{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T03:35:57Z","timestamp":1780976157566,"version":"3.54.1"},"reference-count":53,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Wereld Kanker Onderzoek Fonds (WKOF) as part of the World Cancer Research Fund International grant programme","award":["IIG_2019_1981"],"award-info":[{"award-number":["IIG_2019_1981"]}]},{"name":"Wereld Kanker Onderzoek Fonds (WKOF) as part of the World Cancer Research Fund International grant programme","award":["IIG_2019_1981"],"award-info":[{"award-number":["IIG_2019_1981"]}]},{"name":"Wereld Kanker Onderzoek Fonds (WKOF) as part of the World Cancer Research Fund International grant programme","award":["IIG_2019_1981"],"award-info":[{"award-number":["IIG_2019_1981"]}]},{"name":"Wereld Kanker Onderzoek Fonds (WKOF) as part of the World Cancer Research Fund International grant programme","award":["IIG_2019_1981"],"award-info":[{"award-number":["IIG_2019_1981"]}]},{"name":"Wereld Kanker Onderzoek Fonds (WKOF) as part of the World Cancer Research Fund International grant programme","award":["IIG_2019_1981"],"award-info":[{"award-number":["IIG_2019_1981"]}]},{"name":"Wereld Kanker Onderzoek Fonds (WKOF) as part of the World Cancer Research Fund International grant programme","award":["IIG_2019_1981"],"award-info":[{"award-number":["IIG_2019_1981"]}]},{"name":"Wereld Kanker Onderzoek Fonds (WKOF) as part of the World Cancer Research Fund International grant programme","award":["IIG_2019_1981"],"award-info":[{"award-number":["IIG_2019_1981"]}]},{"name":"Internal funding from division of Human Nutrition and Health from Wageningen University & Research"},{"name":"4TU-programme RECENTRE funded by the 4TU-programme High Tech for a Sustainable Future"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>Identifying and selecting determinants of health behaviours is an important step in the design of behaviour change interventions. Many colorectal cancer (CRC) survivors experience disease- and treatment-related complaints, which may make it difficult to implement behavioural changes. In this systematic review, we aimed to identify determinants of a healthy lifestyle, i.e. dietary behaviours and physical activity, in CRC survivors who finished treatment.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We searched Web of Science, PubMed and PsychINFO, to retrieve quantitative and qualitative studies on determinants of a healthy lifestyle in CRC survivors who finished treatment. Synonyms of the following search terms were used: \u2018CRC survivors\u2019, \u2018lifestyle\u2019, \u2018physical activity\u2019, \u2018nutrition\u2019 and \u2018determinant\u2019. The level of evidence for each determinant was classified as \u2018convincing\u2019, \u2018moderately convincing\u2019 or \u2018unconvincing\u2019 based on consistency of findings between studies and quality of studies assessed with the Mixed Methods Appraisal tool.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Twenty-one studies were retrieved of which twenty were classified as \u2018high-quality studies\u2019 and one as \u2018low-quality study\u2019. Determinants that were convincingly associated with less healthy lifestyle behaviours were smoking, depression, body image distress\/consciousness, experiencing pain, dealing with symptoms and bad health status. A good functional status was convincingly associated with more healthy lifestyle behaviours. Determinants with convincing evidence for an association with less or more healthy lifestyle behaviours were time and other priorities, knowledge, motivation, (false) beliefs, perceived and expected outcomes, skills, social support, social norms and influence, access to facilities and equipment and weather.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Interventions for changing health behaviours in CRC survivors who finished treatment could use these determinants to tailor and personalize the intervention to the target group.