Display options
Cite
Ivankova NV, Rogers LQ, Herbey II, et al. Features That Middle-aged and Older Cancer Survivors Want in Web-Based Healthy Lifestyle Interventions: Qualitative Descriptive Study. JMIR Cancer. 2021;7(4):e26226doi: 10.2196/26226.
Ivankova, N. V., Rogers, L. Q., Herbey, I. I., Martin, M. Y., Pisu, M., Pekmezi, D., Thompson, L., Schoenberger-Godwin, Y. M., Oster, R. A., Fontaine, K., Anderson, J. L., Kenzik, K., Farrell, D., & Demark-Wahnefried, W. (2021). Features That Middle-aged and Older Cancer Survivors Want in Web-Based Healthy Lifestyle Interventions: Qualitative Descriptive Study. JMIR cancer, 7(4), e26226. https://doi.org/10.2196/26226
Ivankova, Nataliya V, et al. "Features That Middle-aged and Older Cancer Survivors Want in Web-Based Healthy Lifestyle Interventions: Qualitative Descriptive Study." JMIR cancer vol. 7,4 (2021): e26226. doi: https://doi.org/10.2196/26226
Ivankova NV, Rogers LQ, Herbey II, Martin MY, Pisu M, Pekmezi D, Thompson L, Schoenberger-Godwin YM, Oster RA, Fontaine K, Anderson JL, Kenzik K, Farrell D, Demark-Wahnefried W. Features That Middle-aged and Older Cancer Survivors Want in Web-Based Healthy Lifestyle Interventions: Qualitative Descriptive Study. JMIR Cancer. 2021 Oct 06;7(4):e26226. doi: 10.2196/26226. PMID: 34612832; PMCID: PMC8529475.
Copy Download .nbib Format: NLM
Share it on

JMIR Cancer. 2021 Oct 06;7(4):e26226. doi: 10.2196/26226.

Features That Middle-aged and Older Cancer Survivors Want in Web-Based Healthy Lifestyle Interventions: Qualitative Descriptive Study.

JMIR cancer

Nataliya V Ivankova, Laura Q Rogers, Ivan I Herbey, Michelle Y Martin, Maria Pisu, Dorothy Pekmezi, Lieu Thompson, Yu-Mei M Schoenberger-Godwin, Robert A Oster, Kevin Fontaine, Jami L Anderson, Kelly Kenzik, David Farrell, Wendy Demark-Wahnefried

Affiliations

  1. Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, United States.
  2. Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.
  3. Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, United States.
  4. Health Science Center, University of Tennessee, Memphis, TN, United States.
  5. Department of Health Behavior, University of Alabama at Birmingham, Birmingham, AL, United States.
  6. Division of Hematology & Oncology, University of Alabama at Birmingham, Birmingham, AL, United States.
  7. People Designs, Durham, NC, United States.
  8. Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL, United States.

PMID: 34612832 PMCID: PMC8529475 DOI: 10.2196/26226

Abstract

BACKGROUND: With the increasing number of older cancer survivors, it is imperative to optimize the reach of interventions that promote healthy lifestyles. Web-based delivery holds promise for increasing the reach of such interventions with the rapid increase in internet use among older adults. However, few studies have explored the views of middle-aged and older cancer survivors on this approach and potential variations in these views by gender or rural and urban residence.

OBJECTIVE: The aim of this study was to explore the views of middle-aged and older cancer survivors regarding the features of web-based healthy lifestyle programs to inform the development of a web-based diet and exercise intervention.

METHODS: Using a qualitative descriptive approach, we conducted 10 focus groups with 57 cancer survivors recruited from hospital cancer registries in 1 southeastern US state. Data were analyzed using inductive thematic and content analyses with NVivo (version 12.5, QSR International).

RESULTS: A total of 29 male and 28 female urban and rural dwelling Black and White survivors, with a mean age of 65 (SD 8.27) years, shared their views about a web-based healthy lifestyle program for cancer survivors. Five themes emerged related to program content, design, delivery, participation, technology training, and receiving feedback. Cancer survivors felt that web-based healthy lifestyle programs for cancer survivors must deliver credible, high-quality, and individually tailored information, as recommended by health care professionals or content experts. Urban survivors were more concerned about information reliability, whereas women were more likely to trust physicians' recommendations. Male and rural survivors wanted information to be tailored to the cancer type and age group. Privacy, usability, interaction frequency, and session length were important factors for engaging cancer survivors with a web-based program. Female and rural participants liked the interactive nature and visual appeal of the e-learning sessions. Learning from experts, an attractive design, flexible schedule, and opportunity to interact with other cancer survivors in Facebook closed groups emerged as factors promoting program participation. Low computer literacy, lack of experience with web program features, and concerns about Facebook group privacy were important concerns influencing cancer survivors' potential participation. Participants noted the importance of technology training, preferring individualized help to standardized computer classes. More rural cancer survivors acknowledged the need to learn how to use computers. The receipt of regular feedback about progress was noted as encouragement toward goal achievement, whereas women were particularly interested in receiving immediate feedback to stay motivated.

