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一项针对 CARE(癌症与康复运动)的混合方法评估:在社区足球信托中开展的一项身体活动与健康干预。

A Mixed-Methods Evaluation of CARE (Cancer and Rehabilitation Exercise): A Physical Activity and Health Intervention, Delivered in a Community Football Trust.

机构信息

School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, QLD 4006, Australia.

Policy and Epidemiology Group, Queensland Centre for Mental Health Research, Brisbane, QLD 4072, Australia.

出版信息

Int J Environ Res Public Health. 2021 Mar 23;18(6):3327. doi: 10.3390/ijerph18063327.


DOI:10.3390/ijerph18063327
PMID:33807112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8004656/
Abstract

With increasing cancer survivorship has come an increased necessity to support people living with cancer (PLWC) to have a good quality of life including being physically active. Using mixed methods, the current study aimed to use the RE-AIM evaluation framework (Reach, Effectiveness, Adoption, Implementation and Maintenance) to determine how the football community trust delivered CARE (Cancer and Rehabilitation Exercise) intervention was able to increase participants' physical activity in order to improve their quality of life and regain physiological and psychological function. Quantitative outcome data were collected at baseline, 3 and 6 months using the Cancer Physical Activity Standard Evaluation Framework questionnaire. Semi-structured focus groups ( = 5) captured participants' ( = 40) lived experience of the reach, effectiveness, adoption, implementation, and maintenance of CARE. Questionnaire data were analysed using repeated measures ANOVAs and qualitative data were thematically analysed. Following diagnosis, CARE was successful in providing participants with a unique and accessible opportunity to become or restart physically activity, by providing a local, socially supportive, and inclusive environment. This resulted in significant increases in physical activity ( = 5.98, = 0.009), quality of life (QoL) ( = 13.12, = 0.000) and significant reductions in fatigue ( = 11.19, = 0.000) over 6 months. Participants also reported becoming more active, recovering physical function, regaining independence, and enhanced psychological well-being as a result of attending CARE. Key design features of CARE were also identified across RE-AIM. CARE, a football community trust delivered physical activity intervention was successful in significantly improving participants' QoL and in regaining the physical and psychological functioning of people living with cancer. Results suggest that maintaining engagement in CARE for 6 months and beyond can support people to maintain these changes. Engaging in robust evaluations such as this can help organizations to successfully secure future funding for their programs.

摘要

随着癌症存活率的提高,越来越有必要支持癌症患者(PLWC)提高生活质量,包括保持身体活跃。本研究采用混合方法,利用 RE-AIM 评估框架(Reach、Effectiveness、Adoption、Implementation 和 Maintenance),确定社区信任的足球组织如何实施 CARE(癌症和康复运动)干预,以增加参与者的身体活动,从而改善他们的生活质量,恢复生理和心理功能。使用癌症身体活动标准评估框架问卷,在基线、3 个月和 6 个月时收集定量结果数据。半结构式焦点小组(n=5)记录了参与者(n=40)对 CARE 的实施、效果、采用、实施和维持的亲身经历。使用重复测量方差分析对问卷数据进行分析,对定性数据进行主题分析。在诊断后,CARE 成功地为参与者提供了一个独特且可及的机会,使他们能够或重新开始身体活动,提供了一个本地、社交支持和包容的环境。这导致身体活动显著增加( = 5.98, = 0.009),生活质量(QoL)显著提高( = 13.12, = 0.000),疲劳感显著降低( = 11.19, = 0.000),在 6 个月内。参与者还报告说,参加 CARE 后,他们变得更加活跃,恢复了身体功能,重新获得了独立性,心理幸福感也得到了增强。CARE 还确定了跨 RE-AIM 的关键设计特征。CARE 是一项由足球社区信托机构提供的身体活动干预措施,成功地显著改善了参与者的生活质量,恢复了癌症患者的身体和心理功能。结果表明,保持 CARE 的参与度在 6 个月及以上,可以支持人们维持这些变化。进行这样的稳健评估可以帮助组织成功为其项目获得未来的资金。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bef/8004656/0fea3cbaa3dc/ijerph-18-03327-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bef/8004656/0fea3cbaa3dc/ijerph-18-03327-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bef/8004656/0fea3cbaa3dc/ijerph-18-03327-g001.jpg

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本文引用的文献

[1]
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Perspect Public Health. 2020-11

[2]
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Prog Cardiovasc Dis. 2020

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Health Promot Int. 2020-10-1

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Eur J Appl Physiol. 2019-7-26

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