Halliday Gail C, Miles Gordon C P, Marsh Julie A, Kotecha Rishi S, Alessandri Angela J
Great North Children's Hospital, Newcastle upon Tyne, United Kingdom.
Department of Haematology and Oncology, Princess Margaret Hospital for Children, Perth, Western Australia, Australia.
Pediatr Blood Cancer. 2017 Dec;64(12). doi: 10.1002/pbc.26668. Epub 2017 Jun 19.
Parents of children with cancer describe impaired physical and social functioning, sleep disturbance and poor mental health. Exercise-related interventions impact positively on these quality of life domains, but have not been examined in this population. The aim of this longitudinal pilot study was to explore the feasibility of a 12-week pedometer-monitored walking intervention among parents of children with cancer, assessing adherence to a set activity target of 70,000 steps per week, and to explore the benefits of physical activity on mental and physical health.
Parents were provided with a pedometer and requested to achieve a daily step count of 10,000 steps per day for 12 weeks. Mood, well-being and psychological distress were examined using validated questionnaires (Profile of Mood States 2nd edition [POMS-2], Distress Thermometer for Parents [DT-P] and Depression Anxiety Stress Scales [DASS-42]) at baseline, midpoint (6 weeks) and endpoint (12 weeks) to identify changes in these domains with increased activity.
Fifteen parents were recruited. The majority increased their counts during the first 4 weeks of the study and maintained this to week 8 (n = 12). Time-dependent improvements were identified in the following psychometric test outcomes at week 12: DT-P score (likelihood ratio test [LRT] P = 0.02), POMS-2 total mood disturbance (LRT P = 0.03), fatigue inertia (LRT P = 0.009), tension anxiety (LRT P = 0.007) and vigour activity (LRT P = 0.001).
Mental health benefits of a pedometer-based exercise intervention for parents of children with cancer were identified. Such programs should be included in a holistic approach to improve the psychological outcomes of parents whose children are receiving treatment for cancer.
癌症患儿的父母存在身体和社交功能受损、睡眠障碍以及心理健康不佳的情况。与运动相关的干预措施对这些生活质量领域有积极影响,但尚未在这一人群中进行研究。这项纵向试点研究的目的是探讨在癌症患儿父母中进行为期12周的计步器监测步行干预的可行性,评估对每周70000步的设定活动目标的依从性,并探讨身体活动对身心健康的益处。
为父母提供计步器,并要求他们在12周内每天达到10000步的步数。在基线、中点(6周)和终点(12周)使用经过验证的问卷(情绪状态剖面图第二版[POMS - 2]、父母苦恼温度计[DT - P]和抑郁焦虑压力量表[DASS - 42])检查情绪、幸福感和心理困扰,以确定随着活动增加这些领域的变化。
招募了15名父母。大多数人在研究的前4周增加了步数,并维持到第8周(n = 12)。在第12周的以下心理测量测试结果中发现了随时间的改善:DT - P评分(似然比检验[LRT]P = 0.02)、POMS - 2总情绪困扰(LRT P = 0.03)、疲劳惰性(LRT P = 0.009)、紧张焦虑(LRT P = 0.007)和活力活动(LRT P = 0.001)。
确定了基于计步器的运动干预对癌症患儿父母心理健康有益。此类项目应纳入整体方法中,以改善其孩子正在接受癌症治疗的父母的心理状况。