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Journal of Cancer Survivorship
Published in: Journal of Cancer Survivorship 1/2023

17-02-2021

Beliefs and interests in physical activity programs of cancer survivors and their romantic partners

Authors: G.R. Ulrich, S. Callan, K.W. Ranby

Published in: Journal of Cancer Survivorship | Issue 1/2023

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Abstract

Purpose

Physical activity is associated with improved health outcomes for cancer survivors and their romantic partners, yet it is unclear if joint exercise programs for survivor-partner dyads are acceptable. This study examined demographic, relationship, exercise, and cancer history correlates of survivors’ and their romantic partners’ couples-based exercise beliefs and their preferences for program designs.

Methods

All participants (survivors n=209, partners n=155, couples n=143) completed an online survey. Correlations and linear regression analyses were used to examine correlates of participants’ importance of and interest in couples-based exercise and their likelihood of joining a couples-based exercise program. Intraclass correlations estimated shared variance at the couple level.

Results

Most participants believed that couples-based exercise was highly important (51.8%) and were interested in a couples-based exercise program (61.5%), but fewer survivors believed their partner would be interested or would likely join a couples-based program. Across all outcomes, partner support for exercise was most strongly associated with participants’ couples-based exercise beliefs (r = 0.19–0.54, p<.05), and couples were significantly aligned in their beliefs (ρ=0.20–0.31, p<.01). Participants were interested in exercise programs involving exercising together (67.3%) as well as exercising separately while sharing activity data on an app or website (48.0%).

Conclusions

This novel understanding of couples-based exercise beliefs provides a strong foundation upon which future exercise programs may be designed for survivors and their romantic partners.

