Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Närhälsan Bollebygd Rehabilitation Center, Bollebygd, Sweden.
Support Care Cancer. 2023 Jun 22;31(7):409. doi: 10.1007/s00520-023-07865-6.
Studies indicate that adult childhood cancer survivors do not achieve recommended physical activity levels. A deeper understanding of factors that influence their ability to be physically active is essential to identify individuals in need of support. The aim was to explore factors that influence adult childhood cancer survivor's ability to be physically active.
Semi-structured interviews were conducted from June to October 2020 with 20 adult childhood cancer survivors with a median age of 31 (min-max 20-47) years. Interviews were transcribed verbatim and analyzed with qualitative content analysis.
Four main categories: "The impact of environmental factors," "Personal factors of importance," "Consequences of the treatment or disease," and "The impact of support from healthcare" and 10 sub-categories, were identified. Participants described how family habits and encouragement from others influenced their present ability to be physically active. Experienced benefits of physical activity were described as a facilitator for current physical activity while suffering from late complications was identified as a barrier. Participants highlighted the importance of specific and individualized physical activity recommendations.
This study includes adult childhood cancer survivors several years after completion of treatment, hence highlighting the importance for support both during treatment and follow-up to sustain their physical activity. Healthcare providers need to identify individuals suffering from late complications, even several years after treatment; provide individualized physical activity recommendations; and educate families and schools about the importance of physical activity in childhood cancer survivorship.
This research project was registered in the Swedish National Database of Research and Development, identifier 273320, December 6, 2019 ( https://www.researchweb.org/is/vgr/project/273320 ).
研究表明，成年癌症患儿幸存者达不到推荐的身体活动水平。深入了解影响他们身体活动能力的因素对于确定需要支持的个体至关重要。本研究旨在探讨影响成年癌症患儿幸存者身体活动能力的因素。
2020 年 6 月至 10 月，对 20 名成年癌症患儿幸存者进行了半结构化访谈，中位年龄为 31 岁（最小-最大 20-47 岁）。访谈内容逐字记录，并进行定性内容分析。
确定了四个主要类别：“环境因素的影响”、“个人重要因素”、“治疗或疾病的后果”和“医疗保健支持的影响”，以及 10 个子类别。参与者描述了家庭习惯和他人的鼓励如何影响他们目前的身体活动能力。他们还描述了体验到身体活动的益处如何促进当前的身体活动，而遭受晚期并发症则被认为是一个障碍。参与者强调了特定和个体化身体活动建议的重要性。
本研究包括癌症患儿幸存者在完成治疗后数年的情况，因此强调了在治疗期间和随访期间提供支持以维持其身体活动的重要性。医疗保健提供者需要识别出患有晚期并发症的个体，即使是在治疗后数年；提供个体化的身体活动建议；并教育家庭和学校了解身体活动在癌症患儿生存中的重要性。
本研究项目于 2019 年 12 月 6 日在瑞典国家研究与发展数据库中注册，标识符为 273320（https://www.researchweb.org/is/vgr/project/273320）。
