Institute of Psychology, Heidelberg University, Heidelberg, Germany.
Division of Physical Activity, Prevention and Cancer, National Center for Tumor Diseases (NCT) Heidelberg and German Cancer Research Center (DKFZ), Heidelberg, Germany.
Eur J Cancer Care (Engl). 2022 Sep;31(5):e13622. doi: 10.1111/ecc.13622. Epub 2022 May 22.
Evidence on the benefits of physical activity (PA) during cancer has caused a paradigm shift from people with cancer being advised to save energy (rest paradigm) to guidelines recommending them to engage in regular PA (activity paradigm). This study examined the rest and the activity paradigm among people with cancer based on the theory of planned behaviour (TPB).
A cross-sectional survey was completed by N = 1244 people (58% women; M = 59.95 years) with breast, prostate and colorectal cancer, including 15 items on rest and activity attitudes. To explain the intention to engage in PA, hierarchical regression analyses were calculated.
The two-dimensional structure of attitudes (rest and activity) was confirmed. The agreement with the activity paradigm (M = 4.11; SD = 0.78) was higher compared to the rest paradigm (M = 2.56; SD = 0.78, p < .001). The TPB was an appropriate model to explain the intention to engage in PA (R = .59), showing that the activity paradigm, but not the rest paradigm, was significantly associated with participants' intention for PA.
Results indicate that the paradigm shift has successfully reached attitudes of people with cancer. Interventions focusing on the benefits of PA rather than addressing rest cognitions promise higher effectiveness in affecting PA levels.
NCT02678832.
有关癌症患者进行体力活动（PA）的益处的证据促使人们的观念发生了转变，从建议癌症患者节省能量（休息范式）转变为建议他们定期进行体力活动（活动范式）。本研究基于计划行为理论（TPB），调查了癌症患者的休息和活动范式。
通过横断面调查，共纳入了 1244 名患有乳腺癌、前列腺癌和结直肠癌的患者（58%为女性；平均年龄为 59.95 岁），他们完成了包括 15 项关于休息和活动态度的项目。为了解释参与 PA 的意图，进行了分层回归分析。
证实了态度（休息和活动）的二维结构。与休息范式（M=2.56；SD=0.78）相比，参与者更认同活动范式（M=4.11；SD=0.78，p<.001）。TPB 是解释参与 PA 意图的合适模型，表明活动范式而非休息范式与参与者对 PA 的意图显著相关。
结果表明，范式转变已成功地影响了癌症患者的态度。关注 PA 益处而非休息认知的干预措施有望在提高 PA 水平方面更有效。
NCT02678832。
