Available online 24 March 2024, 151622

Author links open overlay panel, , , AbstractObjectives

To examine the factors influencing health-promoting lifestyles and the changes in health behavior self-efficacy and health-promoting lifestyles among female breast cancer survivors over a 6-month period.

Methods

A longitudinal design with purposive sampling was deployed. Data collection occurred at the baseline (T1), 3 months (T2), and 6 months (T3). In total, 53 breast cancer survivors agreed to participate. All participants completed the first two rounds of data collection, 49 participants completed data collection at the 6-month mark (T3). The Chinese versions of the Self-Rated Abilities for Health Practices Scale (SRAHP) and the Health-Promoting Lifestyle Profile (HPLP) were used.

Results

Health behavior self-efficacy and health-promoting lifestyle scores increased over time. Age, impaired cardiac function, those taking a career break, psychological well-being, and responsible health practice in self-efficacy for health behaviors were significant predictors of health-promoting lifestyle.

Conclusions

Younger breast cancer survivors, those taking a career break, and those with poor health behavior self-efficacy were less likely to engage in a health-promoting lifestyle and may require guidance in improving overall health behaviors.

Implications for Nursing Practice

Healthcare providers should not only be aware of the suboptimal health promotion lifestyle in breast cancer survivors but also focus on enhancing health behavior self-efficacy. This is particularly crucial for younger breast cancer survivors or those currently unemployed.

Section snippetsDesign and Sample

This longitudinal study collected data at three time points: baseline (T1), 3 months (T2), and 6 months (T3). Participants were recruited using purposive sampling. Ethical approval was obtained from the institutional review board (IRB.SF021) prior to enrollment. Potential participants were identified through electronic medical record review and referrals from breast cancer case managers. Inclusion criteria were as follows: female breast cancer cases diagnosed with stage I to stage III,

Sample Characteristics

A total of 53 participants were initially recruited, and the response rate was 100% during T1 and T2. However, during T3, only 49 questionnaires were collected, resulting in a response rate of 92%. Among the four missing questionnaires, three participants were not available during their follow-up visits, and one participant explicitly declined to complete the questionnaire due to being busy. Descriptive analysis revealed that the average age of the participants was 55.06 years (SD = 9.93). The

Discussion

This study observed noteworthy improvements in the health behavior self-efficacy and health-promoting lifestyles of female breast cancer survivors over a 6-month period. Notably, health behavior self-efficacy scores exhibited variations across different dimensions, with responsible health practice consistently ranking the highest and exercise consistently ranking the lowest at all three time points. When exploring health promotion lifestyle scores, stress management emerged as the top-ranking

Implications for Practice

Breast cancer survivors experience diverse care needs and health challenges throughout the stages of diagnosis, treatment, and follow-up. Engaging in a health-promoting lifestyle can assist them in managing health issues and promoting overall well-being. To effectively modify health behaviors, it is crucial to strengthen behavioral motivation and implement appropriate change strategies. Health behavior education has proven effective in improving the health outcomes of breast cancer survivors.

Conclusion

This study found that health behavior self-efficacy, along with all its subscales, improved over time among female breast cancer survivors during the survivorship period. Overall health-promoting lifestyles, nutrition behavior, health responsibility, interpersonal relationships, physical activity, and stress management also showed an upward trend over time. Health behavior self-efficacy was significantly positively correlated with health-promoting lifestyles. In other words, breast cancer

What we investigated and why

We conducted a study to explore the factors influencing the adoption of healthy behaviors among female breast cancer survivors. Understanding these factors is crucial for promoting better health outcomes and quality of life in this population.

How we did our research

Our research involved gathering data from a sample of female breast cancer survivors. We assessed various factors, including age, career status, cardiac function, psychological well-being, and health responsibility, to determine their impact on

CRediT authorship contribution statement

Hui-Hsien Hsia: Writing – original draft, Investigation, Formal analysis, Data curation, Conceptualization. Yun Tien: Writing – review & editing, Methodology, Data curation. Yung-Chang Lin: Writing – review & editing. Hsiang-Ping Huang: Writing – review & editing, Writing – original draft, Supervision, Methodology, Formal analysis, Data curation, Conceptualization.

Declaration of competing interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Ethical Considerations

The study received approval from the Institutional Review Board (KFSYSCC-IRB: 20211201A) by Koo Foundation Sun Yat-Sen Cancer Center.

Author Contributions

H.-H. Hsia and H.-P. Huang initially contributed to the development of research design. H.-H. Hsia conducted the initial data collection. H.-P. Huang, Y.-C. Lin, and Y. Tien were responsible for confirming the introductory sections. H.-H. Hsia and H.-P. Huang conducted the initial data analyses and outlined the result sections. H.-P. Huang and Y. Tien refined all tables and discussion sections. H.-H. Hsia and H.-P. Huang were responsible for the initial writing, Y.-C. Lin and Y. Tien edited the

Acknowledgement

The authors gratefully acknowledge all 53 participants for their time and effort they contributed to making this study feasible. A sincere appreciation goes to Department of Nursing, Koo Foundation Sun Yat-Sen Cancer Center for their administrative support and advanced assistance.

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