Impact for Cancer Survivors

Survivors’ adoption and maintenance of exercise may be enhanced by the inclusion of romantic partners in exercise programs, and partners’ inclusion is appealing to couples.
Appendix
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Literature
1.
Miller KD, Nogueira L, Mariotto AB, Rowland JH, Yabroff KR, Alfano CM, et al. Cancer treatment and survivorship statistics, 2019. CA Cancer J Clin. 2019;69(5):363–85.PubMedCrossRef
2.
3.
Arem H, Moore SC, Park Y, Ballard-Barbash R, Hollenbeck A, Leitzmann M, et al. Physical activity and cancer-specific mortality in the NIH-AARP Diet and Health Study cohort. Int J Cancer. 2014;135(2):423–31.PubMedCrossRef
4.
Patel AV, Friedenreich CM, Moore SC, Hayes SC, Silver JK, Campbell KL. American College of Sports Medicine roundtable report on physical activity, sedentary behavior, and cancer prevention and control. Med Sci Sports Exerc. 2019;51(11):2391–402.PubMedPubMedCentralCrossRef
5.
Sabiston CM, Brunet J. Reviewing the benefits of physical activity during cancer survivorship. Am J Lifestyle Med. 2012;6(2):167–77.CrossRef
6.
Fong DY, Ho JW, Hui BP, Lee AM, Macfarlane DJ, Leung SS, et al. Physical activity for cancer survivors: meta-analysis of randomised controlled trials. Bmj. 2012;344:e70.PubMedPubMedCentralCrossRef
7.
Campbell K, Winters-Stone KM, Wiskemann J, et al. Exercise guidelines for cancer survivors: consensus statement from International Multidisciplinary Roundtable. Med Sci Sports Exerc. 2019;51(11):2375–90.PubMedPubMedCentralCrossRef
8.
Sansano-Nadal O, Giné-Garriga M, Brach JS, Wert DM, Jerez-Roig J, Guerra-Balic M, et al. Exercise-based interventions to enhance long-term sustainability of physical activity in older adults: a systematic review and meta-analysis of randomized clinical trials. Int J Environ Res Public Health. 2019;16(14):2527.PubMedPubMedCentralCrossRef
9.
Spark LC, Reeves MM, Fjeldsoe BS, Eakin EG. Physical activity and/or dietary interventions in breast cancer survivors: a systematic review of the maintenance of outcomes. J Cancer Surviv. 2013;7(1):74–82.PubMedCrossRef
10.
Bluethmann SM, Vernon SW, Gabriel KP, Murphy CC, Bartholomew LK. Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors. Breast Cancer Res Treat. 2015;149(2):331–42.PubMedPubMedCentralCrossRef
11.
Kampshoff CS, Jansen F, van Mechelen W, May AM, Brug J, Chinapaw MJ, et al. Determinants of exercise adherence and maintenance among cancer survivors: a systematic review. Int J Behav Nutr Phys Act. 2014;11:80.PubMedPubMedCentralCrossRef
12.
La Guardia JG, Patrick H. The influence of the social environment on health behavior. In: Weinstein N, editor. Human motivation and interpersonal relationships. Dordrecht: Springer; 2014. p. 299–315.CrossRef
13.
14.
Jackson SE, Steptoe A, Wardle J. The influence of partner’s behavior on health behavior change: the English Longitudinal Study of Ageing. JAMA Intern Med. 2015;175(3):385–92.PubMedCrossRef
15.
Cobb JK, Godino JG, Selvin E, Kucharska-Newton A, Coresh J, Koton S. Spousal influence on physical activity in middle-aged and older adults: the ARIC study. Am J Epidemiol. 2016;183(5):444–51.PubMedCrossRef
16.
Ellis KR, Janevic MR, Kershaw T, Caldwell CH, Janz NK, Northouse L. Engagement in health-promoting behaviors and patient-caregiver interdependence in dyads facing advanced cancer: an exploratory study. J Behav Med. 2017;40(3):506–19.PubMedPubMedCentralCrossRef
17.
Martire LM, Schulz R, Helgeson VS, Small BJ, Saghafi EM. Review and meta-analysis of couple-oriented interventions for chronic illness. Ann Behav Med. 2010;40:325–42.PubMedCrossRef
18.
Streck BP, Wardell DW, Lobiondo-Wood G, Beauchamp JE. Interdependence of physical and psychological morbidity among patients with cancer and family caregivers: review of the literature. Psycho-Oncology. 2020;29:974–89.PubMedCrossRef
19.
Vitaliano PP, Zhang J, Scanlan JM. Is caregiving hazardous to one’s physical health? A meta-analysis. Psychol Bull. 2003;129(6):946–72.PubMedCrossRef
20.
Northouse LL, Katapodi MC, Song L, Zhang L, Mood DW. Interventions with family caregivers of cancer patients: meta-analysis of randomized trials. CA Cancer J Clin. 2010;60(5):317–39.PubMedPubMedCentral
21.
Girgis A, Lambert S, Johnson C, Waller A, Currow D. Physical, psychosocial, relationship, and economic burden of caring for people with cancer: a review. J Oncol Pract. 2013;9(4):97–202.CrossRef
22.
Mazanec SR, Daly BJ, Douglas SL, Lipson AR. Work productivity and health of informal caregivers of persons with advanced cancer. Res Nurs Health. 2011;34(6):483–95.PubMedPubMedCentralCrossRef
23.
Winters-Stone KM, Lyons KS, Dobek J, Dieckmann NF, Bennett JA, Nail L, et al. Benefits of partnered strength training for prostate cancer survivors and spouses: results from a randomized controlled trial of the Exercising Together project. J Cancer Surviv. 2016;10(4):633–44.PubMedCrossRef
24.
Lyons KS, Winters-Stone KM, Bennett JA, Beer TM. The effects of partnered exercise on physical intimacy in couples coping with prostate cancer. Health Psychol. 2016;35(5):509–13.PubMedCrossRef
25.
Pisu M, Demark-Wahnefried W, Kenzik KM, Oster RA, Lin CP, Manne S, et al. A dance intervention for cancer survivors and their partners (RHYTHM). J Cancer Surviv. 2017;11(3):350–9.PubMedPubMedCentralCrossRef
26.
