Article

Physical Activity Preferences Among a Population-Based Sample of Colorectal Cancer Survivors

Erin McGowan

Amy E. Speed-Andrews

Chris M. Blanchard

Ryan E. Rhodes

Christine M. Friedenreich

S. Nicole Culos-Reed


Kerry Courneya

colorectal carcinoma, colorectal neoplasms
ONF 2012, 40(1), 44-52. DOI: 10.1188/13.ONF.44-52

Purpose/Objectives: To identify the key physical activity (PA) programming and counseling preferences of colorectal cancer (CRC) survivors.

Design: Population-based, cross-sectional mailed survey.

Setting: Alberta, Canada.

Sample: 600 CRC survivors.

Methods: CRC survivors randomly identified through the Alberta Cancer Registry in Canada completed a mailed survey (34% response rate).

Main Research Variables: Self-reported PA, medical and demographic variables, and PA preferences.

Findings: Most CRC survivors indicated that they were interested and able to participate in a PA program. The most common PA preferences of CRC survivors were to receive PA counseling from a fitness expert at a cancer center, receive PA information in the form of print materials, start a PA program after cancer treatment, do PA at home, and walk in both the summer and winter. In addition, oncologists and nurses were identified as preferences from whom CRC survivors would like to receive PA information. Chi-square analyses identified that age, education, annual family income, and current PA were the demographic variables most consistently associated with PA preferences.

Conclusions: The majority of CRC survivors expressed an interest in participating in a PA program and key PA preferences were identified. Those preferences may be useful for developing and implementing successful PA interventions for CRC survivors.

Implications for Nursing: Oncology nurses are in a unique position to promote PA for CRC survivors. Therefore, understanding CRC survivor PA preferences is essential to assist nurses in making appropriate PA recommendations or referrals.

Knowledge Translation: Although CRC survivors' PA participation rates are low, they may have an interest in receiving PA programming and counseling. CRC survivors have indicated a preference to receive PA information from individuals within their cancer support team (e.g., fitness specialist at a cancer center, oncologist, nurses). The PA preferences identified by CRC survivors are important for the development of successful PA interventions.

