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首页> 外文期刊>Psycho-Oncology: Journal of the Psychological Social and Behavioral Dimensions of Cancer >Long-term outcomes of the FRESH START trial: Exploring the role of self-efficacy in cancer survivors' maintenance of dietary practices and physical activity
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Long-term outcomes of the FRESH START trial: Exploring the role of self-efficacy in cancer survivors' maintenance of dietary practices and physical activity

机译:FRESH START试验的长期结果:探讨自我效能在癌症幸存者维持饮食习惯和体育锻炼中的作用

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Background This study examined whether changes in self-efficacy explain the effects of a mailed print intervention on long-term dietary practices of breast and prostate cancer survivors. The relationship between change in self-efficacy and long-term physical activity (PA) also was examined. Methods Breast and prostate cancer survivors (N = 543) from 39 US states and two Canadian provinces participated in the FRESH START intervention trial. Participants were randomly assigned to receive a 10-month program of mailed print materials on diet and PA available in the public domain or a 10-month program of tailored materials designed to increase fruit and vegetable (F&V) intake, decrease fat intake, and/or increase PA. Changes in self-efficacy for F&V intake and fat restriction were analyzed as potential mediators of the intervention's effects on diet at 2-year follow-up. Because we previously found that change in self-efficacy for PA did not vary by group assignment, the relationship between change in self-efficacy and PA at 2-year follow-up was examined across study conditions. Results Results suggest that change in self-efficacy for fat restriction partially explained the intervention's effect on fat intake (mean indirect effect = -0.28), and change in self-efficacy for F&V consumption partially explained the intervention's effect on daily F&V intake (mean indirect effect =.11). Change in self-efficacy for fat restriction partially accounted for the intervention's impact on overall diet quality among men only (mean indirect effect = 0.60). Finally, change in self-efficacy for PA predicted PA at 2-year follow-up. Conclusions Findings suggest that self-efficacy may influence long-term maintenance of healthy lifestyle practices among cancer survivors.
机译:背景这项研究检查了自我效能的变化是否可以解释邮寄印刷品干预对乳腺癌和前列腺癌幸存者的长期饮食习惯的影响。还检查了自我效能的变化与长期体育锻炼(PA)之间的关系。方法来自美国39个州和加拿大两个省的乳腺癌和前列腺癌幸存者(N = 543)参加了FRESH START干预试验。参与者被随机分配接受为期10个月的饮食和PA邮寄印刷品计划,该计划可在公共领域获得,或者为期10个月的定制材料计划,旨在增加水果和蔬菜(F&V)的摄入量,减少脂肪的摄入量和/或增加PA。在2年的随访中,分析了F&V摄入量和脂肪限制的自我效能的变化,作为干预措施对饮食影响的潜在媒介。因为我们先前发现PA的自我效能的变化不会因小组分配而变化,所以在整个研究条件下检查了2年随访时自我效能与PA的关系。结果结果表明,限制脂肪的自我效能的变化部分地解释了干预措施对脂肪摄入的影响(平均间接影响= -0.28),而对F&V摄入量的自我效能的变化部分解释了干预措施对日常F&V摄入量的影响(平均间接效果= .11)。限制脂肪自我效能的变化仅部分解释了干预措施仅对男性总体饮食质量的影响(平均间接影响= 0.60)。最后,PA自我效能的变化可预测2年随访时的PA。结论结论表明,自我效能感可能影响癌症幸存者长期维持健康的生活方式。

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