Study (year) | Purpose | Sample size | Study design (LOE) | Data collection method and instruments | Findings and conclusions | Comments |
---|---|---|---|---|---|---|
Anderson, Steele, and Coyle (2013) | To evaluate patients’ perceptions regarding their need for advice concerning activity and diet, as well as their belief in the role played by lifestyle in lowering the risk of cancer recurrence | 40 CRC survivors | Focus group discussion | Interview schedule | The results revealed a high level of willingness among cancer survivors to obtain diet-related advice that can help them prevent symptoms | It is critical for healthcare providers to be capable of offering advice to survivors regarding suitable dietary choices |
Cercek and Holt (2017) | To describe the situation of CRC survivors who do not adequately follow surveillance guidelines and who receive inadequate patient care | Not indicated | Literature review | Review of previous research | The results of the review indicated the need for gastroenterologists to improve their roles regarding coordinating the management of CRC survivors | It is necessary to include increased surveillance as part of a coordinated management program for CRC survivors |
Chen et al. (2017) | To assess the sufficiency of a four-week trimodal rehabilitation program for improving elderly patients’ functional capacity following cancer surgery | 116 elderly patients prepared for CRC surgery | Randomized control trial | Measurement questionnaire | The results indicated that the trimodal rehabilitation program had a positive effect on levels of PA, as well as on functional walking ability | The results indicate the potential to improve PA and physical function among elderly cancer patients |
Courneya et al. (2014) | To provide an update on the Colon Health and Life-Long Exercise Change (CHALLENGE) trial, which is a three-year exercise program concerning disease-free survival | 250 patients | Randomized controlled trial | Questionnaire | The CHALLENGE trial was proven to be effective as a randomized controlled trial assessing the effect of an exercise program on disease-free survival | The results indicate the need to devise similar programs to positively implement disease-free survival |
Davies, Batehup, and Thomas (2011). | To update, through a review, existing literature concerning the role of diet and physical activity (PA) on cancer incidence | 43 records | Literature review | Comprehensive review of the literature | The results from the review indicated that a low-fat, high-fibre diet plays a protective role in preventing the progression and recurrence of cancer | The need for a suitable diet is evident, suggesting the importance of implementing dietary interventions for cancer survivors |
Devin et al. (2016) | To compare the effects of 4 weeks of moderate- and high-intensity exercise (HIE) training on the body composition of CRC survivors | 47 post-treatment CRC survivors | Randomized controlled trial | Questionnaire | The results indicated that HIE, in comparison to short-term training, is a safe, feasible, and effective intervention offering clinically significant improvement in cardiorespiratory fitness as well as body composition | The findings clarify the need for effective HIE programs for CRC survivors |
Doyle et al. (2006) | To summarize the findings of the American Cancer Society regarding the information-seeking behaviours of cancer survivors | Not indicated | Literature analysis | Review of research findings | The researchers indicate issues related to the availability of information concerning nutrition and PA, and the potential for patients to make informed decisions when provided with such information | The report indicates the need to provide relevant information on the nutritional- and PA-related needs of cancer survivors |
D’Souza, Daudt, and Kazanjian (2016) | To investigate the sociodemographic, physically limiting, and behavioural factors that influence leisure-time PA among CRC survivors | 2378 studies, conducted between 1997 and 2010 | Meta-analysis | Review of previous surveys on the topic | It was revealed through multivariable regression models that compliance with PA is limited among racial minorities and individuals with ≥ 2 physically limiting enduring conditions, and also among current tobacco users | The findings indicated a need for greater efforts to increase the various patient groups’ compliance with leisure-time PA requirements |
Eakin et al. (2015) | To investigate the implementation of evidence-based lifestyle interventions targeting cancer survivors | 900 participants | Survey | Questionnaire | The results indicated the importance of resources and guidelines in regard to the implementation of evidence-based lifestyle interventions | Interventions for cancer survivors are critical, as a result of the various challenges they face after diagnosis |
El-Shami (2015) | To review literature concerning guidelines for the management of long-term care for CRC survivors | Not indicated | Literature review | Review and analysis of research on the topic | The results indicate the importance of communication and coordination of care between oncologists and primary care physicians | It is critical that long-term care for CRC survivors is considered in post-treatment interventions |
Fisher et al. (2016) | To investigate the benefits of post-diagnosis PA for CRC survivors | 495 CRC patients;survey | Survey | Open-ended questionnaire | The findings indicated the benefits of PA following cancer treatment, while also identifying barriers to effective implementation | Addressing barriers to effective implementation is essential for realizing the benefits of PA |
