title: Receptivity and preferences of pancreatic cancer family members for participating in lifestyle programs to reduce cancer risk.
abstract: BACKGROUND
  Cancer is a shared family experience that might provide an opportunity for lifestyle change among at-risk family members. The purpose of this study was to assess receptivity and preferences for cancer risk reduction programs among at-risk family members with two or more relatives affected with pancreas cancer.
  
  
  METHODS
  We surveyed 401 at-risk family members in an existing pancreatic cancer family registry. Participants completed a mailed survey which examined demographic, medical, and psychosocial correlates of willingness to participate in lifestyle cancer risk reduction programs. Multivariable generalized estimating equation approaches were used to model preferences.
  
  
  RESULTS
  Overall, 85% (n = 342) of at-risk family members were receptive to lifestyle cancer risk reduction programs. Participant preferred programs focused on nutrition (36%, n = 116) and weight management (33%, n = 108), with Web/Internet (46%, n = 157) being the most preferred delivery channel. Most respondents preferred to participate in programs with their family or friends (74%, n = 182), rather than alone (25%, n = 85). In multivariable analysis, younger age (p = 0.008) and higher perceived likelihood of developing cancer (p = 0.03) were associated with willingness to participate in lifestyle programs.
  
  
  CONCLUSIONS
  Family members of those with pancreatic cancer are receptive to cancer risk reduction programs focusing on nutrition and weight management delivered via the internet. Further research is indicated to determine how to best incorporate a family-based approach when designing lifestyle intervention programs.
authors.affiliation: Department of Psychology and Psychiatry, Mayo Clinic Rochester, Rochester, MN, USA.
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Howell
authors.affiliation: Department of Psychology and Psychiatry, Mayo Clinic Rochester, Rochester, MN, USA.|Behavioral Health Research Program, Mayo Clinic Rochester, Rochester, MN, USA.
authors.forename: Pamela S
authors.initials: PS
authors.lastname: Sinicrope
authors.affiliation: Department of Psychology and Psychiatry, Mayo Clinic Rochester, Rochester, MN, USA.|Behavioral Health Research Program, Mayo Clinic Rochester, Rochester, MN, USA.
authors.forename: Tabetha A
authors.initials: TA
authors.lastname: Brockman
authors.affiliation: Department of Psychology and Psychiatry, Mayo Clinic Rochester, Rochester, MN, USA.|Behavioral Health Research Program, Mayo Clinic Rochester, Rochester, MN, USA.
authors.forename: Christi A
authors.initials: CA
authors.lastname: Patten
authors.affiliation: Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic Rochester, Rochester, MN, USA.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Decker
authors.affiliation: Department of Psychology and Psychiatry, Mayo Clinic Rochester, Rochester, MN, USA.
authors.forename: Shawna L
authors.initials: SL
authors.lastname: Ehlers
authors.affiliation: Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic Rochester, Rochester, MN, USA.
authors.forename: Ashley
authors.initials: A
authors.lastname: Nadeau
authors.affiliation: Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic Rochester, Rochester, MN, USA.
authors.forename: Kari G
authors.initials: KG
authors.lastname: Rabe
authors.affiliation: Division of Health Care Policy & Research, Department of Health Sciences Research, Mayo Clinic Rochester, Rochester, MN, USA.
authors.forename: Carmen Radecki
authors.initials: CR
authors.lastname: Breitkopf
authors.affiliation: Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic Rochester, Rochester, MN, USA.
authors.forename: Gloria M
authors.initials: GM
authors.lastname: Petersen