Correlates of Physical Activity Participation among Individuals Diagnosed with Cancer: An Application of the Multi-Process Action Control Framework

Allyson Tabaczynski, Kelly P. Arbour-Nicitopoulos, Ryan E. Rhodes, Catherine M. Sabiston and Linda Trinh ()
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Allyson Tabaczynski: Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON M5S 2W6, Canada
Kelly P. Arbour-Nicitopoulos: Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON M5S 2W6, Canada
Ryan E. Rhodes: School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8W 2Y2, Canada
Catherine M. Sabiston: Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON M5S 2W6, Canada
Linda Trinh: Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON M5S 2W6, Canada

IJERPH, 2023, vol. 20, issue 5, 1-17

Abstract: Background: The purpose of this study was to test Multi-Process Action Control (M-PAC) processes as correlates of physical activity (PA) intention formation and translation (i.e., action control) in individuals diagnosed with cancer. Methods: This study was a cross-sectional survey, completed from July to November of 2020 during the COVID-19 pandemic. PA and M-PAC processes were self-reported using the Godin Leisure-Time Exercise Questionnaire and questionnaires for reflective (instrumental/affective attitudes, perceived opportunity/capability), regulatory (e.g., goal-setting, planning), and reflexive processes (habit, identity). Separate hierarchical multinomial logistic regression models determined correlates of intention formation and action control. Results: Participants ( n = 347; M age = 48.2 ± 15.6) were primarily diagnosed with breast cancer (27.4%) and at a localized stage (85.0%). Most participants intended to perform PA (70.9%), yet only 50.4% met guidelines. Affective judgements ( p < 0.001) and perceived capability ( p < 0.01) were significantly associated with intention formation. Preliminary models indicated employment, affective judgements, perceived capability, and self-regulation to be significant ( ps < 0.05) correlates of action control, but in the final model, only surgical treatment ( p = 0.02) and PA identity ( p < 0.001) were significantly associated with action control. Conclusion: Reflective processes were associated with PA intention formation, while reflexive processes were associated with PA action control. Behavior change efforts for individuals diagnosed with cancer should extend beyond social-cognitive approaches to include regulatory and reflexive processes of PA behavior (i.e., PA identity).

Keywords: physical activity; intention formation; intention translation; action control; Multi-Process Action Control Framework; cancer; behavior change (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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