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00520-025-09315-x","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:20:37Z","timestamp":1742257237000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Determinants of healthy lifestyle behaviours in colorectal cancer survivors: a systematic review"],"prefix":"10.1007","volume":"33","author":[{"given":"Judith","family":"de Vries-ten Have","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renate M.","family":"Winkels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon A. G.","family":"Bloemhof","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annelot","family":"Zondervan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iris","family":"Krabbenborg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Kampman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura H. H.","family":"Winkens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"9315_CR1","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1002\/ijc.34906","volume":"155","author":"DSM Chan","year":"2024","unstructured":"Chan DSM, Cariolou M, Markozannes G, Balducci K, Vieira R, Kiss S et al (2024) Post-diagnosis dietary factors, supplement use and colorectal cancer prognosis: a Global Cancer Update Programme (CUP Global) systematic literature review and meta-analysis. Int J Cancer 155:445\u2013470. https:\/\/doi.org\/10.1002\/ijc.34906","journal-title":"Int J Cancer"},{"key":"9315_CR2","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1002\/ijc.34903","volume":"155","author":"G Markozannes","year":"2024","unstructured":"Markozannes G, Becerra-Tom\u00e1s N, Cariolou M, Balducci K, Vieira R, Kiss S et al (2024) Post-diagnosis physical activity and sedentary behaviour and colorectal cancer prognosis: a Global Cancer Update Programme (CUP Global) systematic literature review and meta-analysis. Int J Cancer 155:426\u2013444. https:\/\/doi.org\/10.1002\/ijc.34903","journal-title":"Int J Cancer"},{"key":"9315_CR3","doi-asserted-by":"publisher","first-page":"4565","DOI":"10.1007\/s00520-019-04735-y","volume":"27","author":"MR van Veen","year":"2019","unstructured":"van Veen MR, Mols F, Bours MJL, Weijenberg MP, Kampman E, Beijer S (2019) Adherence to the World Cancer Research Fund\/American Institute for Cancer Research recommendations for cancer prevention is associated with better health\u2013related quality of life among long-term colorectal cancer survivors: results of the PROFILES registry. Support Care Cancer 27:4565\u20134574. https:\/\/doi.org\/10.1007\/s00520-019-04735-y","journal-title":"Support Care Cancer"},{"key":"9315_CR4","doi-asserted-by":"publisher","first-page":"1233","DOI":"10.6004\/jnccn.2022.7049","volume":"20","author":"RE Eyl-Armbruster","year":"2022","unstructured":"Eyl-Armbruster RE, Thong MSY, Carr PR, Jansen L, Chang-Claude J, Hoffmeister M et al (2022) Change toward healthier lifestyles is associated with better health-related quality of life in long-term colorectal cancer survivors. JNCCN J Natl Compr Cancer Netw 20:1233\u20131243. https:\/\/doi.org\/10.6004\/jnccn.2022.7049","journal-title":"JNCCN J Natl Compr Cancer Netw"},{"key":"9315_CR5","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114518000661","author":"JJL Breedveld-Peters","year":"2018","unstructured":"Breedveld-Peters JJL, Koole JL, M\u00fcller-Schulte E, Van Der Linden BWA, Windhausen C, Bours MJL et al (2018) Colorectal cancers survivors\u2019 adherence to lifestyle recommendations and cross-sectional associations with health-related quality of life. Br J Nutr. https:\/\/doi.org\/10.1017\/S0007114518000661","journal-title":"Br J Nutr"},{"key":"9315_CR6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/cancers12123701","volume":"12","author":"E Wesselink","year":"2020","unstructured":"Wesselink E, van Baar H, van Zutphen M, Tibosch M, Kouwenhoven EA, Keulen ETP et al (2020) Inflammation is a mediating factor in the association between lifestyle and fatigue in colorectal cancer patients. Cancers (Basel) 12:1\u201313. https:\/\/doi.org\/10.3390\/cancers12123701","journal-title":"Cancers (Basel)"},{"key":"9315_CR7","doi-asserted-by":"publisher","first-page":"3361","DOI":"10.1007\/s00520-015-2802-x","volume":"23","author":"O Husson","year":"2015","unstructured":"Husson O, Mols F, van de Poll-Franse LV, Thong MSY (2015) The course of fatigue and its correlates in colorectal cancer survivors: a prospective cohort study of the PROFILES registry. Support Care Cancer 23:3361\u20133371. https:\/\/doi.org\/10.1007\/s00520-015-2802-x","journal-title":"Support Care Cancer"},{"key":"9315_CR8","unstructured":"World Cancer Research Fund\/American Institute for Cancer Research (2018) Diet, nutrition, physical activity and cancer: a global perspective. World Cancer Research Fund International"},{"key":"9315_CR9","unstructured":"World Cancer Research Fund International (2024) Diet, nutrition, physical activity and body weight for people living  with and beyond colorectal cancer. The latest evidence, our guidance for patients, carers and health professionals, and  recommendations for future research. Available at: wcrf.org\/diet-activity-and-cancer\/global-cancer-update-programme\/cancer-survivors"},{"key":"9315_CR10","doi-asserted-by":"publisher","first-page":"956","DOI":"10.1007\/s11764-019-00812-7","volume":"13","author":"M van Zutphen","year":"2019","unstructured":"van Zutphen M, Boshuizen HC, Kok DE, van Baar H, Geijsen AJMR, Wesselink E et al (2019) Colorectal cancer survivors only marginally change their overall lifestyle in the first 2 years following diagnosis. J Cancer Surviv 13:956\u2013967. https:\/\/doi.org\/10.1007\/s11764-019-00812-7","journal-title":"J Cancer Surviv"},{"key":"9315_CR11","doi-asserted-by":"publisher","first-page":"E132","DOI":"10.1097\/ncc.0000000000000785","volume":"43","author":"CJ Han","year":"2020","unstructured":"Han CJ, Yang GS, Syrjala K (2020) Symptom experiences in colorectal cancer survivors after cancer treatments. Cancer Nurs 43:E132\u2013E158. https:\/\/doi.org\/10.1097\/ncc.0000000000000785","journal-title":"Cancer Nurs"},{"key":"9315_CR12","doi-asserted-by":"publisher","first-page":"1138","DOI":"10.1002\/pon.4611","volume":"27","author":"M Lamort-Bouch\u00e9","year":"2018","unstructured":"Lamort-Bouch\u00e9 M, Sarnin P, Kok G, Rouat S, Peron J, Letrilliart L et al (2018) Interventions developed with the intervention mapping protocol in the field of cancer: a systematic review. Psychooncology 27:1138\u20131149","journal-title":"Psychooncology"},{"key":"9315_CR13","doi-asserted-by":"publisher","first-page":"i","DOI":"10.3310\/HTA25570","volume":"25","author":"K Skivington","year":"2021","unstructured":"Skivington K, Matthews L, Simpson SA, Craig P, Baird J, Blazeby JM et al (2021) Framework for the development and evaluation of complex interventions: gap analysis, workshop and consultation-informed update. Health Technol Assess (Rockv) 25:i\u2013132. https:\/\/doi.org\/10.3310\/HTA25570","journal-title":"Health Technol Assess (Rockv)"},{"key":"9315_CR14","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1016\/j.ejon.2011.03.010","volume":"15","author":"C Taylor","year":"2011","unstructured":"Taylor C, Richardson A, Cowley S (2011) Surviving cancer treatment: an investigation of the experience of fear about, and monitoring for, recurrence in patients following treatment for colorectal cancer. Eur J Oncol Nurs 15:243\u2013249. https:\/\/doi.org\/10.1016\/j.ejon.2011.03.010","journal-title":"Eur J Oncol Nurs"},{"key":"9315_CR15","doi-asserted-by":"publisher","unstructured":"Lim CYS, Laidsaar-Powell RC, Young JM, Kao SCH, Zhang Y, Butow P (2021) Colorectal cancer survivorship: a systematic review and thematic synthesis of qualitative research. Eur J Cancer Care (Engl) 30. https:\/\/doi.org\/10.1111\/ecc.13421","DOI":"10.1111\/ecc.13421"},{"key":"9315_CR16","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1007\/s00520-022-07475-8","volume":"31","author":"J Chen","year":"2022","unstructured":"Chen J, Jia L, Li Y, Shi Y, Dong X, Yao J et al (2022) Factors influencing adherence to healthy eating