Receptivity and preferences of pancreatic cancer family members for participating in lifestyle programs to reduce cancer risk

Hereditary Cancer in Clinical Practice

Gloria M Petersen⁵  Carmen Radecki Breitkopf²  Kari G Rabe³  Ashley Nadeau³  Shawna L Ehlers¹  Paul A Decker³  Christi A Patten⁴  Tabetha A Brockman⁴  Pamela S Sinicrope⁴  Lisa A Howell¹ 

[1] Department of Psychology and Psychiatry, Mayo Clinic Rochester, Rochester, MN, USA;Division of Health Care Policy & Research, Department of Health Sciences Research, Mayo Clinic Rochester, Rochester, MN, USA;Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic Rochester, Rochester, MN, USA;Behavioral Health Research Program, Mayo Clinic Rochester, Rochester, MN, USA;Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic Rochester, Rochester, MN, USA

关键词: Lifestyle;    Risk reduction;    Perceived risk;    Health behavior change;    Family;    Pancreatic cancer;   

Others  :  806151
DOI  :  10.1186/1897-4287-11-3

 received in 2012-11-06, accepted in 2013-05-21,  发布年份 2013

【 摘 要 】

Background

Cancer is a shared family experience that might provide an opportunity for lifestyle change among at-risk family members. The purpose of this study was to assess receptivity and preferences for cancer risk reduction programs among at-risk family members with two or more relatives affected with pancreas cancer.

Methods

We surveyed 401 at-risk family members in an existing pancreatic cancer family registry. Participants completed a mailed survey which examined demographic, medical, and psychosocial correlates of willingness to participate in lifestyle cancer risk reduction programs. Multivariable generalized estimating equation approaches were used to model preferences.

Results

Overall, 85% (n = 342) of at-risk family members were receptive to lifestyle cancer risk reduction programs. Participant preferred programs focused on nutrition (36%, n = 116) and weight management (33%, n = 108), with Web/Internet (46%, n = 157) being the most preferred delivery channel. Most respondents preferred to participate in programs with their family or friends (74%, n = 182), rather than alone (25%, n = 85). In multivariable analysis, younger age (p = 0.008) and higher perceived likelihood of developing cancer (p = 0.03) were associated with willingness to participate in lifestyle programs.

Conclusions

Family members of those with pancreatic cancer are receptive to cancer risk reduction programs focusing on nutrition and weight management delivered via the internet. Further research is indicated to determine how to best incorporate a family-based approach when designing lifestyle intervention programs.

【 授权许可】

   
2013 Howell et al.; licensee BioMed Central Ltd.

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