Brick Rachelle, Turner Rose, Bender Catherine, Douglas Madilyn, Eilers Rachel, Ferguson Robert, Leland Natalie, Lyons Kathleen D, Toto Pamela, Skidmore Elizabeth
University of Pittsburgh, Department of Occupational Therapy, Bridgeside Point I, 100 Technology Drive, Pittsburgh, PA 15219, United States of America.
University of Pittsburgh, Health Sciences Library System, Falk Library, 200 Scaife Hall, 3550 Terrace Street, Pittsburgh, PA 15261, United States of America.
J Geriatr Oncol. 2022 Mar;13(2):132-142. doi: 10.1016/j.jgo.2021.09.010. Epub 2021 Sep 29.
Cancer-related disability is a complex problem for older breast cancer survivors. One aspect of cancer-related disability is a survivor's inability to complete meaningful daily activities and engage in life roles, referred to as activity limitations and participation restrictions respectively. There is a limited understanding of how interventions influence activity limitations and participation restrictions in this population. A scoping review was undertaken to identify and characterize nonpharmacological interventions developed to address activity limitations and participation restrictions. A systematic search of electronic databases (Ovid Medline, Embase, EBSCO CINAHL, and Ovid PsycINFO) was conducted in April 2020 and updated October 2020. Eleven studies met inclusion criteria. Most frequently observed delivery features were in-person and one-on-one format. Six interventions incorporated telehealth delivery components. Interventions were often complex and varied in content. Exercise and behavioral strategies were among the most frequently used active ingredients. Activity limitations and participation restrictions were often secondary outcomes, and measures of these outcomes were varied in content and assessment method. Study samples were not representative of the current population of older adult breast cancer survivors. Future intervention research should clarify intervention delivery, content, and dose, prioritize comprehensive measurement of activity limitations and participation restrictions, as well as recruit and involve representative study samples to enhance generalizability of findings.
癌症相关残疾对于老年乳腺癌幸存者来说是一个复杂的问题。癌症相关残疾的一个方面是幸存者无法完成有意义的日常活动并履行生活角色，分别称为活动受限和参与限制。对于干预措施如何影响该人群的活动受限和参与限制，人们的了解有限。进行了一项范围综述，以识别和描述为解决活动受限和参与限制而开发的非药物干预措施。2020年4月对电子数据库（Ovid Medline、Embase、EBSCO CINAHL和Ovid PsycINFO）进行了系统检索，并于2020年10月更新。11项研究符合纳入标准。最常观察到的实施特点是面对面和一对一形式。六项干预措施纳入了远程医疗实施组件。干预措施通常很复杂，内容也各不相同。运动和行为策略是最常用的有效成分之一。活动受限和参与限制往往是次要结果，这些结果的测量在内容和评估方法上各不相同。研究样本不能代表当前老年乳腺癌幸存者人群。未来的干预研究应阐明干预实施、内容和剂量，优先全面测量活动受限和参与限制，并招募和纳入具有代表性的研究样本，以提高研究结果的普遍性。
