Tatiana Lewis
April 20, 2017
Applied Nutrition
Article Critique
This purpose of this research is to improve understanding of physical activity and nutrition of people who were previously diagnosed with prostate or breast cancer. This study was created because “Many people who are diagnosed with either breast or prostate cancer are interested in optimizing their health via lifestyle behaviors.” (Steinnagel, Morris, Laasko) It is said that healthy diets and frequently exercising may reduce the risk of developing prostate or breast cancer. The authors stated, “There is a lack of definitive evidence regarding recommended diets for cancer survivors to optimize physical health and prevent recurrence and mortality, but there is a general
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In the present study, potential predictors of health behaviors from Commonsense Self-Regulating Model and Trastheoretical Model were tested for connections between nutrition and physical activity and behaviors after being diagnosed with breast cancer and prostate cancer. Hypothesis One, predicted that better guidelines for physical activity and nutrition would be associated with Commonsense Self-Regulation Model, this includes higher personal control, higher treatment control, and lower emotional representations. Hypothesis Two, predicted that more physical activity and better nutritional adherence would be associated with Transtheoretical Model. People who participated in this study, were previously diagnosed with breast or prostate cancer. They were either receiving treatment or just finished. This was because the research had to be measured within the last seven days via the International Physical Activity Questionnaire, and this was in concordance with national dietary guidelines. After being approved by the university, the Human Research Ethics Committee of breast cancer and prostate cancer supported groups in South-East Queensland, Northern New South Wales, and Australia. The people were then contacted via email and phone to follow up on participation. Survivors could then either choose an in-person visit, surveys, online participation, or a combination of these methods.
Moving forward, it would be essential to begin the interaction with compassion, and honesty. Additionally, every attempt should be made to develop a trusting relationship. B. B. was at a greater risk of breast cancer due to her obesity, sedentary lifestyle, and alcohol intake (Ferri, 2017). Therefore, screening practices needed to be conveyed and understood. Moreover, education related to minimizing risks needs to be incorporated into the plan. The strategies for this could include genuine caring dialog that allows time for listening and
Since the theory only accounts for individual differences in beliefs and attitudes to predict health-related behaviors, the result of the theory is not completed and accurate (Janz & Becker, 1984). Cures to action of the theory are not clear identified, and there is no defined way for creating instrumentation or arranging constructs of the model. Other weakness is that the test does not consider social influence. It only examines the behavior change in highly individual (Glanze, Rimer, & Lewis, 2002)
The Transtheoretical Model of Behavior Change (TTM) was created by Prochaska and DiClemente. It is based on “(1) the stages of change, (2) the decisional balance scale, (3) the strong and weak principle, (4) self-efficacy, and (5) the processes of change” (Kelly, 2008, p. 149). A person’s progression through the stages depends on their perception of the advantages of adopting a healthy lifestyle (Kelly, 2008).
Patient education: The importance of dieting and exercise is crucial, especially in the modern age we are living in. Staying healthy in America is becoming a serious challenge to most people; cutting down on some fat and going for a weekly physical activities to the gym could make a substantial difference in one’s life. Dieting is so important, considering the amount of carbs and calories the average American consumes each day.
The main objective is to strengthen the existing Prostate Cancer Support Group to encompass a broader community involvement. This will be achieved with the participation of professional speakers and a multidisciplinary team approach currently utilised in caring and supporting people with a life limiting illness.
Noreen and Janevic (2013) believe that the success of patients’ preventive and curative interventions depends on the individual’s willingness to take responsibility for and maintain the necessary behaviors. Sadly, studies have shown that there is poor adherence to recommended changes in lifestyle and behaviors including attending scheduled appointments for treatments (which are missed 35% of the time) and compliance prescribed medication. Due to the evidence of subpar participation in preventive care such as screening and immunization efforts, behavioral scientist have dedicated more research to studying and identifying what determines individual’s health behaviors. This is how individual theories of health behavioral change were developed.
