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Article: Dietary decision-making in Chinese breast cancer survivors: a qualitative study

TitleDietary decision-making in Chinese breast cancer survivors: a qualitative study
Authors
KeywordsBehavior change
Dietary change
Health
Health service development
Oncology Nutrition
Issue Date2021
PublisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/pec
Citation
Patient Education and Counseling, 2021, v. 105 n. 2, p. 460-465 How to Cite?
AbstractObjective: To explore the dietary practices and decision-making process among Chinese breast cancer (BCA) survivors. Methods: Using a grounded theory approach, this qualitative study involved individual semi-structured interviews with 30 BCA survivors. All interviews were audio-recorded and transcribed verbatim for analysis. Results: Most of the participants reported making long-term diet modification. Key themes were grouped into three stages: (1) Motivation, (2) Diet modification, and (3) Maintenance. Most participants reported to be motivated by cancer causal attributions formulated through the evaluation of past dietary habits. Others embarked on changes out of compliance to social expectations. BCA survivors interviewed were willing to make trade-offs for health, but also influenced by peer and traditional Chinese beliefs. The lack of awareness of dietary guidelines was a crucial barrier to adopting healthy eating. Lastly, maintenance of newly formed dietary habits was reinforced by positive feedback but hindered by a lack of both self-efficacy and social support. Conclusions: While the majority of BCA survivors expressed willingness to improve their diets, changes made were often inconsistent with existing dietary recommendations. Practice implications: Future interventions may target factors at different decision-making stages: guiding evaluation of past diet, building self-efficacy and giving approval to encourage maintenance of healthy dietary behaviors.
Persistent Identifierhttp://hdl.handle.net/10722/310566
ISSN
2023 Impact Factor: 2.9
2023 SCImago Journal Rankings: 1.037
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorTang, WCJ-
dc.contributor.authorLam, WWT-
dc.contributor.authorKwong, A-
dc.contributor.authorMa, SY-
dc.contributor.authorFielding, R-
dc.date.accessioned2022-02-07T07:58:34Z-
dc.date.available2022-02-07T07:58:34Z-
dc.date.issued2021-
dc.identifier.citationPatient Education and Counseling, 2021, v. 105 n. 2, p. 460-465-
dc.identifier.issn0738-3991-
dc.identifier.urihttp://hdl.handle.net/10722/310566-
dc.description.abstractObjective: To explore the dietary practices and decision-making process among Chinese breast cancer (BCA) survivors. Methods: Using a grounded theory approach, this qualitative study involved individual semi-structured interviews with 30 BCA survivors. All interviews were audio-recorded and transcribed verbatim for analysis. Results: Most of the participants reported making long-term diet modification. Key themes were grouped into three stages: (1) Motivation, (2) Diet modification, and (3) Maintenance. Most participants reported to be motivated by cancer causal attributions formulated through the evaluation of past dietary habits. Others embarked on changes out of compliance to social expectations. BCA survivors interviewed were willing to make trade-offs for health, but also influenced by peer and traditional Chinese beliefs. The lack of awareness of dietary guidelines was a crucial barrier to adopting healthy eating. Lastly, maintenance of newly formed dietary habits was reinforced by positive feedback but hindered by a lack of both self-efficacy and social support. Conclusions: While the majority of BCA survivors expressed willingness to improve their diets, changes made were often inconsistent with existing dietary recommendations. Practice implications: Future interventions may target factors at different decision-making stages: guiding evaluation of past diet, building self-efficacy and giving approval to encourage maintenance of healthy dietary behaviors.-
dc.languageeng-
dc.publisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/pec-
dc.relation.ispartofPatient Education and Counseling-
dc.subjectBehavior change-
dc.subjectDietary change-
dc.subjectHealth-
dc.subjectHealth service development-
dc.subjectOncology Nutrition-
dc.titleDietary decision-making in Chinese breast cancer survivors: a qualitative study-
dc.typeArticle-
dc.identifier.emailLam, WWT: wwtlam@hku.hk-
dc.identifier.emailKwong, A: avakwong@hku.hk-
dc.identifier.emailFielding, R: fielding@hku.hk-
dc.identifier.authorityLam, WWT=rp00443-
dc.identifier.authorityKwong, A=rp01734-
dc.identifier.authorityFielding, R=rp00339-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.pec.2021.05.017-
dc.identifier.pmid34023175-
dc.identifier.scopuseid_2-s2.0-85106356225-
dc.identifier.hkuros331660-
dc.identifier.volume105-
dc.identifier.issue2-
dc.identifier.spage460-
dc.identifier.epage465-
dc.identifier.isiWOS:000751467200027-
dc.publisher.placeIreland-

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