Associations Between Extreme/Adventure Sport, Exercise Growth and Posttrauamtic Growth Among Gynecologic Cancer Survivors
Bibliographic record
Abstract
PURPOSE: Exercise is associated with posttraumatic growth in gynecologic cancer survivors (GCS) but the role of extreme/adventure sport has not been investigated. The primary objective of this study was to examine the prevalence and interest in extreme/adventure sport in GCS and determine any associations with posttraumatic growth. METHODS: A Canadian provincial cancer registry generated a random sample of 2,064 GCS stratified by cancer type (i.e., cervical, endometrial, and ovarian) who were mailed a self-report survey that assessed demographic and medical variables, participation and interest in extreme/adventure sports, posttraumatic growth using several scales, and exercise growth. Exercise growth examined the extent to which the gynecologic cancer diagnosis itself prompted participation in more challenging, novel, and/or high risk activities. RESULTS: Of the 621 completed surveys, only 12.1% of GCS reported participating in extreme/adventure sports in the past year. Of 309 GCS interested in a future exercise study, 41.1% were interested in trying extreme/adventure sports. The strongest interest was for cross country skiing (56.9%) followed by horseback riding (51.5%) and river rafting (41.5%). After adjustment for key covariates, neither participation nor interest in extreme/adventure sport was associated with posttraumatic growth. However, all exercise growth items were significantly associated with all posttraumatic growth scales (all p’s<0.05). In multivariate regression analyses, exercise growth items explained 37.2 % of the variance in the posttraumatic growth inventory, 7.2% of the variance in the negative impact of cancer scale, 19.9% of the variance in the positive impact of cancer scale, and 23% of the variance in the benefit finding scale (all p’s<0.001). CONCLUSIONS: Participation and interest in extreme/adventure sports were not associated with posttraumatic growth; however, exercise growth was strongly associated with posttraumatic growth in GCS.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.000 | 0.002 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".