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This version was published on April 1, 2008
Health Education & Behavior, Vol. 35, No. 2, 174-189 (2008)
DOI: 10.1177/1090198106287693

Development and Evaluation of a Theory-Based Physical Activity Guidebook for Breast Cancer Survivors

Jeffrey K. Vallance, MA

Faculty of Physical Education & Recreation, University of Alberta, Edmonton, Canada

Kerry S. Courneya, PhD

Faculty of Physical Education & Recreation, University of Alberta, Edmonton, Canada, kerry.courneya{at}ualberta.ca

Lorian M. Taylor, RD, MPH

Center for Health Promotion Studies, University of Alberta, Edmonton, Canada

Ronald C. Plotnikoff, PhD

Center for Health Promotion Studies, University of Alberta, Edmonton, Canada

John R. Mackey, MD

Division of Medical Oncology, Department of Oncology, University of Alberta, Edmonton, Canada

This study's objective was to develop and evaluate the suitability and appropriateness of a theory-based physical activity (PA) guidebook for breast cancer survivors. Guidebook content was constructed based on the theory of planned behavior (TPB) using salient exercise beliefs identified by breast cancer survivors in previous research. Expert judges completed the Maine Area Health Education Center's 18-item attribute checklist for evaluating written health information. Judges indicated that the PA guidebook achieved desirable attributes for the suitability and appropriateness of the guidebook. A subset of TPB expert judges completed items designed to determine the degree of match between the guidebook content and the respective TPB components. Mean item-content relevance ratings indicated at least a "very good match" between the PA guidebook content and the keyed TPB domains. Theoretically based PA information may be an effective strategy for increasing PA in breast cancer survivors at the population level.

Key Words: written health information • physical activity • theory of planned behavior • breast cancer survivors


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