Abstract CN13
Background
The link between some lifestyle behaviours and risk of cancer is well established, which is crucial for people with personal/family history or genetic susceptibility. Research suggests that genetic testing is not enough but, modification of health behaviours is important. Cancer nurses have a central role as information providers and to empower individuals to take control and participate in their care. For this, nurses need training and confidence in talking about genomic and involve patients to be active participants of their health. Prospero: CRD42020209921.
Methods
A systematic review of the literature was carried out to identify interventions used to promote healthy lifestyle on people with high risk of cancer This systematic review was done following PRISMA statement guidelines. In the databases:CINAHL, MEDLINE, PubMed, Cochrane Library, Scopus & Joanna Briggs from January 2010 to January 2021. Search strategy used terms related to cancer, hereditary cancer and health promotion.
Results
19 studies selected from a total of 1450. Most research was on cancer patients’ survivors (n=14 studies, 73 %), the rest on patient with colorectal or breast cancer risk (n= 3 Lynch, 2 BRCA). The interventions focused mainly on diet (n=10) and physical activity (n=8), 3 focused on a variety of lifestyles, and 2 in alcohol consumption. As a secondary aim we extracted how many of these interventions were done in genetic counselling (4 studies, 21%) and how many were nurse led interventions. Three where nurse led studies (Four did not specify who did the intervention).
Conclusions
From the interventions described to address lifestyle behaviours, few are tailored to address patients’ needs. All healthcare professionals should be able to consider individual risks, such as family history, lifestyle and many more, with a well-designed approach to motivating and monitoring outcomes. In people at risk of cancer the result would not only be the improvement of these behaviours, but the satisfaction of the individual involved in their self-care. Now we need to understand what interventions on lifestyle patients and professionals consider important and identify the best way to deliver this information to both patients and professionals.
Clinical trial identification
Editorial acknowledgement
Legal entity responsible for the study
Universitat de Barcelona.
Funding
Has not received any funding.
Disclosure
All authors have declared no conflicts of interest.