Jump to a section

    References

    Ajzen, I. (1991). The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes, 50, 179-211.
    Bélanger, L. J., Plotnikoff, R. C., Clark, A., & Courneya, K. S. (2012). A survey of physical activity programming and counseling preferences in young-adult cancer survivors. Cancer Nursing, 35, 48-54. doi:10.1097/NCC.0b013e318210220a
    Blanchard, C. M., Courneya, K. S., & Stein, K. (2008). Cancer survivors' adherence to lifestyle behavior recommendations and associations with health-related quality of life: Results from the American Cancer Society's SCS-II. Journal of Clinical Oncology, 26, 2198-2204. doi:10.1200/JCO.2007.14.6217
    Courneya, K. S., & Friedenreich, C. M. (1997a). Determinants of exercise during colorectal cancer treatment: An application of the theory of planned behavior. Oncology Nursing Forum, 24, 1715-1723.
    Courneya, K. S., & Friedenreich, C. M. (1997b). Relationship between exercise pattern across the cancer experience and current quality of life in colorectal cancer survivors. Journal of Alternative and Complementary Medicine, 3, 215-226. doi:10.1089/acm.1997.3.215
    Courneya, K. S., & Friedenreich, C. M. (1999). Utility of the theory of planned behavior for understanding exercise during breast cancer treatment. Psycho-Oncology, 8, 112-122. doi:10.1002/(SICI)1099-1611(199903/04)8:2<112::AID-PON341>3.0.CO;2-L
    Courneya, K. S., & Friedenreich, C. M. (2007). Physical activity and cancer control. Seminars in Oncology Nursing, 23, 242-252.
    Courneya, K. S., Katzmarzyk, P. T., & Bacon, E. (2008). Physical activity and obesity in Canadian cancer survivors: Population-based estimates from the 2005 Canadian Community Health Survey. Cancer, 112, 2475-2482. doi:10.1002/cncr.23455
    Dillman, D. A. (2000). Mail and internet surveys: The tailored design method. New York, NY: John Wiley and Sons.
    Gjerset, G. M., Fosså, S. D., Courneya, K. S., Skovlund, E., Jacobsen, A. B., & Thorsen, L. (2011). Interest and preferences for exercise counselling and programming among Norwegian cancer survivors. European Journal of Cancer Care, 20, 96-105.
    Godin, G., & Shephard, R. J. (1985). A simple method to assess exercise behavior in the community. Canadian Journal of Applied Sport Sciences, 10, 141-146.
    Jacobs, D., Hartman, T., & Leon, A. (1993). A simultaneous evaluation of 10 commonly used physical activity questionnaires. Medicine and Science in Sports and Exercise, 25, 81-91.
    Jones, L. W., & Courneya, K. S. (2002a). Exercise counseling and programming preferences of cancer survivors. Cancer Practice, 10, 208-215. doi:10.1046/j.1523-5394.2002.104003.x
    Jones, L. W., & Courneya, K. S. (2002b). Exercise discussions during cancer treatment consultations. Cancer Practice, 10, 66-74. doi:10.1046/j.1523-5394.2002.102004.x
    Jones, L. W., Guill, B., Keir, S. T., Carter, K., Friedman, H. S., Bigner, D. D., & Reardon, D. A. (2007). Exercise interest and preferences among patients diagnosed with primary brain cancer. Supportive Care in Cancer, 15, 47-55. doi:10.1007/s00520-006-0096-8
    Karvinen, K. H., Courneya, K. S., Campbell, K. L., Pearcey, R. G., Dundas, G., Capstick, V., & Tonkin, K. S. (2006). Exercise preferences of endometrial cancer survivors: A population-based study. Cancer Nursing, 29, 259-265. doi:10.1097/00002820-200607000-00001
    Karvinen, K. H., Courneya, K. S., Venner, P., & North, S. (2007). Exercise programming and counseling preferences in bladder cancer survivors: A population-based study. Journal of Cancer Survivorship, 1, 27-34. doi:10.1007/s11764-007-0010-5
    Peddle, C. J., Au, H. J., & Courneya, K. S. (2008). Associations between exercise, quality of life, and fatigue in colorectal cancer survivors. Diseases of the Colon and Rectum, 51, 1242-1248.
    Rogers, L. Q., Malone, J., Rao, K., Courneya, K. S., Fogleman, A., Tippey, A., … Robbins, K. T. (2009). Exercise preferences among patients with head and neck cancer: Prevalence and associations with quality of life, symptom severity, depression, and rural residence. Head and Neck, 31, 994-1005. doi:10.1002/hed.21053
    Rogers, L. Q., Markwell, S. J., Courneya, K. S., McAuley, E., & Verhulst, S. (2009). Exercise preference patterns, resources, and environment among rural breast cancer survivors. Journal of Rural Health, 25, 388-391. doi:10.1111/j.1748-0361.2009.00249.x
    Sellar, C. M., & Courneya, K. S. (2011). Physical activity and gastrointestinal survivorship. In K. S. Courneya & C. M. Friedenreich (Eds.), Physical activity and cancer: Recent results in cancer research (vol. 186, pp. 327-253). Berlin-Heidelberg, Germany: Springer-Verlag.
    Speed-Andrews, A. E., Rhodes, R. E., Blanchard, C. M., Culos-Reed, S. N., Friedenreich, C. M., Belanger, L. J., & Courneya, K. S. (2012). Medical, demographic and social cognitive correlates of physical activity in a population-based sample of colorectal cancer survivors. European Journal of Cancer Care, 21, 187-196. doi:10.1111/j.1365-2354.2011.01290.x
    Stevinson, C., Capstick, V., Schepansky, A., Tonkin, K., Vallance, J. K., Ladha, A. B., … Courneya, K. S. (2009). Physical activity preferences of ovarian cancer survivors. Psycho-Oncology, 18, 422-428. doi:10.1002/pon.1396
    Szymlek-Gay, E. A., Richards, R., & Egan, R. (2011). Physical activity among cancer survivors: A literature review. New Zealand Medical Journal, 124, 77-89.
    Trinh, L., Plotnikoff, R. C., Rhodes, R. E., North, S., & Courneya, K. S. (2011). Physical activity preferences in population-based sample of kidney cancer survivors. Supportive Care in Cancer, 20, 1709-1717.
    U. S. Department of Health and Human Services. (2008). 2008 physical activity guidelines for Americans. Retrieved from http://www.health.gov/paguidelines/pdf/paguide.pdf
    Vallance, J. K., Courneya, K. S., Jones, L. W., & Reiman, T. (2006). Exercise preferences among a population-based sample of non-Hodgkin's lymphoma survivors. European Journal of Cancer Care, 15, 34-43. doi:10.1111/j.1365-2354.2005.00617.x
    Vallance, J. K., Courneya, K. S., Plotnikoff, R. C., Yasui, Y., & Mackey, J. R. (2007). A randomized controlled trial of the effects of print materials and step pedometers on physical activity and quality of life in breast cancer survivors. Journal of Clinical Oncology, 25, 2352-2359. doi:10.1200/JCO.2006.07.9988