Development and evaluation of a theory-based physical activity guidebook for breast cancer survivors

Jeffrey K. Vallance, Kerry S. Courneya, Lorian M. Taylor, Ronald C. Plotnikoff, John R. MacKey

    Research output: Contribution to journalJournal Articlepeer-review

    37 Citations (Scopus)


    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.

    Original languageEnglish
    Pages (from-to)174-189
    Number of pages16
    JournalHealth Education and Behavior
    Issue number2
    Publication statusPublished - Apr. 2008


    • Breast cancer survivors
    • Physical activity
    • Theory of planned behavior
    • Written health information

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