Kyoung-A Kim1, Sang Hui Chu2,3, Eui Geum Oh1,4, Sang Joon Shin5, Justin Y Jeon6,7, Yun Jin Lee8. 1. Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, South Korea. 2. Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, South Korea. shchu@yuhs.ac. 3. Department of Nursing , Yonsei University , Seoul, South Korea. shchu@yuhs.ac. 4. Department of Nursing , Yonsei University , Seoul, South Korea. 5. Department of Internal Medicine, Yonsei University Health System, Seoul, South Korea. 6. Department of Sport Industry Studies , Yonsei University , Seoul, South Korea. 7. Cancer Prevention Center , Severance Hospital , Seoul, South Korea. 8. Division of Nursing , Severance Hospital , Seoul, South Korea.
Abstract
PURPOSE: The main objective of this study was to use the framework of the self-determination theory, incorporating both internal and external sources of motivation, to identify factors influencing physical activity among colorectal cancer survivors (CRC-S) in Korea. METHOD: In total, 242 patients at a university-affiliated hospital in Seoul, Korea, responded to a descriptive survey, which comprised questionnaire sets including the Global Physical Activity Questionnaire and the Patient Health Questionnaire. Motivation was then assessed on three scales: the Treatment Self-Regulation (autonomy), Perceived Competence (competence), and the multidimensional Scale of Perceived Social Support (relatedness). Logistic regression analysis was then used to identify factors associated with physical activity. RESULT: The mean physical activity score was 16.07 metabolic equivalent hours per week, and only 23.3% of patients had an appropriate level of exercise. In the logistic regression analysis, physical activity was associated with competence (odds ratio (OR) = 1.36, 95% confidence interval (CI): 1.06-1.74), relatedness (OR = 1.11, 95% CI: 1.04-1.18), depression (OR = 0.84, 95% CI: 0.75-0.94), and stage I or II disease (OR = 3.33, 95% CI: 1.28-1.86). This study indicated that competence, relatedness, depression, and the disease stage contributed to physical activity among these subjects while autonomy did not. CONCLUSION: Future interventions to achieve the recommended levels of physical activity among CRC-S could benefit from taking into account the disease stage as well as psychosocial factors including motivation and depression.
PURPOSE: The main objective of this study was to use the framework of the self-determination theory, incorporating both internal and external sources of motivation, to identify factors influencing physical activity among colorectal cancer survivors (CRC-S) in Korea. METHOD: In total, 242 patients at a university-affiliated hospital in Seoul, Korea, responded to a descriptive survey, which comprised questionnaire sets including the Global Physical Activity Questionnaire and the Patient Health Questionnaire. Motivation was then assessed on three scales: the Treatment Self-Regulation (autonomy), Perceived Competence (competence), and the multidimensional Scale of Perceived Social Support (relatedness). Logistic regression analysis was then used to identify factors associated with physical activity. RESULT: The mean physical activity score was 16.07 metabolic equivalent hours per week, and only 23.3% of patients had an appropriate level of exercise. In the logistic regression analysis, physical activity was associated with competence (odds ratio (OR) = 1.36, 95% confidence interval (CI): 1.06-1.74), relatedness (OR = 1.11, 95% CI: 1.04-1.18), depression (OR = 0.84, 95% CI: 0.75-0.94), and stage I or II disease (OR = 3.33, 95% CI: 1.28-1.86). This study indicated that competence, relatedness, depression, and the disease stage contributed to physical activity among these subjects while autonomy did not. CONCLUSION: Future interventions to achieve the recommended levels of physical activity among CRC-S could benefit from taking into account the disease stage as well as psychosocial factors including motivation and depression.
Entities:
Keywords:
Autonomy; Colorectal cancer survivors; Competence; Physical activity; Relatedness; Self-determination theory
Authors: Carolyn J Peddle; Ronald C Plotnikoff; T Cameron Wild; Heather-Jane Au; Kerry S Courneya Journal: Support Care Cancer Date: 2007-06-15 Impact factor: 3.603
Authors: Jeffrey A Meyerhardt; Edward L Giovannucci; Michelle D Holmes; Andrew T Chan; Jennifer A Chan; Graham A Colditz; Charles S Fuchs Journal: J Clin Oncol Date: 2006-07-05 Impact factor: 44.544
Authors: Brendan J Guercio; Sui Zhang; Fang-Shu Ou; Alan P Venook; Donna Niedzwiecki; Heinz-Josef Lenz; Federico Innocenti; Bert H O'Neil; James E Shaw; Blase N Polite; Howard S Hochster; James N Atkins; Richard M Goldberg; Kaori Sato; Kimmie Ng; Erin Van Blarigan; Robert J Mayer; Charles D Blanke; Eileen M O'Reilly; Charles S Fuchs; Jeffrey A Meyerhardt Journal: J Clin Oncol Date: 2019-08-13 Impact factor: 44.544
Authors: Jeffrey A Meyerhardt; Edward L Giovannucci; Shuji Ogino; Gregory J Kirkner; Andrew T Chan; Walter Willett; Charles S Fuchs Journal: Arch Intern Med Date: 2009-12-14
Authors: Kimberly D Miller; Rebecca L Siegel; Chun Chieh Lin; Angela B Mariotto; Joan L Kramer; Julia H Rowland; Kevin D Stein; Rick Alteri; Ahmedin Jemal Journal: CA Cancer J Clin Date: 2016-06-02 Impact factor: 508.702
Authors: Johan Y Y Ng; Nikos Ntoumanis; Cecilie Thøgersen-Ntoumani; Edward L Deci; Richard M Ryan; Joan L Duda; Geoffrey C Williams Journal: Perspect Psychol Sci Date: 2012-07