Theoretical predictors of successfully transitioning from supervised to home-based (unsupervised) exercise programs among elderly women with breast cancer Public Deposited

http://ir.library.oregonstate.edu/concern/graduate_thesis_or_dissertations/1j92gb21k

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  • Supervised exercise interventions can elicit numerous positive health outcomes in breast cancer survivors. However, to maintain these benefits, exercise needs to continue long after the supervised program. This may be difficult, as in this transitional period (i.e., time period immediately following a supervised exercise program), breast cancer survivors are in the absence of on-site direct supervision from a trained exercise specialist. The purpose of the present study is to identify key determinants of regular participation in exercise during a 6-month follow-up period after a 12-month supervised exercise program among women aged 65+ years who have been previously diagnosed with breast cancer. At the conclusion of a supervised exercise program, and 6-months later, 69 breast cancer survivors completed surveys examining their exercise behavior and key constructs from the Transtheoretical Model. After adjusting for weight status and physical activity prior to transitioning, breast cancer survivors with higher self-efficacy at the point of transition were 10% more likely to be sufficiently active compared to insufficiently active 6-months after leaving the supervised exercise program (p < 0.01). Similarly, breast cancer survivors with higher behavioral processes of change use at the point of transition were 13% more likely to be sufficiently active (p < 0.05). These findings suggest that self-efficacy and the behavioral processes of change, in particular, play an important role in exercise participation during the transition from a supervised to a home-based program among older adult women who have been diagnosed with breast cancer.
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