behaviors among adult colorectal cancer survivors: a systematic mixed method review. Support Care Cancer 31:88. https:\/\/doi.org\/10.1007\/s00520-022-07475-8","journal-title":"Support Care Cancer"},{"key":"9315_CR17","doi-asserted-by":"publisher","first-page":"685","DOI":"10.1007\/s00520-017-3964-5","volume":"26","author":"BK Clifford","year":"2018","unstructured":"Clifford BK, Mizrahi D, Sandler CX, Barry BK, Simar D, Wakefield CE et al (2018) Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer 26:685\u2013700. https:\/\/doi.org\/10.1007\/s00520-017-3964-5","journal-title":"Support Care Cancer"},{"key":"9315_CR18","doi-asserted-by":"publisher","unstructured":"Kampshoff CS, Jansen F, van Mechelen W, May AM, Brug J, Chinapaw MJM et al (2014) Determinants of exercise adherence and maintenance among cancer survivors: a systematic review. Int J Behav Nutr Phys Act 11. https:\/\/doi.org\/10.1186\/1479-5868-11-80","DOI":"10.1186\/1479-5868-11-80"},{"key":"9315_CR19","doi-asserted-by":"publisher","first-page":"987","DOI":"10.1007\/s00520-008-0411-7","volume":"16","author":"L Thorsen","year":"2008","unstructured":"Thorsen L, Courneya KS, Stevinson C, Foss\u00e5 SD (2008) A systematic review of physical activity in prostate cancer survivors: outcomes, prevalence, and determinants. Support Care Cancer 16:987\u2013997. https:\/\/doi.org\/10.1007\/s00520-008-0411-7","journal-title":"Support Care Cancer"},{"key":"9315_CR20","doi-asserted-by":"crossref","unstructured":"Denlinger CS, Barsevick AM (2009) The challenges of colorectal cancer survivorship. J Natl Compr Cancer Netw 7(8):883\u2013894","DOI":"10.6004\/jnccn.2009.0058"},{"key":"9315_CR21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmj.n71","volume":"10","author":"MJ Page","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. The BMJ 10:1\u201311. https:\/\/doi.org\/10.1136\/bmj.n71","journal-title":"The BMJ"},{"key":"9315_CR22","unstructured":"Hong QN, Pluye P, F\u00e0bregues S, Bartlett G, Boardman F, Cargo M, ... Vedel I (2018) Mixed methods appraisal tool (MMAT), version 2018. Registration of copyright 1148552(10):1\u20137"},{"key":"9315_CR23","doi-asserted-by":"publisher","first-page":"285","DOI":"10.3233\/EFI-180221","volume":"34","author":"QN Hong","year":"2018","unstructured":"Hong QN, F\u00e0bregues S, Bartlett G, Boardman F, Cargo M, Dagenais P et al (2018) The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Educ Inf 34:285\u2013291. https:\/\/doi.org\/10.3233\/EFI-180221","journal-title":"Educ Inf"},{"key":"9315_CR24","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1007\/s00520-015-2816-4","volume":"24","author":"M van Putten","year":"2016","unstructured":"van Putten M, Husson O, Mols F, Luyer MDP, van de Poll-Franse LV, Ezendam NPM (2016) Correlates of physical activity among colorectal cancer survivors: results from the longitudinal population-based profiles registry. Support Care Cancer 24:573\u2013583. https:\/\/doi.org\/10.1007\/s00520-015-2816-4","journal-title":"Support Care Cancer"},{"key":"9315_CR25","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1007\/s00520-007-0272-5","volume":"16","author":"CJ Peddle","year":"2008","unstructured":"Peddle CJ, Plotnikoff RC, Wild TC, Au HJ, Courneya KS (2008) Medical, demographic, and psychosocial correlates of exercise in colorectal cancer survivors: an application of self-determination theory. Support Care Cancer 16:9\u201317. https:\/\/doi.org\/10.1007\/s00520-007-0272-5","journal-title":"Support Care Cancer"},{"key":"9315_CR26","doi-asserted-by":"publisher","first-page":"85","DOI":"10.4278\/ajhp.140103-QUAN-7","volume":"30","author":"LB Packel","year":"2015","unstructured":"Packel LB, Prehn AW, Anderson CL, Fisher PL (2015) Factors influencing physical activity behaviors in colorectal cancer survivors. Am J Health Promot 30:85\u201392. https:\/\/doi.org\/10.4278\/ajhp.140103-QUAN-7","journal-title":"Am J Health Promot"},{"key":"9315_CR27","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1007\/s10552-015-0683-4","volume":"27","author":"BM