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Cognitive approach to nutrition in a patient-centered approach: implementing tailored nutrition advice for oncology patients

Claudio Lucchiari, Marianna Masiero, Gabriella Pravettoni

Abstract


This theoretical overview stresses the importance of a personalized approach to the study of the relationship between nutrition and prevention by the use of a cognitive approach. An adequate nutrition program should play a fundamental aspect of patient-centered care, but also is the best prevention strategy in disease-free subjects. We argue that an integrated methodology, based on a patient-centered and tailored approach, must assess all the factors involved within individual food choices in order to recognize values, beliefs and needs related to food intake, both in cancer patients and in disease-free patients. An integrated approach is advocated, since the tailoring process requires both biological and psychological data in order to appraise the individual’s needs and promote adequate action plans. This process of integrating information delivered from different sources is what we call a “cognitive approach” to nutrition.

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Ginsburg, G.S. & Willard, H.F. (2009). Genomic and personalized medicine: foundations and applications. Translational Research 154 (6) 277-287.

Green, M.J., Peterson, S.K., Baker, M.W., Friedman, L.C., Harper, G.R., Rubinstein, W.S., Peters, J.A. & Mauger, D.T. (2005). Use of an educational computer program before genetic counseling for breast cancer susceptibility: Effects on duration and content of counseling sessions. Genetics in Medicine 7 (4) 221-229.

Kussmann, M. & Fay, L.B. (2008). Nutrigenomics and personalized nutrition: science and concept. Personalized Medicine 5 (5) 447-455.

Buck, L.B. (2003). I sensi chimici:olfatto e gusto. In: Principi di neuroscienze, trad. It., 3° ed., pp. 618-638. Kandel, E.R., Schwartz, J.H. & Jessell T.M. (a cura di). Milano: Ambrosiana.

Pravettoni, G. & Gorini, A. (2011). A P5 cancer medicine approach: why personalized medicine cannot ignore psychology. Journal of Evaluation in Clinical Practice 17 (4) 594-596.

Epstein, R.M., Fiscella, K., Lesser, C.S. & Stange, K.C. (2010). Why The Nation Needs A Policy Push On Patient-Centered Health Care. Health Affairs 29 (8) 1489-1495.

Pollack, L.A., Greer, G.E., Rowland, J.H., Miller, A., Doneski, D., Coughlin, S.S., Stovall, E. & Ulman, D. (2005). Cancer survivorship: a new challenge in comprehensive cancer control. Cancer Causes & Control 16, 51-59.

Lucchiari, C., Botturi, A. & Pravettoni, G. (2010). The impact of decision models on self-perceived quality of life: a study on brain cancer patients. Ecancermedicalscience 4, 187.

Helweg-Larsen, M. & Shepperd, J. A. (2001). Do moderators of the optimistic bias affect personal or target risk estimates? A review of the literature. Personality and Social Psychology Review 5 (1) 74-95.

Raats, M. & Sparks, P. (1995). Unrealistic optimism about dietrelated risks: Implications for interventions. Proceedings of the Nutrition Society 54, 737-745.

Miles, S. & Scaife, V. (2003). Optimistic bias and food. Nutrition Research Reviews 16 (1) 3-19.

Walker, S.N., Pullen, C.H., Boeckner, L., Hageman, P.A., Hertzog, M., Oberdorfer, M.K. & Rutledge, M.J. (2009). Clinical Trial of Tailored Activity and Eating Newsletters With Older Rural Women. Nursing Research 58 (2) 74-85.

Brug, J., Steenhuis, I., vanAssema, P. & deVries, H. (1996). The impact of a computer-tailored nutrition intervention. Preventive Medicine 25 (3) 236-242.

Block, G., Miller, M., Harnack, L., Kayman, S., Mandel, S. & Cristofar, S. (2000). An interactive CD-ROM for nutrition screening and counseling. American Journal of Public Health 90 (5) 781-785.

Demark-Wahnefried, W., Aziz, N.M., Rowland, J.H. & Pinto, B.M. (2005). Riding the crest of the teachable moment: Promoting long-term health after the diagnosis of cancer. Journal of Clinical Oncology 23 (24) 5814-5830.

