Introduction

Exercise motivation and behavior change is a major challenge in any population but it is especially problematic in chronic disease populations such as cancer survivors. Cancer survivors often endure long and difficult medical treatments that may make exercise participation more difficult and the potential benefits of exercise seem less relevant. Given the preliminary positive findings concerning the benefits of exercise in cancer survivors (see Chapter 7), research has begun to examine exercise motivation and behavior change issues in cancer survivors. In this chapter, we provide an overview of this topic. We begin by reviewing studies on the patterns and prevalence rates of exercise in cancer survivors both during and after medical treatments. We then review and summarize what we currently know about the determinants of exercise in cancer survivors. After that, we review the limited research on exercise behavior change interventions in cancer survivors. Finally, we discuss important future research directions for this field and the clinical and public health implications of this research.

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