Lynch","year":"2016","unstructured":"Lynch BM, Boyle T, Winkler E, Occleston J, Courneya KS, Vallance JK (2016) Patterns and correlates of accelerometer-assessed physical activity and sedentary time among colon cancer survivors. Cancer Causes Control 27:59\u201368. https:\/\/doi.org\/10.1007\/s10552-015-0683-4","journal-title":"Cancer Causes Control"},{"key":"9315_CR28","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1007\/s00520-009-0705-4","volume":"18","author":"BM Lynch","year":"2010","unstructured":"Lynch BM, Owen N, Hawkes AL, Aitken JF (2010) Perceived barriers to physical activity for colorectal cancer survivors. Support Care Cancer 18:729\u2013734. https:\/\/doi.org\/10.1007\/s00520-009-0705-4","journal-title":"Support Care Cancer"},{"key":"9315_CR29","doi-asserted-by":"publisher","first-page":"1653","DOI":"10.1007\/s00520-020-05661-0","volume":"29","author":"KA Kim","year":"2021","unstructured":"Kim KA, Chu SH, Oh EG, Shin SJ, Jeon JY, Lee YJ (2021) Autonomy is not but competence and relatedness are associated with physical activity among colorectal cancer survivors. Support Care Cancer 29:1653\u20131661. https:\/\/doi.org\/10.1007\/s00520-020-05661-0","journal-title":"Support Care Cancer"},{"key":"9315_CR30","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1016\/j.ypmed.2014.01.032","volume":"62","author":"AP D\u2019Andrea","year":"2014","unstructured":"D\u2019Andrea AP, Fernandez CA, Tannenbaum SL, Clarke TC, McClure LA, LeBlanc WG et al (2014) Correlates of leisure time physical activity compliance in colorectal cancer survivors. Prev Med (Baltim) 62:78\u201382. https:\/\/doi.org\/10.1016\/j.ypmed.2014.01.032","journal-title":"Prev Med (Baltim)"},{"key":"9315_CR31","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1097\/NCC.0000000000000383","volume":"40","author":"YJ Chou","year":"2017","unstructured":"Chou YJ, Lai YH, Lin BR, Liang JT, Shun SC (2017) Factors influencing amount of weekly exercise time in colorectal cancer survivors. Cancer Nurs 40:201\u2013208. https:\/\/doi.org\/10.1097\/NCC.0000000000000383","journal-title":"Cancer Nurs"},{"key":"9315_CR32","doi-asserted-by":"publisher","first-page":"1600","DOI":"10.1200\/JCO.2008.18.5157","volume":"27","author":"SK Chambers","year":"2009","unstructured":"Chambers SK, Lynch BM, Aitken J, Baade P (2009) Relationship over time between psychological distress and physical activity in colorectal cancer survivors. J Clin Oncol 27:1600\u20131606. https:\/\/doi.org\/10.1200\/JCO.2008.18.5157","journal-title":"J Clin Oncol"},{"key":"9315_CR33","doi-asserted-by":"publisher","unstructured":"Liu VN, Zuniga KB, Paciorek A, Zhang L, Chan JM, Carroll PR et al (2023) Barriers and confidence among colorectal and prostate cancer survivors participating in two behavioral intervention studies. Support Care in Cancer 31. https:\/\/doi.org\/10.1007\/s00520-023-07901-5","DOI":"10.1007\/s00520-023-07901-5"},{"key":"9315_CR34","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1017\/S0007114515001798","volume":"114","author":"MJ Bours","year":"2015","unstructured":"Bours MJ, Beijer S, Winkels RM, Van Duijnhoven FJ, Mols F, Breedveld-Peters JJ et al (2015) Dietary changes and dietary supplement use, and underlying motives for these habits reported by colorectal cancer survivors of the Patient Reported Outcomes Following Initial Treatment and Long-Term Evaluation of Survivorship (PROFILES) registry. Br J Nutr 114:286\u2013296. https:\/\/doi.org\/10.1017\/S0007114515001798","journal-title":"Br J Nutr"},{"key":"9315_CR35","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1097\/NCC.0b013e3182813972","volume":"37","author":"AE Speed-Andrews","year":"2014","unstructured":"Speed-Andrews AE, McGowan EL, Rhodes RE, Blanchard CM, Nicole Culos-Reed S, Friedenreich CM et al (2014) Identification and evaluation of the salient physical activity beliefs of colorectal cancer survivors. Cancer Nurs 37:14\u201322. https:\/\/doi.org\/10.1097\/NCC.0b013e3182813972","journal-title":"Cancer