Speaker
Description
Background: Adults living with and beyond cancer (LWBC) commonly engage in low physical activity (PA), high sedentary behaviour (SED), and insufficient sleep, contributing to increased symptom burden. Although these movement behaviours interact within the 24-hour continuum, most survivorship interventions target them individually. The effectiveness of theory-based interventions designed to modify multiple movement behaviours remains unclear. Therefore, this review evaluates the effectiveness of such interventions on multiple movement behaviours, health-related outcomes, and adherence. As this is an ongoing review, preliminary results are presented below.
Methods: This registered review follows PRISMA-P guidelines. Comprehensive searches will be conducted in CENTRAL, CINAHL, Embase, MEDLINE, PsycINFO, and Scopus. Eligible studies include randomized controlled trials, quasi-experimental designs, pilot/feasibility studies, and pre-post interventions involving adults LWBC of any type or treatment phase. Interventions must target at least two movement behaviours and explicitly incorporate a behavioural theory or framework. Outcomes include changes in movement behaviours, health outcomes, and intervention adherence. Two reviewers will independently screen records, extract data using a piloted form, and assess risk of bias using RoB-2 or ROBINS-I, with additional evaluation of selective reporting and publication bias (Egger’s test, contour-enhanced funnel plots). Narrative synthesis guided by Popay et al.’s (2006) framework will examine patterns in intervention components and outcomes.
Results: Preliminary screening between November-December 2025 identified 1,004 records from Embase, 455 from MEDLINE, and 320 from PsycINFO. Among eligible trials, interventions targeting PA and SED were most common. Considerable heterogeneity was observed in theoretical foundations, intervention modalities, and measured outcomes. The full synthesis will provide a clearer understanding of current evidence and remaining gaps.
Conclusion/Anticipated Implications: This review will provide the first synthesis of theory-based, multiple movement behaviour interventions in adults LWBC. Findings will inform the development of integrated, theory-driven survivorship intervention strategies that reflect the interconnected nature of movement behaviours.
No conflicts of interest.
Keywords
Cancer survivorship; 24-hour movement behaviours; behaviour change; theory-based interventions.
| Abstract submitters declaration | yes |
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| Conflict of Interest & Ethical Approval | yes |