Birt, D. F.; Pelling, J. C.; Nair, S., and Lepley, D. Diet intervention for modifying cancer risk. Prog Clin Biol Res. 1996; 395:223-34.
The feedback from weSpark participants was so positive and encouraging that I started researching the positive effects of exercise on cancer patients and cancer survivors, as well as its effects on osteoporosis, depression, fatigue, and stress. Every week there seem to be more studies supporting this. Out of my research, I developed a 6-week Walking to Wellness Program.
This shows an importance placed more heavily on the diet part of the program than on the exercise. This could have directly affected the results. In relation to the diet, the adults experienced a decrease in their urinary Na/K, their blood pressure, and their total cholesterol when they monitored the intake of healthy foods. Changes were also seen as an increase in their body mass index when they monitored the intake of unhealthy foods. These changes were not as obvious when monitoring exercise results. In regards to exercise, there were no significant correlations between the measured variables and the adults in the study.
This model represents a gradual process toward behavior change by which the individual enters through various stages toward behavior stage (National Cancer Institute, 2005). For example a person who is overweight may not be interested at all in changing their dietary habits, therefore the strategy would be to increase this person’s awareness of the risks for not doing so, and the benefits of doing so. As the person contemplates making a change, they may say that they will change their diet in the next 6 months or so. This is where a motivational strategy may be put into plan (National Cancer Institute,
The transtheoretical model helps explain the patient’s behavior change related to the health aspects. As per this change agent, the patient’s purposeful behavior change consists of the cognitive and the performance-based elements. The five stages of the model are precontemplation, contemplation, preparation, action and the maintenance stage (Virginia Tech Continuing & Professional Education, n.d.).
According to the article, the study consisted of numerous nurses that controlled a series of structured questionnaires regarding background characteristics, screening history, diet, and, physical activity. In addition, two diagnostic tests “Gleason Grade” and “Prostate-Specific Antigen (PSA)” were applied to identify the level of aggressiveness of the cancer. For instance, the cases were ordered as follow; 1 equal high aggressive (Gleason sum ≥ 8, or PSA > 20 ng/ml). 2 equal less aggressive (Gleason sum < 7, or PSA < 10ng/ml), and 3 equal intermediate aggressive. Body Mass Index (BMI) was one of the major indicators for this study and members were classified as underweight, normal weight, overweight, or obese. In order to test for significant difference between races, chi-square test was used for categorical variables and student’s t-test was used for continuous variables, such as age and height. Wilcoxon rank-sum nonparametric tests were applied to the variables that are
A health theory that applies to the project on SCIs is the social cognitive theory because it “describes a dynamic, ongoing process in which personal factors, environmental factors, and human behavior exert influence upon each other” (National Cancer Institute, pp. 19, 2005). Three main factors of the social cognitive theory that affect the likelihood of a person performing a behavior are self-efficacy, goals, and outcome expectancies (National Cancer Institute, pp. 20, 2005). A goal of this project is to help improve or maintain the self-efficacy of people living with SCIs and their caregivers, leading to them to have a better quality of life. Self-efficacy is defined as confidence in the ability of a person to overcome barriers and take action (National Cancer Institute, pp. 20, 2005). The projected outcomes benefitting the agency and me, stated earlier in this section, can assist patients living with SCIs and their caregivers achieve confidence in performing the expected behavior, which is to utilize the resources that they are provided. This can lead to the improvement of the function of the patient, which implies the benefit of their physical, mental and
2) There is a significant decline in physical activity levels in women after they receive the diagnosis of breast cancer.2
An individual's attitude towards his health influences his capacity to maintain an optimum level of health, prevent illness or recover from a disease. Understanding patient's attitude towards his condition is the key to establishing an effective health-related program for health promotion, disease prevention and disease management. Hence, different health behavior theories have emerged. All of these are designed to help the patient and his family to facilitate learning, adjustment and behavior change to improve his quality of life. ( Butts & Rich, 2011)