School of Nursing, The University of Hong Kong, Pokfulam, Hong Kong.
Psychooncology. 2013 Nov;22(11):2601-10. doi: 10.1002/pon.3326. Epub 2013 Jun 4.
There is growing concern about declining levels of physical activity in childhood cancer survivors. This study aimed to examine the effectiveness of an integrated adventure-based training and health education program in promoting changes in exercise behavior and enhancing the physical activity levels, self-efficacy, and quality of life of Hong Kong Chinese childhood cancer survivors.
A randomized controlled trial, two-group pretest and repeated post-test, between-subjects design was conducted to 71 childhood cancer survivors (9- to 16-year-olds). Participants in the experimental group joined a 4-day integrated adventure-based training and health education program. Control group participants received the same amount of time and attention as the experimental group but not in such a way as to have any specific effect on the outcome measures. Participants' exercise behavior changes, levels of physical activity, self-efficacy, and quality of life were assessed at the time of recruitment, 3, 6, and 9 months after starting the intervention.
Participants in the experimental group reported statistically significant differences in physical activity stages of change (p < 0.001), higher levels of physical activity (p < 0.001) and self-efficacy (p = 0.04) than those in the control group. Besides, there were statistically significant mean differences (p < 0.001) in physical activity levels (-2.6), self-efficacy (-2.0), and quality of life (-4.3) of participants in the experimental group from baseline to 9 months after starting the intervention.
The integrated adventure-based training and health education program was found to be
儿童癌症幸存者的身体活动水平下降引起了越来越多的关注。本研究旨在探讨综合冒险训练和健康教育计划对促进运动行为改变、提高身体活动水平、自我效能感和生活质量的有效性。
采用随机对照试验、两组前后测、组间设计，对 71 名香港华裔儿童癌症幸存者（9-16 岁）进行了研究。实验组参加了为期 4 天的综合冒险训练和健康教育计划。对照组接受与实验组相同数量和时间的关注，但不以任何特定方式对结果产生影响。在招募时、干预开始后 3、6 和 9 个月，评估参与者的运动行为变化、身体活动水平、自我效能感和生活质量。
实验组参与者在身体活动阶段变化（p < 0.001）、身体活动水平（p < 0.001）和自我效能感（p = 0.04）方面报告了统计学上的显著差异。此外，实验组参与者的身体活动水平（-2.6）、自我效能感（-2.0）和生活质量（-4.3）从基线到干预开始后 9 个月都有统计学上的显著差异（p < 0.001）。
综合冒险训练和健康教育计划被发现是有效的。
