Evidence map›Paper›PMID 29038181›Full record

ArticleBMJ open2017

Barriers and facilitators to healthy lifestyle and acceptability of a dietary and physical activity intervention among African Caribbean prostate cancer survivors in the UK: a qualitative study.

Vanessa Er, J Athene Lane, Richard M Martin, Raj Persad, Frank Chinegwundoh, Victoria Njoku, Eileen Sutton

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 6 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 6 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Qualitative studies on men with prostate cancer: a systematic meta-synthesis.International journal of qualitative studies on health and well-being · 2025
    Pooled it
  2. Pooled it
  3. Inclusivity in prostate cancer and exercise research: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. A Scoping Review of Stigma Related to Prostate Cancer in Black Men.Journal of racial and ethnic health disparities · 2025
    Article
  9. Structural Racism, Lifestyle Behaviors, and Obesity-related Cancers among Black and Hispanic/Latino Adults in the United States: A Narrative Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Review
  10. Article
  11. Article
  12. Codesigning a patient support portal with health professionals and men with prostate cancer: An action research study.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  13. Physical exercise habits, lifestyle behaviors, and motivation to change among men with prostate cancer: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Observational
  14. Review
  15. Article
  16. Experiences of people with cancer who have participated in a hospital-based exercise program: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  17. Cross-sectional study of patient-reported fatigue, physical activity and cardiovascular status in men after robotic-assisted radical prostatectomy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
  18. Adherence to Treatment in Patients with Chronic Diseases: From Alertness to Persistence.International journal of community based nursing and midwifery · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Vanessa ErSchool of Social and Community Medicine, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0002-0649-1846
J Athene LaneSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Richard M MartinSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Raj PersadBristol Urological Institute, North Bristol NHS Trust, Southmead Hospital, Bristol, UK.
Frank ChinegwundohDepartment of Urology, Barts Health NHS Trust, The Royal London Hospital, London, UK.
Victoria NjokuDepartment of Urology, Barts Health NHS Trust, The Royal London Hospital, London, UK.
Eileen SuttonSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
University of Bristol · GBBarts Health NHS Trust · GBNorth Bristol NHS Trust · GBUniversity of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDiet and lifestyle may have a role in delaying prostate cancer progression, but little is known about the health behaviours of Black British prostate cancer survivors despite this group having a higher prostate cancer mortality rate than their White counterparts. We explored the barriers and facilitators to dietary and lifestyle changes and the acceptability of a diet and physical activity intervention in African Caribbean prostate cancer survivors.

designWe conducted semistructured in-depth interviews and used thematic analysis to code and group the data. PARTICIPANTS AND

settingWe recruited 14 African Caribbean prostate cancer survivors via letter or at oncology follow-up appointments using purposive and convenience sampling.

resultsA prostate cancer diagnosis did not trigger dietary and lifestyle changes in most men. This lack of change was underpinned by five themes: precancer diet and lifestyle, evidence, coping with prostate cancer, ageing, and autonomy. Men perceived their diet and lifestyle to be healthy and were uncertain about the therapeutic benefits of these factors on prostate cancer recurrence. They considered a lifestyle intervention as unnecessary because their prostate-specific antigen (PSA) level was kept under control by the treatments they had received. They believed dietary and lifestyle changes should be self-initiated and motivated, but were willing to make additional changes if they were perceived to be beneficial to health. Nonetheless, some men cited advice from health professionals and social support in coping with prostate cancer as facilitators to positive dietary and lifestyle changes. A prostate cancer diagnosis and ageing also heightened men's awareness of their health, particularly in regards to their body weight.

conclusionsA dietary and physical activity intervention framed as helping men to regain fitness and aid post-treatment recovery aimed at men with elevated PSA may be appealing and acceptable to African Caribbean prostate cancer survivors.

Indexed as

Healthy LifestylePatient Acceptance of Health CareAdaptation, PsychologicalAgedAged, 80 and overAge FactorsAttitude to HealthBlack PeopleCancer SurvivorsCaribbean RegionDietDirective CounselingExerciseHealth PromotionHumansInterviews as TopicProstate-Specific Antigencaribbean regiondietphysical activityprostatic neoplasmsqualitative researchsurvivors

Identifiers

PMID29038181
PMCPMC5652511
OpenAlexW2766819262

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.