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Published in: Supportive Care in Cancer 1/2008

01-01-2008 | Original Article

Medical, demographic, and psychosocial correlates of exercise in colorectal cancer survivors: an application of self-determination theory

Authors: Carolyn J. Peddle, Ronald C. Plotnikoff, T. Cameron Wild, Heather-Jane Au, Kerry S. Courneya

Published in: Supportive Care in Cancer | Issue 1/2008

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Abstract

Objectives

The purpose of the present study was to evaluate medical, demographic, and psychosocial correlates of exercise in colorectal cancer survivors (CRC-S) using self-determination theory (SDT).

Methods

Participants were 414 CRC-S who completed a mailed survey that assessed self-reported exercise, medical and demographic variables, and SDT constructs consisting of behavioral regulation for exercise, psychological needs satisfaction in exercise (PNSE), and perceived autonomy support (PAS).

Results

CRC-S with less education were significantly less likely to meet exercise guidelines (21 vs 31%; p < 0.001). Path analysis indicated that SDT and education explained 16% of the variance in exercise behavior with identified regulation (β = 0.17, p = 0.031), introjected regulation (β = 0.14, p = 0.006), and education (β = 0.16, p < 0.001) each making a significant independent contribution.

Conclusions

Few medical and demographic factors are correlates of regular exercise in CRC-S, but SDT provided a good understanding of exercise behavior in this population. Exercise behavior change interventions incorporating principles of SDT may have utility for promoting exercise and improving outcomes in this important population of cancer survivors.
Literature
1.
go back to reference Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23(34):8884–8893PubMedCrossRef Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23(34):8884–8893PubMedCrossRef
2.
go back to reference Biddle SJ, Soos I, Chatzisarantis N (1999) Predicting physical activity intention using goal perspective and self-determination theory approaches. Eur Psychol 4(2):83–89 Biddle SJ, Soos I, Chatzisarantis N (1999) Predicting physical activity intention using goal perspective and self-determination theory approaches. Eur Psychol 4(2):83–89
3.
go back to reference Chatzisarantis N, Hagger MS, Biddle SJ, Karageorghis (2002) The cognitive processes by which perceived locus of causality predicts participation in physical activity. J Health Psychol 7(6):685–699CrossRef Chatzisarantis N, Hagger MS, Biddle SJ, Karageorghis (2002) The cognitive processes by which perceived locus of causality predicts participation in physical activity. J Health Psychol 7(6):685–699CrossRef
4.
go back to reference Chatzisarantis N, Hagger MS, Biddle SJ, Smith B, Wang JCK (2003) A meta-analysis of perceived locus of causality in exercise, sport, and physical education. J Sport Exerc Psychol 25:284–306 Chatzisarantis N, Hagger MS, Biddle SJ, Smith B, Wang JCK (2003) A meta-analysis of perceived locus of causality in exercise, sport, and physical education. J Sport Exerc Psychol 25:284–306
5.
go back to reference Clark DO (1995) Racial and education differences in physical activity among older adults. Gerontologist 35(4):472–480PubMed Clark DO (1995) Racial and education differences in physical activity among older adults. Gerontologist 35(4):472–480PubMed
6.
go back to reference Cohen J (1988) Statistical power analysis for the behavioral sciences. Erlbaum, Hilllsdale Cohen J (1988) Statistical power analysis for the behavioral sciences. Erlbaum, Hilllsdale
7.
go back to reference Cooper H (1995) The role of physical activity in the recovery from breast cancer. Melpomene Journal 14:18–20 Cooper H (1995) The role of physical activity in the recovery from breast cancer. Melpomene Journal 14:18–20
8.
go back to reference Coups EJ, Ostroff JS (2005) A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med 40(6):702–711PubMedCrossRef Coups EJ, Ostroff JS (2005) A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med 40(6):702–711PubMedCrossRef
9.
