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Exercise Interventions During Hospitalization for Stem Cell Transplantation: An Integrative Review.

Gisele C Tlusty¹, Windy W Alonso¹, Ann M Berger¹

¹University of Nebraska Medical Center College of Nursing, Omaha, NE, USA.

Western Journal of Nursing Research

|September 26, 2022

Summary

Adherence to exercise during hematopoietic stem cell transplantation (HSCT) hospitalization is difficult. Heterogeneity in study methods limits understanding of effective exercise interventions and behavior change techniques for improving adherence in HSCT patients.

Keywords:

adherence behavior change technique taxonomy exercise intervention hematopoietic stem cell transplant integrative review

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Area of Science:

Oncology
Hematology
Rehabilitation Medicine

Background:

Exercise interventions show potential for mitigating adverse effects during hematopoietic stem cell transplantation (HSCT) hospitalization.
Patient adherence to prescribed exercise regimens during HSCT is a significant challenge.

Purpose of the Study:

To synthesize existing literature on exercise interventions for HSCT patients during hospitalization.
To identify intervention characteristics, adherence rates, barriers, facilitators, and behavior change techniques (BCTs) used.
To analyze which BCTs are associated with higher adherence.

Main Methods:

A systematic literature review was conducted across major databases (PubMed, CINAHL, PsycINFO, Embase).
Included studies focused on exercise interventions during HSCT hospitalization.
Data extraction covered intervention details, adherence, barriers, facilitators, and BCTs.

Main Results:

Nineteen studies were included, revealing heterogeneity in exercise prescription, definitions, adherence measures, and reporting.
Barriers and facilitators to exercise adherence were infrequently reported.
Instruction, graded tasks, and environmental modifications were common BCTs in studies with ≥75% adherence.

Conclusions:

Significant heterogeneity in study methodologies hinders definitive conclusions regarding exercise interventions for HSCT.
Lack of consistent reporting on adherence, barriers, and facilitators limits the identification of effective strategies.
Further standardized research is needed to optimize exercise adherence and outcomes in HSCT patients.