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dc.contributor.authorMo, Julia
dc.contributor.authorThomson, Cynthia A.
dc.contributor.authorSun, Virginia
dc.contributor.authorWendel, Christopher S.
dc.contributor.authorHornbrook, Mark C.
dc.contributor.authorWeinstein, Ronald S.
dc.contributor.authorErcolano, Elizabeth
dc.contributor.authorGrant, Marcia
dc.contributor.authorCidav, Zuleyha
dc.contributor.authorMcCorkle, Ruth C.
dc.contributor.authorKrouse, Robert S.
dc.date.accessioned2020-11-04T01:18:16Z
dc.date.available2020-11-04T01:18:16Z
dc.date.issued2020-09-17
dc.identifier.citationMo, J., Thomson, C.A., Sun, V. et al. Healthy behaviors are associated with positive outcomes for cancer survivors with ostomies: a cross-sectional study. J Cancer Surviv (2020). https://doi.org/10.1007/s11764-020-00940-5en_US
dc.identifier.issn1932-2259
dc.identifier.pmid32940890
dc.identifier.doi10.1007/s11764-020-00940-5
dc.identifier.urihttp://hdl.handle.net/10150/648104
dc.description.abstractBackground Cancer survivors (CS) with ostomies may face challenges in sustaining physical activity (PA) levels and maintaining healthy diets. This analysis describes lifestyle behaviors and their relationships with health-related quality of life (HRQOL) in CS with ostomies. Methods This is a cross-sectional, secondary analysis of a multisite randomized self-management education trial for CS with ostomies. The baseline self-reported measures were queried on aerobic PA and diet using the City of Hope Quality of Life Ostomy measure, and the Self-Efficacy to Perform Self-Management Behaviors questionnaire (SE). PA was compared against the American Cancer Society PA guidelines for CS. Relationships between PA and HRQOL were evaluated using multiple linear regression, stratified by BMI. Results Among 200 responders, fewer than 20% met or exceeded the PA guideline for cancer survivors; overall, confidence in the ability to perform gentle or aerobic PA was moderate (6/10 on the SE). Overall HRQOL (p= 0.038), psychological well-being (p= 0.017), and physical strength (p= 0.025) were associated with increased PA. Almost half (48.7%) of CS reported a special diet. CS with urostomies were less likely to report diet adjustments after their ostomy surgeries (OR: 0.16, 95% CI [0.08-0.38]) than CS with fecal ostomies. Conclusions Better HRQOL is associated with PA guideline achievement among CS with ostomies. Additionally, diet adjustments were reported more frequently in CS with fecal ostomies. Our findings bear clinical relevance for designing ostomy self-management and lifestyle recommendations for CS with ostomies. Implications for Cancer Survivors The evaluation of lifestyle behaviors may be an especially important focus for CS with ostomies.en_US
dc.description.sponsorshipPatient-Centered Outcomes Research Instituteen_US
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.rightsCopyright © Springer Science+Business Media, LLC, part of Springer Nature 2020.en_US
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en_US
dc.subjectOstomyen_US
dc.subjectDieten_US
dc.subjectPhysical activityen_US
dc.subjectHRQOLen_US
dc.subjectSelf-efficacyen_US
dc.titleHealthy behaviors are associated with positive outcomes for cancer survivors with ostomies: a cross-sectional studyen_US
dc.typeArticleen_US
dc.identifier.eissn1932-2267
dc.contributor.departmentUniv Arizona, Mel & Enid Zuckerman Coll Publ Hlthen_US
dc.contributor.departmentUniv Arizona, Canc Ctren_US
dc.contributor.departmentUniv Arizona, Coll Meden_US
dc.contributor.departmentUniv Arizona, Arizona Telemed Programen_US
dc.identifier.journalJOURNAL OF CANCER SURVIVORSHIPen_US
dc.description.note12 month embargo; published 17 September 2020en_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal accepted manuscripten_US
dc.identifier.pii940
dc.source.journaltitleJournal of Cancer Survivorship


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