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040 _cTEX
_erda
090 _aRC262
_b.M85 2012
100 _aMULLEN, ELLEN C.
_eauthor
245 _aEFFECT OF TELEPHONE COUNSELING ON PHYSICAL ACTIVITY AMONG OLDER ADULT CANCER SURVIVORS
_cby ELLEN C. MULLEN
260 _a[Tyler, Texas]
_b[University of Texas at Tyler]
_c2012
300 _a1 online resource (iv, 110 pages)
_btext file, PDF
336 _2rdacontent
_atext
_btxt
337 _2rdamedia
_acomputer
_bc
338 _2rdacarrier
_aonline resource
_bcr
502 _aDissertation (Ph.D.), University of Texas at Tyler, 2012
504 _aIncludes bibliographic references (pages 78-83).
520 _aThe elderly population, especially those with cancer coupled with low health literacy, is at high risk for poor health outcomes. Telephone counseling has been shown to be effective in improving health behaviors among other populations, but it has not been studied for older adult cancer survivors. The purpose of this mixed methods study was to examine the effectiveness of telephone counseling on physical activity among older adult cancer survivors (n=50). The relationship between health literacy level and perceived changes in physical activity was assessed. Based on existing literature and Orem’s Theory of Self-care, the following hypotheses were tested: H1: Telephone counseling intervention will improve physical activity of elderly cancer survivors. H2: Among older adult cancer survivors, there will be an inverse relationship between health literacy level and improved physical activity. A one-way paired t-test was used to test pre- and post-intervention activity levels. The relationship between level of health literacy and improved physical activity was evaluated using Spearman’s rho. Elderly cancer survivors’ perceptions of the challenges, barriers, and beneficial elements of being physically active were assessed using content analysis. One-way paired t-test revealed no significant improvement in older cancer survivors’ physical activity level after telephone counseling. Spearman’s rho also revealed no significant improvement in the physical activity levels of older cancer survivors with limited health literacy. Although the quantitative data analysis did not reach significance, the open-ended questions revealed that the telephone counseling was beneficial. It provided education and information about physical activity in cancer recovery, provided motivation and promoted accountability, self-encouragement and sustainability.
650 _aExercise
650 _aCancer
_xPatients
650 _aHotlines (Counseling)
650 _aOlder people
699 _aNursing
710 _aThe University of Texas at Tyler
856 _3Dissertation
_uhttp://hdl.handle.net/10950/97
942 _2lcc
_cDISS
_n0
999 _c756993
_d761418