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An integrated experiential training programme with coaching to promote physical activity, and reduce fatigue among

Katherine K W Lam1, William H C Li1, O K Chung1

  • 1School of Nursing, The University of Hong Kong, Pokfulam, Hong Kong, China.

Patient Education and Counseling
|July 16, 2018
PubMed

Insights

An integrated program significantly reduced fatigue and improved physical activity, self-efficacy, strength, and quality of life in children with cancer. This intervention is effective and feasible for pediatric cancer patients.

Area of Science:

  • Pediatric Oncology
  • Rehabilitation Medicine
  • Clinical Trials

Background:

  • Cancer and its treatment significantly impact children's physical function and quality of life.
  • Managing cancer-related fatigue and promoting physical activity are crucial for pediatric cancer survivors.
  • There is a need for effective, feasible interventions to support children with cancer.

Purpose of the Study:

  • To evaluate the effectiveness of an integrated program on physical activity, fatigue, self-efficacy, muscle strength, and quality of life in Chinese children with cancer.
  • To assess the feasibility of implementing such a program in a clinical setting.
  • To provide an alternative approach for ameliorating the healthcare burden associated with pediatric cancer.

Main Methods:

  • A randomized controlled trial was conducted with 70 children diagnosed with cancer.
  • The experimental group received a 6-month integrated program with home visits, while the control group received a placebo intervention.
  • Outcomes including fatigue, physical activity, self-efficacy, muscle strength, and quality of life were assessed at baseline, 6, and 9 months.

Main Results:

  • The experimental group showed significantly lower cancer-related fatigue at 9 months.
  • Participants in the experimental group reported higher physical activity levels and physical activity self-efficacy.
  • Enhanced muscle strength (grip strength) and improved quality of life were observed in the intervention group compared to the control group.

Conclusions:

  • The integrated program is effective and feasible for improving the well-being of children with cancer.
  • This intervention offers a viable strategy to reduce the healthcare burden in pediatric oncology.
  • Multidisciplinary partnerships are recommended for the sustainable implementation of such programs.
Abstract

Keywords:
FatigueHealth promotionMuscle strengthPaediatric patients with cancerPhysical activityPhysical activity self-efficacyQuality of life

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