PURPOSE To measure the degree of physical activity among breast cancer survivors and to identify how it was influenced by social cognitive factors, as defined in Bandura's social cognitive theory. METHODS A total of 128 breast cancer survivors were recruited for this descriptive study and answered the survey questionnaire. The collected data covered general characteristics, physical activity, and social cognitive factors, such as self-efficacy, outcome expectations, goal setting, and socio-structural factors (social support and negative impact of cancer). Data collection was conducted from July to October 2017. RESULTS The degree of physical activity among breast cancer survivors was moderate. The participants' level of physical activity differed according to their Body Mass Index (BMI) and type of surgery. Physical activity was significantly correlated with exercise goal setting, exercise self-efficacy, outcome expectations, and family support. Exercise goal setting (β=.55, p<.001), BMI (kg/m2) (β=−.21, p=.003), and exercise self-efficacy (β=.15, p=.040) were identified as factors influencing physical activity. CONCLUSION Intervention programs to increase the degree of physical activity among breast cancer survivors will need to consider various aspects, including goal setting, BMI regulation, and self-efficacy improvement. Repeated studies on the social recognition of breast cancer survivors and extended studies on health promotion activities are recommended.
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PURPOSE Korean elderly women residing in rural areas still appear to be marginalized from health services for cancer prevention. The purposes of this study were to measure the degrees of colorectal cancer (CRC) knowledge, health literacy, and self-management behaviors among the elderly women in rural areas and to identify the influences of their CRC knowledge and health literacy on self-management behaviors. METHODS Total 121 elderly women aged 65 or older living in rural areas were recruited for this descriptive study and answered survey questionnaires. RESULTS The participants' mean age was 78.2±7.51 years old. Of participants, 49.6% completed CRC screening and age of non-screening group was significantly older than that of screening group (χ²=35.31, p < .001). The screening group showed higher levels of CRC knowledge (t=3.76, p < .001) and cancer preventive behaviors (t=2.68, p=.008) than non-screening group. Age (B=0.15) and CRC knowledge (B=-0.36) were identified as influencing factors on the CRC screening. Health literacy (β=.37) and CRC knowledge (β=.30) were found as the most influencing factors on the cancer preventive behaviors. CONCLUSION The results of this study could be used as a basis for developing educational interventions and effective strategies specifically for the elderly women residing rural areas in Korea.
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