在儿童癌症的儿童和青少年幸存者中实施行为体育活动计划:试点随机对照试验
Maxime Caru1,2, Smita Dandekar3, Brett Gordon4
1Department of Pediatrics, Division of Hematology and Oncology, Pennsylvania State Health Children's Hospital, 500 University Drive, Hershey, PA, 17033, USA. mcaru@pennstatehealth.psu.edu.
Journal of behavioral medicine
|May 12, 2024
概括
对儿童癌症幸存者来说,12周的行为体育活动 (PA) 干预是可以接受和可行的. 干预改善了身体功能和遵守PA指南,每位参与者成本低.
科学领域:
- 儿科瘤学 儿科瘤学
- 行为科学 行为科学
- 运动生理学 运动生理学
背景情况:
- 儿童癌症幸存者经常经历身体活动 (PA) 和身体功能减少.
- 在这个人群中实施PA干预措施需要证明可接受性,可行性和有效性.
- COM-B框架为行为改变干预提供了一个结构化的方法.
研究的目的:
- 评估儿童癌症幸存者的12周行为PA干预措施的可接受性和可行性.
- 评估干预对患者报告结果 (PRO) 和身体功能的影响.
- 描述与提供PA干预相关的成本.
主要方法:
- 这是一项随机对照试验,对40名儿童癌症幸存者进行了随机对照试验 (13.6年平均年龄). 年龄) 在1:1的比例.
- 根据PA指南和COM-B框架,通过每周的电话提供量身定制的行为PA干预.
- 干预每周调整PA的频率,强度,时间和类型 (FITT);对照组没有接受干预.
主要成果:
- 在PA干预方面观察到高可接受性 (90.9%) 和可行性 (>85%).
- 在干预组中,PA频率 (85%),强度 (80%) 和时间 (100%) 显著改善.
- 干预组的身体功能有所改善 (6分钟的步行距离,p=0.016) 没有任何不良事件. 50%的人符合PA指南.
结论:
- 对于儿童癌症幸存者来说,12周的行为PA干预是可以接受的,可行的和安全的.
- 该干预措施对身体功能和遵守PA指南产生了积极影响.
- 这项研究支持将运动纳入儿科瘤治疗的标准实践.
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