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Autonomy is not but competence and relatedness are associated with physical activity among colorectal cancer survivors

Authors
 Kyoung-A Kim  ;  Sang Hui Chu  ;  Eui Geum Oh  ;  Sang Joon Shin  ;  Justin Y Jeon  ;  Yun Jin Lee 
Citation
 SUPPORTIVE CARE IN CANCER, Vol.29(3) : 1653-1661, 2021-03 
Journal Title
 SUPPORTIVE CARE IN CANCER 
ISSN
 0941-4355 
Issue Date
2021-03
MeSH
Adult ; Aged ; Cancer Survivors / psychology* ; Colorectal Neoplasms / mortality ; Colorectal Neoplasms / psychology* ; Exercise / psychology* ; Female ; Humans ; Male ; Middle Aged ; Personal Autonomy* ; Surveys and Questionnaires ; Survival Analysis ; Young Adult
Keywords
Autonomy ; Colorectal cancer survivors ; Competence ; Physical activity ; Relatedness ; Self-determination theory
Abstract
Purpose: The main objective of this study was to use the framework of the self-determination theory, incorporating both internal and external sources of motivation, to identify factors influencing physical activity among colorectal cancer survivors (CRC-S) in Korea. Method: In total, 242 patients at a university-affiliated hospital in Seoul, Korea, responded to a descriptive survey, which comprised questionnaire sets including the Global Physical Activity Questionnaire and the Patient Health Questionnaire. Motivation was then assessed on three scales: the Treatment Self-Regulation (autonomy), Perceived Competence (competence), and the multidimensional Scale of Perceived Social Support (relatedness). Logistic regression analysis was then used to identify factors associated with physical activity. Result: The mean physical activity score was 16.07 metabolic equivalent hours per week, and only 23.3% of patients had an appropriate level of exercise. In the logistic regression analysis, physical activity was associated with competence (odds ratio (OR) = 1.36, 95% confidence interval (CI): 1.06-1.74), relatedness (OR = 1.11, 95% CI: 1.04-1.18), depression (OR = 0.84, 95% CI: 0.75-0.94), and stage I or II disease (OR = 3.33, 95% CI: 1.28-1.86). This study indicated that competence, relatedness, depression, and the disease stage contributed to physical activity among these subjects while autonomy did not. Conclusion: Future interventions to achieve the recommended levels of physical activity among CRC-S could benefit from taking into account the disease stage as well as psychosocial factors including motivation and depression.
Full Text
https://link.springer.com/article/10.1007/s00520-020-05661-0
DOI
10.1007/s00520-020-05661-0
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Shin, Sang Joon(신상준) ORCID logo https://orcid.org/0000-0001-5350-7241
Oh, Eui Geum(오의금) ORCID logo https://orcid.org/0000-0002-6941-0708
Chu, Sang Hui(추상희) ORCID logo https://orcid.org/0000-0001-6877-5599
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/182244
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