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- Title
Effectiveness of an integrated adventure-based training and health education program in promoting regular physical activity among childhood cancer survivors.
- Authors
Li, H. C. William; Chung, Oi Kwan Joyce; Ho, Ka Yan; Chiu, Sau Ying; Lopez, Violeta
- Abstract
Background There is growing concern about declining levels of physical activity in childhood cancer survivors. This study aimed to examine the effectiveness of an integrated adventure-based training and health education program in promoting changes in exercise behavior and enhancing the physical activity levels, self-efficacy, and quality of life of Hong Kong Chinese childhood cancer survivors. Methods A randomized controlled trial, two-group pretest and repeated post-test, between-subjects design was conducted to 71 childhood cancer survivors (9- to 16-year-olds). Participants in the experimental group joined a 4-day integrated adventure-based training and health education program. Control group participants received the same amount of time and attention as the experimental group but not in such a way as to have any specific effect on the outcome measures. Participants' exercise behavior changes, levels of physical activity, self-efficacy, and quality of life were assessed at the time of recruitment, 3, 6, and 9 months after starting the intervention. Results Participants in the experimental group reported statistically significant differences in physical activity stages of change ( p < 0.001), higher levels of physical activity ( p < 0.001) and self-efficacy ( p = 0.04) than those in the control group. Besides, there were statistically significant mean differences ( p < 0.001) in physical activity levels (−2.6), self-efficacy (−2.0), and quality of life (−4.3) of participants in the experimental group from baseline to 9 months after starting the intervention. Conclusions The integrated adventure-based training and health education program was found to be effective in promoting regular physical activity among childhood cancer survivors. Copyright © 2013 John Wiley & Sons, Ltd.
- Subjects
CHILDHOOD cancer; HEALTH education; PHYSICAL activity; SELF-efficacy; QUALITY of life
- Publication
Psycho-Oncology, 2013, Vol 22, Issue 11, p2601
- ISSN
1057-9249
- Publication type
Article
- DOI
10.1002/pon.3326