go back to reference Courneya K, Friedenreich CM (1997) Determinants of exercise during colorectal cancer treatment: an application of the theory of planned behavior. Oncol Nurs Forum 24(10):1715–1723PubMed Courneya K, Friedenreich CM (1997) Determinants of exercise during colorectal cancer treatment: an application of the theory of planned behavior. Oncol Nurs Forum 24(10):1715–1723PubMed
10.
go back to reference Courneya K, Friedenreich CM (1997) Relationship between exercise during treatment and current quality of life among survivors of breast cancer. J Psychosoc Oncol 15(3/4):35–57CrossRef Courneya K, Friedenreich CM (1997) Relationship between exercise during treatment and current quality of life among survivors of breast cancer. J Psychosoc Oncol 15(3/4):35–57CrossRef
11.
go back to reference Courneya K, Friedenreich CM (1997) Relationship between exercise pattern across the cancer experience and current quality of life in colorectal cancer survivors. J Altern Complement Med 3(3):215–226PubMedCrossRef Courneya K, Friedenreich CM (1997) Relationship between exercise pattern across the cancer experience and current quality of life in colorectal cancer survivors. J Altern Complement Med 3(3):215–226PubMedCrossRef
12.
go back to reference Courneya K, Friedenreich CM, Arthur K, Bobick TM (1999) Physical exercise and quality of life in postsurgical colorectal cancer patients. Psychol Health Med 4(2):181–187CrossRef Courneya K, Friedenreich CM, Arthur K, Bobick TM (1999) Physical exercise and quality of life in postsurgical colorectal cancer patients. Psychol Health Med 4(2):181–187CrossRef
13.
go back to reference Courneya KS, Blanchard CM, Laing DM (2001) Exercise adherence in breast cancer survivors training for a dragon boat race competition: a preliminary investigation. Psycho-Oncology 10:444–452PubMedCrossRef Courneya KS, Blanchard CM, Laing DM (2001) Exercise adherence in breast cancer survivors training for a dragon boat race competition: a preliminary investigation. Psycho-Oncology 10:444–452PubMedCrossRef
14.
go back to reference Courneya KS, Friedenreich CM, Sela RA, Quinney H, Rhodes RE (2002) Correlates of adherence and contamination in a randomized controlled trial of exercise in cancer survivors: an application of the theory of planned behavior and the five factor model of personality. Annals Behav Med 24(4):257–268CrossRef Courneya KS, Friedenreich CM, Sela RA, Quinney H, Rhodes RE (2002) Correlates of adherence and contamination in a randomized controlled trial of exercise in cancer survivors: an application of the theory of planned behavior and the five factor model of personality. Annals Behav Med 24(4):257–268CrossRef
15.
go back to reference Courneya KS, Friedenreich CM (1999) Utility of the theory of planned behavior for understanding exercise during breast cancer treatment. Psycho-Oncology 8:112–122PubMedCrossRef Courneya KS, Friedenreich CM (1999) Utility of the theory of planned behavior for understanding exercise during breast cancer treatment. Psycho-Oncology 8:112–122PubMedCrossRef
16.
go back to reference Courneya KS, Friedenreich CM, Arthur HA, Fields ALA, Jones LW, Fairey AS (2004) Predictors of adherence and contamination in a randomized trial of exercise in colorectal cancer survivors. Psycho-Oncology 13:857–866PubMedCrossRef Courneya KS, Friedenreich CM, Arthur HA, Fields ALA, Jones LW, Fairey AS (2004) Predictors of adherence and contamination in a randomized trial of exercise in colorectal cancer survivors. Psycho-Oncology 13:857–866PubMedCrossRef
17.
go back to reference Courneya KS, Friedenreich CM, Arthur K, Bobick TM (1999) Understanding exercise motivation in colorectal cancer patients: a prospective study using the theory of planned behavior. Rehabil Psychol 44(1):68–84CrossRef Courneya KS, Friedenreich CM, Arthur K, Bobick TM (1999) Understanding exercise motivation in colorectal cancer patients: a prospective study using the theory of planned behavior. Rehabil Psychol 44(1):68–84CrossRef
18.
