El Modelo Transteórico y el Ejercicio en Supervivientes de Cáncer de Mama

  1. Julia Díaz Fonte
  2. Juan Antonio Cruzado
Revista:
Clínica y salud: Investigación Empírica en Psicología

ISSN: 1130-5274

Año de publicación: 2021

Volumen: 32

Número: 3

Páginas: 129-137

Tipo: Artículo

DOI: 10.5093/CLYSA2021A15 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Clínica y salud: Investigación Empírica en Psicología

Resumen

Se presenta una revisión sistemática sobre el uso del Modelo transteórico del cambio (MTC) como predictor de adherencia al ejercicio físico (EF) en supervivientes de cáncer de mama. La revisión sistemática de literatura se hizo siguiendo el método PRISMA, en las bases de datos: Scopus, Pubmed y Psycinfo. Tanto en inglés como en español. Se incluyeron 13 artículos publicados desde junio de 2005 hasta junio de 2020. Todos ellos utilizaron constructos del MTC en sus programas. Los resultados muestran que las variables del MTC que presentan asociación con el EF son los estadios de cambio y la autoeficacia. De este modo las intervenciones que siguen el MTC ayudan a comprender la utilización del ejercicio. Sin embargo, estos resultados están limitados por el escaso tamaño de la muestra, los sesgos de selección y la falta de mediciones a largo plazo de los seguimientos.

