Understanding exercise motivation in colorectal cancer patients: A prospective study using the theory of planned behavior.

Courneya, Kerry S.; Friedenreich, Christine M.; Arthur, Keith; Bobick, Todd M.

doi:10.1037/0090-5550.44.1.68

Cited by 110 publications

(78 citation statements)

References 17 publications

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“…According to the theory of planned behavior, the attitude towards exercise was the only variable that was related to the intention to exercise, which in turn, was linked to performing more post-surgery physical activity (Courneya et al, 1999b). With regard to beliefs (Speed-Andrews et al, 2014), thinking that physical activity would improve one's physical condition, energy level, and well-being was associated with performing more physical activity.…”

Section: Discussionmentioning

confidence: 99%

“…On the one hand, some studies have found higher levels of perceived selfefficacy in patients who perform more physical activity (Hawkes et al, 2015). On the other hand, based on the theory of planned behavior, Courneya et al (1999b) found that the intention to exercise and exercise pre-diagnosis were related to post-surgery exercise. Moreover, the attitude towards exercise was the only variable that correlated significantly with the intention to exercise.…”

Section: Motivational Factorsmentioning

confidence: 99%

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Factors that promote or hinder physical activity participation in patients with colorectal cancer: A systematic review

Romero-Elías

González‐Cutre

Beltrán-Carrillo

et al. 2017

PSYE

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Different studies of patients with colorectal cancer have shown that physical activity has positive physical and psychosocial effects. However, most patients do not comply with the recommended criteria of physical activity. The aim of the present study was to analyze, by means of a systematic review of the literature, the factors associated with physical activity participation in patients with colorectal cancer. For this purpose, we conducted a search in the databases WEB OF SCIENCE, SCOPUS and SPORTDISCUS up to February of 2016. After the selection process, 23 full-text articles were retained. The results allowed identifying four large categories of factors related to physical activity participation in this population: sociodemographic factors, health factors (specific and nonspecific to the disease), prior experience and preferences, and motivational factors. Among the results obtained, comorbidity and the receipt of adjuvant therapy (with its corresponding side effects, such as fatigue and nausea) were related to less physical activity. Variables such as positive attitude, family support, satisfaction of basic psychological needs, and self-determined motivation were shown to be facilitators of physical activity. Taking into account these results, it is necessary to develop programs of physical activity adapted to the particular characteristics of this population and based on motivational strategies that promote adherence to physical activity. Keywords: physical exercise, motivation, barriers, treatment, health Factores que promueven o dificultan la práctica de actividad física en pacientes con cáncer colorrectal: Una revisión sistemática RESUMEN: Diferentes estudios con pacientes de cáncer colorrectal han demostrado que el ejercicio físico tiene efectos físicos y psicosociales positivos. Sin embargo, la mayoría de pacientes no cumple los criterios de actividad física recomendados. El objetivo del presente estudio fue analizar, a través de una revisión sistemática de la literatura, los factores asociados con la práctica de actividad física en pacientes con cáncer colorrectal. Para ello se realizó una búsqueda en las bases de datos WEB OF SCIENCE, SCOPUS y SPORTDISCUS hasta febrero de 2016. Tras el proceso de selección, se retuvieron 23 artículos a texto completo. Los resultados permitieron identificar cuatro grandes categorías de factores relacionados con la práctica de actividad física en esta población: factores sociodemográficos, factores de salud (específicos y no específicos de la enfermedad), preferencias y experiencias previas, y factores motivacionales. Entre los resultados obtenidos, cabe destacar que la comorbilidad y la recepción de terapia adyuvante (con sus correspondientes efectos secundarios como Physical activity in patients with colorectal cancer © Psy, Soc, & Educ, 2017, Vol. 9(2) 202 fatiga y náuseas), se relacionaron con una menor realización de actividad física. Variables como la actitud positiva, el apoyo familiar, la satisfacción de las necesidades psicológicas básicas y la mot...

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Section: Discussionmentioning

confidence: 99%

Section: Motivational Factorsmentioning

confidence: 99%

Factors that promote or hinder physical activity participation in patients with colorectal cancer: A systematic review

Romero-Elías

González‐Cutre

Beltrán-Carrillo

et al. 2017

PSYE

View full text Add to dashboard Cite

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“…The SEP intervention is guided by the theory of planned behavior (TPB; ref. 17) which has been validated for predicting and understanding exercise behavior in colorectal cancer survivors (15,(18)(19)(20). The counseling sessions cover 17 evidencebased behavior change techniques (Table 2; refs.…”

Section: Interventionsmentioning

confidence: 99%

Effects of a Structured Exercise Program on Physical Activity and Fitness in Colon Cancer Survivors: One Year Feasibility Results from the CHALLENGE Trial

Courneya

Vardy²,

O’Callaghan³

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: There is strong interest in testing lifestyle interventions to improve cancer outcomes; however, the optimal methods for achieving behavior change in large-scale pragmatic trials are unknown. Here, we report the 1-year feasibility results for exercise behavior change in the Canadian Cancer Trials Group CO.21 (CHALLENGE) Trial.Methods: Between 2009 and 2014, 273 high-risk stage II and III colon cancer survivors from 42 centers in Canada and Australia were randomized to a structured exercise program (SEP; n ¼ 136) or health education materials (HEM; n ¼ 137). The primary feasibility outcome in a prespecified interim analysis was a difference between randomized groups of !5 metabolic equivalent task (MET)-hours/week in self-reported recreational physical activity (PA) after at least 250 participants reached the 1-year follow-up. Secondary outcomes included health-related fitness.

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“…Such constructs are central to the health belief model (Rosenstock, 1974), theory of reasoned action (Ajzen & Fishbein, 1980), and social cognitive theory (Bandura, 1986). Constructs from these models have been shown in prospective studies to be causally antecedent to health behaviors (e.g., Courneya, Friedenreich, Arthur, & Bobick, 1999;Quine, Rutter, & Arnold, 2000).…”

Section: Affective Associations With Health Behaviorsmentioning

confidence: 99%

How do i feel about the behavior? The interplay of affective associations with behaviors and cognitive beliefs as influences on physical activity behavior.

2007

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Individuals have affective associations with health behaviors. In other domains such associations have been shown to influence behavior, but affective associations with health behaviors are not included in current health decision-making models. The authors examined whether affective associations with exercise predicted individuals' activity behavior and, if so, how they interfaced with other decisionmaking constructs to influence behavior. Adult participants (N ϭ 433) reported their current physical activity behavior and affective associations with physical activity. Health belief model and theory of planned behavior constructs were also assessed. More positive affective associations with activity significantly predicted greater activity behavior. Moreover, the influence of the health belief model and theory of planned behavior constructs on activity behavior was mediated through affective associations. Affective associations were shown to play a central role in individuals' activity behavior, both as a mediator of the effects of cognitively based decision-making factors and as an independent predictor of activity behavior. The results suggest the need to include affective influences on behavior in formal models of health decision making and, potentially, to explore affectively based intervention routes to change behaviors.

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Understanding exercise motivation in colorectal cancer patients: A prospective study using the theory of planned behavior.

Cited by 110 publications

References 17 publications

Factors that promote or hinder physical activity participation in patients with colorectal cancer: A systematic review

Factors that promote or hinder physical activity participation in patients with colorectal cancer: A systematic review

Effects of a Structured Exercise Program on Physical Activity and Fitness in Colon Cancer Survivors: One Year Feasibility Results from the CHALLENGE Trial

How do i feel about the behavior? The interplay of affective associations with behaviors and cognitive beliefs as influences on physical activity behavior.

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