Iris Kanera

69 The Kanker Nazorg Wijzer protocol 3 based on the participant’s beliefs about the pros and cons of exercising, perceived barriers and benefits, self-efficacy, and social support. Next, participants are encouraged to make a personal exercise plan. The module provides information on specific exercises and sport activities tailored to participant’s individual situation, physical limitations and social cognitive determinants. Diet The Diet module focuses on increasing fruit, vegetables, whole grain bread, and fish consumption. Based on the answers of the screening questionnaire in combination with the Dutch nutritional guidelines, participants receive feedback on their dietary habits and the extent to which it reaches the recommended level. The module subsequently provides a standard, non-personalized overview of a healthy diet, including desirable and undesirable foods and an indication of the recommended servings. Afterwards participants are encouraged to set one or two goals, for example, eating two pieces of fruit per day or eating 200 g of vegetables per day. Subsequently, dietary advice is given, personalized to the participant’s individual situation, experienced medical or treatment related problems, and the participant’s attitudes, self-efficacy, and social support toward performing the desired dietary behavior. Smoking The Smoking module is developed for smokers to stimulate them to refrain from smoking and for former smokers to prevent relapse. Based on the answers of the screening questionnaire, participants’current smoking behavior is discussed. Smokers are encouraged to quit and to set a quit date. Advice is given on how to anticipate risky situations for a lapse and how to deal with withdrawal symptoms. Smokers are encouraged to develop an individual coping plan to prepare their quit attempt and to deal with difficult moments to maintain abstinence. Former smokers also receive advice based on their individual situation and social cognitive determinants, aimed at the prevention of relapse. They are also encouraged to develop coping strategies to prevent relapse. Residual Symptoms In the Residual Symptoms module, brief information is given about complaints, such as pain, lymphedema, osteoporosis, or neuropathy. If a certain topic is covered in one of the other modules, referral to the respective module is also given. Next to some basic tips on how to deal with these symptoms, participants are given advice to contact their physician or other health professional when they experience serious problems.