Psychological Correlates of Physical Activity and Exercise Preferences in Metropolitan and Non-Metropolitan Cancer Survivors

Chloe Maxwell-Smith, Martin S. Hagger, Robert Kane, Paul A. Cohen, Jason Tan, Cameron Platell, Gregory Bryan Makin, Christobel Saunders, Sophie Nightingale, Craig Lynch, Frank Sardelic, Jacob McCormick, Sarah J. Hardcastle

Research output: Contribution to journalArticlepeer-review

5 Citations (Web of Science)
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AbstractObjectiveInterventions 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.MethodsPost-treatment colorectal, endometrial, and breast cancer survivors (n=183) living in metropolitan and non-metropolitan areas completed survey measures of PA, exercise preferences, attitudes, self-efficacy, perceived behavioral control (PBC), and intention toward PA.ResultsA 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%).ConclusionsSince 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.This article is protected by copyright. All rights reserved.
Original languageEnglish
Pages (from-to)221-230
Number of pages10
Issue number2
Early online date13 Sept 2020
Publication statusPublished - Feb 2021


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