Cognitive influences as mediators of family and peer support for pediatric cancer survivors' physical activity.

Abstract:

OBJECTIVE:The objective of this study was to determine the extent to which self-efficacy mediates the relations between social support and childhood cancer survivors' physical activity (PA). METHODS:A structured telephone survey was conducted with 105 childhood cancer survivors aged 8-16 years. Participants completed measures assessing their PA as well as proposed predictors of PA including various demographic, medical, cognitive, and social influences. Multiple mediation analyses were utilized to evaluate the relations between social support, cognitive influences, and survivor PA. RESULTS:Cognitive influences, including perceived benefits, barriers, and self-efficacy for PA, partially mediated the influence of family and peer support on survivor PA. Self-efficacy emerged as a significant unique mediator, indicating that higher levels of family and peer support are associated with higher levels of survivor PA via increases in survivor self-efficacy. CONCLUSIONS:Social support has both direct and indirect influences on survivor PA. Indirectly, social support influences PA via survivor self-efficacy. Interventions should target family and peer support as well as self-efficacy to increase survivor PA.

journal_name

Psychooncology

journal_title

Psycho-oncology

authors

Gilliam MB,Madan-Swain A,Whelan K,Tucker DC,Demark-Wahnefried W,Schwebel DC

doi

10.1002/pon.3140

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

1361-8

issue

6

eissn

1057-9249

issn

1099-1611

journal_volume

22

pub_type

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