Health Behaviors in Patients Who Have Finished Treatment for Stage I, Stage II, or Stage III Colorectal Cancer

Study Overview
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Brief Summary
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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
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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.

Official Title
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Health Behaviors Among Individuals Diagnosed With Colorectal Cancer

Conditions
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Colorectal Cancer

Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| cancer survivor<br>cancer survivor | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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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