Kamen C, Heckler C, Janelsins MC, Peppone LJ, McMahon JM, Morrow GR, et al. A dyadic exercise intervention to reduce psychological distress among lesbian, gay, and heterosexual cancer survivors. LGBT Health. 2016;3(1):57–64.PubMedPubMedCentralCrossRef
27.
Frambes D, Given B, Lehto R, Sikorskii A, Wyatt G. Informal caregivers of cancer patients: review of interventions, care activities, and outcomes. West J Nurs Res. 2018;40(7):1069–97.PubMedCrossRef
28.
Cooley ME, Finn KT, Wang Q, Roper K, Morones S, Shi L, et al. Health behaviors, readiness to change, and interest in health promotion programs among smokers with lung cancer and their family members: a pilot study. Cancer Nurs. 2013;36(2):145–54.PubMedPubMedCentralCrossRef
29.
Howell LA, Brockman TA, Sinicrope PS, Patten CA, Decker PA, Busta A, et al. Receptivity and preferences for lifestyle programs to reduce cancer risk among lung cancer family members. Adv Cancer Prev. 2016;1(3):110.PubMedPubMedCentralCrossRef
30.
Rogers LQ, Courneya KS, Verhulst S, Markwell SJ, McAuley E. Factors associated with exercise counseling and program preferences among breast cancer survivors. J Phys Act Health. 2008;5(5):688–705.PubMedCrossRef
31.
Philip EJ, Coups EJ, Feinstein MB, Park BJ, Wilson DJ, Ostroff JS. Physical activity preferences of early-stage lung cancer survivors. Support Care Cancer. 2014;22(2):495–502.PubMedCrossRef
32.
Phillips SM, Conroy DE, Keadle SK, Pellegrini CA, Lloyd GR, Penedo FJ, et al. Breast cancer survivors’ preferences for technology-supported exercise interventions. Support Care Cancer. 2017;25(10):3243–52.PubMedPubMedCentralCrossRef
33.
Wong JN, McAuley E, Trinh L. Physical activity programming and counseling preferences among cancer survivors: a systematic review. Int J Behav Nutr Phys Act. 2018;15(1):48.PubMedPubMedCentralCrossRef
34.
Rusbult CE, Martz JM, Agnew CR. The investment model scale: measuring commitment level, satisfaction level, quality of alternatives, and investment size. Pers Relat. 1998;5(4):357–87.CrossRef
35.
Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR. The development of scales to measure social support for diet and exercise behaviors. Prev Med. 1987;16:825–36.PubMedCrossRef
36.
Ortega FB, Ruiz JR, Espana-Romero V, Vicente-Rodriguez G, Martínez-Gómez D, Manios Y, et al. The International Fitness Scale (IFIS): usefulness of self-reported fitness in youth. Int J Epidemiol. 2011;40(3):701–11.PubMedCrossRef
37.
Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985;10:141–6.PubMed
38.
Kiecolt-Glaser JK, Newton TL. Marriage and health: his and hers. Psychol Bull. 2001;127(4):472–503.PubMedCrossRef
39.
Lewis MA, McBride CM, Pollak KI, Puleo E, Butterfield RM, Emmons KM. Understanding health behavior change among couples: an interdependence and communal coping approach. Soc Sci Med. 2006;62(6):1369–80.PubMedCrossRef
40.
Lyons RF, Mickelson KD, Sullivan MJ, Coyne JC. Coping as a communal process. J Soc Pers Relat. 1998;15(5):579–605.CrossRef
41.
Wooldridge JS, Ranby KW, Roberts S, Huebschmann AG. A couples-based approach for increasing physical activity among adults with type 2 diabetes: a pilot feasibility randomized controlled trial. Diab Educ. 2019;45(6):629–41.CrossRef
42.
Phillips SM, McAuley E. Social cognitive influences on physical activity participation in long-term breast cancer survivors. Psycho-Oncology. 2013;22(4):783–91.PubMedCrossRef
43.
Darlow SD, Xu X. The influence of close others’ exercise habits and perceived social support on exercise. Psychol Sport Exerc. 2011;12(5):575–8.CrossRef
44.
Smith GL, Banting L, Eime R, O’Sullivan G, Van Uffelen JG. The association between social support and physical activity in older adults: a systematic review. Int J Behav Nutr Phys Act. 2017;14(1):56.CrossRef
45.
Lloyd GR, Hoffman SA, Welch WA, Blanch-Hartigan D, Gavin KL, Cottrell A, et al. Breast cancer survivors’ preferences for social support features in technology-supported physical activity interventions: findings from a mixed methods evaluation. Transl Behav Med. 2020;10(2):423–34.PubMedCrossRef
46.
Smith L, Croker H, Fisher A, Williams K, Wardle J, Beeken RJ. Cancer survivors’ attitudes towards and knowledge of physical activity, sources of information, and barriers and facilitators of engagement: a qualitative study. Eur J Cancer Care (Engl). 2017;26(4):12641.CrossRef
47.
Phillips SM, Courneya KS, Welch WA, Gavin KL, Cottrell A, Nielsen A, et al. Breast cancer survivors’ preferences for mHealth physical activity interventions: findings from a mixed methods study. J Cancer Surviv. 2019;13(2):292–305.PubMedPubMedCentralCrossRef
48.
Robertson MC, Tsai E, Lyons EJ, Srinivasan S, Swartz MC, Baum ML, et al. Mobile health physical activity intervention preferences in cancer survivors: a qualitative study. JMIR mHealth uHealth. 2017;5(1):e3.PubMedPubMedCentralCrossRef
49.
Grimmett C, Corbett T, Brunet J, Shepherd J, Pinto BM, May CR, et al. Systematic review and meta-analysis of maintenance of physical activity behaviour change in cancer survivors. Int J Behav Nutr Phys Act. 2019;16(1):37.PubMedPubMedCentralCrossRef
Metadata
Title
Beliefs and interests in physical activity programs of cancer survivors and their romantic partners
Authors
G.R. Ulrich
S. Callan
K.W. Ranby
Publication date
17-02-2021
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 1/2023
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-021-00996-x

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