Forbes et al. (2017) | To examine how an Internet-delivered, distance-based PA-behaviour-change program affects cancer survivors’ motivation to practice PA | 95 breast cancer, prostate cancer, and CRC survivors | Randomized controlled trial | Structured questionnaire | The Internet-based program was proven to have a negative impact on cancer survivors’ motivation | It is possible that the results were limited by methodological challenges, including the means of measuring levels of motivation |
Golsteijn et al. (2017) | To investigate the role of PA in positively affecting the negative effects of cancer and related therapies | Not indicated | A literature study and interviews | Interview protocol | The results indicated the importance of general and cancer-specific PA as factors that improve the health and quality of life of cancer survivors | It is critical for patients to adopt a positive lifestyle that includes PA |
Grimmett et al. (2011) | To examine the prevalence of health-related behaviours in CRC survivors, as well as the associations between health behaviours and quality of life. | 495 CRC patients | Survey | Questionnaire | The results indicated that most cancer survivors in the UK have suboptimal health behaviours | It is critical that lifestyle change and positive health behaviours be promoted among cancer survivors |
Grote et al. (2016) | To examine the feasibility of blended aerobic and resistance training (CART) as a means of improving cancer survivors’ cardiometabolic health | 11 cancer survivors | Descriptive and longitudinal pilot study | Scheduled interviews | The study revealed a close relationship between CART and cancer survivors’ cardiometabolic health | The importance of implementing appropriate PA programs is underlined in this research |
Ho et al. (2016) | To identify particular concerns of CRC survivors regarding various areas of their well-being, including physical, psychological, and social functioning | 30 CRC survivors | Focus group discussion | Interview schedule | Participants revealed considerable dissatisfaction with the information they receive regarding their treatment | There is a need to address barriers to effective care and management of patients following treatment for CRC |
Husson et al. (2015) | To examine the longitudinal relationship between HRQoL and the PA of CRC survivors | 9152 cancer survivors | Telephone survey | Questionnaire | The results indicated a considerable positive relationship between PA and HRQoL. The relationship was found to be consistent up to 2 years following diagnosis | The results underlined the need for a PA program for CRC survivors |
Keesing, McNamara, and Rosenwax (2015) | To focus on cancer survivors’ experiences and obtain their perspectives regarding survivorship care programs | 11 qualitative studies | Literature review | Systematic review of qualitative literature | The research revealed the importance of survivorship care programs for cancer survivors | It is critical to implement effective programs that support the management of cancer survivors |
Ko et al. (2010) | To establish whether the relationship between CRC intervention and fruit and vegetable consumption among survivors is mediated by information processes | 266 CRC survivors | Randomized control trial | Questionnaire | Information processes, such as trust in and relevance of communications, were found to be important mediators between CRC interventions and fruit and vegetable consumption | The results indicated the importance of devising effective communication processes to increase survivors’ adherence to CRC interventions and fruit and vegetable consumption |
Krouse et al. (2017) | To examine the (inadequately studied) relationships between HRQoL, PA, and bowel function in rectal cancer survivors | 1063 rectal cancer survivors | Multidimensional survey | Questionnaire | Fulfilling PA guidelines was shown to have a positive relationship with HRQoL | It is essential, for CRC survivors, to develop and ensure adherence to PA in order to improve quality of life |
Lawrence et al. (2017) | To identify situations in which CRC survivors participate in PA and those in which they engage in sedentary behaviours, and to use this information to influence health-promotion interventions | 31 cancer survivors | Exploratory study | Structured interview schedule | The study revealed environments in which survivors of CRC are active and in which they are sedentary | The findings showed the criticality of considering the home environment when devising interventions that encourage PA and discourage sedentary behaviour |
Leong et al. (2017) | To investigate the effect of follow-up and survivorship programs in regard to the management of cancer survivors | Not indicated | Literature review | Review of the literature on follow-up and survivorship programs | The results indicated the importance of effective follow-up and survivorship programs for addressing issues such as recurrence of disease | Care providers should implement effective follow-up and survivorship programs as part of post-treatment management |
Ligibel (2012) | To investigate the association between diet, PA, and body weight (i.e., energy balance) and the chance of cancer recurrence and mortality in various forms of cancers | Not indicated | Literature review | Review of the literature on lifestyle behaviour | The review indicated the association between lifestyle factors and cancer prognosis | This study, regarding the management of cancer survivors, provides recommendations for further research and for necessary lifestyle changes |