go back to reference Courneya Ks, Keats MR, Turner AR (2000) Social Cognitive determinants of hospital-based exercise in cancer patients following high-dose chemotherapy and bone marrow transplantation. Int J Behav Med 7(3):189–203CrossRef Courneya Ks, Keats MR, Turner AR (2000) Social Cognitive determinants of hospital-based exercise in cancer patients following high-dose chemotherapy and bone marrow transplantation. Int J Behav Med 7(3):189–203CrossRef
19.
go back to reference Courneya KS, Mackey JR, Jones LW (2000) Coping with cancer: can exercise help? Phys Sports Med 28(5):49–51, 55–56, 66–68, 71–71 Courneya KS, Mackey JR, Jones LW (2000) Coping with cancer: can exercise help? Phys Sports Med 28(5):49–51, 55–56, 66–68, 71–71
21.
go back to reference Deci EL, Ryan RM (eds) (2002) Handbook of self-determination research. University of Rochester Press, Rochester Deci EL, Ryan RM (eds) (2002) Handbook of self-determination research. University of Rochester Press, Rochester
22.
go back to reference Dillman W, Bergsagel PL, Duehl WM et al (2001) Mail and other self administered questionnaires. In: Rossi J, Anderson AB (eds) Handbook of survey research. Academic, Toronto pp 359–378 Dillman W, Bergsagel PL, Duehl WM et al (2001) Mail and other self administered questionnaires. In: Rossi J, Anderson AB (eds) Handbook of survey research. Academic, Toronto pp 359–378
23.
go back to reference Fredrick-Recascino CM (2002) Self-determination theory and participation motivation research in the sport and exercise domain. In: Deci EL, Ryan RM (eds) Handbook of self-determination research. University of Rochester Press, Rochester, pp 277–294 Fredrick-Recascino CM (2002) Self-determination theory and participation motivation research in the sport and exercise domain. In: Deci EL, Ryan RM (eds) Handbook of self-determination research. University of Rochester Press, Rochester, pp 277–294
24.
go back to reference Godin G, Jobin J, Bouillon J (1986) Assessment of leisure time exercise behavior by self-report: a concurrent validity study. Can J Public Health 77:359–361PubMed Godin G, Jobin J, Bouillon J (1986) Assessment of leisure time exercise behavior by self-report: a concurrent validity study. Can J Public Health 77:359–361PubMed
25.
go back to reference Godin G, Shepard RJ (1985) A simple method to assess exercise behavior in the community. Can J App Sport Sci 10:141–146 Godin G, Shepard RJ (1985) A simple method to assess exercise behavior in the community. Can J App Sport Sci 10:141–146
26.
go back to reference Grimm LG, Yarnold PR (eds) (1995) Reading and understanding multivariate statistics. American Psychological Association, Washington, DC, USA Grimm LG, Yarnold PR (eds) (1995) Reading and understanding multivariate statistics. American Psychological Association, Washington, DC, USA
27.
go back to reference Harmer M, Karageorghis CI, Vlachopoulos SP (2002) Motives for exercise participation as predictors of exercise dependence among endurance athletes. J Sports Med Phys Fitness 42:233–238 Harmer M, Karageorghis CI, Vlachopoulos SP (2002) Motives for exercise participation as predictors of exercise dependence among endurance athletes. J Sports Med Phys Fitness 42:233–238
28.
go back to reference Hong S, Bardwell WA, Natarajan L, Flatt SW, Rock CL, Newman VA et al (2007) Correlates of physical activity level in breast cancer survivors participating in the Women’s Healthy Eating and Living (WHEL) Study. Breast Cancer Res Treat 101(2):225–232PubMedCrossRef Hong S, Bardwell WA, Natarajan L, Flatt SW, Rock CL, Newman VA et al (2007) Correlates of physical activity level in breast cancer survivors participating in the Women’s Healthy Eating and Living (WHEL) Study. Breast Cancer Res Treat 101(2):225–232PubMedCrossRef
29.
go back to reference Jacobs DR, ABE, Hartman TJ, Leon AS (1993) A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exer 25:81–91CrossRef Jacobs DR, ABE, Hartman TJ, Leon AS (1993) A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exer 25:81–91CrossRef
30.
go back to reference James AS, Campbell MK, DeVellis B, Reedy J, Carr C, Sandler RS (2006) Health behavior correlates among colon cancer survivors: NC STRIDES baseline results. Am J Health Behav 30(6):720–730PubMed James AS, Campbell MK, DeVellis B, Reedy J, Carr C, Sandler RS (2006) Health behavior correlates among colon cancer survivors: NC STRIDES baseline results. Am J Health Behav 30(6):720–730PubMed
