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1.
Pediatr Blood Cancer ; 67(9): e28530, 2020 09.
Article in English | MEDLINE | ID: mdl-32589339

ABSTRACT

BACKGROUND: This study evaluated the feasibility of a technology-enhanced group-based fitness intervention for adolescent and young adult (AYA) survivors of childhood cancer. PROCEDURE: AYA survivors ages 13-25 years were randomized to the intervention (eight in-person group sessions with mobile app and FitBit followed by 4 weeks of app and FitBit only) or waitlist control. Assessments were at 0, 2, 3, 6, and 9 months. Feasibility was evaluated by enrollment, retention, attendance, app engagement, and satisfaction. Secondary outcomes included physical activity, muscular strength/endurance, cardiorespiratory fitness, health-related quality of life, and fatigue. RESULTS: A total of 354 survivors were mailed participation letters; 68 (19%) were screened, of which 56 were eligible and 49 enrolled (88% of those screened eligible, 14% of total potentially eligible). Forty-nine survivors (Mage  = 18.5 years, 49% female) completed baseline assessments and were randomized (25 intervention, 24 waitlist). Thirty-seven (76%) completed the postintervention assessment and 32 (65%) completed the final assessment. On average, participants attended 5.7 of eight sessions (range 1-8). Overall intervention satisfaction was high (M = 4.3, SD = 0.58 on 1-5 scale). Satisfaction with the companion app was moderately high (M = 3.4, SD = 0.97). The intervention group demonstrated significantly greater improvement in lower body muscle strength compared to the waitlist postintervention, and small but not statistically significant changes in other secondary measures. CONCLUSIONS: A group-based intervention with a mobile app and fitness tracker was acceptable but has limited reach due to geographical barriers and competing demands experienced by AYA survivors.


Subject(s)
Cancer Survivors/psychology , Exercise , Fitness Trackers/statistics & numerical data , Mobile Applications/statistics & numerical data , Neoplasms/rehabilitation , Quality of Life , Adolescent , Adult , Feasibility Studies , Female , Follow-Up Studies , Humans , Male , Prognosis , Survival Rate , Young Adult
2.
J Pediatr Oncol Nurs ; 21(3): 165-9, 2004.
Article in English | MEDLINE | ID: mdl-15296047

ABSTRACT

The present article examines the period of time immediately following the completion of treatment for childhood cancer. The unique concerns experienced by families at this stage of the cancer treatment are examined, and the specific challenges that children face as they renegotiate roles and relationships that are necessary for successful reintegration into family, school, and community settings are discussed. Obstacles to successful reintegration that are frequently encountered by patients and families are reviewed, as well as variables that may promote optimal adjustment during this transitional period. The need for continued research in this area is highlighted, and specific research questions are identified. An emphasis is placed on applying a socioecological framework to research and clinical work with pediatric oncology patients at this stage of the cancer experience.


Subject(s)
Adaptation, Psychological , Aftercare/organization & administration , Attitude to Health , Neoplasms/psychology , Psychology, Child , Child , Family , Family Health , Forecasting , Humans , Needs Assessment , Neoplasms/therapy , Nursing Research/organization & administration , Oncology Nursing/organization & administration , Patient Discharge , Pediatric Nursing/organization & administration , Sick Role , Social Support
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