Ha Lauren, Nevin Suzanne M, Wakefield Claire E, Jacovou Jacqueline, Mizrahi David, Signorelli Christina
School of Clinical Medicine, Discipline of Paediatrics and Child Health, UNSW Medicine and Health, UNSW Sydney, Kensington, Australia.
Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, Australia.
J Cancer Surviv. 2024 Mar 13. doi: 10.1007/s11764-024-01560-z.
Digital health interventions provide an innovative way to engage childhood cancer survivors in physical activity, yet few studies have explored the priorities of key stakeholders regarding using digital health. We aimed to investigate survivor, parent, and healthcare and community professional (HCP) experiences, priorities, and perceived importance of using digital health to promote physical activity behaviours for survivors.
Participants rated the importance of digital health features to promote physical activity in a survey. Guided by survey responses, we facilitated online focus groups or semi-structured interviews to discuss participants' experiences, priorities, and suggestions in-depth. We transcribed the data verbatim and conducted directed content analysis.
Forty participants took part in focus groups or interviews (including 9 childhood cancer survivors aged 8-21 years, 13 parents, and 18 HCP). Four key priorities were identified: health behaviour education, peer and parent involvement, goalsetting, and support from an HCP. There was a strong preference for digital mediums to facilitate physical activity due to its accessibility and convenience. Common intervention suggestions included earlier intervention (before the survivorship period), tailored and age-appropriate programs, a combined diet and exercise approach, and concise education delivery.
This study identified key priorities that may help to promote physical activity behaviours among childhood cancer survivors. Further research is needed to integrate these priorities into health behaviour interventions and evaluate their feasibility and efficacy.
Incorporating these multi-perspective priorities into future interventions will help to ensure their sustainability, acceptability, and uptake. This will in turn support childhood cancer survivors to develop a healthy lifestyle into adulthood.
数字健康干预为促使儿童癌症幸存者参与体育活动提供了一种创新方式，但很少有研究探讨关键利益相关者在使用数字健康方面的优先事项。我们旨在调查幸存者、家长以及医疗保健和社区专业人员（HCP）对于使用数字健康促进幸存者体育活动行为的经历、优先事项和感知重要性。
参与者在一项调查中对数字健康功能促进体育活动的重要性进行评分。根据调查回复，我们组织了在线焦点小组或半结构化访谈，深入讨论参与者的经历、优先事项和建议。我们逐字转录数据并进行定向内容分析。
40名参与者参加了焦点小组或访谈（包括9名8至21岁的儿童癌症幸存者、13名家长和18名HCP）。确定了四个关键优先事项：健康行为教育、同伴和家长参与、目标设定以及来自HCP的支持。由于数字媒介的可及性和便利性，人们强烈倾向于使用数字媒介来促进体育活动。常见的干预建议包括早期干预（在生存阶段之前）、量身定制且适合年龄的项目、饮食和运动相结合的方法以及简洁的教育传递方式。
本研究确定了可能有助于促进儿童癌症幸存者体育活动行为的关键优先事项。需要进一步研究将这些优先事项纳入健康行为干预措施，并评估其可行性和有效性。
将这些多视角的优先事项纳入未来的干预措施将有助于确保其可持续性、可接受性和采用率。这反过来将支持儿童癌症幸存者在成年后养成健康的生活方式。
