Evidence map›Paper›PMID 41661342›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

The influences of emotional factors on head and neck cancer patients' physical activity behavior in China: an application of the extended theory of planned behavior.

Yan Ning, Zhen Dong, Yao Li, Qian Wang, Shifan Han, Shiyuan Wang

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Yan NingSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, 250355, China.
Zhen DongDepartment of Otolaryngology, Head and Neck Surgery, the First Hospital of Shanxi Medical University, Taiyuan, 030001, China.
Yao LiDepartment of Oncology, the First Hospital of Shanxi Medical University, Taiyuan, 030001, China.
Qian WangSchool of Nursing, Shanxi Medical University, Taiyuan, 030001, China.
Shifan HanSchool of Nursing, Shanxi Medical University, Taiyuan, 030001, China. shifan.han@sxmu.edu.cn.
Shiyuan WangSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, 250355, China. 60020005@sdutcm.edu.cn.

Funding

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6 · The paper itself

Abstract

backgroundDespite well-documented benefits of physical activity (PA), adherence remains poor among head and neck cancer (HNC) patients. Emotional factors significantly influence PA behaviors in this population, yet their underlying interaction pathways are poorly understood. This study aimed to identify the influence of emotional factors on PA behavior in HNC patients using an extended theory of planned behavior (TPB).

methodsAdhering to the STROBE checklist, we conducted a cross-sectional survey of 304 HNC patients. Path analysis and mediation analysis were employed to examine factors associated with PA behavior and their interrelationships.

resultsA high percentage of HNC patients (53.90%) were physically inactive. The path model demonstrated good fit: χ

conclusionEnhancing PA behaviors in HNC patients is imperative. The extended TPB model was useful for understanding PA intentions and behaviors among HNC patients in China. Interventions that incorporate the emotional factors identified in our study may provide an effective framework for supporting PA in this population.

Indexed as

EmotionsExerciseHead and Neck NeoplasmsHealth BehaviorAdultAgedChinaCross-Sectional StudiesFemaleHumansIntentionMaleMiddle AgedSurveys and QuestionnairesTheory of Planned BehaviorCross-sectional studyFactorsHead and neck cancer patientsPhysical activityThe extended theory of planned behavior

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