McGowan et al. (2017) | To discern CRC survivors’ preferences regarding PA programs and counselling | 600 CRC survivors | Population-based, cross-sectional mailed survey | Questionnaire | The evidence indicated a high level of preference for participation in a PA program | The results indicate the need for PA programs that are tailored to cancer survivors |
Meyerhardt et al. (2013) | To evaluate the policy and procedures developed by the American Society of Clinical Oncology | One report | Literature review | Review of findings | The society was determined to develop relevant guidelines for post-treatment management for cancer survivors | Surveillance following treatment is critical to avoid the risk of recurrence |
Miller et al. (2008) | To assess the use of dietary supplements and their association with micronutrient intake and diet quality among breast cancer, prostate cancer, and CRC survivors (≥ 65 years) at five or more years post-diagnosis | 753 survivors | Telephone screening interviews | Interview schedule | In terms of the use of dietary supplements, demographics, disease, and health-related factors were revealed to play a critical role in reducing nutrient deficiencies in cancer survivors, which is similar to the situation for the general population | The results indicated the potential for supplements to ensure, among cancer survivors, adequate intake of the nutrients necessary for good HRQoL |
Moug et al. (2016) | To assess evidence of the viability of performance of lifestyle interventions for CRC patients, as well as the short- and long-term advantages | Meta-analysis | Systematic review of previous research | Fourteen RCTs | The reviewed randomized controlled studies revealed the benefits of lifestyle interventions for cancer survivors | The results indicated the feasibility of and need for lifestyle interventions post-cancer treatment |
Pinto et al. (2012) | To investigate the efficacy of home-based PA interventions | 46 patients | Randomized controlled trial | Questionnaire | PA intervention was revealed to be effective for promoting healthy lifestyles and good quality of life among cancer survivors | This evidence indicates the need for effective home-based PA interventions for the management of cancer survivors |
Rock et al. (2012) | To provide a summary of findings from the American Cancer Society regarding cancer survivors’ information-seeking concerning nutrition and PA, and the role this plays in cancer survivorship | Not indicated | Research analysis | Analysis of research findings | The results indicated the importance of dietary and PA recommendations for HRQoL | It is important for healthcare providers to use recommendations to provide advice on appropriate diet and PA for cancer survivors |
Sellar et al. (2017) | To examine the feasibility and effectiveness of a 12-week supervised exercise training program for CRC survivors | 29 CRC survivors | Randomized controlled trial | Questionnaire | Participants engaging in the exercise training program reported better health outcomes than did the control group | The results indicate the need for an effective and feasible exercise training program to improve the quality of life of cancer survivors |
Thraen-Borowski et al. (2013) | To examine, in older, long-term CRC survivors, the connection among PA, social participation, and HRQoL | 1768 male and female CRC survivors | Survey | Questionnaire | The study revealed an association between PA and physical health, and between social participation and psychological health, among older, long-term CRC survivors | The results indicate the need for a comprehensive intervention program involving PA and social participation in order to improve HRQoL among CRC survivors |
Vallance et al. (2015) | To determine the associations of impartially assessed, moderate-to-vigorous–intensity PA and sedentary time with psychological health in colon cancer survivors | 180 colon cancer survivors | Mailed survey | Quantitative measures | The results of the study did not indicate any association between moderate-to-vigorous–intensity PA and sedentary time and depression symptoms. However, there was an association between objectively assessed moderate-to-vigorous–intensity PA and satisfaction | It is critical to establish programs that increase PA and reduce sedentary time |
van Putten et al. (2016) | To examine the connection between a variety of factors (symptom- and function-related, sociodemographic, and clinical) concerning the PA of CRC survivors | 9956 CRC survivors | Survey | Validated questionnaires | The study revealed a number of functioning-related and symptom-related factors that hinder PA among cancer survivors | It is essential to address the sociodemographic factors that impact the adoption of PA among CRC survivors |
Winkels et al. (2016) | To assess CRC survivors’ level of compliance with eight recommendations of The World Cancer Research Foundation/American Institute for Cancer Research regarding PA, diet, and body weight | 1774 CRC survivors | Survey | Questionnaires | The results indicated a low rate of adherence to the recommendations; only 12% complied with six or more of the eight recommendations, 65% adhered to between five and six; and 23% adhered to four or less | There is room for improvement in lifestyle choices in order to ensure greater adherence with recommendations concerning diet, physical exercise, and body weight |