What Explains the Intention to Be Physically Active in Cancer Patients? Different Determinants for Active and Insufficiently Active Patients

Ungar, Nadine; Sieverding, Monika; Ulrich, Cornelia M.; Wiskemann, Joachim

doi:10.1080/07347332.2014.977417

Cited by 13 publications

(7 citation statements)

References 41 publications

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“…Our findings highlight important subgroup-specific differences in exercise barriers, facilitators, and motivators, which can be used to adapt intervention delivery approaches for cancer survivors. Notably and consistent with previous research [38][39][40], positive survivor beliefs regarding the general health and cancer-specific benefits of exercise consistently associated with more sources of exercise motivation, more reported ways to facilitate exercise, and higher interest in participating in local exercise support services. Together, these findings suggest that support interventions designed to improve survivors' perceptions towards the benefits of exercise may play an important role in improving exercise engagement in cancer survivors.…”

Section: Discussionsupporting

confidence: 85%

Characterizing the Exercise Behaviour, Preferences, Barriers, and Facilitators of Cancer Survivors in a Rural Canadian Community: A Cross-Sectional Survey

Smith-Turchyn

Allen²,

Dart³

et al. 2021

Current Oncology

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Barriers, facilitators, and motivators to exercise for cancer survivors living in urban settings are well described in the literature. However, there is a lack of comparable information for cancer survivors living in rural communities. We describe the exercise behaviours, barriers, facilitators, and motivators to exercise participation of cancer survivors living in a rural Canadian community. Adult cancer survivors with a primary address in a rural region of Ontario, Canada, who had visited a community hospital in the previous five years were mailed a cross-sectional survey assessing current exercise volume (minutes of moderate-to-vigorous aerobic and resistance exercise), as well as exercise preferences, barriers, and facilitators. Seventy-two survivors (mean age 65 years) completed the survey (16% response rate). A majority of respondents were diagnosed with breast cancer (49%) in the last 5 years (61%). Aerobic- and resistance-training guidelines for cancer survivors were met by 38% and 10% of respondents, respectively. Physical side effects were the most common barrier to exercise during treatment (65%) and post-treatment (35%). Being unaware of available exercise programs, time for exercise, distance to exercise services, and cost were commonly reported barriers during and post-treatment (reported by 10–22%). Respondents reported needing information from a qualified exercise professional (46%), access to a gym (33%) and exercise equipment (26%), and social support (25%) to facilitate exercise participation. Consistent with urban-based cancer survivors, most rural survivors surveyed in this study were not meeting the physical-activity guidelines and reported numerous exercise barriers. These findings can serve as a resource for this and similar rural communities when developing community-based exercise-support services for cancer survivors.

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Section: Discussionsupporting

confidence: 85%

Characterizing the Exercise Behaviour, Preferences, Barriers, and Facilitators of Cancer Survivors in a Rural Canadian Community: A Cross-Sectional Survey

Smith-Turchyn

Allen²,

Dart³

et al. 2021

Current Oncology

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“…All variables of the TPB were developed according to Ajzen's and Fishbein's guidelines (Ajzen, 2002;Fishbein & Ajzen, 2011) and are based on previous studies (Ungar et al, 2015;Ungar et al, 2016).…”

Section: Variables Of the Tpbmentioning

confidence: 99%

Better not resting: Carving out attitudes and their associations with physical activity in people with cancer

Haussmann

Ungar

Tsiouris

et al. 2022

European J Cancer Care

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Objective Evidence on the benefits of physical activity (PA) during cancer has caused a paradigm shift from people with cancer being advised to save energy (rest paradigm) to guidelines recommending them to engage in regular PA (activity paradigm). This study examined the rest and the activity paradigm among people with cancer based on the theory of planned behaviour (TPB). Methods A cross‐sectional survey was completed by N = 1244 people (58% women; M = 59.95 years) with breast, prostate and colorectal cancer, including 15 items on rest and activity attitudes. To explain the intention to engage in PA, hierarchical regression analyses were calculated. Results The two‐dimensional structure of attitudes (rest and activity) was confirmed. The agreement with the activity paradigm (M = 4.11; SD = 0.78) was higher compared to the rest paradigm (M = 2.56; SD = 0.78, p < .001). The TPB was an appropriate model to explain the intention to engage in PA (R2 = .59), showing that the activity paradigm, but not the rest paradigm, was significantly associated with participants' intention for PA. Conclusion Results indicate that the paradigm shift has successfully reached attitudes of people with cancer. Interventions focusing on the benefits of PA rather than addressing rest cognitions promise higher effectiveness in affecting PA levels. Clinical trial registration number: NCT02678832.

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“…Several studies regarding psychosocial determinants of PA in CPS have shown that attitude, subjective norms and perceived behavioral control (constructs of the Theory of Planned Behavior (TBP)) predict intention to engage in PA and PA behavior [68, 76–85]. Pinto and Ciccolo [77] reported that self-efficacy and outcome expectations (constructs of Social Cognitive Theory (SCT)) were important determinants of PA behavior.…”

Section: Step 2: Program Outcomes and Objectivesmentioning

confidence: 99%

Development of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActive

et al. 2017

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BackgroundCancer and cancer treatment coincide with substantial negative physical, psychological and psychosocial problems. Physical activity (PA) can positively affect the negative effects of cancer and cancer treatment and thereby increase quality of life in CPS. Nevertheless, only a minority of CPS meet PA guidelines. We developed the OncoActive (OncoActief in Dutch) intervention: a computer-tailored PA program to stimulate PA in prostate and colorectal CPS, because to our knowledge there are only a few PA interventions for these specific cancer types in the NetherlandsMethodsThe OncoActive intervention was developed through systematic adaptation of a proven effective, evidence-based, computer-tailored PA intervention for adults over fifty, called Active Plus. The Intervention Mapping (IM) protocol was used to guide the systematic adaptation. A literature study and interviews with prostate and colorectal CPS and health care professionals revealed that both general and cancer-specific PA determinants are important and should be addressed. Change objectives, theoretical methods and applications and the actual program content were adapted to address the specific needs, beliefs and cancer-related issues of prostate and colorectal CPS. Intervention participants received tailored PA advice three times, on internet and with printed materials, and a pedometer to set goals to improve PA. Pre- and pilot tests showed that the intervention was highly appreciated (target group) and regarded safe and feasible (healthcare professionals). The effectiveness of the intervention is being evaluated in a randomized controlled trial (RCT) (n = 428), consisting of an intervention group and a usual care waiting-list control group, with follow-up measurements at three, six and twelve months. Participants are recruited from seventeen hospitals and with posters, flyers and calls in several media.DiscussionUsing the Intervention Mapping protocol resulted in a systematically adapted, theory and evidence-based intervention providing tailored PA advice to prostate and colorectal CPS. If the intervention turns out to be effective in increasing PA, as evaluated in a RCT, possibilities for nationwide implementation and extension to other cancer types will be explored.Trial registrationThe study is registered in the Dutch Trial Register (NTR4296) on November 23rd 2013 and can be accessed at http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4296.

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What Explains the Intention to Be Physically Active in Cancer Patients? Different Determinants for Active and Insufficiently Active Patients

Cited by 13 publications

References 41 publications

Characterizing the Exercise Behaviour, Preferences, Barriers, and Facilitators of Cancer Survivors in a Rural Canadian Community: A Cross-Sectional Survey

Characterizing the Exercise Behaviour, Preferences, Barriers, and Facilitators of Cancer Survivors in a Rural Canadian Community: A Cross-Sectional Survey

Better not resting: Carving out attitudes and their associations with physical activity in people with cancer

Development of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActive

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