Jeffrey S Cook, Briana Money, Daniel Dyer, Georgianna Whiteley, Mark K Huntington
Living, Leading & Medicine: A two-tiered leadership development programme for family medicine residents
The clinical teacher
healthy diet exercise improve quality life prognosis among men prostate cancer understanding perceived barriers lifestyle change patient preferences diverse cohort men prostate cancer necessary inform mobile health mhealth lifestyle interventions increase health equity conducted multisite study understand preferences attitudes health behaviors related diet lifestyle patient population report focuses qualitative findings 4 webbased focus groups comprising racially ethnically diverse group patients advanced prostate cancer androgen deprivation therapy used grounded theory analyses including open axial selective coding generate codes qualitative data analyzed whole rather focus group optimize data saturation transferability results present codes themes emerged lifestyle intervention design provide recommendations considerations future mhealth intervention studies overall 14 men participated 4 racially ethnically concordant focus groups african american black 314 21 asian american 314 21 hispanic latino 314 21 white 514 36 analyses converged 7 interwoven categories context home environment access competing priorities lifestyle programs motivation accountability discordance feeling supported fear temptation preparedness health literacy technological literacy technological preferences trust readiness change identity adaptability clinical characteristics datadriven design education psychosocial factors quality life program mechanics communication materials customization holistic habits eg dietary habits intervention impressions results suggest actionable pathways increase program intuitiveness recommendations future mhealth intervention design implementation include limited assessment individual household neighborhood levels support tailored intervention prioritization information disseminate based individuals major concerns delivery information based health technological literacy communication preferences prescribing personalized intervention based individuals baseline responses home neighborhood environment support network incorporating strategies foster engagement eg responsive relevant feedback systems aid participant decisionmaking behavior change assessing patients social context motivation preparedness necessary tailoring program patients needs racial ethnic groups addressing patients contexts motivation preparedness related diet exercise including household access food exercise competing priorities health technological literacy readiness change clinical characteristics help customize intervention participant data support tailored approach leveraging identified components interrelationships ensure mhealth lifestyle interventions engage effective racially ethnically diverse patients cancer clinicaltrialsgov nct05324098 httpsclinicaltrialsgovct2shownct05324098