Flannery Meghan K, Morin Jocelyn, O'Malley Katrina, Schmidt Debra, Hoag Jennifer A
Nationwide Children's Hospital, Columbus, OH 43205, USA.
Children's Wisconsin, Milwaukee, WI 53226, USA.
Children (Basel). 2025 Mar 21;12(4):399. doi: 10.3390/children12040399.
(1) Background: Inadequate physical activity is an ongoing issue for pediatric survivors of childhood cancer and hematopoietic stem cell transplant (HSCT), increasing their risk for chronic health conditions and decreasing quality of life. Team Survivors is a 12-week program in which survivors train as a group to participate in a community triathlon. Preliminary findings from a quality improvement project of Team Survivors were used to assess its feasibility in influencing survivors' physical activity and quality of life and their family's perception of the program. (2) Methods: Repeated measures -tests evaluated changes in caregiver-reported exercise self-efficacy and health-related quality of life (HRQoL). These findings were supplemented by a narrative review of qualitative data from caregivers and survivors on their overall experience and satisfaction with the program. (3) Results: All participants successfully completed the triathlon, and families reported satisfaction with the program's logistics (i.e., coordination, coaching, and practice). Neither caregiver-reported exercise self-efficacy nor HRQoL significantly differed between pre- and post-intervention, but notable improvements were reported in all domains of HRQoL. Qualitatively, the perceived benefits reported by caregivers and survivors were multifaceted. Physical benefits included improvements in survivors' physical activity level and endurance. Psychosocially, caregivers and survivors reported greater confidence and motivation for physical activity, improved coping, and increased social engagement and feelings of normalcy. (4) Conclusions: Mixed method results support the feasibility of Team Survivors in positively impacting survivors' ability to engage in physical activity. The multifaceted structure of the program may more broadly impact psychosocial functioning in addition to physical activity. Future studies require a larger sample size to adequately power the analyses.
(1) 背景：身体活动不足是儿童癌症幸存者和造血干细胞移植（HSCT）患儿持续面临的问题，这增加了他们患慢性健康问题的风险并降低了生活质量。“幸存者团队”是一个为期12周的项目，幸存者们以小组形式进行训练，以参加社区三项全能比赛。“幸存者团队”质量改进项目的初步结果被用于评估其在影响幸存者身体活动和生活质量以及他们家人对该项目看法方面的可行性。(2) 方法：重复测量测试评估了照料者报告的运动自我效能感和健康相关生活质量（HRQoL）的变化。这些结果通过对照料者和幸存者关于他们对该项目的总体体验和满意度的定性数据进行叙述性回顾得到补充。(3) 结果：所有参与者都成功完成了三项全能比赛，并且家庭报告对该项目的后勤工作（即协调、指导和练习）感到满意。干预前后照料者报告的运动自我效能感和HRQoL均无显著差异，但HRQoL的所有领域均报告有显著改善。从定性角度来看，照料者和幸存者报告的感知益处是多方面的。身体方面的益处包括幸存者身体活动水平和耐力的提高。在心理社会方面，照料者和幸存者报告在身体活动方面更有信心和动力、应对能力得到改善、社交参与增加以及有更强烈的正常感。(4) 结论：混合方法的结果支持了“幸存者团队”在积极影响幸存者参与身体活动能力方面的可行性。该项目的多方面结构除了身体活动外，可能更广泛地影响心理社会功能。未来的研究需要更大的样本量来为分析提供足够的效力。
