Measurements and Digital Technology Solutions to Monitor Physical Activity in Patients With Pediatric Cancer: Scoping...

Area of Science:

• Digital Health
• Pediatric Oncology
• Physical Activity Monitoring

Background:

• Pediatric cancer patients often exhibit reduced physical activity (PA) due to treatment side effects like fatigue and functional limitations.
• Digital health solutions, including wearable sensors and augmented reality (AR), present novel opportunities for monitoring and enhancing PA in this population.

Purpose of the Study:

• To identify instruments used for monitoring PA in pediatric cancer patients during treatment.
• To examine PA monitoring methods, collected variables, and the potential of digital health solutions for PA engagement.

Main Methods:

• A systematic scoping review was conducted following Joanna Briggs Institute methodology across 8 scientific databases.
• Studies involving children aged 7-19 undergoing cancer treatment or within 2 years posttreatment were screened.
• Both objective (wearable sensors) and subjective (questionnaires) PA monitoring approaches were included.

Main Results:

• Twelve studies utilized various PA monitoring tools, with digital health solutions (e.g., Actical, Garmin VivoFit 3) used in 5 studies.
• Self-reported measures (e.g., Activities Scale for Kids) were common but limited by recall bias and motivation.
• Digital health tools show potential for PA adherence but are underutilized, with limited evidence in pediatric oncology.

Conclusions:

• Current objective and subjective PA monitoring methods offer insights but have limitations.
• Gaps exist in utilizing interactive digital health solutions, such as AR, for PA monitoring and patient engagement.
• Future research should prioritize integrating digital tools that actively engage patients, enhance motivation, and support rehabilitation in clinical and home settings.