title: The provision of dietary and physical activity advice for men diagnosed with prostate cancer: a qualitative study of the experiences and views of health care professionals, patients and partners.
abstract: To explore the views and experiences of health care professionals (HCPs), men diagnosed with localised prostate cancer and their partners about the provision of advice on diet and physical activity after diagnosis and treatment for localised prostate cancer.
  
  
  
  Semi-structured in-depth interviews with ten HCPs (Consultant Urological Surgeons, Uro-Oncology Clinical Nurse Specialists and Allied Health Professionals: see Table 1) and sixteen men diagnosed with localised prostate cancer and seven of their partners. Data from interviews were thematically analysed using the Framework Approach.
  
  
  
  The men and their partners provided differing accounts to the HCPs and sometimes to each other concerning the provision of advice on diet and physical activity. Some men were unable to recall receiving such advice from HCPs. Factors impacting upon advice-giving included the perceived lack of an evidence base to support dietary and physical activity advice and the credibility of advice providers. The timing of advice provision was a contentious issue as some HCPs believed that patients might not be willing to receive dietary and physical activity advice at the time of diagnosis, whilst others viewed this an opportune time to provide behaviour change information. Patients concurred with the latter opinion.
  
  
  
  Men and their partners would value nutritional and physical activity advice from their HCP, after a localised prostate cancer diagnosis. Men would prefer to receive this advice at an early stage in their cancer journey and may implement behaviour change if the received advice is clear and evidence-based. HCPs should receive suitable training regarding what information to provide to men and how best to deliver this information.
authors.affiliation: The NIHR Biomedical Research Unit in Nutrition, Diet and Lifestyle at the University Hospitals Bristol NHS Foundation Trust and the University of Bristol, Upper Maudlin Street, Bristol, BS2 8AE, UK. e.sutton@bristol.ac.uk.
authors.forename: Eileen
authors.identifier: 0000-0003-4105-8471
authors.initials: E
authors.lastname: Sutton
authors.affiliation: The NIHR Biomedical Research Unit in Nutrition, Diet and Lifestyle at the University Hospitals Bristol NHS Foundation Trust and the University of Bristol, Upper Maudlin Street, Bristol, BS2 8AE, UK.|School of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
authors.forename: Lucy E
authors.initials: LE
authors.lastname: Hackshaw-McGeagh
authors.affiliation: Newcastle upon Tyne NHS Hospitals Foundation Trust, Freeman Hospital, Freeman Road, Newcastle upon Tyne, Tyne and Wear, NE7 7DN, UK.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Aning
authors.affiliation: Bristol Haematology and Oncology Centre, Horfield Road, Bristol, BS2 8ED, UK.
authors.forename: Amit
authors.initials: A
authors.lastname: Bahl
authors.affiliation: Southmead Hospital Bristol, Southmead Road, Westbury-on-Trym, Bristol, BS10 5NB, UK.
authors.forename: Anthony
authors.initials: A
authors.lastname: Koupparis
authors.affiliation: Southmead Hospital Bristol, Southmead Road, Westbury-on-Trym, Bristol, BS10 5NB, UK.
authors.forename: Raj
authors.initials: R
authors.lastname: Persad
authors.affiliation: The NIHR Biomedical Research Unit in Nutrition, Diet and Lifestyle at the University Hospitals Bristol NHS Foundation Trust and the University of Bristol, Upper Maudlin Street, Bristol, BS2 8AE, UK.|School of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
authors.forename: Richard M
authors.initials: RM
authors.lastname: Martin
authors.affiliation: The NIHR Biomedical Research Unit in Nutrition, Diet and Lifestyle at the University Hospitals Bristol NHS Foundation Trust and the University of Bristol, Upper Maudlin Street, Bristol, BS2 8AE, UK.|School of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
authors.forename: J Athene
authors.initials: JA
authors.lastname: Lane
mesh_terms: D004032:Diet; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006282:Health Personnel; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010465:Perception; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000628:therapy*; D036301:Qualitative Research
keywords: Dietary advice; Health care professionals; Physical activity advice; Prostate cancer; Qualitative research