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Physical Activity For Health in Kidney Cancer Survivors Open Access


Other title
theory of planned behaviour
kidney cancer
physical activity
Type of item
Degree grantor
University of Alberta
Author or creator
Trinh, Linda
Supervisor and department
Courneya, Kerry (Physical Education and Recreation)
Examining committee member and department
North, Scott (Oncology)
Berry, Tanya (Physical Education and Recreation)
Rodgers, Wendy (Physical Education and Recreation)
Plotnikoff, Ronald (Education, University of Newcastle)
Rhodes, Ryan (Education, University of Victoria)
Basen-Engquist, Karen (Behavioural Science, MD Anderson Cancer Center)
Physical Education and Recreation

Date accepted
Graduation date
Doctor of Philosophy
Degree level
Background: The health benefits of physical activity (PA) have been established in cancer survivors, however, no research to date has focused on kidney cancer survivors (KCS). Purpose: The purpose of this dissertation was to examine the benefits and determinants of PA in KCS, and to develop a behaviour change intervention to promote PA in this population. Methods: Study 1 was a population-based, mailed survey of 703 KCS, which consisted of measures of self-reported PA, quality of life (QoL), sedentary behaviour, the Theory of Planned Behaviour (TPB), and PA preferences. Study 2 examined the feasibility of adding behavioural counselling to a standard supervised exercise program in 32 KCS. The primary outcome was changes in self-reported PA. Secondary outcomes included QoL, motivational outcomes, physical function, anthropometric measures, and cardiorespiratory fitness. Results: In Paper 1 from Study 1, 56.3% of KCS were completely sedentary and only 26.0% were meeting public health guidelines. Moreover, there was a steep dose-response association between PA and most QoL outcomes. In Paper 2 from Study 1, there were very few associations between sitting time and QoL in KCS. In Paper 3 from Study 1, some common PA preferences for KCS were to: receive information from a fitness expert at a cancer centre (55.7%), start a PA program after treatment (36.5%), and do moderate intensity PA (58.4%). In Paper 4 from Study 1, PA was strongly associated with planning and intention which, in turn, were strongly associated with PBC, instrumental attitude, and descriptive norm. In Paper 1 from Study 2, the TRACKS trial was feasible and resulted in modest improvements in PA minutes for the supervised PA plus behavioural counselling group (SPA+BC) group compared to the supervised PA plus exercise counselling (SPA+EC) group. In Paper 2 from Study 2, KCS in the SPA+BC group reported significantly higher planning, perceived control, and self-efficacy compared to SPA+EC. Conclusions: PA has a strong association with QoL including potential gains even for small amounts of PA. Adding behavioural counselling to supervised PA in a behaviour change trial is feasible and may result in meaningful improvements in PA and fitness outcomes in KCS.
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
Citation for previous publication
Trinh, L., Plotnikoff, R. C., Rhodes, R. E., North, S., & Courneya, K. S. (2011). Associations between physical activity and quality of life in a population-based sample of kidney cancer survivors. Cancer Epidemiology, Biomarkers & Prevention, 20(5): 859-868.Trinh, L., Plotnikoff, R.C., Rhodes, R.E., North, S., & Courneya, K.S. (in press). Associations between sitting time and quality of life in a population-based sample of kidney cancer survivors. Mental Health and Physical Activity, doi:
, L., Plotnikoff, R. C., Rhodes, R. E., North, S., & Courneya, K. S. (2011). Physical activity preferences in a population-based sample of kidney cancer survivors. Supportive Care in Cancer, 20(8), 1709-1717.Trinh, L., Plotnikoff, R.C., Rhodes, R.E., North, S., & Courneya, K.S. (2012). Correlates of physical activity in a population-based sample of kidney cancer survivors: An application of the theory of planned behavior. International Journal of Behavioral Nutrition and Physical Activity, 9(96): doi:10.1186/1479-5868-9-96.

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