Determinants of physical activity during cancer treatment: a longitudinal exploration of psycho-cognitive variables and physician counseling.

Individuals with cancer are recommended to engage in regular physical activity (PA) even during cancer therapy. The aim of this study was to explore how patient-reported physician PA counseling influences their PA intention and behavior in addition to psycho-cognitive determinants derived from the t...

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Publicado en:Journal of Behavioral Medicine Vol. 47; no. 4; pp. 566 - 581
Autores principales: Haussmann, Alexander, Ungar, Nadine, Tsiouris, Angeliki, Schmidt, Laura I., Müller, Jana, von Hardenberg, Jost, Wiskemann, Joachim, Steindorf, Karen, Sieverding, Monika
Formato: research tables/charts Journal Article
Publicado: Springer Nature Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Determinants of physical activity during cancer treatment: a longitudinal exploration of psycho-cognitive variables and physician counseling.
      aug:
        au:
          Haussmann, Alexander
          Ungar, Nadine
          Tsiouris, Angeliki
          Schmidt, Laura I.
          Müller, Jana
          von Hardenberg, Jost
          Wiskemann, Joachim
          Steindorf, Karen
          Sieverding, Monika
        affil: Division of Physical Activity, Prevention and Cancer, German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT) Heidelberg, Im Neuenheimer Feld 581, 69120, Heidelberg, Germany
      sug:
        subj:
          Physical Activity
          Neoplasms Therapy
          Cognition
          Counseling
          Physician-Patient Relations
          Communication
          Health Behavior
          Cancer Patients Psychosocial Factors
          Human
          Male
          Female
          Middle Age
          Aged
          Prospective Studies
          Accelerometers
          Health Status
          Educational Status
          Self-Efficacy
          Intention
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Individuals with cancer are recommended to engage in regular physical activity (PA) even during cancer therapy. The aim of this study was to explore how patient-reported physician PA counseling influences their PA intention and behavior in addition to psycho-cognitive determinants derived from the theory of planned behavior (TPB). A longitudinal study during cancer treatment was conducted among N = 115 patients with breast, prostate, or colorectal cancer (Mage = 58.0, SD = 11.5; 55.7% female). The median time since diagnosis was 2 months, and 19.1% were diagnosed with metastases. Participants provided information on PA counseling by their physicians and on psycho-cognitive variables of the TPB at three measurement points. Additionally, they wore accelerometers for seven days at baseline and three months later. Nearly half of participants (48%) reported basic PA counseling and 30% reported in-depth PA counseling. Patients in poorer health and with lower education reported significantly less in-depth counseling. In addition to patient self-efficacy in performing PA, only in-depth physician PA counseling, but not basic physician counseling, predicted intention for PA four weeks later. Patients' PA three months after baseline was predicted by patients' PA at baseline and their intention for PA. Overall, the PA level at baseline was identified as the most important predictor of PA three months later. Nevertheless, physicians seem to have the ability to increase their cancer patients' intention for PA by in-depth counseling.
      pubtype: Academic Journal
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        research
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      ougenre: Article
    language: English
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