Physical activity and exercise self-regulation in cancer survivors: A qualitative study
Autor: | Elizabeth J. Lyons, Karen M Basen-Engquist, Maria C. Swartz, Michael C Robertson, Edward Tsai |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male Gerontology Activities of daily living Health Behavior Psychological intervention Experimental and Cognitive Psychology Context (language use) Intention Article 03 medical and health sciences 0302 clinical medicine Cancer Survivors Humans 030212 general & internal medicine Exercise Qualitative Research Aged Motivation Focus Groups Middle Aged Focus group Self Efficacy Psychiatry and Mental health Oncology Content analysis 030220 oncology & carcinogenesis Facilitator Female Psychology Social psychology Social cognitive theory Qualitative research |
Zdroj: | Psycho-Oncology. 27:563-568 |
ISSN: | 1057-9249 |
Popis: | Objective Despite the benefits of physical activity, many cancer survivors do not adhere to clinically recommended levels. This qualitative study investigated factors of self-regulation contributing to survivor physical activity patterns. Methods Participants attended focus groups with prompts on exercise habits and self-regulation on the basis of social cognitive theory, self-determination theory, and self-regulation theory. Content analysis with a priori codes was conducted to identify emergent themes. Results Participants (n = 35) were predominately older (63.7 y ± 10.8), female (69%), white (71%), and breast cancer (60%) survivors, with 41% not meeting activity guidelines. Emergent themes included exercise goal development, selection, and attainment; exercise planning; and self-reward. Participants tended to develop values-based, general goals rather than action-based, measurable goals. Goal attainment success emerged as a facilitator of future goal performance; completing a current goal facilitated subsequent goal attainment, while failure hindered future goal completion. Rather than having deliberate intentions to schedule exercise, participants exercised if expedient in the context of normal daily activities. Food consumption emerged as a major mechanism for self-reward. Conclusions Our findings suggest that values-based goals, unplanned activity, influence from previous goal attempts, and self-reward were important factors related to self-regulation. Interventions designed to improve self-regulation may consider facilitating development of autonomous, value-based goals, assisting in development of strategies for future goals if current goals are not met, endorsing exercise as a scheduled activity, and introducing healthy self-reward alternatives. |
Databáze: | OpenAIRE |
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