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ultivariable analyses identified higher age, lower SES, and poor tumor characteristics as associated factors.

To determine the effect of nurse-led program based on Pender's Health Promotion Model on the exercise behaviors of coronary artery patients.

The two-arm parallel, single-blind, randomized controlled trial was conducted with a total of 62 patients, intervention (n = 32) and control group (n = 30). Intervention group received a nurse-led program based on Pender's Health Promotion Model and routine follow-ups of control group continued. The health perception, perceived exercise self efficacy, perceived exercise benefits/barriers, exercise-related effect, exercise frequency and time were assessed at baseline, 4th, 8th and 12th weeks. The data were evaluated by frequency, percentage, median, mean and standard deviation, chi-square, Friedman and Mann Whitney U tests.

Health perception (62.6 ± 9.5; median67.0; p < 0.001), perceived exercise benefit (105.8 ± 7.4; median107.0; p < 0.001), perceived exercise self efficacy (71.2 ± 5.4; median 71.5; p < 0.05), exercise-related effect (31.6 ± 6.0; median34.0; p < 0.05), exercise frequency (4.8 ± 2.2; median6.0 days/week; p < 0.05) and time (105.9 ± 53.6; median130.0 min/week; p < 0.05) were higher and perceived barriers (43.1 ± 3.9; median 42.0; p < 0.001) were lower in the intervention group at 12th week.

The nurse-led program has been shown to increase the exercise behavior in the intervention group.

Since it enables patients to gain and maintain exercise, it is highlighted the model to be integrated into clinical practice.

Since it enables patients to gain and maintain exercise, it is highlighted the model to be integrated into clinical practice.

This study explored family communication about undertaking genomic sequencing, and intentions to communicate pertinent heritable results to family members.

Semi-structured interviews were conducted with cancer patients (n = 53) and their relatives (n = 20) who underwent germline genome sequencing or molecular tumor testing. Interviews were audio-recorded, transcribed and analyzed using thematic analysis.

Key themes relevant to family communication about undertaking sequencing included perceiving family member interest, delaying discussion until results were received, having shared capacity to understand and cope, and having open communication in the family. Intended communication subsequent to receiving results was affected by disease severity, risk management options, degree of closeness in the family, sense of responsibility, and potential adverse impacts on family. Resource and support needs varied based on the complexity of test results, health professionals' availability, and disease severity. Unique subthemes were identified for specific subgroups.

Current findings support the need to assess the impact and resource needs specific to each clinical application of genomic sequencing.

Increasingly sophisticated and complex clinical genomic sequencing warrants development of family-centered interventions and resources to facilitate preference-sensitive communication about genomic sequencing, including disseminating relevant information to family members.

Increasingly sophisticated and complex clinical genomic sequencing warrants development of family-centered interventions and resources to facilitate preference-sensitive communication about genomic sequencing, including disseminating relevant information to family members.

Cancer-related communication is critical for patients' and caregivers' adaptation to illness. This randomized pilot study was conducted to test the feasibility, acceptability, and efficacy of a specific dyadic intervention to improve communication.

A four weekly-session intervention was developed to reinforce cancer-related patient-caregiver communication. selleck kinase inhibitor Patients receiving treatment for any diagnosed cancer, and their caregivers, were recruited from two oncology clinics in Belgium. Sixty-four patient-caregiver dyads were assigned randomly to intervention and waitlist groups. Cancer-related dyadic communication, dyadic coping and emotional distress were assessed at baseline and post-intervention.

The intervention attrition rate was 6 %. Linear mixed models were performed on 60 dyads. Significant two-way group × time interaction indicated improvement in participants' cancer-related dyadic communication frequency (β = -1.30; SE = 0.31; p =  .004), self-efficacy (β = -10.03; SE = 3.90; p =  .011) and dyadic coping (β = -5.93; SE = 2.73; p =  .046) after the intervention.

These results indicate that the brief dyadic communication intervention is feasible and acceptable, and show preliminary evidence of efficacy.

Encouraging patients and caregivers to discuss personal cancer-related concerns may improve their ability to cope with the illness together.

Encouraging patients and caregivers to discuss personal cancer-related concerns may improve their ability to cope with the illness together.

To explore the impact of health literacy (HL) on perceived benefits of fluid restriction (PBFR), self-reported fluid restriction (SRFR) and relative-interdialytic weight gain (R-IDWG) in people receiving hemodialysis (HD).

We conducted a cross-sectional study in two nephrology departments from two hospitals in Guangzhou, China (n = 226). The HL questionnaire, PBFR Subscale of Health Belief Model Constructs and Fluid Adherence Subscale of the HD Patients Therapy Adherence Scale were used. R-IDWG was calculated by the mean IDWG (from 3 consecutive HD), divided by the dry weight.

In structural equation modeling, three domains of the HL questionnaire, namely Actively Managing My Health, Social Support and Actively Engaging with Healthcare Providers (HCPs), were directly and positively associated with PBFR. Higher Actively Managing My Health predicted higher SRFR both directly and indirectly. Sufficient Social Support and adequate Actively Engaging with HCPs predicted higher SRFR indirectly. All three HL domains predicted R-IDWG indirectly.

Improving patients' HL could increase their understanding of PBFR and be more apt to follow fluid restrictions and reduce R-IDWG.

A better understanding of the relationships among HL, PBFR, SRFR and R-IDWG will allow for tailored interventions to decrease R-IDWG in people receiving HD.

A better understanding of the relationships among HL, PBFR, SRFR and R-IDWG will allow for tailored interventions to decrease R-IDWG in people receiving HD.