The effect of a multifaceted efficacy intervention on exercise behavior in relatives of colon cancer patients.

Erin L McGowan, Harry Prapavessis, Nerissa Campbell, Casey Gray, Joy Elkayam
Author Information
  1. Erin L McGowan: The University of Alberta, Edmonton, AB, Canada. emcgowan@ualberta.ca

Abstract

BACKGROUND: Regular physical activity (PA) provides health benefits; however, at least 60% of the population fails to engage in the recommended amount of PA required to produce these health benefits.
PURPOSE: The primary purpose of the study was to examine over a 12-week structured exercise program the effect of a multifaceted efficacy intervention (MEI-i.e., task and specific types of self-regulatory efficacy) on objectively measured exercise behavior. Secondary purposes were to examine the effect of the MEI on both task and self-regulatory efficacy levels; and to determine whether efficacy beliefs could predict exercise behavior.
METHODS: Relatives of colon cancer patients (N = 140) were enrolled in an exercise program, and were randomized to either a MEI or attention control condition, and took part in classroom sessions. Behavior was assessed throughout the 12-week program using objective measures of frequency, duration, and intensity of exercise, and dropout rates, while self-reported task, barrier, scheduling, goal-setting, and relapse prevention efficacy were assessed at baseline and weeks 4, 8, and 12.
RESULTS: The MEI group exercised for longer duration in the early phase of the program (i.e., 0-4 weeks); however, no significant differences were noted for exercise frequency and intensity. Differential dropout was found favoring the MEI group at weeks 8 and 12. No treatment condition differences were found for reported efficacy beliefs. Proceeding self-efficacious beliefs were associated with objective measures of behavior.
CONCLUSIONS: A MEI grounded in Social Cognitive Theory was partially effective in influencing colon cancer relatives' exercise behavior.

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MeSH Term

Adult
Aged
Attention
Colonic Neoplasms
Culture
Exercise
Family
Female
Health Behavior
Humans
Male
Middle Aged
Self Efficacy
Self Report
Treatment Outcome

Word Cloud

Created with Highcharts 10.0.0exerciseefficacybehaviorMEIprogrameffecttaskbeliefscoloncancerPAhealthbenefitshoweverexamine12-weekmultifacetedinterventioneself-regulatorypatientsconditionassessedobjectivemeasuresfrequencydurationintensitydropout12groupdifferencesfoundBACKGROUND:Regularphysicalactivityprovidesleast60%populationfailsengagerecommendedamountrequiredproducePURPOSE:primarypurposestudystructuredMEI-ispecifictypesobjectivelymeasuredSecondarypurposeslevelsdeterminewhetherpredictMETHODS:RelativesN = 140enrolledrandomizedeitherattentioncontroltookpartclassroomsessionsBehaviorthroughoutusingratesself-reportedbarrierschedulinggoal-settingrelapsepreventionbaselineweeks 48RESULTS:exercisedlongerearlyphasei0-4 weekssignificantnotedDifferentialfavoringweeks 8treatmentreportedProceedingself-efficaciousassociatedCONCLUSIONS:groundedSocialCognitiveTheorypartiallyeffectiveinfluencingrelatives'relatives

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