Sattar S, Papadopoulos E, Smith G V H, Haase K R, Kobekyaa F, Tejero I, Bradley C, Nadler M B, Campbell K L, Santa Mina D, Alibhai S M H
College of Nursing, University of Saskatchewan, 108-4400 4th Ave, Regina, SK, S4T 0H6, Canada.
Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, 610 University Ave, Toronto, ON, M5G 2C4, Canada.
J Cancer Surviv. 2024 Dec;18(6):1861-1888. doi: 10.1007/s11764-023-01427-9. Epub 2023 Jul 7.
Technology-based exercise is gaining attention as a promising strategy for increasing physical activity (PA) in older adults with cancer (OACA). However, a comprehensive understanding of the interventions, their feasibility, outcomes, and safety is limited. This scoping review (1) assessed the prevalence and type of technology-based remotely delivered exercise interventions for OACA and (2) explored the feasibility, safety, acceptability, and outcomes in these interventions.
Studies with participant mean/median age ≥ 65 reporting at least one outcome measure were included. Databases searched included the following: PubMed, CINAHL, Embase, Cochrane Library Online, SPORTDiscus, and PsycINFO. Multiple independent reviewers completed screening and data abstractions of articles in English, French, and Spanish.
The search yielded 2339 citations after removing duplicates. Following title and abstract screening, 96 full texts were review, and 15 were included. Study designs were heterogeneous, and sample sizes were diverse (range 14-478). The most common technologies used were website/web portal (n = 6), videos (n = 5), exergaming (n = 2), accelerometer/pedometer with video and/or website (n = 4), and live-videoconferencing (n = 2). Over half (9/15) of the studies examined feasibility using various definitions; feasibility outcomes were reached in all. Common outcomes examined include lower body function and quality of life. Adverse events were uncommon and minor were reported. Qualitative studies identified cost- and time-savings, healthcare professional support, and technology features that encourage engagement as facilitators.
Remote exercise interventions using technology appear to be feasible and acceptable in OACA.
Some remote exercise interventions may be a viable way to increase PA for OACA.
基于技术的运动作为一种有前景的策略，正日益受到关注，有望增加老年癌症患者（OACA）的身体活动（PA）。然而，对于这些干预措施、其可行性、结果和安全性的全面了解仍然有限。本范围综述（1）评估了为OACA提供的基于技术的远程运动干预措施的患病率和类型，（2）探讨了这些干预措施的可行性、安全性、可接受性和结果。
纳入参与者平均/中位年龄≥65岁且报告至少一项结局指标的研究。检索的数据库包括：PubMed、CINAHL、Embase、Cochrane在线图书馆、SPORTDiscus和PsycINFO。多名独立评审员完成了对英文、法文和西班牙文文章的筛选和数据提取。
去除重复项后，检索共获得2339条引文。经过标题和摘要筛选，对96篇全文进行了评审，纳入15篇。研究设计各异，样本量也各不相同（范围为14 - 478）。最常用的技术是网站/网络门户（n = 6）、视频（n = 5）、运动游戏（n = 2）、带有视频和/或网站的加速度计/计步器（n = 4）以及实时视频会议（n = 2）。超过一半（9/15）的研究使用各种定义来检验可行性；所有研究均得出了可行性结果。常见的结局指标包括下肢功能和生活质量。不良事件并不常见，报告的多为轻微事件。定性研究确定成本和时间节省、医疗专业人员支持以及鼓励参与的技术特征为促进因素。
在OACA中，使用技术的远程运动干预措施似乎是可行且可接受的。
一些远程运动干预措施可能是增加OACA身体活动的可行方法。