Nurs"},{"key":"9315_CR36","doi-asserted-by":"publisher","unstructured":"Wong JYH, Ho JWC, Lee AM, Fong DYT, Chu N, Leung S et al (2021) Lived experience of dietary change among Chinese colorectal cancer survivors in Hong Kong: a qualitative study. BMJ Open 11. https:\/\/doi.org\/10.1136\/bmjopen-2021-051052","DOI":"10.1136\/bmjopen-2021-051052"},{"key":"9315_CR37","doi-asserted-by":"publisher","unstructured":"Byeon JY, Lee MK, Park DH, Yeon SJ, Jee SH, Lee CW, et al. A qualitative exploration of exercise motivation among colorectal cancer survivors: an application of the theory of planned behavior. Supportive Care in Cancer 2024;32. https:\/\/doi.org\/10.1007\/s00520-024-08362-0.","DOI":"10.1007\/s00520-024-08362-0"},{"key":"9315_CR38","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/ecc.13159","volume":"28","author":"JWC Tang","year":"2019","unstructured":"Tang JWC, Lam WWT, Ma ASY, Law WL, Wei R, Fielding R (2019) Dietary changes adopted by Chinese colorectal cancer patients: a qualitative study. Eur J Cancer Care (Engl) 28:1\u201310. https:\/\/doi.org\/10.1111\/ecc.13159","journal-title":"Eur J Cancer Care (Engl)"},{"key":"9315_CR39","doi-asserted-by":"publisher","first-page":"1481","DOI":"10.1007\/s00520-018-4516-3","volume":"27","author":"S Saunders","year":"2019","unstructured":"Saunders S, Brunet J (2019) A qualitative study exploring what it takes to be physically active with a stoma after surgery for rectal cancer. Support Care Cancer 27:1481\u20131489. https:\/\/doi.org\/10.1007\/s00520-018-4516-3","journal-title":"Support Care Cancer"},{"key":"9315_CR40","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1097\/01.REO.0000000000000125","volume":"36","author":"AD Ray","year":"2018","unstructured":"Ray AD, Masucci Twarozek A, Williams BT, Erwin DO, Underwood W, Mahoney MC (2018) Exercise in African American and white colorectal cancer survivors: a mixed-methods approach. Rehabilitation Oncology 36:188\u2013197. https:\/\/doi.org\/10.1097\/01.REO.0000000000000125","journal-title":"Rehabilitation Oncology"},{"key":"9315_CR41","doi-asserted-by":"publisher","first-page":"808","DOI":"10.1002\/pon.4234","volume":"26","author":"C Maxwell-Smith","year":"2017","unstructured":"Maxwell-Smith C, Zeps N, Hagger MS, Platell C, Hardcastle SJ (2017) Barriers to physical activity participation in colorectal cancer survivors at high risk of cardiovascular disease. Psychooncology 26:808\u2013814. https:\/\/doi.org\/10.1002\/pon.4234","journal-title":"Psychooncology"},{"key":"9315_CR42","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1007\/s13142-012-0188-6","volume":"3","author":"FWK Harper","year":"2013","unstructured":"Harper FWK, Nevedal A, Eggly S, Francis C, Schwartz K, Albrecht TL (2013) \u201cIt\u2019s up to you and God\u201d: understanding health behavior change in older African American survivors of colorectal cancer. Transl Behav Med 3:94\u2013103. https:\/\/doi.org\/10.1007\/s13142-012-0188-6","journal-title":"Transl Behav Med"},{"key":"9315_CR43","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/ecc.12679","volume":"27","author":"SJ Hardcastle","year":"2018","unstructured":"Hardcastle SJ, Maxwell-Smith C, Hagger MS, O\u2019Connor M, Platell C (2018) Exploration of information and support needs in relation to health concerns, diet and physical activity in colorectal cancer survivors. Eur J Cancer Care (Engl) 27:1\u20139. https:\/\/doi.org\/10.1111\/ecc.12679","journal-title":"Eur J Cancer Care (Engl)"},{"key":"9315_CR44","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1002\/pon.4111","volume":"26","author":"SJ Hardcastle","year":"2017","unstructured":"Hardcastle SJ, Maxwell-Smith C, Zeps N, Platell C, O\u2019Connor M, Hagger MS (2017) A qualitative study exploring health perceptions and factors influencing participation in health behaviors in colorectal cancer survivors. Psychooncology 26:199\u2013205. https:\/\/doi.org\/10.1002\/pon.4111","journal-title":"Psychooncology"},{"key":"9315_CR45","doi-asserted-by":"publisher","first-page":"2621","DOI":"10.1002\/cncr.31369","volume":"124","author":"F