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Meeting Physical Activity Guidelines in Rural Breast Cancer Survivors

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Objectives: To examine the contribution of social cognitive constructs to meeting physical activity (PA) recommendations in rural breast cancer survivors (BCS). Methods: Rural BCS (N = 483) completed a mail-based survey. PA, fatigue, barriers and exercise self-efficacy, environment, social support, and perceived barriers to PA were assessed. PA was dichotomized into either meeting guidelines (150+minutes/week) or not. Results: Our model fit the data well with less fatigue, greater efficacy, and lower barriers being associated with PA (χ²=804.532(418), p < .001, CFI=.948, RMSEA=.044, SRMR=.046). Conclusions: Fatigue, self-efficacy, and perceived barriers are key targets for future interventions designed to increase PA in rural BCS. Enhancing self-efficacy and overcoming barriers will require strategies unique and relevant to BCS living in rural settings.
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Keywords: BEHAVIORAL MEDICINE; CANCER SURVIVORSHIP; PHYSICAL ACTIVITY; RURAL HEALTH; SELF-EFFICACY

Document Type: Research Article

Affiliations: 1: University of Illinois at Urbana-Champaign, Department of Kinesiology and Community Health, Urbana, IL, USA 2: University of Alabama at Birmingham, Department of Nutrition Sciences, Birmingham, AL, USA 3: University of Alberta, Faculty of Physical Education and Recreation, Edmonton, AB, Canada 4: Southern Illinois University School of Medicine, Springfield, IL, USA 5: University of Illinois at Urbana-Champaign, Department of Kinesiology and Community Health, Urbana, IL, USA. [email protected]

Publication date: 01 November 2014

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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