31.
go back to reference Johnston L (2000) Colon & rectal cancer. O’Reilly, Sebastopol Johnston L (2000) Colon & rectal cancer. O’Reilly, Sebastopol
32.
go back to reference Karvinen KH, Courneya KS, Campbell KL, Pearcey RG, Dundas G, Capstick V et al (2006) Exercise preferences of endometrial cancer survivors: a population-based study. Cancer Nurs 29(4):259–265PubMedCrossRef Karvinen KH, Courneya KS, Campbell KL, Pearcey RG, Dundas G, Capstick V et al (2006) Exercise preferences of endometrial cancer survivors: a population-based study. Cancer Nurs 29(4):259–265PubMedCrossRef
33.
go back to reference Kowal J, Fortier MS (2000) Testing relationships from the hierarchical model of intrinsic and extrinsic motivation using flow as a motivation consequence. Res Q Exerc Sport 71(2):171–181PubMed Kowal J, Fortier MS (2000) Testing relationships from the hierarchical model of intrinsic and extrinsic motivation using flow as a motivation consequence. Res Q Exerc Sport 71(2):171–181PubMed
34.
go back to reference Markland D (1999) Self-determination moderates the effects of perceived competence on intrinsic motivation in an exercise setting. J Sport Exerc Psychol 21:351–361 Markland D (1999) Self-determination moderates the effects of perceived competence on intrinsic motivation in an exercise setting. J Sport Exerc Psychol 21:351–361
35.
go back to reference Meyerhardt JA, Giovannucci EL, Holmes MD, Chan AT, Chan JA, Colditz GA et al (2006). Physical activity and survival after colorectal cancer diagnosis. J Clin Oncol 24(22):3527–3534PubMedCrossRef Meyerhardt JA, Giovannucci EL, Holmes MD, Chan AT, Chan JA, Colditz GA et al (2006). Physical activity and survival after colorectal cancer diagnosis. J Clin Oncol 24(22):3527–3534PubMedCrossRef
36.
go back to reference Meyerhardt JA, Heseltine D, Niedzwiecki D, Hollis D, Saltz LB, Mayer RJ et al (2006) Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer: findings from CALGB 89803. J Clin Oncol 24(22):3535–3541PubMedCrossRef Meyerhardt JA, Heseltine D, Niedzwiecki D, Hollis D, Saltz LB, Mayer RJ et al (2006) Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer: findings from CALGB 89803. J Clin Oncol 24(22):3535–3541PubMedCrossRef
37.
go back to reference Pakilit A, Kahn BA, Petersen L, Abraham LS, Greendale GA, Ganz PA (2001) Making effective use of tumor registries for cancer survivorship research. Cancer 92(5):1305–1314PubMedCrossRef Pakilit A, Kahn BA, Petersen L, Abraham LS, Greendale GA, Ganz PA (2001) Making effective use of tumor registries for cancer survivorship research. Cancer 92(5):1305–1314PubMedCrossRef
38.
go back to reference Pate R, Pratt M, Blair SN et al (1995) Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the Amberican College of Sports Medicine. JAMA 273:402–407PubMedCrossRef Pate R, Pratt M, Blair SN et al (1995) Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the Amberican College of Sports Medicine. JAMA 273:402–407PubMedCrossRef
39.
go back to reference Pedhauzer NJ (1982) Multiple regression in behavioral research. Holt, Rinehart, and Winston, New York Pedhauzer NJ (1982) Multiple regression in behavioral research. Holt, Rinehart, and Winston, New York
40.
go back to reference Ponz de Leon M (2002) Colorectal cancer. Springer, New York Ponz de Leon M (2002) Colorectal cancer. Springer, New York
41.
go back to reference Randsdell L (1996) Maximizing response rate in questionnaire research. Am J Health Behav 20:50–56 Randsdell L (1996) Maximizing response rate in questionnaire research. Am J Health Behav 20:50–56
42.
go back to reference Rhodes RE, Martin AD, Taunton JE, Rhodes EC, Donnelly M, Elliot J (1999) Factors associated with exercise adherence among older adults. An individual perspective. Sports Med 28(6):397–411PubMedCrossRef Rhodes RE, Martin AD, Taunton JE, Rhodes EC, Donnelly M, Elliot J (1999) Factors associated with exercise adherence among older adults. An individual perspective. Sports Med 28(6):397–411PubMedCrossRef
