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Psychological correlates of physical activity and exercise preferences in metropolitan and nonmetropolitan cancer survivors
Author(s) -
MaxwellSmith Chloe,
Hagger Martin S.,
Kane Robert,
Cohen Paul A.,
Tan Jason,
Platell Cameron,
Makin Gregory Bryan,
Saunders Christobel,
Nightingale Sophie,
Lynch Craig,
Sardelic Frank,
McCormick Jacob,
Hardcastle Sarah J.
Publication year - 2021
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.5553
Subject(s) - psychological intervention , self efficacy , structural equation modeling , clinical psychology , breast cancer , psychology , medicine , physical activity , cancer , physical therapy , social psychology , psychiatry , statistics , mathematics
Objective Interventions to increase physical activity (PA) in cancer survivors have often adopted a “one‐size‐fits‐all” approach and may benefit from being tailored to psychological constructs associated with behavior. The study objective was to investigate the exercise preferences and psychological constructs related to PA among cancer survivors. Methods Posttreatment colorectal, endometrial, and breast cancer survivors ( n = 183) living in metropolitan and nonmetropolitan areas completed survey measures of PA, exercise preferences, attitudes, self‐efficacy, perceived behavioral control (PBC), and intention toward PA. Results A structural equation model with adequate fit and quality indices revealed that instrumental attitude and self‐efficacy were related to PA intention. Intention was related to behavior and mediated the relationship between self‐efficacy and behavior. Preferred exercise intensity was related to self‐efficacy, PBC, attitudes, and intention, while preferred exercise company was related to self‐efficacy and PBC. Participants preferred moderate‐intensity PA (71%), specifically self‐paced (52%) walking (65%) in an outdoor environment (58%). Conclusions Since instrumental attitude and self‐efficacy were associated with PA, incorporating persuasive communications targeting attitudes in PA interventions may promote PA participation. As cancer survivors who prefer low‐intensity exercise and exercising with others report lower self‐efficacy and PBC, interventions targeting confidence and successful experience in this group may also be warranted.