Cedars-Sinai Medical Center, Cancer Research Center for Health Equity, 700 N San Vicente Blvd, 5th Floor, West Hollywood, CA, 90069, USA.
Teen Cancer America, Los Angeles, CA, USA.
J Cancer Surviv. 2023 Dec;17(6):1546-1560. doi: 10.1007/s11764-022-01218-8. Epub 2022 Jun 27.
This study aims to investigate how healthcare providers (HCPs) promote physical activity (PA) to child and adolescent cancer survivors.
Semi-structured interviews were conducted with HCPs (n = 16; women n = 12; men n = 4) who provide care for cancer survivor youth (age 3 to 18). Participants represented 7 professions, including child life specialists, oncologists, nurse practitioners, physical therapists, and social workers. A reflexive thematic analysis was conducted to explore the techniques that HCPs use to promote PA for this patient population and ways PA promotion can improve.
HCPs use five strategies to promote PA to cancer survivor youth: (1) broadening the definition of PA, (2) tailoring PA recommendations, (3) including families, (4) connecting patients to programming, and (5) promoting patient motivation.
This research highlights techniques that HCPs use to promote PA to young cancer survivors and reveals the need for additional ways to support HCPs to improve PA promotion for child and adolescent cancer survivors. While HCPs emphasized the importance of PA for this patient population, they navigate barriers that limit the quality of PA discussions.
Further research should explore interventions to improve PA promotion and PA participation among child and adolescent cancer survivors. By understanding the perspectives of HCPs, patients, and their families, PA promotion strategies can be improved, and more programs that support both patients and practitioners may be developed.
本研究旨在探讨医护人员（HCPs）如何向儿童和青少年癌症幸存者宣传身体活动（PA）。
对 16 名（女性 n=12；男性 n=4）为癌症幸存者青年（3 至 18 岁）提供护理的 HCPs 进行了半结构化访谈。参与者代表了 7 种职业，包括儿童生活专家、肿瘤学家、执业护士、物理治疗师和社会工作者。采用反思性主题分析来探讨 HCPs 用于促进该患者群体身体活动的技术，以及促进身体活动的方法可以如何改进。
HCPs 使用五种策略向癌症幸存者青年宣传 PA：（1）拓宽 PA 的定义，（2）量身定制 PA 建议，（3）包括家庭，（4）将患者与项目联系起来，以及（5）促进患者积极性。
本研究强调了 HCPs 用于向年轻癌症幸存者宣传 PA 的技术，并揭示了需要额外的方法来支持 HCPs，以改善儿童和青少年癌症幸存者的 PA 宣传。虽然 HCPs 强调了 PA 对这一患者群体的重要性，但他们也面临着限制 PA 讨论质量的障碍。
进一步的研究应该探索改善儿童和青少年癌症幸存者 PA 宣传和 PA 参与的干预措施。通过了解 HCPs、患者及其家属的观点，可以改进 PA 宣传策略，并开发更多支持患者和从业者的项目。