43.
go back to reference Ryan RM (1995) Psychological needs and the facilitation of integrative processes. J Person 63(3):397–427PubMedCrossRef Ryan RM (1995) Psychological needs and the facilitation of integrative processes. J Person 63(3):397–427PubMedCrossRef
44.
go back to reference Ryan RM (2002) Conceptual features of introjection, identification, and intrinsic motivation. In: Deci EL, Ryan RM (eds) Handbook of self-determination research. University of Rochester Press, Rocherster, NY, USA Ryan RM (2002) Conceptual features of introjection, identification, and intrinsic motivation. In: Deci EL, Ryan RM (eds) Handbook of self-determination research. University of Rochester Press, Rocherster, NY, USA
45.
go back to reference Ryan RM, Deci EL (2000) Intrinsic and extrinsic motivations: classic definitions and new directions. Contemp Educ Psychol 25:54–67PubMedCrossRef Ryan RM, Deci EL (2000) Intrinsic and extrinsic motivations: classic definitions and new directions. Contemp Educ Psychol 25:54–67PubMedCrossRef
46.
go back to reference Ryan RM, Deci EL (2002) Overview of self-determination theory: an organismic dialectical perpective. In: Deci EL, Ryan RM (eds) Handbook of self-determination research. University of Rochester Press, Rochester, NY, USA, pp 3–21 Ryan RM, Deci EL (2002) Overview of self-determination theory: an organismic dialectical perpective. In: Deci EL, Ryan RM (eds) Handbook of self-determination research. University of Rochester Press, Rochester, NY, USA, pp 3–21
47.
go back to reference Samad AK, Taylor RS, Marshall T, Chapman MA (2005) A meta-analysis of the association of physical activity with reduced risk of colorectal cancer. Colorectal Dis 7(3):204–213PubMedCrossRef Samad AK, Taylor RS, Marshall T, Chapman MA (2005) A meta-analysis of the association of physical activity with reduced risk of colorectal cancer. Colorectal Dis 7(3):204–213PubMedCrossRef
48.
go back to reference Vallance J, Courneya KS, Jones LW, Reiman T (2005) Differences in quality of life between non-Hodgkins lymphoma survivors meeting and not meeting public health exercise guidelines. Psycho-Oncology 14(11):979–991PubMedCrossRef Vallance J, Courneya KS, Jones LW, Reiman T (2005) Differences in quality of life between non-Hodgkins lymphoma survivors meeting and not meeting public health exercise guidelines. Psycho-Oncology 14(11):979–991PubMedCrossRef
49.
go back to reference Westmaas JL, Wild TC, Ferrence R (2002) Effects of gender in social control of smoking cessation. Health Psychology 21:368–376PubMedCrossRef Westmaas JL, Wild TC, Ferrence R (2002) Effects of gender in social control of smoking cessation. Health Psychology 21:368–376PubMedCrossRef
50.
go back to reference Williams GC (2002) Improving patients’ health through supporting the autonomy of patients and providers. In: Deci EL, Ryan RM (eds) Handbook of self-determination research. University of Rochester, Rochester, NY, USA, pp 233–254 Williams GC (2002) Improving patients’ health through supporting the autonomy of patients and providers. In: Deci EL, Ryan RM (eds) Handbook of self-determination research. University of Rochester, Rochester, NY, USA, pp 233–254
51.
go back to reference Williams GC, Freedman ZR, Deci EL (1998) Supporting autonomy to motivate patients with diabetes for glucose control. Diabetes Care 21(10):1644–1651PubMedCrossRef Williams GC, Freedman ZR, Deci EL (1998) Supporting autonomy to motivate patients with diabetes for glucose control. Diabetes Care 21(10):1644–1651PubMedCrossRef
52.
go back to reference Williams GC, Grow VM, Freedman ZR, Ryan RM, Deci EL (1996) Motivational predictors of weight loss and weight-loss maintenance. J Pers Soc Psychol 70(1):115–126PubMedCrossRef Williams GC, Grow VM, Freedman ZR, Ryan RM, Deci EL (1996) Motivational predictors of weight loss and weight-loss maintenance. J Pers Soc Psychol 70(1):115–126PubMedCrossRef
53.
