Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada.
Institute of Cardiology and Sports Medicine, Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Cologne, Germany.
Support Care Cancer. 2019 Apr;27(4):1153-1162. doi: 10.1007/s00520-019-04669-5. Epub 2019 Feb 6.
Physical activity programs for children diagnosed with cancer may enhance health and quality of life. However, it is unknown where and in what capacity such programs are being offered internationally.
To identify physical activity programs for children diagnosed with cancer and summarize program characteristics.
Five data sources were searched to identify physical activity programs offered to children diagnosed with cancer. Following confirmation of eligibility, correspondents were sent a series of open-ended questions via email. Data were extracted from responses and summarized descriptively and narratively.
Of the 140 unique correspondents contacted, 46 programs, in 10 countries, met eligibility criteria. Responses to open-ended follow-up questions were obtained from 36 programs and were subsequently included in the content analysis. Internationally, the majority of programs are being offered to children in Europe, with mixed cancer types, at different stages of the cancer trajectory. There is relatively equal distribution with regard to the setting in which programs are offered (i.e., community, hospital, combination). All correspondents reported that their program is professionally supervised, and most require that children obtain medical clearance prior to participating. There is considerable variability in terms of other key program (e.g., funding) and physical activity characteristics (e.g., frequency).
Findings from this environmental scan highlight where and in what capacity physical activity programs are being offered, providing guidance for those seeking to develop/implement physical activity programs themselves. Moreover, results highlight the current state of practice, underscoring the necessity of international networks, multi-site collaborations, and public relations to ensure all children diagnosed with cancer have access to physical activity programs.
为确诊癌症的儿童制定的身体活动方案可能会增进健康和生活质量。然而，目前尚不清楚这些方案在国际上何处以及以何种形式提供。
确定为确诊癌症的儿童提供的身体活动方案，并总结方案的特征。
检索了 5 个数据源以确定为确诊癌症的儿童提供的身体活动方案。在确认符合条件后，通过电子邮件向相关人员发送了一系列开放性问题。从回复中提取数据，并进行描述性和叙述性总结。
在联系的 140 位唯一联系人中，有 46 个方案（来自 10 个国家）符合入选标准。对开放性后续问题的回复来自 36 个方案，并随后纳入内容分析。在国际上，大多数方案针对欧洲的多种癌症类型的儿童在癌症病程的不同阶段提供服务。方案提供的环境（即社区、医院、两者结合）分布相对均衡。所有联系人都报告说，他们的方案由专业人员监督，大多数方案要求儿童在参加之前获得医疗许可。其他关键方案（如资金）和身体活动特征（如频率）存在很大差异。
本环境扫描的结果突出了身体活动方案在何处以及以何种形式提供，为那些希望自行制定/实施身体活动方案的人提供了指导。此外，结果突出了当前的实践状况，强调了国际网络、多地点合作和公共关系的必要性，以确保所有确诊癌症的儿童都能获得身体活动方案。
