Maintaining long-term physical activity after cancer: a conceptual framework to inform intervention development
Maintaining long-term physical activity after cancer: a conceptual framework to inform intervention development
Purpose: this paper describes a conceptual framework of maintenance of physical activity (PA) and its application to future intervention design.
Methods: evidence from systematic literature reviews and in-depth (N = 27) qualitative interviews with individuals with cancer were used to develop a conceptual framework of long-term physical activity behaviour. Determinants of long-term PA were listed and linked with domains of the Theoretical Domains Framework which in turn were linked to associated behaviour change techniques (BCTs) and finally to proposed mechanisms of action (MoA).
Results: the conceptual framework is presented within the context of non-modifiable contextual factors (such as demographic and material resources) and in the presence of learnt and adapted behavioural determinants of skills, competence and autonomous motivation that must be established as part of the initiation of physical activity behaviour. An inventory of 8 determinants of engagement in long-term PA after cancer was developed. Clusters of BCTs are presented along with proposed MoA which can be tested using mediation analysis in future trials.
Conclusion: understanding the processes of PA maintenance after cancer and presentation of implementable and testable intervention components and mechanisms of action to promote continued PA can inform future intervention development. Implications for Cancer Survivors: This resource can act as a starting point for selection of intervention components for those developing future interventions. This will facilitate effective support of individuals affected by cancer to maintain PA for the long term.
Cancer, Conceptual framework, Intervention, Maintenance, Physical activity
Grimmett, Chloe
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Corbett, Teresa
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Bradbury, Katherine
87fce0b9-d9c5-42b4-b041-bffeb4430863
Morton, Kate
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May, Carl R.
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Pinto, Bernardine M.
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Foster, Claire
00786ac1-bd47-4aeb-a0e2-40e058695b73
14 August 2023
Grimmett, Chloe
7f27e85b-2850-481d-a7dd-2835e1a925cd
Corbett, Teresa
b70b2081-3cfe-4a72-bfa0-22c32adae1d6
Bradbury, Katherine
87fce0b9-d9c5-42b4-b041-bffeb4430863
Morton, Kate
6fa41cd3-ba4d-476c-9020-b8ef93c7ade7
May, Carl R.
e47d231d-9514-40a9-9eab-afe4f67246e6
Pinto, Bernardine M.
0c949cc8-f305-4913-a4ff-17e2b4b807e1
Foster, Claire
00786ac1-bd47-4aeb-a0e2-40e058695b73
Grimmett, Chloe, Corbett, Teresa, Bradbury, Katherine, Morton, Kate, May, Carl R., Pinto, Bernardine M. and Foster, Claire
(2023)
Maintaining long-term physical activity after cancer: a conceptual framework to inform intervention development.
Journal of Cancer Survivorship.
(doi:10.1007/s11764-023-01434-w).
Abstract
Purpose: this paper describes a conceptual framework of maintenance of physical activity (PA) and its application to future intervention design.
Methods: evidence from systematic literature reviews and in-depth (N = 27) qualitative interviews with individuals with cancer were used to develop a conceptual framework of long-term physical activity behaviour. Determinants of long-term PA were listed and linked with domains of the Theoretical Domains Framework which in turn were linked to associated behaviour change techniques (BCTs) and finally to proposed mechanisms of action (MoA).
Results: the conceptual framework is presented within the context of non-modifiable contextual factors (such as demographic and material resources) and in the presence of learnt and adapted behavioural determinants of skills, competence and autonomous motivation that must be established as part of the initiation of physical activity behaviour. An inventory of 8 determinants of engagement in long-term PA after cancer was developed. Clusters of BCTs are presented along with proposed MoA which can be tested using mediation analysis in future trials.
Conclusion: understanding the processes of PA maintenance after cancer and presentation of implementable and testable intervention components and mechanisms of action to promote continued PA can inform future intervention development. Implications for Cancer Survivors: This resource can act as a starting point for selection of intervention components for those developing future interventions. This will facilitate effective support of individuals affected by cancer to maintain PA for the long term.
Text
s11764-023-01434-w (1)
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More information
Accepted/In Press date: 20 July 2023
e-pub ahead of print date: 14 August 2023
Published date: 14 August 2023
Additional Information:
Funding Information:
This study was funded by a National Institute for Health Research (NIHR), postdoctoral fellowship. The publication presents the independent research funded by the NIHR.
Publisher Copyright:
© 2023, The Author(s).
Keywords:
Cancer, Conceptual framework, Intervention, Maintenance, Physical activity
Identifiers
Local EPrints ID: 482324
URI: http://eprints.soton.ac.uk/id/eprint/482324
ISSN: 1932-2259
PURE UUID: 1f5200c1-cd7e-49a4-8655-d0931eeb5295
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Date deposited: 26 Sep 2023 16:58
Last modified: 18 Mar 2024 03:22
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Contributors
Author:
Teresa Corbett
Author:
Carl R. May
Author:
Bernardine M. Pinto
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