Supportive Care in Cancer

, Volume 16, Issue 1, pp 9–17 | Cite as

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

  • Carolyn J. Peddle
  • Ronald C. Plotnikoff
  • T. Cameron Wild
  • Heather-Jane Au
  • Kerry S. Courneya
Original Article

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.

Keywords

Colorectal cancer survivors Physical activity Self-determination theory 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Carolyn J. Peddle
    • 1
  • Ronald C. Plotnikoff
    • 1
    • 2
  • T. Cameron Wild
    • 2
  • Heather-Jane Au
    • 3
  • Kerry S. Courneya
    • 1
  1. 1.Faculty of Physical Education and RecreationUniversity of AlbertaEdmontonCanada
  2. 2.Center for Health Promotion Studies, School of Public HealthUniversity of AlbertaEdmontonCanada
  3. 3.Division of Medical Oncology, Department of OncologyCross Cancer InstituteEdmontonCanada

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