Colorectal Cancer
Conditions
Keywords
cancer survivor, stage I colon cancer, stage II colon cancer, stage III colon cancer, stage I rectal cancer, stage II rectal cancer, stage III rectal cancer
Brief summary
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.
Detailed description
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.
Interventions
None listed
Sponsors
National Cancer Institute (NCI)
Rutgers Cancer Institute of New Jersey
Rutgers, The State University of New Jersey
Study design
Observational model
ECOLOGIC_OR_COMMUNITY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
DISEASE CHARACTERISTICS: * Diagnosis of localized or regional colorectal cancer * Stage I, II, or III disease * Completed treatment within the past 6 weeks * No previous diagnosis of colorectal cancer PATIENT CHARACTERISTICS: * English speaking * No current evidence of neoplastic disease except for nonmelanoma skin cancer * No evidence of severe cognitive impairment PRIOR CONCURRENT THERAPY: * See Disease Characteristics
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-efficacy for changing physical activity and dietary practices | 3 yrs |
| Outcome expectations with regard to physical activity and dietary practices | 3 yrs |
| Behavioral self-regulation of physical activity and dietary practices | 3 yrs |
| Perceived role of physical activity and dietary factors in causing colorectal cancer (CRC) and preventing recurrence (CRC illness representations) | 3 yrs |
| Perceived risk of CRC recurrence | 3 yrs |
| Cancer-related anxiety and worry about cancer recurrence (emotional representations of CRC) | 3 yrs |
| Receipt of healthcare provider recommendations to alter physical activity and diet | 3 yrs |
| Normative influences of family and friends | 3 yrs |
Countries
United States
Outcome results
None listed