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Edited by
Richard Pinder, Imperial College of Science, Technology and Medicine, London,Christopher-James Harvey, Imperial College of Science, Technology and Medicine, London,Ellen Fallows, British Society of Lifestyle Medicine
A person-centred approach is central to effective lifestyle discussions, avoiding stigma and blame that can undermine patient motivation and self-efficacy. This involves shifting from a clinician-led model to collaborative consultations that respect patient values and goals, and fosters a partnership between the clinician and the patient. Compassionate care is essential for this approach. To prepare for consultations, health professionals must consider factors such as language, accessibility, and reception staff attitude that can influence the patient’s perception of person-centred care. Health professionals should use open-ended questions and active listening to gather a comprehensive lifestyle history that aligns with patient values and preferences. They should also understand patient concerns and expectations, and use them to build rapport and develop shared treatment goals. Moreover, health professionals must assess relationships and support systems that can significantly impact health outcomes, and explore positive mental states and life satisfaction to assess mental wellbeing comprehensively. By establishing a therapeutic relationship through compassionate history taking, health professionals can lay the foundations for effective behaviour change interventions.
The purpose of this study is to describe the post-treatment goals of colorectal cancer (CRC) survivors. We sought to determine whether goals were a salient concept during the period immediately following treatment, and whether a goal-setting intervention might be feasible and acceptable to these patients.
Method:
Semi-structured qualitative interviews were administered to a convenience sample of 41 CRC patients who were 0–24 months post-treatment. Topics discussed included expectations and goals for future health, cancer prevention awareness, health-promoting behavior-change goals, and post-treatment cancer issues. Content analysis was used to explore emergent themes.
Results:
Overall, participants’ health-related goals were: being healthy, getting back to normal, and not having a cancer recurrence. Most of the CRC survivors reported being proactive with their health by maintaining healthy behaviors or making healthy behavior changes, or had goals to change their behavior. All respondents had plans to maintain follow-up care and regular screening appointments. Some patients were managing treatment side effects or non-cancer issues that limited their functional abilities. Many respondents were satisfied with the care they received, and felt it was now their responsibility to do their part in taking care of themselves.
Significance of results:
CRC survivors talk about goals, and many of them are either making or have an interest in making health behavior changes. Self-management support could be an appropriate strategy to assist patients with achieving their health goals post-treatment. Patients may need help addressing lingering treatment side effects or non-cancer issues. Healthcare providers should consider assessing patients’ goals to help patients resolve post-treatment issues and promote healthy behaviors.
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