go back to reference Williams GC, McGregor HA, Sharp D, Levesque C, Kouides RW, Ryan RM et al (2006) Testing a self-determination theory intervention for motivating tobacco cessation: supporting autonomy and competence in a clinical trial. Health Psychol 25(1):91–101PubMedCrossRef Williams GC, McGregor HA, Sharp D, Levesque C, Kouides RW, Ryan RM et al (2006) Testing a self-determination theory intervention for motivating tobacco cessation: supporting autonomy and competence in a clinical trial. Health Psychol 25(1):91–101PubMedCrossRef
54.
go back to reference Wilson PM (2004) Psychological needs satisfaction and exercise. Ph.D. Thesis, University of Alberta, Edmonton Wilson PM (2004) Psychological needs satisfaction and exercise. Ph.D. Thesis, University of Alberta, Edmonton
55.
go back to reference Wilson PM, Blanchard CM, Nehl E, Baker F (2006) Predicting physical activity and outcome expectations in cancer survivors: an application of self-determination theory. Psycho-Oncology 15:567–578PubMedCrossRef Wilson PM, Blanchard CM, Nehl E, Baker F (2006) Predicting physical activity and outcome expectations in cancer survivors: an application of self-determination theory. Psycho-Oncology 15:567–578PubMedCrossRef
56.
go back to reference Wilson PM, Rodgers WM (2002) The relationship between exercise motives and physical self-esteem in female exercise participants: an application of self-determination research. J Appl Biobehav Res 7(1):30–43CrossRef Wilson PM, Rodgers WM (2002) The relationship between exercise motives and physical self-esteem in female exercise participants: an application of self-determination research. J Appl Biobehav Res 7(1):30–43CrossRef
57.
go back to reference Wilson PM, Rodgers WM (2004) The relationship between perceived autonomy support, exercise regulations and behavioral intentions in women. Psychol Sport Exerc 5:229–242CrossRef Wilson PM, Rodgers WM (2004) The relationship between perceived autonomy support, exercise regulations and behavioral intentions in women. Psychol Sport Exerc 5:229–242CrossRef
58.
go back to reference Wilson PM, Rodgers WM, Blanchard CM, Gessell J (2003) The relationship between psychological needs, self-determined motivation, exercise attitudes, and physical fitness. J Appl Soc Psychol 33(11):2373–2392CrossRef Wilson PM, Rodgers WM, Blanchard CM, Gessell J (2003) The relationship between psychological needs, self-determined motivation, exercise attitudes, and physical fitness. J Appl Soc Psychol 33(11):2373–2392CrossRef
59.
go back to reference Wilson PM, Rodgers WM, Fraser SN, Murray TC (2004) Relationships between exercise regulations and motivational consequences in university students. Res Q Exerc Sport 75(1):81–91PubMed Wilson PM, Rodgers WM, Fraser SN, Murray TC (2004) Relationships between exercise regulations and motivational consequences in university students. Res Q Exerc Sport 75(1):81–91PubMed
60.
go back to reference Wilson PM, Rodgers WM, Hall CR, Gammage KL (2003) Do Autonomous exercise regulations underpin different types of exercise imagery? J Appl Sport Psychol 15:294–306CrossRef Wilson PM, Rodgers WM, Hall CR, Gammage KL (2003) Do Autonomous exercise regulations underpin different types of exercise imagery? J Appl Sport Psychol 15:294–306CrossRef
61.
go back to reference Wilson PM, Rodgers WT, Rodgers WM, Wild TC (2006) The psychological need satisfaction in exercise scale. J Sport Exerc Psychol 28:231–251 Wilson PM, Rodgers WT, Rodgers WM, Wild TC (2006) The psychological need satisfaction in exercise scale. J Sport Exerc Psychol 28:231–251
62.
go back to reference Wolinsky FD, Stump TE, Clark DO (1995) Antecedents and consequences of physical activity and exercise among older adults. Gerontologist 35(4):451–462PubMed Wolinsky FD, Stump TE, Clark DO (1995) Antecedents and consequences of physical activity and exercise among older adults. Gerontologist 35(4):451–462PubMed
Metadata
Title
Medical, demographic, and psychosocial correlates of exercise in colorectal cancer survivors: an application of self-determination theory
Authors
Carolyn J. Peddle
Ronald C. Plotnikoff
T. Cameron Wild
Heather-Jane Au
Kerry S. Courneya
Publication date
01-01-2008
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 1/2008
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-007-0272-5

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