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Learning Objective 1: The learner will be able to identify health-promoting behaviors of low-income cancer survivors.
Learning Objective 2: The learner will be able to describe the health outcomes impacted by the use of health-promoting behaviors in low-income cancer survivors.
Methods: Cancer survivors were recruited from an outpatient cancer clinic serving only low-income clients. After giving consent to participate, people who had been diagnosed with Stage 1-3 cancer at least six months completed a study packet assessing HP behaviors, self-efficacy for engaging in HP behaviors, and outcome variables (physical health, functional health, and quality of life). Participants were randomized to either the health promotion intervention or control group.
Findings: A total of 46 people participated in the study, including 26 in the intervention group and 20 in the control group. Overall, participants were primarily female, older, divorced, educated, and were unemployed or on disability leave. Total HP behavior scores among the intervention group increased over time, whereas the HP behavior scores for the control remained constant across time. A significant time x group interaction was present, which suggest that the intervention group and control groups differed in terms of how their total HP behavior scores changed. In addition, significant group effects as well as group x time interactions were found for the responsibility & physical activity subscales.
Conclusions: Findings from this feasibility study will guide further refinement of the intervention to provide low-income cancer survivors the information, skills, and support they need to improve their health and dimensions of quality of life. We also learned the level of participation there is in health-promoting behaviors in low-income cancer survivors.
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