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A qualitative study of dietary discussions as an emerging task for cancer clinicians

OBJECTIVES: Improvements in cancer detection and treatment create a need for care that prioritizes acute treatment and ongoing needs. There have been calls to include health promotion in cancer care, but little empirical consideration of the work involved in such an expansion of services. In this ar...

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Autores principales: Smith, Katherine C, Coa, Kisha I, Klassen, Ann C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5011388/
https://www.ncbi.nlm.nih.gov/pubmed/27635247
http://dx.doi.org/10.1177/2050312116665935
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author Smith, Katherine C
Coa, Kisha I
Klassen, Ann C
author_facet Smith, Katherine C
Coa, Kisha I
Klassen, Ann C
author_sort Smith, Katherine C
collection PubMed
description OBJECTIVES: Improvements in cancer detection and treatment create a need for care that prioritizes acute treatment and ongoing needs. There have been calls to include health promotion in cancer care, but little empirical consideration of the work involved in such an expansion of services. In this article, we adopt a constructionist position to explore clinicians’ perspectives on capacity for health promotion, specifically dietary counseling. METHODS: Our data result from 33 semi-structured qualitative interviews with members of cancer care teams. All interviewees were affiliated with one of two contrasting medical systems located in Baltimore, MD, USA. Interviews focused on professional roles and responsibilities around health promotion for cancer survivors. We employed both purposive and snowball sampling. We conducted a thematic analysis informed by the sociology of professions literature of discussions of dietary change by provider type. RESULTS: We discuss four emergent themes that relate to the work of providing dietary counseling: (1) prioritization of behavior change in survivorship care, (2) evidence base for dietary messaging, (3) available time and clinical priorities and (4) clinical expertise. Interviewees generally expressed support for the importance of diet for healthy cancer survivorship. However, while there was broad support for dietary change and health promotion, we found little evidence of an emerging consensus on how this work should be accomplished, nor an indication of any occupational group expanding their professional remit to prioritize health promotion tasks. CONCLUSIONS: Health promotion is the key to any efficient and effective model of cancer care. Careful attention to the impact of the task on key patient outcomes as well as system capacity for the provision of dietary counseling and its fit with a specific professional remit will be critical for successful integration of health promotion into routine cancer care.
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spelling pubmed-50113882016-09-15 A qualitative study of dietary discussions as an emerging task for cancer clinicians Smith, Katherine C Coa, Kisha I Klassen, Ann C SAGE Open Med Original Article OBJECTIVES: Improvements in cancer detection and treatment create a need for care that prioritizes acute treatment and ongoing needs. There have been calls to include health promotion in cancer care, but little empirical consideration of the work involved in such an expansion of services. In this article, we adopt a constructionist position to explore clinicians’ perspectives on capacity for health promotion, specifically dietary counseling. METHODS: Our data result from 33 semi-structured qualitative interviews with members of cancer care teams. All interviewees were affiliated with one of two contrasting medical systems located in Baltimore, MD, USA. Interviews focused on professional roles and responsibilities around health promotion for cancer survivors. We employed both purposive and snowball sampling. We conducted a thematic analysis informed by the sociology of professions literature of discussions of dietary change by provider type. RESULTS: We discuss four emergent themes that relate to the work of providing dietary counseling: (1) prioritization of behavior change in survivorship care, (2) evidence base for dietary messaging, (3) available time and clinical priorities and (4) clinical expertise. Interviewees generally expressed support for the importance of diet for healthy cancer survivorship. However, while there was broad support for dietary change and health promotion, we found little evidence of an emerging consensus on how this work should be accomplished, nor an indication of any occupational group expanding their professional remit to prioritize health promotion tasks. CONCLUSIONS: Health promotion is the key to any efficient and effective model of cancer care. Careful attention to the impact of the task on key patient outcomes as well as system capacity for the provision of dietary counseling and its fit with a specific professional remit will be critical for successful integration of health promotion into routine cancer care. SAGE Publications 2016-09-01 /pmc/articles/PMC5011388/ /pubmed/27635247 http://dx.doi.org/10.1177/2050312116665935 Text en © The Author(s) 2016 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Smith, Katherine C
Coa, Kisha I
Klassen, Ann C
A qualitative study of dietary discussions as an emerging task for cancer clinicians
title A qualitative study of dietary discussions as an emerging task for cancer clinicians
title_full A qualitative study of dietary discussions as an emerging task for cancer clinicians
title_fullStr A qualitative study of dietary discussions as an emerging task for cancer clinicians
title_full_unstemmed A qualitative study of dietary discussions as an emerging task for cancer clinicians
title_short A qualitative study of dietary discussions as an emerging task for cancer clinicians
title_sort qualitative study of dietary discussions as an emerging task for cancer clinicians
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5011388/
https://www.ncbi.nlm.nih.gov/pubmed/27635247
http://dx.doi.org/10.1177/2050312116665935
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