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Erschienen in: Breast Cancer 1/2013

01.01.2013 | Original Article

Self-efficacy mediates the relationship between behavioral processes of change and physical activity in older breast cancer survivors

verfasst von: Paul D. Loprinzi, Bradley J. Cardinal

Erschienen in: Breast Cancer | Ausgabe 1/2013

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Abstract

Background

The degree to which breast cancer survivors use behavioral processes of change has not been investigated. Additionally, the relationship between behavioral processes and other theory-based mediators of adult physical activity behavior has not been extensively studied among breast cancer survivors. The objectives of this study were to: (1) determine the extent to which breast cancer survivors use behavioral processes associated with physical activity behavior change, and (2) examine the inter-relationships between behavioral processes, self-efficacy, and physical activity behavior among breast cancer survivors.

Methods

Sixty-nine breast cancer survivors completed surveys examining behavioral processes and exercise-specific self-efficacy. Six months later they completed a self-report physical activity questionnaire.

Results

Findings showed the majority of breast cancer survivors did not use approximately half of the behavioral processes on a regular basis, and self-efficacy completely mediated the relationship between behavioral processes and physical activity.

Conclusion

Health care professionals may help enhance self-efficacy and ultimately increase physical activity behavior in breast cancer survivors by teaching behavior skills such as enlisting social support.
Literatur
2.
Zurück zum Zitat Loprinzi PD, Cardinal BJ, Winters-Stone K, Smit E, loprinzi CL. Physical activity and the risk of breast cancer recurrence: a review of literature. Oncol Nurs Forum. 2011 (in press). Loprinzi PD, Cardinal BJ, Winters-Stone K, Smit E, loprinzi CL. Physical activity and the risk of breast cancer recurrence: a review of literature. Oncol Nurs Forum. 2011 (in press).
3.
Zurück zum Zitat Cardinal BJ, Engels HJ, Smouter J. Changes in preadolescents’ stage of change for exercise behavior following “Health Kids 2000-Get With It”. Am J Med Sport. 2001;3:272–8. Cardinal BJ, Engels HJ, Smouter J. Changes in preadolescents’ stage of change for exercise behavior following “Health Kids 2000-Get With It”. Am J Med Sport. 2001;3:272–8.
4.
Zurück zum Zitat Cardinal BJ, Engels HJ, Zhu W. Application of the transtheoretical model of behavior change to preadolescents’ physical activity and exercise behavior. Pediatr Exerc Sci. 1998;10:69–80. Cardinal BJ, Engels HJ, Zhu W. Application of the transtheoretical model of behavior change to preadolescents’ physical activity and exercise behavior. Pediatr Exerc Sci. 1998;10:69–80.
5.
Zurück zum Zitat Cardinal BJ, Kosma M. Self-efficacy and the stages and processes of change associated with adopting and maintaining muscular fitness-promoting behaviors. Res Q Exerc Sport. 2004;75:186–96.PubMed Cardinal BJ, Kosma M. Self-efficacy and the stages and processes of change associated with adopting and maintaining muscular fitness-promoting behaviors. Res Q Exerc Sport. 2004;75:186–96.PubMed
6.
Zurück zum Zitat Cardinal BJ, Lee J, Kim Y. Predictors of transitional shifts in college students’ physical activity behavior. Int J Appl Sports Sci. 2010;22:24–32. Cardinal BJ, Lee J, Kim Y. Predictors of transitional shifts in college students’ physical activity behavior. Int J Appl Sports Sci. 2010;22:24–32.
7.
Zurück zum Zitat Cardinal BJ, Sachs ML. Prospective analysis of stage-of-exercise movement following mail-delivered, self-instructional exercise packets. Am J Health Promot. 1995;9:430–2.PubMedCrossRef Cardinal BJ, Sachs ML. Prospective analysis of stage-of-exercise movement following mail-delivered, self-instructional exercise packets. Am J Health Promot. 1995;9:430–2.PubMedCrossRef
8.
Zurück zum Zitat Cardinal BJ, Tuominen KJ, Rintala P. Cross-cultural comparison of American and Finnish college students’ exercise behavior using transtheoretical model constructs. Res Q Exerc Sport. 2004;75:92–101.PubMed Cardinal BJ, Tuominen KJ, Rintala P. Cross-cultural comparison of American and Finnish college students’ exercise behavior using transtheoretical model constructs. Res Q Exerc Sport. 2004;75:92–101.PubMed
9.