Alfano, M.C., Day, J.M., Katz, M.L., Herndon II, J.E., Bittoni, M.A., Oliveri, J.M., Donohue, K. & Paskett, E.D. (2009). Exercise and dietary change after diagnosis and cancer related symptoms in long-term survivors of breast cancer: CALGB 79804. Psycho-Oncology 18, 128-133.

Demark-Wahnefried, W., Clipp, E.C., McBride, C., Lobachi, D.F., Lipkus, I., Peterson, B., Clutter Snyder, D., Sloane, R., Arbanas, J. & Kraus, W.E. (2003). Design of FRESH START: A randomized trial, of exercise and diet among cancer survivors. Medicine and Science in Sports and Exercise 35 (3) 415-424.

Demark-Wahnefried, W., Clipp, E.C., Lipkus, I.M., Lobach, D., Snyder, D.C., Sloane, R., Peterson, B., Macri, J.M., Rock, C.L., McBride, C.M. & Kraus, W.E. (2007). Main outcomes of the FRESH START trial: A sequentially tailored, diet and exercise mailed print intervention among breast and prostate cancer survivors. Journal of Clinical Oncology 25 (19) 2709-2718.

Lieberman, D.A. (2006). What can we learn from playing interactive games? In: Playing computer games: Motives, responses, and consequences, pp. 379-398. Vorderer, P & Bryant, J., (eds.). Mahwah, NJ: Lawrence Erlbaum Associates, Inc.

Peng, W. (2009). Design and Evaluation of a Computer Game to Promote a Healthy Diet for Young Adults. Health Communication 24 (2) 115-127.

Lisetti, C. (2012). 10 Advantages of using Avatars in Patient-Centered Computer-based Interventions for Behavior Change. SIGHIT Record 2 (1) 28.

Tsai, C.C., Lee, G., Raab, F., Norman, G.J., Sohn, T., Griswold, W.G. & Patrick, K. (2007). Usability and Feasibility of PmEB: A Mobile Phone Application for Monitoring Real Time Caloric Balance. Mobile Networks and Applications 12, 173-184.

Steptoe, A., Doherty, S., Rink, E., Kerry, S., Kendrick, T. & Hilton, S. (1999). Behavioural counselling in general practice for the promotion of healthy behaviour among adults at increased risk of coronary heart disease: randomised trial. British Medical Journal 319, 943-947.

Steptoe, A., Kerry, S., Rink, E. & Hilton, S. (2001). The impact of behavioral counseling on stage of change in fat intake, physical activity, and cigarette smoking in adults at increased risk of coronary heart disease. American Journal of Public Health 91, 265-269.

Van der Veen, J., Bakx, C., Van den Hoogen, H., Verheijden, M., Van den Bosch, W., Van Weel, C. & Van Staveren, W. (2002). Stage-matched nutrition guidance for patients at elevated risk for cardiovascular disease: A randomized intervention study in family practice. Journal of Family Practice 51, 751-758.

Kahn, R.L. (1994). Social support: content, causes, and consequences. In: Aging and quality of life, pp. 163-184. Abeles, R.P., Gift, H.C. & Ory, M.G., (eds.). New York: Springer Publishing Company.

Milkereit, J. & Graves, J.S. (1992). Follow-up dietary counselling benefits attainment of intake goals for total fat, saturated fat, and fiber. Journal of the American Dietetic Association 92, 603-605.

Barratt, A., Reznik, R., Irwig, L., Cuff, A., Simpson, J.M., Oldenburg, B., Horvath, J. & Sullivan, D. for the steering committee of the staff healthy heart project. (1994). Work-site cholesterol screening and dietary intervention: the staff healthy heart project. American Journal of Public Health 84, 779-782.

Neil, H.A.W. & Godlee, R.J.P. (1995). Randomised trial of lipid lowering dietary advice in general practice: the effects on serum lipids, lipoproteins, and antioxidants. British Medical Journal 310, 569-573.

Simkin-Silverman, L., Wing, R.R. & Hansen, D.H. (1995). Prevention of cardiovascular risk factors in healthy premenopausal women. Preventive Medicine 24, 509-517.

Rhodes, K.S., Bookstein, L.C., Aaronson, L.S., Mercer, N.M. & Orringer, C.E. (1996). Intensive nutrition counseling enhances outcomes of National Cholesterol Education Program dietary therapy. Journal of the American Dietetic Association 96, 1003-1010.

