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Gepubliceerd in:

09-03-2023

Mediators of physical activity maintenance during a 12-month randomized controlled trial among breast Cancer survivors

Auteurs: Bernardine M. Pinto, Shira I. Dunsiger, Madison M. Kindred, Sheryl Mitchell

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2023

Abstract

Purpose: To explore the theoretical constructs that functioned as mediators of interventions for moderate-to-vigorous physical activity (MVPA) maintenance among breast cancer survivors. Method: 161 survivors were randomized into 3 groups: Reach Plus, Reach Plus Message or Reach Plus Phone. All participants received a 3-month theory-based intervention delivered by volunteer coaches. During months 4–9, all participants monitored their MVPA and received feedback reports. Additionally, Reach Plus Message received weekly text/email messages and Reach Plus Phone received monthly calls from their coaches. Assessments of weekly MVPA minutes and theoretical constructs (self-efficacy, social support, physical activity [PA] enjoyment and PA barriers) were obtained at baseline, 3, 6, 9 and 12-months. Analyses: Using a multiple mediator analysis with a product of coefficients approach, we examined mechanisms associated with between-group differences over time in weekly MVPA minutes. Results: Self-efficacy mediated effects of Reach Plus Message vs. Reach Plus at 6 (ab = 16.99) and 9 M (ab = 27.45); social support mediated effects at 6 (ab = 4.86), 9 (ab = 14.30) and 12 M (ab = 6.18). Self-efficacy mediated effects of Reach Plus Phone vs. Reach Plus at 6 (ab = 18.76), 9 (ab = 28.93) and 12 M (ab = 18.18). Social support mediated effects of Reach Plus Phone vs. Reach Plus Message at 6 (ab=-5.50) and 9 M (ab=-13.20); PA enjoyment mediated effects at 12 M (ab=-3.63). Conclusions: PA maintenance efforts should focus on strengthening breast cancer survivors’ self-efficacy and obtaining social support.

The trial was registered at ClinicalTrials.Gov: NCT02694640 (Feb. 26, 2016).

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Bandura, A. (1986). Social Foundations of Thought and Action: a Social Cognitive Theory. Englewood Cliffs, NJ: Prentice Hall.

Barber, F. D. (2012). Social support and physical activity engagement by cancer survivors. Clinical Journal Of Oncology Nursing, 16(3), E84–98. https://doi.org/10.1188/12.CJON.E84-E98.CrossRefPubMed

Barber, F. D. (2013). Effects of social support on physical activity, self-efficacy, and quality of life in adult cancer survivors and their caregivers. Oncology Nursing Forum, 40(5), 481–489. https://doi.org/10.1188/13.ONF.481-489.CrossRefPubMed

Blair, S. N., Haskell, W. L., Ho, P., Paffenbarger, R. S. Jr., Vranizan, K. M., Farquhar, J. W., & Wood, P. D. (1985). Assessment of habitual physical activity by a seven-day recall in a community survey and controlled experiments. American Journal Of Epidemiology, 122(5), 794–804. https://doi.org/10.1093/oxfordjournals.aje.a114163.CrossRefPubMed

Campbell, K. L., Winters-Stone, K. M., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., Zucker, D. S., Matthews, C.E., Ligibel, J.A., Gerber, L.H., Morris, G.S., Patel, A.V., Hue, T.F., Perna, F.M., & Schmitz, K. H. (2019). Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable. Medicine And Science In Sports And Exercise, 51(11), 2375–2390. https://doi.org/10.1249/MSS.0000000000002116CrossRefPubMedPubMedCentral

Crain, A. L., Martinson, B. C., Sherwood, N. E., & O’Connor, P. J. (2010). The long and winding road to physical activity maintenance. American journal of health behavior, 34(6), 764–775. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/20604700

DiClemente, C. C., Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991). The process of smoking cessation: an analysis of precontemplation, contemplation, and preparation stages of change. Journal Of Consulting And Clinical Psychology, 59(2), 295–304. https://doi.org/10.1037//0022-006x.59.2.295.CrossRefPubMed

Dunn, A. L., Garcia, M. E., Marcus, B. H., Kampert, J. B., Kohl, H. W., & Blair, S. N. (1998). Six-month physical activity and fitness changes in project active, a randomized trial. Medicine And Science In Sports And Exercise, 30(7), 1076–1083. https://doi.org/10.1097/00005768-199807000-00009.CrossRefPubMed

Fjeldsoe, B., Neuhaus, M., Winkler, E., & Eakin, E. (2011). Systematic review of maintenance of behavior change following physical activity and dietary interventions. Health Psychology, 30(1), 99–109. https://doi.org/10.1037/a0021974.CrossRefPubMed

Freedson, P. S., Melanson, E., & Sirard, J. (1998). Calibration of the Computer Science and Applications, Inc. accelerometer. Medicine And Science In Sports And Exercise, 30(5), 777–781. https://doi.org/10.1097/00005768-199805000-00021.CrossRefPubMed

