Chloé Maxwell-Smith1,2, Paul A Cohen3,4, Cameron Platell3,5, Jason Tan6, Christobel Saunders3,5, Sophie Nightingale7, Craig Lynch7, Frank Sardelic8, Jacob McCormick9, Sarah J Hardcastle10,11. 1. School of Psychology, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia. chloe.maxwell-smith@curtin.edu.au. 2. Institute for Health Research, University of Notre Dame, Fremantle, Western Australia, Australia. chloe.maxwell-smith@curtin.edu.au. 3. St John of God Hospital, Subiaco, Western Australia, Australia. 4. Division of Obstetrics and Gynaecology, Faculty of Health and Medical Sciences, University of Western Australia, Perth, Western Australia, Australia. 5. University of Western Australia Medical School, University of Western Australia, Crawley, Western Australia, Australia. 6. Women Centre, West Leederville, Western Australia, Australia. 7. Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. 8. Tamara Private Hospital, Tamworth, New South Wales, Australia. 9. Royal Melbourne Hospital, Melbourne, Victoria, Australia. 10. Institute for Health Research, University of Notre Dame, Fremantle, Western Australia, Australia. 11. School of Health and Human Performance, Dublin City University, Dublin, Ireland.
Abstract
PURPOSE: Cancer survivors are at risk of comorbidities and mortality, and those living outside of metropolitan areas are particularly susceptible given poorer socioeconomic, health and support resources. As engagement in health behaviours is affected by participants' autonomous motives, investigation of the motives of cancer survivors in metropolitan and non-metropolitan areas could elucidate the values and reasons for practising health behaviours, allowing programs to be tailored to these motives. METHODS: Metropolitan (n = 103) and non-metropolitan (n = 80) Australian cancer survivors completed a survey item by describing their motives for physical activity and healthy diet change. Inductive thematic analysis of responses was performed to establish themes across health behaviour motives. RESULTS: Analyses revealed four themes: to be able to, longevity, psychological health and appearance. Survivors primarily referred to being able to enjoy family, leisure activities, travel and staying independent, with these motives often linked to longevity. Motives were similar across locations; however, those in non-metropolitan locations reported continuation of work and pain relief more frequently. Female survivors more often reported weight loss. CONCLUSIONS: A predominant motive for health behaviour change in cancer survivors across geographical location was the ability to enjoy family and engage in leisure and work activities. Programs aiming to promote health behaviours in cancer survivors might consider framing interventions accordingly by emphasizing benefits of longevity and maintaining independence.
PURPOSE:Cancer survivors are at risk of comorbidities and mortality, and those living outside of metropolitan areas are particularly susceptible given poorer socioeconomic, health and support resources. As engagement in health behaviours is affected by participants' autonomous motives, investigation of the motives of cancer survivors in metropolitan and non-metropolitan areas could elucidate the values and reasons for practising health behaviours, allowing programs to be tailored to these motives. METHODS: Metropolitan (n = 103) and non-metropolitan (n = 80) Australian cancer survivors completed a survey item by describing their motives for physical activity and healthy diet change. Inductive thematic analysis of responses was performed to establish themes across health behaviour motives. RESULTS: Analyses revealed four themes: to be able to, longevity, psychological health and appearance. Survivors primarily referred to being able to enjoy family, leisure activities, travel and staying independent, with these motives often linked to longevity. Motives were similar across locations; however, those in non-metropolitan locations reported continuation of work and pain relief more frequently. Female survivors more often reported weight loss. CONCLUSIONS: A predominant motive for health behaviour change in cancer survivors across geographical location was the ability to enjoy family and engage in leisure and work activities. Programs aiming to promote health behaviours in cancer survivors might consider framing interventions accordingly by emphasizing benefits of longevity and maintaining independence.
Entities:
Keywords:
Cancer; Cancer survivors; Health behaviours; Lifestyle change; Oncology; Physical activity
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