Meeting physical activity guidelines in rural breast cancer survivors

Erin A. Olson, Sean P. Mullen, Laura Q. Rogers, Kerry S. Courneya, Steven Verhulst, Edward McAuley

Research output: Contribution to journalArticlepeer-review


Objectives: To examine the contribution of social cognitive constructs to meeting physical activity (PA) recommendations in rural breast cancer survivors (BCS). Methods: Rural BCS (N = 483) completed a mailbased survey. PA, fatigue, barriers and exercise self-efficacy, environment, social support, and perceived barriers to PA were assessed. PA was dichotomized into either meeting guidelines (150+minutes/week) or not. Results: Our model fit the data well with less fatigue, greater efficacy, and lower barriers being associated with PA (χ2=804.532(418), p < .001, CFI=.948, RMSEA=.044, SRMR=.046). Conclusions: Fatigue, self-efficacy, and perceived barriers are key targets for future interventions designed to increase PA in rural BCS. Enhancing self-efficacy and overcoming barriers will require strategies unique and relevant to BCS living in rural settings.

Original languageEnglish (US)
Pages (from-to)890-899
Number of pages10
JournalAmerican journal of health behavior
Issue number6
StatePublished - Nov 1 2014


  • Behavioral medicine
  • Cancer survivorship
  • Physical activity
  • Rural health
  • Self-efficacy

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health


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