TY - JOUR
T1 - Social Cognitive Constructs Did Not Mediate the BEAT Cancer Intervention Effects on Objective Physical Activity Behavior Based on Multivariable Path Analysis
AU - Rogers, Laura Q.
AU - Courneya, Kerry S.
AU - Anton, Phillip M.
AU - Hopkins-Price, Patricia
AU - Verhulst, Steven
AU - Robbs, Randall S.
AU - Vicari, Sandra K.
AU - McAuley, Edward
N1 - Publisher Copyright:
© 2016, The Society of Behavioral Medicine.
PY - 2017/4/1
Y1 - 2017/4/1
N2 - Background: Most breast cancer survivors do not meet physical activity recommendations. Understanding mediators of physical activity behavior change can improve interventions designed to increase physical activity in this at-risk population. Purpose: Study aims were to determine the 3-month Better Exercise Adherence after Treatment for Cancer (BEAT Cancer) behavior change intervention effects on social cognitive theory constructs and the mediating role of any changes on the increase in accelerometer-measured physical activity previously reported. Methods: Post-treatment breast cancer survivors (N = 222) were randomized to BEAT Cancer or usual care. Assessments occurred at baseline, 3 months (M3), and 6 months (M6). Adjusted linear mixed model analysis of variance determined intervention effects on walking self-efficacy, outcome expectations, goal setting, and perceived barrier interference at M3. Path analysis determined mediation of intervention effects on physical activity at M6 by changes in social cognitive constructs during the intervention (i.e., baseline to M3). Results: BEAT Cancer significantly improved self-efficacy, goals, negative outcome expectations, and barriers. Total path analysis model explained 24 % of the variance in M6 physical activity. There were significant paths from randomized intervention group to self-efficacy (β = 0.15, p < .05) and barriers (β = −0.22, p < .01). Barriers demonstrated a borderline significant association with M6 physical activity (β = −0.24, p = .05). No statistically significant indirect effects were found. Conclusions: Although BEAT Cancer significantly improved social cognitive constructs, no significant indirect effects on physical activity improvements 3 months post-intervention were observed (NCT00929617).
AB - Background: Most breast cancer survivors do not meet physical activity recommendations. Understanding mediators of physical activity behavior change can improve interventions designed to increase physical activity in this at-risk population. Purpose: Study aims were to determine the 3-month Better Exercise Adherence after Treatment for Cancer (BEAT Cancer) behavior change intervention effects on social cognitive theory constructs and the mediating role of any changes on the increase in accelerometer-measured physical activity previously reported. Methods: Post-treatment breast cancer survivors (N = 222) were randomized to BEAT Cancer or usual care. Assessments occurred at baseline, 3 months (M3), and 6 months (M6). Adjusted linear mixed model analysis of variance determined intervention effects on walking self-efficacy, outcome expectations, goal setting, and perceived barrier interference at M3. Path analysis determined mediation of intervention effects on physical activity at M6 by changes in social cognitive constructs during the intervention (i.e., baseline to M3). Results: BEAT Cancer significantly improved self-efficacy, goals, negative outcome expectations, and barriers. Total path analysis model explained 24 % of the variance in M6 physical activity. There were significant paths from randomized intervention group to self-efficacy (β = 0.15, p < .05) and barriers (β = −0.22, p < .01). Barriers demonstrated a borderline significant association with M6 physical activity (β = −0.24, p = .05). No statistically significant indirect effects were found. Conclusions: Although BEAT Cancer significantly improved social cognitive constructs, no significant indirect effects on physical activity improvements 3 months post-intervention were observed (NCT00929617).
KW - Compliance
KW - Health promotion
KW - Mechanism
KW - Oncology
KW - Social cognitive theory
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U2 - 10.1007/s12160-016-9840-6
DO - 10.1007/s12160-016-9840-6
M3 - Article
C2 - 27752993
AN - SCOPUS:84991666174
SN - 0883-6612
VL - 51
SP - 321
EP - 326
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
IS - 2
ER -