Mols","year":"2018","unstructured":"Mols F, Schoormans D, de Hingh I, Oerlemans S, Husson O (2018) Symptoms of anxiety and depression among colorectal cancer survivors from the population-based, longitudinal PROFILES registry: prevalence, predictors, and impact on quality of life. Cancer 124:2621\u20132628. https:\/\/doi.org\/10.1002\/cncr.31369","journal-title":"Cancer"},{"key":"9315_CR46","doi-asserted-by":"publisher","first-page":"805","DOI":"10.1093\/abm\/kaaa018","volume":"54","author":"E Hekler","year":"2020","unstructured":"Hekler E, Tiro JA, Hunter CM, Nebeker C (2020) Precision health: the role of the social and behavioral sciences in advancing the vision. Ann Behav Med 54:805\u2013826. https:\/\/doi.org\/10.1093\/abm\/kaaa018","journal-title":"Ann Behav Med"},{"key":"9315_CR47","unstructured":"Sallis JF, Owen N, Fisher E (2015) Ecological models of health behavior. Health behavior: Theory, research, and practice 5(43\u201364)"},{"key":"9315_CR48","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1080\/17437199.2016.1151372","volume":"10","author":"D Kwasnicka","year":"2016","unstructured":"Kwasnicka D, Dombrowski SU, White M, Sniehotta F (2016) Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories. Health Psychol Rev 10:277\u2013296. https:\/\/doi.org\/10.1080\/17437199.2016.1151372","journal-title":"Health Psychol Rev"},{"key":"9315_CR49","doi-asserted-by":"publisher","unstructured":"Peters G-J, Crutzen R (2024) Knowing what we\u2019re talking about. Meta-Psychology 8. https:\/\/doi.org\/10.15626\/MP.2022.3638","DOI":"10.15626\/MP.2022.3638"},{"key":"9315_CR50","doi-asserted-by":"publisher","unstructured":"Hale J, West R, Michie S, Hastings J, Lefevre CE, Direito A et al (2020) An ontology-based modelling system (OBMS) for representing behaviour change theories applied to 76 theories. Wellcome Open Res 5. https:\/\/doi.org\/10.12688\/wellcomeopenres.16121.1","DOI":"10.12688\/wellcomeopenres.16121.1"},{"key":"9315_CR51","unstructured":"Eldredge LKB, Markham CM, Ruiter RA, Fern\u00e1ndez ME, Kok G, Parcel GS (2016) Planning health promotion programs: an intervention mapping approach. John Wiley & Sons"},{"key":"9315_CR52","doi-asserted-by":"publisher","first-page":"142","DOI":"10.31234\/osf.io\/hy7mj","volume":"16","author":"G Peters","year":"2014","unstructured":"Peters G (2014) A practical guide to effective behavior change: how to identify what to change in the first place. Eur Health Psychol 16:142\u201355. https:\/\/doi.org\/10.31234\/osf.io\/hy7mj","journal-title":"European Health Psychologist"},{"key":"9315_CR53","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3310\/hsdr09010","volume":"9","author":"S Michie","year":"2021","unstructured":"Michie S, Johnston M, Rothman AJ, de Bruin M, Kelly MP, Carey RN et al (2021) Developing an evidence-based online method of linking behaviour change techniques and theoretical mechanisms of action: a multiple methods study. Health Serv Deliv Res 9:1\u2013168. https:\/\/doi.org\/10.3310\/hsdr09010","journal-title":"Health Serv Deliv Res"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-025-09315-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-025-09315-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-025-09315-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T07:09:24Z","timestamp":1745305764000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-025-09315-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,18]]},"references-count":53,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["9315"],"URL":"https:\/\/doi.org\/10.1007\/s00520-025-09315-x","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,18]]},"assertion":[{"value":"16 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 February 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 March 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Permission to reproduce material from other sources"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"292"}}