Applied theory of planned behavior to explore associated factor of physical activity level among Chinese childhood cancer survivors
This study highlights the critical need to address low physical activity levels among childhood cancer survivors (CCS), as insufficient engagement in moderate-vigorous physical activity (MVPA) may hinder their recovery and longterm health outcomes. The findings underscore the pivotal role of self-efficacy in promoting MVPA participation, with both direct and indirect effects on activity behaviors. Interventions targeting CCS should prioritize strategies to enhance self-efficacy-such as goal-setting, skill-building, and psychosocial support-to foster sustained engagement in physical activity. Additionally, the validated extended theory of planned behavior (TPB) model provides a framework for designing tailored, survivor-centered programs that address behavioral, social, and environmental barriers. Clinicians and caregivers should adopt multidimensional approaches integrating self-efficacy enhancement, peer/community support, and accessible physical activity opportunities to mitigate long-term health risks and improve quality of life for CCS.
Authors
- Shouhua Zhang (ORCID: https://orcid.org/0000-0002-8225-1350)
- Hongmei Wang (ORCID: https://orcid.org/0000-0002-7565-9040)
- Ju Gao (ORCID: https://orcid.org/0000-0002-8494-3174)
- Xianying Lu (ORCID: https://orcid.org/0000-0003-2467-1370)
- Renjun Gu
- Weisong Cai (ORCID: https://orcid.org/0000-0002-2979-1403)
- Zhipeng Shen (ORCID: https://orcid.org/0000-0002-6537-6098)
- Mengdie Zhang (ORCID: https://orcid.org/0009-0003-5176-2013)
- Q. Gao (ORCID: https://orcid.org/0009-0007-7347-7634)
- Mohan Yang (ORCID: https://orcid.org/0000-0003-0856-0814)
- Hui Zheng (ORCID: https://orcid.org/0000-0002-7995-5808)
- Rui Zhou (ORCID: https://orcid.org/0000-0002-6068-8711)
- Jieni Xiong
- Xiaojun Xu (ORCID: https://orcid.org/0000-0002-6380-698X)
- Tao Fang (ORCID: https://orcid.org/0009-0000-0987-6883)
- Meiling Zeng
- Xin Chen (ORCID: https://orcid.org/0000-0003-4426-2363)
- Qian Wang (ORCID: https://orcid.org/0000-0003-0083-2969)
- Li Zhang (ORCID: https://orcid.org/0000-0002-3087-7490)
- Linjie Li (ORCID: https://orcid.org/0000-0001-6795-0340)
- Yunxia Liu (ORCID: https://orcid.org/0000-0001-9240-6646)
- Jinhu Wang (ORCID: https://orcid.org/0000-0001-9477-0310)
- Yang Li (ORCID: https://orcid.org/0009-0007-3692-7317)
- Xiuli Yuan
- Libin Jin
- Yiqing Weng
- Lu Feng
- Fengjiao Xu (ORCID: https://orcid.org/0000-0002-7479-8217)
- Danni Lv (ORCID: https://orcid.org/0009-0008-8085-6074)
- Beijia Wang
- Junqing Mao
- Xia Guo (ORCID: https://orcid.org/0000-0003-4889-2696)
- Binghui Miao
- Yi Meng
- Kehao Li
Institutions
- Qingdao University (CN)
- Nanchang University (CN)
- Sun Yat-sen University (CN)
- Shaoxing University (CN)
- Anhui Medical University (CN)
- Sichuan University (CN)
- West China Second University Hospital of Sichuan University (CN)
- Sun Yat-sen Memorial Hospital (CN)
- Zhejiang Cancer Hospital (CN)
- Children's Hospital of Zhejiang University (CN)
- Affiliated Hospital of Qingdao University (CN)
- Anhui Provincial Children's Hospital (CN)
- Chenzhou First People's Hospital (CN)
- Shenzhen Children's Hospital (CN)
- Second Affiliated Hospital of Zhejiang University (CN)
- First Affiliated Hospital Zhejiang University (CN)
- Zhejiang University (CN)
- China Medical University (CN)
Publication Details
- Journal
- Journal of Cancer Survivorship
- Published
- 2025-02-26
- DOI
- https://doi.org/10.1007/s11764-025-01768-7
- Primary Topic
- Childhood Cancer Survivors' Quality of Life
- Type
- article
- Field-Weighted Citation Impact
- 0.00