Referencias bibliográficas

  • Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice Hall.
  • Basen-Engquist, K., Taylor Carmack, L. C., Rosenblum, C., Smith, A. M., Shinn, H. E., Greisinger, A., Gregg, X., Massey, P. y Rivera, E. (2005). Randomized pilot test of a lifestyle physical activity intervention for breast cancer survivors. Patient Education and Counseling, 64(1-3), 225-234. https://doi.org/10.1016/j.pec.2006.02.006
  • Carvalho de Menezes, M., Bedeschi, L. B., Santos, L. C. y Lopes, A. C. (2016). Interventions directed at eating habits and physical activity using the transtheoretical model: A systematic review. Nutricion Hospitalaria, 33(5), 1194-1204. https://doi.org/10.20960/nh.586
  • Daley, J. A., Crank, H., Saxton, M. J., Mutrie, N., Coleman, R. y Roalfe, A., (2007). Randomized trial of exercise therapy in women treated for breast cancer. Journal of Clinical Oncology, 25(13), 1713-1721. https:// doi.org/10.1200/JCO.2006.09.5083
  • Fong, D. Y. T., Ho, J. W. C., Hui, B. P. H., Lee, A. M., Macfarlane, D. J., Leung, S. S. K., Cerin, E., Chan, W. Y. Y., Leung, Y. P. F., Lam, S. H. S., Taylor, A. J. y Cheng, K. K. (2012). Physical activity for cancer survivors: Metaanalysis of randomised controlled trials. BMJ (Online), 344(7844), 17. https://doi.org/10.1136/bmj.e70
  • Husebø, A. M., Dyrstad, S. M., Søreide, J. A. y Bru, E. (2013). Predicting exercise adherence in cancer patients and survivors: A systematic review and meta-analysis of motivational and behavioural factors. Journal of Clinical Nursing, 22(1-2), 4-21. https://doi.org/10.1111/j. 1365-2702.2012.04322.x
  • Hutchison, A. J., Breckon, J. D. y Johnston, L. H. (2009). Physical activity behavior change interventions based on the transtheoretical model: A systematic review. Health Education & Behavior: The Official Publication of the Society for Public Health Education, 36(5), 829.845. https:// doi.org/10.1177/1090198108318491
  • Jadad, A. R., Moore, R. A., Carroll, D., Jenkinson, C., Reynolds, D. J., Gavaghan, D. J. y McQuay, H. J. (1996). Assessing the quality of reports of randomized clinical trials: Is blinding necessary? Controlled Clinical Trials, 17(1), 1-12. https://doi.org/10.1016/0197-2456(95)00134-4
  • Kim, S. H., Shin, M. S., Lee, H. S., Lee, E. S., Ro, J. S., Kang, H. S., Kim, S. W., Lee, W. H., Kim, H. S., Kim, C. J., Kim, J. y Yun, Y. H. (2011). Randomized pilot test of a simultaneous stage-matched exercise and diet intervention for breast cancer survivors. Oncology Nursing Forum, 38(2), E97-E106. https://doi.org/10.1188/11.ONF.E97-E106
  • Kindred, M. M., Pinto, M. B. y Dunsiger, S. I. (2020). Mediators of physical activity adoption and maintenance among breast cancer survivors. Journal of Behavioral Medicine, 43(4), 605-613. https://doi. org/10.1007/s10865-019-00085-6
  • Latka, N. R., Alvarez-Reeves, M., Cadmus, L. y Irwin, L. M., (2009). Adherence to a randomized controlled trial of aerobic exercise in breast cancer survivors: The Yale exercise and survivorship study. Journal of Cancer Survivorship, 3(3), 148-157. https://doi.org/10.1007/s11764-009-0088-z
  • Lee, k. M., Yun, H.Y., Park, H., Lee, S. E., Jung, H. K. y Noh, D., (2014). A Web-based self-management exercise and diet intervention for breast cancer survivors: Pilot randomized controlled trial International Journal of Nursing Studies, 51(12), 1557-1567. https://doi.org/10.1016/j. ijnurstu.2014.04.012
  • Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., Clarke, M., Devereaux, P. J., Kleijnen, J. y Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. Plos Medicine, 6(7), e1000100. https://doi.org/10.1371/ journal.pmed.1000100
  • Loprinzi, P. D., Bradley, J. C., Qi Si., Bennett, A. J. y Winters-Stone, M. K. (2012). Theory-based predictors of follow-up exercise behavior after a supervised exercise intervention in older breast cancer survivors. Supportive Care in Cancer, 20(10), 2511-2521. https://doi.org/10.1007/ s00520-011-1360-0
  • Marcus. B. H. y Owen, N. (1992). Motivational readiness, self-efficacy and decision-making for exercise. Journal of Applied Social Psychology, 22(1), 3-16. https://doi.org/10.1111/j.1559-1816.1992.tb01518.x
  • Marcus, B. H., Rakowski, W. y Rossi, I. S. (1992). Assessing motivational readiness and decisionmaking for exercise. Health Psychology, 11(4), 257-261. https://doi.org/10.1037//0278-6133.11.4.257
  • Marcus. B, H., Selby. V. C., Niaura. R. S. y Rossi. J. S. (1992). Self-efficacy and the stages of exercise behavior change. Research Quarterly for Exercise and Sport, 63(1), 60-66. https://doi.org/10.1080/02701367.1992.10607557
  • Marcus, B. H. y Simkin. L. R. (1993). The stages of exercise behavior. The Journal of Sports Medicine and Physical Fitness, 33(1), 83-88.
  • Mastellos, N., Gunn L. H., Lambert, M. F., Car, J. y Majeed, A., (2014). Transtheoretical model stages of change for dietary and physical exercise modification in weight loss management for overweight and obese adults. Cochrane Database of Systematic Reviews, 2, CD008066. https://doi.org/10.1002/14651858.CD008066.pub3
  • Pinto, M. B., Frierson, M. G., Rabin, C., Trunzo, J. J. y Marcus, H. B. (2005). Home-based physical activity intervention for breast cancer patients. Journal of Clinical Oncology, 23(15), 3577-3587. https://doi. org/10.1200/JCO.2005.03.080
  • Pinto, M. B., Papandonatos, D. G. y Goldstein, M. G. (2013). A randomized trial to promote physical activity among breast cancer patients. Health Psychology, 32(6), 616-626. https://doi.org/10.1037/a0029886
  • Pinto, M. B., Rabin, C. y Dunsiger, S. (2009). Home-based exercise among cancer survivors: Adherence and its predictors. Psycho-Oncology, 18(4), 369-376. https://doi.org/10.1002/pon.1465
  • Pinto, M. B., Rabin, C., Papandonatos, D. G., Frierson, M. G., Trunzo, J. J. y Marcus, H. B. (2008). Maintenance of effects of a home-based physical activity program among breast cancer survivors. Supportive Care in Cancer, 16(11), 1279-1289. https://doi.org/10.1007/s00520-008-0434- 0
  • Prochaska, J. O. y DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51(3), 390-395. https://doi.org/10.1037//0022-006x.51.3.390
  • Prochaska, J. O., DiClemente, C. C. y Norcross, J. C. (1992). In search of how people change. Applications to addictive behaviors. The American Psychologist, 47(9), 1102-1114. https://doi.org/10.1037// 0003-066x.47.9.1102
  • Rabin, C., Pinto, M. B. y Frierson, M. G. (2006). Mediators of a randomized controlled physical activity intervention for breast cancer survivors. Journal of Sport & Exercise Psychology, 28(3), 269-284. https://doi. org/10.1123/jsep.28.3.269
  • REDECAN. Red Española de Registros de Cáncer. http://redecan.org/es/index.cfm
  • Scruggs, S., Mama, K. S., Carmack, L. C., Douglas, T., Diamond, P. y BasenEngquist, K., (2018). Randomized trial of a lifestyle physical activity intervention for breast cancer survivors: Effects on transtheoretical model variables. Health Promotion Practice, 19(1), 134-144. https:// doi.org/10.1177/1524839917709781
  • Smith, S. G. y Chagpar, A.B., (2010). Adherence to physical activity guidelines in breast cancer survivors. The American Surgeon, 76(9), 962-965. https://doi.org/10.1177/000313481007600929
  • Sociedad Española de Oncología Médica (SEOM, 2020). http:// www.seom. org
  • Spencer, L., Adams, B. T., Malone, S., Roy, L. y Yost, E. (2006). Applying the transtheroretical model to exercise: A systematic and comprehensive review of the literature. Health Promotion Practice, 7(4), 428-443. https://doi.org/10.1177/1524839905278900