RATIONALE: Gathering information over time from patients who have finished treatment for colorectal cancer may help doctors predict which cancer survivors will improve their physical activity and diet. PURPOSE: This clinical trial is studying health behaviors in patients who have finished treatment for stage I, stage II, or stage III colorectal cancer.
OBJECTIVES: Primary * To characterize patterns and identify predictors of post-treatment physical activity and dietary changes made by colorectal cancer survivors. Secondary * To identify the affective and cognitive effects of post-treatment physical activity and dietary changes in these patients. * To identify these patients' preferences regarding diet and physical activity health promotion programs. OUTLINE: This is a multicenter study. Patients complete surveys at baseline and at 3 and 6 months. A randomly selected subset of 84 patients also receive an activity monitor to be use at each of the 3 time points. The acceptability of their use is assessed and whether activity levels change across the 3 time points and the extent to which they are convergent with self-reported physical activity are examined. During each survey, questionnaires are administered to assess the following areas: physical/medical characteristics (self-reported), self-efficacy for physical activity, fruit and vegetable consumption, and dietary fat intake; outcome expectations for physical activity, fruit and vegetable consumption, and dietary fat intake; physical activity and diet behavioral self-regulation; illness representations (causal attributions and controllability of recurrence); perceived risk of colorectal cancer (CRC) recurrence; emotional representations of CRC (cancer-related anxiety and worry about cancer recurrence); healthcare provider recommendations to alter physical activity and dietary intake; social influence from important others; current physical activity and dietary intake; and diet and physical activity program preferences. Patients who received the activity monitor are asked feedback on acceptability of them. Measures of sociodemographics and disease/treatment characteristics (via medical chart review) are recorded.
Study Type
OBSERVATIONAL
Enrollment
222
Cooper Hospital/University Medical Center
Camden, New Jersey, United States
JFK Medical Center in Edison
Edison, New Jersey, United States
Self-efficacy for changing physical activity and dietary practices
Time frame: 3 yrs
Outcome expectations with regard to physical activity and dietary practices
Time frame: 3 yrs
Behavioral self-regulation of physical activity and dietary practices
Time frame: 3 yrs
Perceived role of physical activity and dietary factors in causing colorectal cancer (CRC) and preventing recurrence (CRC illness representations)
Time frame: 3 yrs
Perceived risk of CRC recurrence
Time frame: 3 yrs
Cancer-related anxiety and worry about cancer recurrence (emotional representations of CRC)
Time frame: 3 yrs
Receipt of healthcare provider recommendations to alter physical activity and diet
Time frame: 3 yrs
Normative influences of family and friends
Time frame: 3 yrs
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