Cognitive influences as mediators of family and peer support for pediatric cancer survivors' physical activity
Article first published online: 24 JUL 2012
Copyright © 2012 John Wiley & Sons, Ltd.
Volume 22, Issue 6, pages 1361–1368, June 2013
How to Cite
Gilliam, M. B., Madan-Swain, A., Whelan, K., Tucker, D. C., Demark-Wahnefried, W. and Schwebel, D. C. (2013), Cognitive influences as mediators of family and peer support for pediatric cancer survivors' physical activity. Psycho-Oncology, 22: 1361–1368. doi: 10.1002/pon.3140
- Issue published online: 6 JUN 2013
- Article first published online: 24 JUL 2012
- Manuscript Accepted: 28 JUN 2012
- Manuscript Revised: 25 JUN 2012
- Manuscript Received: 6 MAR 2012
- physical activity;
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).
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.
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.
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. Copyright © 2012 John Wiley & Sons, Ltd.