Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors

Laurien M. Buffart* (Corresponding Author), Remco de Bree, Martine Altena, Sophie van der Werff, Constance H.C. Drossaert, Caroline M. Speksnijder, Michiel W. van den Brekel, Harriët Jager-Wittenaar, Neil K. Aaronson, Martijn M. Stuiver

*Corresponding author for this work

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Abstract

Purpose: The purpose of the study is to identify demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity (PA) intention and behavior in head and neck cancer (HNC) survivors using the theory of planned behavior (TPB). Methods: Data from two cross-sectional studies on correlates of PA in HNC survivors were pooled. Both studies used self-reports to assess PA and social-cognitive correlates. Potential correlates were collected via self-report or medical records. Univariable and multivariable multilevel linear mixed-effects models were built to identify correlates of PA intention and PA behavior (Z scores). Structural equation model analyses were conducted to study the full TPB model in one analysis, taking into account relevant covariates. Results: In total, 416 HNC survivors were surveyed. Their mean (SD) age was 66.6 (9.4) years; 64% were men, and 78% were diagnosed with laryngeal cancer. The structural equation model showed that PA intention was significantly higher in HNC survivors with a history of exercising, who had a more positive attitude, subjective norm, and perceived behavioral control. Patients with higher PA intention, higher PBC, a lower age, and without unintentional weight loss or comorbidities had higher PA behavior. The model explained 22.9% of the variance in PA intention and 16.1% of the variance in PA behavior. Conclusions: Despite significant pathways of the TPB model, the large proportion variance in PA intention and behavior remaining unexplained suggests the need for better PA behavior (change) models to guide the development of PA promotion programs, particularly for the elderly. Such programs should be tailored to comorbidities and nutritional status.

Original languageEnglish
Pages (from-to)1447-1456
Number of pages10
JournalSupportive care in cancer
Volume26
Issue number5
Early online date18 Nov 2017
DOIs
Publication statusPublished - May 2018

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Head and Neck Neoplasms
Survivors
Life Style
Demography
Exercise
Structural Models
Self Report
Comorbidity
Laryngeal Neoplasms
Nutritional Status
Medical Records
Weight Loss
Cross-Sectional Studies

Keywords

  • UT-Hybrid-D
  • Head and neck neoplasm
  • Social-cognitive models
  • Exercise

Cite this

Buffart, Laurien M. ; de Bree, Remco ; Altena, Martine ; van der Werff, Sophie ; Drossaert, Constance H.C. ; Speksnijder, Caroline M. ; van den Brekel, Michiel W. ; Jager-Wittenaar, Harriët ; Aaronson, Neil K. ; Stuiver, Martijn M. / Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors. In: Supportive care in cancer. 2018 ; Vol. 26, No. 5. pp. 1447-1456.
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title = "Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors",
abstract = "Purpose: The purpose of the study is to identify demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity (PA) intention and behavior in head and neck cancer (HNC) survivors using the theory of planned behavior (TPB). Methods: Data from two cross-sectional studies on correlates of PA in HNC survivors were pooled. Both studies used self-reports to assess PA and social-cognitive correlates. Potential correlates were collected via self-report or medical records. Univariable and multivariable multilevel linear mixed-effects models were built to identify correlates of PA intention and PA behavior (Z scores). Structural equation model analyses were conducted to study the full TPB model in one analysis, taking into account relevant covariates. Results: In total, 416 HNC survivors were surveyed. Their mean (SD) age was 66.6 (9.4) years; 64{\%} were men, and 78{\%} were diagnosed with laryngeal cancer. The structural equation model showed that PA intention was significantly higher in HNC survivors with a history of exercising, who had a more positive attitude, subjective norm, and perceived behavioral control. Patients with higher PA intention, higher PBC, a lower age, and without unintentional weight loss or comorbidities had higher PA behavior. The model explained 22.9{\%} of the variance in PA intention and 16.1{\%} of the variance in PA behavior. Conclusions: Despite significant pathways of the TPB model, the large proportion variance in PA intention and behavior remaining unexplained suggests the need for better PA behavior (change) models to guide the development of PA promotion programs, particularly for the elderly. Such programs should be tailored to comorbidities and nutritional status.",
keywords = "UT-Hybrid-D, Head and neck neoplasm, Social-cognitive models, Exercise",
author = "Buffart, {Laurien M.} and {de Bree}, Remco and Martine Altena and {van der Werff}, Sophie and Drossaert, {Constance H.C.} and Speksnijder, {Caroline M.} and {van den Brekel}, {Michiel W.} and Harri{\"e}t Jager-Wittenaar and Aaronson, {Neil K.} and Stuiver, {Martijn M.}",
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Buffart, LM, de Bree, R, Altena, M, van der Werff, S, Drossaert, CHC, Speksnijder, CM, van den Brekel, MW, Jager-Wittenaar, H, Aaronson, NK & Stuiver, MM 2018, 'Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors', Supportive care in cancer, vol. 26, no. 5, pp. 1447-1456. https://doi.org/10.1007/s00520-017-3966-3

Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors. / Buffart, Laurien M. (Corresponding Author); de Bree, Remco; Altena, Martine; van der Werff, Sophie; Drossaert, Constance H.C.; Speksnijder, Caroline M.; van den Brekel, Michiel W.; Jager-Wittenaar, Harriët; Aaronson, Neil K.; Stuiver, Martijn M.

In: Supportive care in cancer, Vol. 26, No. 5, 05.2018, p. 1447-1456.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors

AU - Buffart, Laurien M.

AU - de Bree, Remco

AU - Altena, Martine

AU - van der Werff, Sophie

AU - Drossaert, Constance H.C.

AU - Speksnijder, Caroline M.

AU - van den Brekel, Michiel W.

AU - Jager-Wittenaar, Harriët

AU - Aaronson, Neil K.

AU - Stuiver, Martijn M.

N1 - Springer deal

PY - 2018/5

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N2 - Purpose: The purpose of the study is to identify demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity (PA) intention and behavior in head and neck cancer (HNC) survivors using the theory of planned behavior (TPB). Methods: Data from two cross-sectional studies on correlates of PA in HNC survivors were pooled. Both studies used self-reports to assess PA and social-cognitive correlates. Potential correlates were collected via self-report or medical records. Univariable and multivariable multilevel linear mixed-effects models were built to identify correlates of PA intention and PA behavior (Z scores). Structural equation model analyses were conducted to study the full TPB model in one analysis, taking into account relevant covariates. Results: In total, 416 HNC survivors were surveyed. Their mean (SD) age was 66.6 (9.4) years; 64% were men, and 78% were diagnosed with laryngeal cancer. The structural equation model showed that PA intention was significantly higher in HNC survivors with a history of exercising, who had a more positive attitude, subjective norm, and perceived behavioral control. Patients with higher PA intention, higher PBC, a lower age, and without unintentional weight loss or comorbidities had higher PA behavior. The model explained 22.9% of the variance in PA intention and 16.1% of the variance in PA behavior. Conclusions: Despite significant pathways of the TPB model, the large proportion variance in PA intention and behavior remaining unexplained suggests the need for better PA behavior (change) models to guide the development of PA promotion programs, particularly for the elderly. Such programs should be tailored to comorbidities and nutritional status.

AB - Purpose: The purpose of the study is to identify demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity (PA) intention and behavior in head and neck cancer (HNC) survivors using the theory of planned behavior (TPB). Methods: Data from two cross-sectional studies on correlates of PA in HNC survivors were pooled. Both studies used self-reports to assess PA and social-cognitive correlates. Potential correlates were collected via self-report or medical records. Univariable and multivariable multilevel linear mixed-effects models were built to identify correlates of PA intention and PA behavior (Z scores). Structural equation model analyses were conducted to study the full TPB model in one analysis, taking into account relevant covariates. Results: In total, 416 HNC survivors were surveyed. Their mean (SD) age was 66.6 (9.4) years; 64% were men, and 78% were diagnosed with laryngeal cancer. The structural equation model showed that PA intention was significantly higher in HNC survivors with a history of exercising, who had a more positive attitude, subjective norm, and perceived behavioral control. Patients with higher PA intention, higher PBC, a lower age, and without unintentional weight loss or comorbidities had higher PA behavior. The model explained 22.9% of the variance in PA intention and 16.1% of the variance in PA behavior. Conclusions: Despite significant pathways of the TPB model, the large proportion variance in PA intention and behavior remaining unexplained suggests the need for better PA behavior (change) models to guide the development of PA promotion programs, particularly for the elderly. Such programs should be tailored to comorbidities and nutritional status.

KW - UT-Hybrid-D

KW - Head and neck neoplasm

KW - Social-cognitive models

KW - Exercise

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