A1 Journal article (refereed)
Predicting physical activity change in cancer survivors : an application of the Health Action Process Approach (2022)
Hardcastle, S. J., Maxwell-Smith, C., & Hagger, M. S. (2022). Predicting physical activity change in cancer survivors : an application of the Health Action Process Approach. Journal of Cancer Survivorship, 16(6), 1176-1183. https://doi.org/10.1007/s11764-021-01107-6
JYU authors or editors
Publication details
All authors or editors: Hardcastle, Sarah J.; Maxwell-Smith, Chloe; Hagger, Martin S.
Journal or series: Journal of Cancer Survivorship
ISSN: 1932-2259
eISSN: 1932-2267
Publication year: 2022
Publication date: 13/09/2021
Volume: 16
Issue number: 6
Pages range: 1176-1183
Publisher: Springer
Publication country: United States
Publication language: English
DOI: https://doi.org/10.1007/s11764-021-01107-6
Publication open access: Openly available
Publication channel open access: Partially open access channel
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/77844
Abstract
Previous research has not examined the utility of the Health Action Process Approach (HAPA) to predict physical activity (PA) change in cancer survivors. The aim of the study was to investigate the efficacy of a HAPA-based model in predicting temporal change in moderate-to-vigorous physical activity (MVPA) in cancer survivors.
Methods
Participants enrolled in the Wearable Activity Technology and Action Planning (WATAAP) trial completed validated questionnaires (n = 64) to assess HAPA constructs (action and maintenance self-efficacy, outcome expectancies, action planning, risk perceptions, and intention) and wore an ActiGraph to measure PA at baseline, 12 weeks, and 24 weeks later. Data were analyzed using variance-based structural equation modeling with residualized change scores for model variables.
Results
Consistent with predictions, changes in action self-efficacy (β = 0.490, p < 0.001, ES = 0.258) and risk perceptions (β = 0.312, p = 0.003, ES = 0.099) were statistically significant predictors of intention change over time. Changes in intention (β = 0.217, p = 0.029, ES = 0.040) and action planning (β = 0.234, p = 0.068, ES = 0.068) predicted changes in MVPA. Overall, the model accounted for significant variance in intention (R2 = 0.380) and MVPA (R2 = 0.228) change.
Conclusions
Changes in intention and action planning were important correlates of MVPA change over 24 weeks. Further, changes in action self-efficacy and risk perceptions predicted changes in intention. Implications for cancer survivors: interventions that foster risk perceptions and self-efficacy, strengthen intentions, and promote action planning may be effective in promoting sustained PA change in cancer survivors.
Keywords: cancerous diseases; rehabilitation patients; health behaviour; physical activity; exercise (people); action planning
Free keywords: action planning; behavior change; cancer survivors; exercise; theory; oncology
Contributing organizations
Ministry reporting: Yes
Reporting Year: 2022
JUFO rating: 1