Gell, N. M., Tursi, A., Grover, K. W., & Dittus, K. (2020). Female cancer survivor perspectives on remote intervention components to support physical activity maintenance. Supportive Care In Cancer, 28(5), 2185–2194. https://doi.org/10.1007/s00520-019-05038-y.CrossRefPubMed

Kendall, P. C., Olino, T. M., Carper, M., & Makover, H. (2017). On the importance of temporal precedence in mediational analyses. Journal Of Consulting And Clinical Psychology, 85(1), 80–82. https://doi.org/10.1037/ccp0000152.CrossRefPubMed

Kendzierski, D., & DiCarlo, K. (1991). Physical activity enjoyment scale: two validation studies. Journal of Sports and Exercise Psychology, 13, 50–64.CrossRef

Kindred, M. M., Pinto, B. M. & Dunsiger, S. I. (2020). Mediators of physical activity adoption and maintenance among breast cancer survivors. Journal of Behavioral Medicine, 43(4),605–613. https://doi.org/10.1007/s10865-019-00085-6

Lewis, B. A., Williams, D. M., Frayeh, A., & Marcus, B. H. (2016). Self-efficacy versus perceived enjoyment as predictors of physical activity behaviour. Psychology & Health, 31(4), 456–469. https://doi.org/10.1080/08870446.2015.1111372.CrossRef

Lombard, D. N., Lombard, T. N., & Winett, R. A. (1995). Walking to meet health guidelines: the effect of prompting frequency and prompt structure. Health Psychology, 14(2), 164–170. https://doi.org/10.1037//0278-6133.14.2.164.CrossRefPubMed

Marcus, B. H., Dubbert, P. M., Forsyth, L. H., McKenzie, T. L., Stone, E. J., Dunn, A. L., & Blair, S. N. (2000). Physical activity behavior change: issues in adoption and maintenance. Health Psychology, 19(1S), 32–41. https://doi.org/10.1037/0278-6133.19.suppl1.32.CrossRefPubMed

Marcus, B. H., Rossi, J. S., Selby, V. C., Niaura, R. S., & Abrams, D. B. (1992). The stages and processes of exercise adoption and maintenance in a worksite sample. Health Psychology, 11(6), 386–395. https://doi.org/10.1037//0278-6133.11.6.386.CrossRefPubMed

Marcus, B. H., Selby, V. C., Niaura, R. S., & Rossi, J. S. (1992). Self-efficacy and the stages of exercise behavior change. Research Quarterly For Exercise And Sport, 63(1), 60–66. https://doi.org/10.1080/02701367.1992.10607557.CrossRefPubMed

Marcus, B. H., & Simkin, L. R. (1993). The stages of exercise behavior. J Sports Med Phys Fitness, 33(1), 83–88. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/8350613

Marlatt, G. A., & Gordon, J. R. (1985). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press.

Martin, J. E., & Dubbert, P. M. (1982). Exercise applications and promotion in behavioral medicine: current status and future directions. Journal Of Consulting And Clinical Psychology, 50(6), 1004–1017. https://doi.org/10.1037//0022-006x.50.6.1004.CrossRefPubMed

McDonough, M. H., Beselt, L. J., Kronlund, L. J., Albinati, N. K., Daun, J. T., Trudeau, M. S., Wong, J.B., Culos-Reed, S.N., & Bridel, W. (2021). Social support and physical activity for cancer survivors: A qualitative review and meta-study. Journal Of Cancer Survivorship, 15(5), 713–728. https://doi.org/10.1007/s11764-020-00963-yCrossRefPubMed

Mosher, C. E., Lipkus, I., Sloane, R., Snyder, D. C., Lobach, D. F., & Demark-Wahnefried, W. (2013). Long-term outcomes of the FRESH START trial: exploring the role of self-efficacy in cancer survivors’ maintenance of dietary practices and physical activity. Psychooncology, 22(4), 876–885. https://doi.org/10.1002/pon.3089.CrossRefPubMed

Murray, J. M., Brennan, S. F., French, D. P., Patterson, C. C., Kee, F., & Hunter, R. F. (2018). Mediators of behavior change maintenance in physical activity interventions for young and middle-aged adults: A systematic review. Annals Of Behavioral Medicine, 52(6), 513–529. https://doi.org/10.1093/abm/kay012CrossRefPubMed

Pinto, B. M. & Dunsiger, S. I. (2021). The many faces of recruitment in a randomized controlled trial. Contemporary Clinical Trials, 102,106285. https://doi.org/10.1016/j.cct.2021.106285

Pinto, B. M., Dunsiger, S. I., DeScenza, V. & Stein, K. (in press). Mediators of physical activity outcomes in a peer-led intervention for breast cancer survivors. Psychooncology.

