doit être préparée afin de prévenir un sentiment d’abandon et d’éviter un arrêt de la pratique d’une activité physique.
Conclusion
Cette étude souligne un impact positif de la participation au programme sur la qualité de vie subjective des patientes et une cohérence de la pratique d’une activité physique avec leurs priorités personnelles et leur volonté de prendre soin d’elles et de leur santé.
Mots clés
Qualité de vie Response shift Cancer du sein Activité physique adaptéeCoherence of a healthy diet and adapted physical activity program with personal priorities of breast cancer patients undergoing adjuvant chemotherapy
Abstract
Aim
This paper explores the impact of a healthy diet and adapted physical activity program during treatments on quality of life in breast cancer patients. It focuses on patient’s experience and on the coherence of the program with their goals and priorities.
Procedure
Three focus groups sessions were held with the participants of the program.
Results
Our results suggest that the program brings a high level of satisfaction. Most patients appreciated sharing common experiences. Awell-prepared conclusion is necessary to avoid a feeling of loneliness.
Conclusion
This study highlights a positive impact of the program on the participants’ quality of life, and the coherence of the practice of a physical activity with their priorities and their desire to take care of themselves and their health.
Keywords
Quality of life Response shift Breast cancer Adapted physical activityPreview
Unable to display preview. Download preview PDF.
Références
- 1.American Institute for Cancer Research (2007) Food, nutrition, physical activity and the prevention of cancer: a global perspective. A project of World Cancer Research Fund International. American Institute for Cancer Research, Washington, DCGoogle Scholar
- 2.Institut national du cancer (2014) Plan cancer 2014–2019. Institut national du cancerGoogle Scholar
- 3.Zelek L, Bouillet T, Latino-Martel P, et al (2010) Mode de vie et cancer du sein: quels conseils pour la prise en charge de l’aprèscancer? Oncologie 12:289–97CrossRefGoogle Scholar
- 4.Demark-Wahnefried W, Peterson B, McBride C, et al (2000) Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas. Cancer 88:674–84CrossRefPubMedGoogle Scholar
- 5.Maley M, Warren BS, Devine CM (2013) A second chance: meanings of body weight, diet, and physical activity to women who have experienced cancer. J Nutr Educ Behav 45:232–9CrossRefPubMedGoogle Scholar
- 6.Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto B (2005) Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol 23:5814–30CrossRefPubMedPubMedCentralGoogle Scholar
- 7.Faul LA, Jim HS, Minton S, et al (2011) Relationship of exercise to quality of life in cancer patients beginning chemotherapy. J Pain Symptom Manage 40:859–69CrossRefGoogle Scholar
- 8.Missel M, Pedersen JH, Hendriksen C, et al (2015) Exercise intervention for patients diagnosed with operable non-small cell lung cancer: a qualitative longitudinal feasibility study. Support Care Cancer 23:2311–18CrossRefPubMedGoogle Scholar
- 9.Bonnaud-Antignac A, Préau M (2012) Adaptation et cancer. In: Psychologie de l’adaptation. De Boeck, Bruxelles, pp 441–57Google Scholar
- 10.WHOQOL Group (1993) Study protocol for the World Health Organizaton project to develop a Quality of Life assessment instrument (WHOQOL). Qual Life Res 2:153–9CrossRefGoogle Scholar
- 11.Foucaut AM, Berthouze-Aranda SE, Touillaud M, et al (2014) Reduction of health risk factors through an adapted physical activity program in patients with breast cancer. Support Care Cancer 22:1097–104CrossRefPubMedGoogle Scholar
- 12.Touillaud M, Foucault AM, Berthouze SE, et al (2013) Design of a randomised controlled trial of adapted physical activity during adjuvant treatment for localised breast cancer: the PASAPAS feasibility study. MJ Open 3. http://bmjopen.bmj.com/content/3/10/ e003855.abstractGoogle Scholar
- 13.Caillaud S, Kalampalikis N (2013) Focus groups and ecological practices: a psychosocial approach. Qual Res Psychol 10:382–401CrossRefGoogle Scholar
- 14.Kalampalikis N (2004) Les focus groups, lieux d’ancrage. Bull Psychol 57:281–9Google Scholar
- 15.Ryan KE, Gandha T, Culbertson MJ, Carlson C (2014) Focus group evidence: implications for design and analysis. Am J Eval 35:328–45CrossRefGoogle Scholar
- 16.Kitzinger J (2013) Using focus groups to understand experiences of health and illness. In: Ziebland S, Coulter A, Calabrese JD, et al (eds) Understanding and using health experiences: improving patient care. Oxford University Press, Oxford, pp 49–59CrossRefGoogle Scholar
- 17.Flick U (2008) Designing qualitative research. Sage, LondonGoogle Scholar
- 18.Krippendorff K (2004) Content analysis: an introduction to its methodology, 2nd ed. Sage, Thousand OaksGoogle Scholar
- 19.Morgan DL (2010) Reconsidering the role of interaction in analyzing and reporting focus groups. Qual Health Res 20:718–22CrossRefPubMedGoogle Scholar
- 20.Schwartz CE, Andresen EM, Nosek MA, et al (2007) Reponse shift theory: important implications for measuring quality of life in people with disability. Arch Phys Med Rehabil 88:529–36CrossRefPubMedGoogle Scholar
- 21.Breetvelt IS, Van Dam FSAM (1991) Underreporting by cancer patients: the case of response shift. Soc Sci Med 32:981–7CrossRefPubMedGoogle Scholar
- 22.Schwartz CE, Sprangers MAG (1999) Methodological approaches for assessing response shift in longitudinal health-related quality-of-life research. Soc Sci Med 48:1531–48CrossRefPubMedGoogle Scholar
- 23.Sprangers MAG, Schwartz CE (1999) Integrating response shift into health-related quality of life research: a theoretical model. Soc Sci Med 48:1507–15CrossRefPubMedGoogle Scholar
- 24.Rapkin BD, Schwartz CE (2004) Toward a theoretical model of quality-of-life appraisal: implications of findings from studies of response shift. Health Qual Life Outcomes 2. https://doi.org/DOI: 10.1186/1477-7525-2-14Google Scholar