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Open Access 01-05-2018 | Original Article

Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors

Authors: Laurien M. Buffart, Remco de Bree, Martine Altena, Sophie van der Werff, Constance H. C. Drossaert, Caroline M. Speksnijder, Michiel W. van den Brekel, Harriët Jager-Wittenaar, Neil K. Aaronson, Martijn M. Stuiver

Published in: Supportive Care in Cancer | Issue 5/2018

Abstract

Purpose

The purpose of the study is to identify demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity (PA) intention and behavior in head and neck cancer (HNC) survivors using the theory of planned behavior (TPB).

Methods

Data from two cross-sectional studies on correlates of PA in HNC survivors were pooled. Both studies used self-reports to assess PA and social-cognitive correlates. Potential correlates were collected via self-report or medical records. Univariable and multivariable multilevel linear mixed-effects models were built to identify correlates of PA intention and PA behavior (Z scores). Structural equation model analyses were conducted to study the full TPB model in one analysis, taking into account relevant covariates.

Results

In total, 416 HNC survivors were surveyed. Their mean (SD) age was 66.6 (9.4) years; 64% were men, and 78% were diagnosed with laryngeal cancer. The structural equation model showed that PA intention was significantly higher in HNC survivors with a history of exercising, who had a more positive attitude, subjective norm, and perceived behavioral control. Patients with higher PA intention, higher PBC, a lower age, and without unintentional weight loss or comorbidities had higher PA behavior. The model explained 22.9% of the variance in PA intention and 16.1% of the variance in PA behavior.

Conclusions

Despite significant pathways of the TPB model, the large proportion variance in PA intention and behavior remaining unexplained suggests the need for better PA behavior (change) models to guide the development of PA promotion programs, particularly for the elderly. Such programs should be tailored to comorbidities and nutritional status.

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Title: Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors
Authors: Laurien M. Buffart
Remco de Bree
Martine Altena
Sophie van der Werff
Constance H. C. Drossaert
Caroline M. Speksnijder
Michiel W. van den Brekel
Harriët Jager-Wittenaar
Neil K. Aaronson
Martijn M. Stuiver
Publication date: 01-05-2018
Publisher: Springer Berlin Heidelberg
Published in: Supportive Care in Cancer / Issue 5/2018
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-017-3966-3

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