CONCLUSIONS: Important considerations for designing web-based healthy lifestyle interventions for middle-aged and older cancer survivors include program quality, participants' privacy, ease of use, attractive design, and the prominent role of health care providers and content experts. Cancer survivors' preferences based on gender and residence should be considered to promote program participation.

©Nataliya V Ivankova, Laura Q Rogers, Ivan I Herbey, Michelle Y Martin, Maria Pisu, Dorothy Pekmezi, Lieu Thompson, Yu-Mei M Schoenberger-Godwin, Robert A Oster, Kevin Fontaine, Jami L Anderson, Kelly Kenzik, David Farrell, Wendy Demark-Wahnefried. Originally published in JMIR Cancer (https://cancer.jmir.org), 06.10.2021.

Keywords: cancer survivors; diet; eHealth; internet; interventions; lifestyle; mobile phone; physical activity; qualitative

References

  1. JAMA. 2017 Jan 24;317(4):388-406 - PubMed
  2. Support Care Cancer. 2018 Oct;26(10):3323-3336 - PubMed
  3. Mhealth. 2019 Aug 21;5:28 - PubMed
  4. Curr Oncol Rep. 2018 Mar 23;20(4):30 - PubMed
  5. CA Cancer J Clin. 2015 May-Jun;65(3):167-89 - PubMed
  6. J Am Geriatr Soc. 2017 Feb;65(2):e39-e44 - PubMed
  7. Ann Behav Med. 2021 Feb 12;55(1):1-13 - PubMed
  8. J Am Med Inform Assoc. 2017 Sep 1;24(5):1002-1013 - PubMed
  9. JMIR Rehabil Assist Technol. 2017 Dec 14;4(2):e12 - PubMed
  10. Transl Behav Med. 2019 Jan 1;9(1):11-22 - PubMed
  11. Pain Med. 2013 Nov;14(11):1730-40 - PubMed
  12. Integr Cancer Ther. 2015 May;14(3):240-8 - PubMed
  13. J Aging Stud. 2020 Dec;55:100897 - PubMed
  14. Cancer. 2016 Oct;122(19):3075-86 - PubMed
  15. Cancer. 2019 Dec 1;125(23):4303-4309 - PubMed
  16. Digit Health. 2019 Feb 05;5:2055207619826685 - PubMed
  17. Healthc (Amst). 2017 Sep;5(3):81-85 - PubMed
  18. J Med Internet Res. 2019 Oct 24;21(10):e12880 - PubMed
  19. Am J Prev Med. 2015 Jun;48(6):729-36 - PubMed
  20. J Am Geriatr Soc. 2009 Nov;57 Suppl 2:S262-4 - PubMed
  21. Breast. 2018 Aug;40:181-188 - PubMed
  22. Int J Med Inform. 2020 Mar;135:104031 - PubMed
  23. CA Cancer J Clin. 2019 Sep;69(5):363-385 - PubMed
  24. J Natl Cancer Inst. 2019 Dec 1;111(12):1245-1254 - PubMed
  25. J Racial Ethn Health Disparities. 2017 Dec;4(6):1138-1146 - PubMed
  26. JMIR Ment Health. 2016 Feb 09;3(1):e9 - PubMed
  27. Soc Sci Med. 2014 Mar;104:178-86 - PubMed
  28. J Med Internet Res. 2013 Feb 20;15(2):e37 - PubMed
  29. HERD. 2016 Jul;9(4):16-25 - PubMed
  30. Res Nurs Health. 2010 Feb;33(1):77-84 - PubMed
  31. Arch Gynecol Obstet. 2017 Aug;296(2):295-301 - PubMed
  32. J Oncol Pract. 2019 Jun;15(6):e520-e528 - PubMed
  33. Cochrane Database Syst Rev. 2005 Oct 19;(4):CD004274 - PubMed
  34. Nurs Stand. 2001 Jul 4-10;15(42):39-42 - PubMed
  35. J Med Internet Res. 2001 Apr-Jun;3(2):E20 - PubMed
  36. Support Care Cancer. 2015 Sep;23(9):2535-42 - PubMed
  37. Cancer Epidemiol Biomarkers Prev. 2016 Jul;25(7):1029-36 - PubMed
  38. BMC Cancer. 2018 Nov 6;18(1):1073 - PubMed

Publication Types

Grant support