Zurück zum Zitat Cardinal BJ. Facilitating physical activity and health behavior change among older adults. Contemp Psychol APA Rev Books. 2002;49:15–7. Cardinal BJ. Facilitating physical activity and health behavior change among older adults. Contemp Psychol APA Rev Books. 2002;49:15–7.
10.
Zurück zum Zitat Cardinal BJ, Kosma M, McCubbin JA. Factors influencing the exercise behavior of adults with physical disabilities. Med Sci Sports Exerc. 2004;36:868–75.PubMed Cardinal BJ, Kosma M, McCubbin JA. Factors influencing the exercise behavior of adults with physical disabilities. Med Sci Sports Exerc. 2004;36:868–75.PubMed
11.
Zurück zum Zitat Levy SS, Li K, Cardinal BJ, Maddalozzo GF. Transitional shifts in exercise behavior among women with multiple sclerosis. Disabil Health J. 2009;2:216–23.PubMedCrossRef Levy SS, Li K, Cardinal BJ, Maddalozzo GF. Transitional shifts in exercise behavior among women with multiple sclerosis. Disabil Health J. 2009;2:216–23.PubMedCrossRef
12.
Zurück zum Zitat Nigg CR, Riebe D. The transtheoretical model: research review of exercise behavior and older adults. In: Burbank PM, Riebe D, editors. Promoting exercise and behavior change in older adults: interventions with the transtheoretical model. New York: Springer; 2002. p. 147–80. Nigg CR, Riebe D. The transtheoretical model: research review of exercise behavior and older adults. In: Burbank PM, Riebe D, editors. Promoting exercise and behavior change in older adults: interventions with the transtheoretical model. New York: Springer; 2002. p. 147–80.
13.
Zurück zum Zitat Marcus BH, Eaton CA, Rossi JS. Self-efficacy, decision-making and stages of change: an integrative model of physical exercise. J Appl Soc Psychol. 1994;24:489–508.CrossRef Marcus BH, Eaton CA, Rossi JS. Self-efficacy, decision-making and stages of change: an integrative model of physical exercise. J Appl Soc Psychol. 1994;24:489–508.CrossRef
14.
Zurück zum Zitat Levy SS, Ebbeck V. The exercise and self-esteem model in adult women: the inclusion of physical acceptance. Psychol Sport Exerc. 2005;6:571–84.CrossRef Levy SS, Ebbeck V. The exercise and self-esteem model in adult women: the inclusion of physical acceptance. Psychol Sport Exerc. 2005;6:571–84.CrossRef
15.
Zurück zum Zitat Stewart AL, Mills KM, King AC, Haskell WL, Gillis D, Ritter PL. CHAMPS physical activity questionnaire for older adults: outcomes for interventions. Med Sci Sports Exerc. 2001;33:1126–41.PubMed Stewart AL, Mills KM, King AC, Haskell WL, Gillis D, Ritter PL. CHAMPS physical activity questionnaire for older adults: outcomes for interventions. Med Sci Sports Exerc. 2001;33:1126–41.PubMed
16.
Zurück zum Zitat Giles K, Marshall AL. Repeatability and accuracy of CHAMPS as a measure of physical activity in a community sample of older Australian adults. J Phys Act Health. 2009;6:221–9.PubMed Giles K, Marshall AL. Repeatability and accuracy of CHAMPS as a measure of physical activity in a community sample of older Australian adults. J Phys Act Health. 2009;6:221–9.PubMed
17.
Zurück zum Zitat Cyarto EV, Marshall AL, Dickinson RK, Brown WJ. Measurement properties of the CHAMPS physical activity questionnaire in a sample of older Australians. J Sci Med Sport. 2006;9:319–26.PubMedCrossRef Cyarto EV, Marshall AL, Dickinson RK, Brown WJ. Measurement properties of the CHAMPS physical activity questionnaire in a sample of older Australians. J Sci Med Sport. 2006;9:319–26.PubMedCrossRef
18.
Zurück zum Zitat Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51:1173–82.PubMedCrossRef Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51:1173–82.PubMedCrossRef
19.
Zurück zum Zitat Courneya KS, Friedenreich CM, Reid RD, Gelmon K, Mackey JR, Ladha AB, et al. Predictors of follow-up exercise behavior 6 months after a randomized trial of exercise training during breast cancer chemotherapy. Breast Cancer Res Treat. 2009;114:179–87.PubMedCrossRef Courneya KS, Friedenreich CM, Reid RD, Gelmon K, Mackey JR, Ladha AB, et al. Predictors of follow-up exercise behavior 6 months after a randomized trial of exercise training during breast cancer chemotherapy. Breast Cancer Res Treat. 2009;114:179–87.PubMedCrossRef
Metadaten
Titel
Self-efficacy mediates the relationship between behavioral processes of change and physical activity in older breast cancer survivors
verfasst von
Paul D. Loprinzi
Bradley J. Cardinal
Publikationsdatum
01.01.2013
Verlag
Springer Japan
Erschienen in
Breast Cancer / Ausgabe 1/2013
Print ISSN: 1340-6868
Elektronische ISSN: 1880-4233
DOI
https://doi.org/10.1007/s12282-011-0298-x

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