4.1 Review

Cancer survivors' perspectives of dietary information provision after cancer treatment: A scoping review of the Australian context

Journal

HEALTH PROMOTION JOURNAL OF AUSTRALIA
Volume 33, Issue 1, Pages 232-244

Publisher

WILEY
DOI: 10.1002/hpja.496

Keywords

cancer survivors; diet; healthy lifestyle; scoping review; supportive care

Funding

  1. Queensland University of Technology Vacation Research Experience Scheme Stipend
  2. Australian Government Research Training Program Stipend

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A review in Australia found that cancer survivors often receive limited or ineffective dietary information post-treatment. They expressed a need for individualized information on managing ongoing symptoms, professional support for weight management, and practical skills for healthy eating. Among ethnic groups, there is a special need for dietary information that considers traditional foods and cultural beliefs, and is available in their native language.
Issue addressed To support survivor-centred care in Australia, this review maps current knowledge regarding adult cancer survivors' perspectives of dietary information provision post-treatment. Methods A scoping review of research conducted in Australia within the past decade reported using PRISMA-ScR guidelines. Seven databases were searched (01/01/2009-05/06/2020) and records were independently screened by two researchers using eligibility criteria. Papers in the peer-reviewed literature with dietary information post-treatment as a primary and secondary outcome were eligible for inclusion. Data charting included participant characteristics, study methodology and cancer survivors' reports of dietary information provision post-treatment. Results Of 531 records identified, 12 met eligibility criteria. Most studies included breast (58%) and colorectal (42%) cancer survivors within 5 years post-diagnosis (84%). Three studies were conducted amongst specific ethnic groups (Indigenous Australians, Chinese-Australians, Greek-Australians). Participants in the included studies commonly reported limited or ineffective dietary information from healthcare providers post-treatment. Cancer survivors identified a need for individualised information regarding dietary strategies to manage ongoing symptoms, professional support for weight management, and practical skills for healthy eating. Amongst ethnic groups, there was a need for dietary information that considers traditional foods and cultural beliefs, and is available in their native language. Cancer survivors valued ongoing dietary follow-up and support post-treatment, and suggested a variety of face-to-face and online delivery modes. Those residing in rural and remote areas reported barriers to accessing dietary information post-treatment including time, cost, and availability of local services. Conclusions There is scope to improve dietary information provision after cancer treatment in Australia. So what? Dietary guidance post-treatment should consider individual needs, cultural background, and opportunity for ongoing follow-up and support.

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