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Lifestyle behaviors and intervention preferences of early-stage lung cancer survivors and their family caregivers

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Abstract

Purpose

Lung cancer (LC) is a highly prevalent disease with more survivors diagnosed and treated at earlier stages. There is a need to understand psychological and lifestyle behavior needs to design interventions for this population. Furthermore, understanding the needs and role of family caregivers, especially given the risks associated with second-hand smoke, is needed.

Methods

Thirty-one early-stage (stages I or IIA) LC survivors of (52% men) and 22 (50% women) caregivers (N = 53 total) completed surveys after surgery (baseline) and at 3- and 6-month follow-ups. Participants reported on psychological functioning, smoking, and physical activity (PA) as well as intervention preferences.

Results

Survivors reported low levels of psychological distress and 3% were current smokers during the study. Approximately 79% were sedentary and not meeting national PA guidelines. Caregivers also reported minimal psychological distress and were sedentary (62% not meeting guidelines), but a larger proportion continued to smoke following the survivor’s cancer diagnosis (14%). Both survivors and caregivers expressed interest in home-based PA interventions but differed regarding preferred format for delivery. Most (64%) caregivers preferred a dyadic format, where survivors and caregivers participate in the intervention together. However, most survivors preferred an individual or group format (57%) for intervention delivery.

Conclusion

Both LC survivors and family caregivers could benefit from PA interventions, and flexible, dyadic interventions could additionally support smoking cessation for family caregivers.

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Data availability

The corresponding author has full control of all primary data and will allow the journal to review the data if requested.

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Author information

Authors and Affiliations

  1. Department of Surgery, Baylor College of Medicine, Houston, TX, USA

    McKenzie K. Roddy & Brian Burt

  2. Thoracic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Raja M. Flores

  3. Department of Medicine, Baylor College of Medicine, Houston, TX, USA

    Hoda Badr

Authors
  1. McKenzie K. Roddy
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  2. Raja M. Flores
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  3. Brian Burt
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  4. Hoda Badr
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Corresponding author

Correspondence to Hoda Badr.

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Conflict of interest

Drs. Badr and Flores and Ms. Roddy declare that they have no conflict of interest.

Dr. Burt reports a financial relationship with Bayou Surgical Equity and I.P. and grants from Momotero-gene, outside the submitted work.

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All persons gave their informed consent prior to their inclusion in the study.

Involving human participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

This article does not contain any studies with animals performed by any of the authors.

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Roddy, M.K., Flores, R.M., Burt, B. et al. Lifestyle behaviors and intervention preferences of early-stage lung cancer survivors and their family caregivers. Support Care Cancer 29, 1465–1475 (2021). https://doi.org/10.1007/s00520-020-05632-5

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  • DOI: https://doi.org/10.1007/s00520-020-05632-5

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