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Promoting positive physical activity behaviours in children undergoing acute cancer treatment: feasibility of the CanMOVE intervention

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posted on 2024-02-21, 03:14 authored by Sarah GrimshawSarah Grimshaw, Nicholas TaylorNicholas Taylor, Rachel Conyers, Nora ShieldsNora Shields
Background: Supporting children and adolescents with cancer to be physically active can improve medium- and long-term health outcomes. Objective: To assess the feasibility of CanMOVE, a 10-week complex, theoretically-informed, behaviour change intervention to promote physical activity for children and adolescents undergoing acute cancer treatment. Methods: A feasibility study using a single-group, repeated measures, mixed methods design. Participants completed CanMOVE, which included provision of a Fitbit (child/adolescent and carer) and structured support from a physical therapist. Feasibility domains of demand, acceptability, implementation, practicality, limited efficacy, and integration were evaluated. Data sources included service level data, objective assessment of physical activity, physical function, and health-related quality of life; and qualitative data collected via semi-structured interviews with participants and focus groups with staff. Results: Twenty children/adolescents (median age 13yrs, interquartile-range 9–14) with a mix of cancer diagnoses, 20 parents, and 16 clinicians participated. There was high demand with 95% enrolment rate. CanMOVE was acceptable for participants. All feasibility thresholds set for implementation were met. Under practicality, there were no serious adverse events related to the intervention. Limited efficacy data indicated CanMOVE showed positive estimates of effect in influencing child/adolescent physical activity behaviour, physical function, and health-related quality of life. Positive impacts were also seen in parent and staff attitudes towards physical activity promotion. To improve integration into the clinical setting, it was suggested the duration and scope of CanMOVE could be expanded. Conclusion: CanMOVE was feasible to implement in a paediatric cancer setting. CanMOVE is appropriate to be tested in a large-scale trial.

Funding

This work was supported by an Australian Government Research Training Program Scholarship through La Trobe University, a PhD top-up scholarship from the Murdoch Children's Research Institute, and a project grant from the charity organisation Little Big Steps. These funding sources had no role in the study design; in the collection, analysis, and interpretation of data; in writing the report, nor the decision to submit the article for publishing.

History

Publication Date

2024-01-24

Journal

Brazilian Journal of Physical Therapy

Volume

28

Issue

1

Article Number

100577

Pagination

13p.

Publisher

Elsevier

ISSN

1413-3555

Rights Statement

© 2023 The Author(s). Published by Elsevier España, S.L.U. on behalf of Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. This is an open access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0/).