Katherine K W Lam1, William H C Li2, O K Chung3, K Y Ho4, S Y Chiu5, H S Lam6, Godfrey C F Chan7. 1. School of Nursing, The University of Hong Kong, Pokfulam, Hong Kong, China. Electronic address: kathin@connect.hku.hk. 2. School of Nursing, The University of Hong Kong, Pokfulam, Hong Kong, China. Electronic address: william3@hku.hk. 3. School of Nursing, The University of Hong Kong, Pokfulam, Hong Kong, China. Electronic address: joychung@hku.hk. 4. School of Nursing, The University of Hong Kong, Pokfulam, Hong Kong, China. Electronic address: devilbb2@hku.hk. 5. Department of Adolescent Medicine, Queen Mary Hospital, Hong Kong, China. Electronic address: sychiu3@yahoo.com.hk. 6. Hong Kong Council for Accreditation of Academic and Vocational Qualifications, Hong Kong, China. Electronic address: michaelhslam@163.com. 7. Department of Adolescent Medicine, Queen Mary Hospital, Hong Kong, China. Electronic address: gcfchan@hku.hk.
Abstract
OBJECTIVE: This study examined the effectiveness of an integrated programme in promoting physical activity, reducing fatigue, enhancing physical activity self-efficacy, muscle strength and quality of life among Chinese children with cancer. METHODS: A randomised controlled trial was conducted in a Hong Kong public hospital. Seventy eligible children were randomly assigned to an experimental group (n = 37) or a control group (n = 33). The experimental group received an integrated programme with 28 home visits from coaches over a 6-month period. The control group received a placebo intervention. The primary outcome was fatigue at 9 months (3 months after intervention completion). Secondary outcomes were physical activity levels, physical activity self-efficacy, muscle strength and quality of life at 9 months, assessed at baseline, and 6 and 9 months after starting the intervention. RESULTS: The experimental group reported significantly lower levels of cancer-related fatigue, higher levels of physical activity and physical activity self-efficacy, greater right- and left-hand grip strength and better quality of life than the control group at 9 months. CONCLUSION: The programme is effective and feasible to implement among children with cancer and offers an alternative means of ameliorating the healthcare burden. PRACTICE IMPLICATIONS: Healthcare professionals should build multidisciplinary partnerships to sustain such programmes.
RCT Entities:
OBJECTIVE: This study examined the effectiveness of an integrated programme in promoting physical activity, reducing fatigue, enhancing physical activity self-efficacy, muscle strength and quality of life among Chinese children with cancer. METHODS: A randomised controlled trial was conducted in a Hong Kong public hospital. Seventy eligible children were randomly assigned to an experimental group (n = 37) or a control group (n = 33). The experimental group received an integrated programme with 28 home visits from coaches over a 6-month period. The control group received a placebo intervention. The primary outcome was fatigue at 9 months (3 months after intervention completion). Secondary outcomes were physical activity levels, physical activity self-efficacy, muscle strength and quality of life at 9 months, assessed at baseline, and 6 and 9 months after starting the intervention. RESULTS: The experimental group reported significantly lower levels of cancer-related fatigue, higher levels of physical activity and physical activity self-efficacy, greater right- and left-hand grip strength and better quality of life than the control group at 9 months. CONCLUSION: The programme is effective and feasible to implement among children with cancer and offers an alternative means of ameliorating the healthcare burden. PRACTICE IMPLICATIONS: Healthcare professionals should build multidisciplinary partnerships to sustain such programmes.
Keywords:
Fatigue; Health promotion; Muscle strength; Paediatric patients with cancer; Physical activity; Physical activity self-efficacy; Quality of life
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