Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jun 12.
doi: 10.1007/s11764-024-01626-y. Online ahead of print.

Social support, health behavior self-efficacy, and anxiety on physical activity levels among lung cancer survivors: a structural equation modeling

Qiaoqiao Ma  1   2 , Jing Luo  3 , Huxing Cao  4 , Shengchang Ye  2 , Nan Dang  5 , Ting Wang  3 , Shajing Fan  3 , Min Tang  3 , Guohui Zheng  6 , Lili Hou  7
Affiliations

Social support, health behavior self-efficacy, and anxiety on physical activity levels among lung cancer survivors: a structural equation modeling

Qiaoqiao Ma et al. J Cancer Surviv. .

Abstract

Purpose: The study aims to investigate the relationship among social support, health behavior self-efficacy, anxiety, and the physical activity (PA) levels of lung cancer survivors, and to analyze whether health behavior self-efficacy and anxiety mediate the relationship between social support and PA levels.

Methods: In a cross-sectional study of 1128 lung cancer survivors from 16 Chinese hospitals, we collected demographic data and administered the Social Support Rating Scale (SSRS), Self-Rated Abilities for Health Practices Scale (SRAHP), Anxiety Scale (AS), and International Physical Activity Questionnaire (IPAQ). SPSS 25.0 was used for descriptive analyses, while the structural equation model in SPSS AMOS 24.0 was used to identify the direct, indirect, and total effects among variables.

Results: There were significant correlations among SSRS, SRAHP, AS, and PA (P < 0.01). Model outcomes revealed a positive association between social support and health behavior self-efficacy (β = 0.732, P < 0.001). Health behavior self-efficacy positively correlated with PA levels (β = 0.228, P < 0.001) and negatively with anxiety (β=-0.252, P = 0.001). Moreover, health behavior self-efficacy was found to partially mediate the relationship between social support and PA (β = 0.174, P < 0.001).

Conclusions and implications for cancer survivors: This study revealed a positive correlation between social support and health behavior self-efficacy, and between health behavior self-efficacy and PA levels among lung cancer survivors. Additionally, health behavior self-efficacy mediated the relationship between social support and PA levels. In future clinical practice, medical and nursing staff should assess social support and health behavior self-efficacy in lung cancer survivors to inform personalized PA interventions.

Keywords: Lung cancer; Nursing; Physical activity; Structural equation model; Survival.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Barta JA, Powell CA, Wisnivesky JP. Global epidemiology of lung cancer. Ann Glob Health. 2019;85:8. https://doi.org/10.5334/aogh.2419 . - DOI - PubMed - PMC
    1. Xia C, Dong X, Li H, et al. Cancer statistics in China and United States, 2022: profiles, trends, and determinants. Chin Med J (Engl). 2022;135:584–90. https://doi.org/10.1097/cm9.0000000000002108 . - DOI - PubMed
    1. Wu F, Wang L, Zhou C. Lung cancer in China: current and prospect. Curr Opin Oncol. 2021;33:40–6. https://doi.org/10.1097/cco.0000000000000703 . - DOI - PubMed
    1. Sharma R. Mapping of global, regional and national incidence, mortality and mortality-to-incidence ratio of lung cancer in 2020 and 2050. Int J Clin Oncol. 2022;27:665–75. https://doi.org/10.1007/s10147-021-02108-2 . - DOI - PubMed - PMC
    1. Sheikh-Wu SF, Anglade D, Downs CA. A cancer survivorship model for holistic cancer care and research. Can Oncol Nurs J. 2023;33:4–16. https://doi.org/10.5737%2F236880763314. - DOI - PubMed - PMC

LinkOut - more resources