Pinto, B. M., Dunsiger, S. I., Kindred, M. M. & Mitchell, S. (2022). Physical activity adoption and maintenance among breast cancer survivors: A randomized trial of peer mentoring. Annals of Behavioral Medicine. https://doi.org/10.1093/abm/kaab078

Pinto, B. M., Frierson, G. M., Rabin, C., Trunzo, J. J. & Marcus, B. H. (2005). Home-based physical activity intervention for breast cancer patients. Journal of Clinical Oncology, 23(15), 3577–3587. https://doi.org/10.1200/JCO.2005.03.080

Pinto, B. M., Rabin, C., Abdow, S. & Papandonatos, G. D. (2008). A pilot study on disseminating physical activity promotion among cancer survivors: A brief report. Psychooncology, 17(5), 517–521. https://doi.org/10.1002/pon.1268

Pinto, B. M., Stein, K. & Dunsiger, S. I. (2015). Peers promoting physical activity among breast cancer survivors: A randomized controlled trial. Health Psychology, 34(5), 463–472. https://doi.org/10.1037/hea0000120CrossRefPubMed

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. https://doi.org/10.3758/brm.40.3.879.CrossRefPubMed

Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: toward an integrative model of change. Journal Of Consulting And Clinical Psychology, 51(3), 390–395. https://doi.org/10.1037//0022-006x.51.3.390.CrossRefPubMed

Qin, W., Hamler, T. C., & Miller, D. B. (2022). Self-efficacy and importance of participation reasons as predictors for prostate cancer screening intention in African American men. Ethnicity & Health, 27(2), 316–328. https://doi.org/10.1080/13557858.2020.1724269CrossRef

Rogers, L. Q., Markwell, S., Hopkins-Price, P., Vicari, S., Courneya, K. S., Hoelzer, K., & Verhulst, S. (2011). Reduced barriers mediated physical activity maintenance among breast cancer survivors. Journal Of Sport & Exercise Psychology, 33(2), 235–254. https://doi.org/10.1123/jsep.33.2.235.CrossRef

Sallis, J. F., Grossman, R. M., Pinski, R. B., Patterson, T. L., & Nader, P. R. (1987). The development of scales to measure social support for diet and exercise behaviors. Preventive medicine, 16(6), 825–836. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/3432232

Sallis, J. F., Haskell, W. L., Wood, P. D., Fortmann, S. P., Rogers, T., Blair, S. N., & Paffenbarger, R. S. Jr. (1985). Physical activity assessment methodology in the Five-City Project. American Journal Of Epidemiology, 121(1), 91–106. https://doi.org/10.1093/oxfordjournals.aje.a113987.CrossRefPubMed

Schumacher, O., Luo, H., Taaffe, D. R., Galvao, D. A., Tang, C., Chee, R., & Newton, R. U. (2021). Effects of exercise during radiation therapy on physical function and treatment-related side effects in men with prostate cancer: A systematic review and meta-analysis. International Journal Of Radiation Oncology Biology Physics, 111(3), 716–731. https://doi.org/10.1016/j.ijrobp.2021.06.034CrossRefPubMed

Scott, S. E., Breckon, J. D., Copeland, R. J., & Hutchison, A. (2015). Determinants and strategies for physical activity maintenance in chronic health conditions: A qualitative study. Journal Of Physical Activity & Health, 12(5), 733–740. https://doi.org/10.1123/jpah.2013-0286CrossRef

Sechrist, K. R., Walker, S. N., & Pender, N. J. (1987). Development and psychometric evaluation of the exercise benefits/barriers scale. Research In Nursing & Health, 10(6), 357–365. https://doi.org/10.1002/nur.4770100603.CrossRef

Spark, L. C., Reeves, M. M., Fjeldsoe, B. S., & Eakin, E. G. (2013). Physical activity and/or dietary interventions in breast cancer survivors: a systematic review of the maintenance of outcomes. Journal Of Cancer Survivorship, 7(1), 74–82. https://doi.org/10.1007/s11764-012-0246-6.CrossRefPubMed

Stacey, F. G., James, E. L., Chapman, K., Courneya, K. S., & Lubans, D. R. (2015). A systematic review and meta-analysis of social cognitive theory-based physical activity and/or nutrition behavior change interventions for cancer survivors. Journal Of Cancer Survivorship, 9(2), 305–338. https://doi.org/10.1007/s11764-014-0413-z.CrossRefPubMed

Stout, N. L., Baima, J., Swisher, A. K., Winters-Stone, K. M., & Welsh, J. (2017). A systematic review of exercise systematic reviews in the cancer literature (2005–2017). Physical Medicine and Rehabilitation, 9(9S2), S347–S384. https://doi.org/10.1016/j.pmrj.2017.07.074CrossRef

Tomlinson, D., Diorio, C., Beyene, J., & Sung, L. (2014). Effect of exercise on cancer-related fatigue: a meta-analysis. American Journal Of Physical Medicine And Rehabilitation, 93(8), 675–686. https://doi.org/10.1097/PHM.0000000000000083.CrossRefPubMed

Titel: Mediators of physical activity maintenance during a 12-month randomized controlled trial among breast Cancer survivors
Auteurs: Bernardine M. Pinto
Shira I. Dunsiger
Madison M. Kindred
Sheryl Mitchell
Publicatiedatum: 09-03-2023
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 5/2023
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-023-00402-0

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