Ockene, I.S., Hebert, J.R., Ockene, J.K., Saperia, G.M., Stanek, E., Nicolosi, R., Merriam, P.A. & Hurley, T.G. (1999). Effect of physician-delivered nutrition counseling training and an office-support program on saturated fat intake, weight, and serum lipid measurements in a hyperlipidemic population. Worchester area trial for counseling in hyperlipidemia (WATCH). Archives of Internal Medicine 159, 725-731.

Hilton, S., Doherty, S., Kendrick, T., Kerry, S., Rink, E. & Steptoe, A. (1999). Promotion of healthy behaviour among adults at increased risk of coronary heart disease in general practice: methodology and baseline data from the Change of Heart study. Health Education Journal 58, 3-16.

Finckenor, M. & Byrd-Bredbenner, C. (2000). Nutrition intervention group program based on pre-action stage-oriented change processes of the Transtheoretical Model promotes long-term reduction in dietary fat intake. Journal of the American Dietetic Association 100, 335-342.

Becker, M.H., Maiman, L.A., Kirscht, J.P., Haefner, D.P. & Drachman, R.H. (1977). The health belief model and predicition of dietary compliance: a field experiment. Journal of Health and Social Behavior 18, 348-366.

Houts, S.S., & Warland, R.H. (1989). Rotter’s social learning theory of personality and dietary behavior. Journal of Nutrition Education 21, 172-179.

Reed, G.R., Velicer, W.F., Prochaska, J.O., Rossi, J.S. & Marcus, B.H. (1997). What makes a good staging algorithm: examples from regular exercise. American Journal of Health Promotion 12, 57-66.

Prochaska, J.O. & Velicer, W.F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion 12, 38-48.

Baranowski, T., Cullen, K.W. & Baranowski, J. (1999). Psychosocial correlates of dietary intake: advancing dietary intervention. Annual Review of Nutrition 19, 17-40.

Horwath, C.C. (1999). Applying the transtheoretical model to eating behaviour change: challenges and opportunities. Nutrition Research Reviews 12, 281-317.

Elder, J.P., Ayala, G.X. & Harris, S. (1999). Theories and intervention approaches to health-behavior change in primary care. American Journal of Preventive Medicine 17, 275-284.

Katz, D.L. (2001). Behavior modification in primary care: the pressure system model. Preventive Medicine 32, 66-72.

Anderson, E.S., Winnett, R.A. & Wojcik, J.R. (2000). Social-cognitive determinants of nutrition behavior among supermarket food shoppers: a structural equation analysis. Health Psychology 19, 479-486.

Packman, J. & Kirk, S.F.L. (2000). The relationship between nutritional knowledge, attitudes and dietary fat consumption in male students. Journal of Human Nutrition and Dietetics 13, 389-395.

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes 50, 179-211.

Aarts, H., Verplanken, B. & Van Knippenberg, A. (1998). Predicting behavior from actions in the past: repeated decision making or a matter of habit? Journal of Applied Social Psychology 28, 1355-1374.

Ouelette, J.A. & Wood, W. (1998). Habit and intention in everyday life: the multiple processes by which past behavior predicts future behavior. Psychological Bulletin 124, 54-74.

Verplanken, B., Aarts, H., Van Knippenberg, A. & Moonen, A. (1998). Habit versus planned behaviour: a field experiment. British Journal of Social Psychology 37, 111-128.

Triandis, H.C. (1977). Interpersonal behavior. Monterey, California: Brooks/Cole Publishing Company, A division of Wadsworth Publishing Company, Inc.

Aarts, H., Verplanken, B. & Van Knippenberg, A. (1997). Habit and information use in travel mode choices. Acta Psychologica Scandinavica 96, 1-14.

Trafimow, D. (2000). Habit as both a direct cause of intention to use a condom and as a moderator of the attitude-intention and subjective norm-intention relations. Psychology and Health 15, 383-393.

Lucchiari, C., Masiero, M. & Pravettoni, G. (2012). Methods for nutrition monitoring in cancer patients: a cognitive perspective. Ecancermedicalscience 6 (259) 1-11.




DOI: http://dx.doi.org/10.5750/ejpch.v1i1.659

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