PURPOSE: To elucidate factors that impact intention (INT) to be active as well as actual physical activity (PA) behavior in colorectal cancer survivors (CRC-S) using the theory of planned behavior (TpB). Planning for PA was explored as a mediator of the INT-behavior relationship. Chemotherapy-induced neuropathy and fatigue were also explored. DESIGN: A cross-sectional quantitative mailed survey was used. SETTING: The study was conducted among community-dwelling adults living in Pennsylvania when diagnosed with colorectal cancer (CRC). SUBJECTS: Subjects comprised 843 CRC-S diagnosed with CRC in Pennsylvania in 2009. MEASURES: The survey included questions about planning for PA, TpB constructs, medical and social variables, and PA as measured by a modified Godin Leisure Time Questionnaire. ANALYSIS: Descriptive statistics were used to characterize the sample. A mediation analysis was used to determine if planning mediated the relationship between INT and actual PA behavior. A stepwise regression was used to determine predictors of INT and PA. RESULTS: Ninety-six CRC-S responded, with 25% meeting PA recommendations for health promotion, suggesting that CRC-S are insufficiently active. Perceived behavioral control (PBC) and social norm (SN) accounted for 43% of the variance in INT, whereas 30% of the variance in PA was explained by PBC and age. Neuropathy negatively impacted PA behavior (p = .008). Both action and coping planning partially mediated the INT-behavior relationship (β = 20.08, p = .007; β = 22.85, p = .001, respectively). CONCLUSION: Survivors at risk for inactivity are those with low PBC, low SN, and neuropathy, and those who are older.
PURPOSE: To elucidate factors that impact intention (INT) to be active as well as actual physical activity (PA) behavior in colorectal cancer survivors (CRC-S) using the theory of planned behavior (TpB). Planning for PA was explored as a mediator of the INT-behavior relationship. Chemotherapy-induced neuropathy and fatigue were also explored. DESIGN: A cross-sectional quantitative mailed survey was used. SETTING: The study was conducted among community-dwelling adults living in Pennsylvania when diagnosed with colorectal cancer (CRC). SUBJECTS: Subjects comprised 843 CRC-S diagnosed with CRC in Pennsylvania in 2009. MEASURES: The survey included questions about planning for PA, TpB constructs, medical and social variables, and PA as measured by a modified Godin Leisure Time Questionnaire. ANALYSIS: Descriptive statistics were used to characterize the sample. A mediation analysis was used to determine if planning mediated the relationship between INT and actual PA behavior. A stepwise regression was used to determine predictors of INT and PA. RESULTS: Ninety-six CRC-S responded, with 25% meeting PA recommendations for health promotion, suggesting that CRC-S are insufficiently active. Perceived behavioral control (PBC) and social norm (SN) accounted for 43% of the variance in INT, whereas 30% of the variance in PA was explained by PBC and age. Neuropathy negatively impacted PA behavior (p = .008). Both action and coping planning partially mediated the INT-behavior relationship (β = 20.08, p = .007; β = 22.85, p = .001, respectively). CONCLUSION: Survivors at risk for inactivity are those with low PBC, low SN, and neuropathy, and those who are older.
Entities:
Keywords:
Cancer Survivorship, Physical Activity, Exercise, Theory of Planned Behavior, Colorectal Cancer, Planning, Prevention Research. Manuscript format: research; Health focus: fitness/physical activity; Outcome measure: behavioral; Research purpose: relationship testing; Setting: state; Strategy: behavior change; Study design: nonexperimental; Target population age: adults, seniors; Target population circumstances: education/income level, geographic location
Authors: Rachel Hirschey; Isaac Lipkus; Lee Jones; Christopher Mantyh; Richard Sloane; Wendy Demark-Wahnefried Journal: Oncol Nurs Forum Date: 2016-11-01 Impact factor: 2.172
Authors: Tracy E Crane; Terry A Badger; Patrick O'Connor; Chris Segrin; Alexis Alvarez; Sarah J Freylersythe; Irlena Penaloza; Thaddeus W W Pace; Alla Sikorskii Journal: J Cancer Surviv Date: 2020-11-10 Impact factor: 4.442