Bewegungsförderung in der Pädiatrischen Onkologie – Strukturelle Voraussetzungen und Finanzierungsmöglichkeiten anhand des Leipziger Bewegungskonzepts

Söntgerath, Regine; Küpper, Luise; Wulftange, Markus; Schepper, Florian; Christiansen, Holger

doi:10.1055/a-0856-7495

Cited by 4 publications

(5 citation statements)

References 28 publications

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“…Three supportive care guidelines were found to refer in only some minor extent to exercise promotion or interventions. In a second step, the evidence on framework conditions and implementation techniques data was extracted from relevant publications 13,20–23 . A systematic literature search was performed on the consequences of inactivity for children and adolescents with oncological diseases.…”

Section: Methodsmentioning

confidence: 99%

“…In a second step, the evidence on framework conditions and implementation techniques data was extracted from relevant publications. 13,[20][21][22][23] A systematic literature search was performed on the consequences of inactivity for children and adolescents with oncological diseases. This search yielded a total of 156 hits whereof n = 5 were included.…”

Section: Literature Searchmentioning

confidence: 99%

“…In addition, first collaborations with health insurance companies to cover exercise as therapy have been made. 13 Most organizations, working groups, and departments are united under the umbrella organization "Network ActiveOncoKids" (NAOK). 11 Consequently, high levels of shared experience regarding exercise and movement promotion exist.…”

Section: Introductionmentioning

confidence: 99%

“…However, it illustrates a certain expertise in exercise promotion. In addition, first collaborations with health insurance companies to cover exercise as therapy have been made 13 . Most organizations, working groups, and departments are united under the umbrella organization “Network ActiveOncoKids” (NAOK) 11 .…”

Section: Introductionmentioning

confidence: 99%

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Multidisciplinary Network ActiveOncoKids guidelines for providing movement and exercise in pediatric oncology: Consensus‐based recommendations

Götte

Gauß

Dirksen

et al. 2022

Pediatric Blood & Cancer

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Background Pediatric cancer leads to reduced participation in exercise and only few patients comply with national physical activity recommendations. Physically inactive behavior hinders motor development and increases physical and psychological adverse effects of therapy and incidence of sequelae. Currently, there is neither nationwide coverage nor uniform level of knowledge regarding exercise promotion. The objective of the guideline is to facilitate qualified exercise interventions through standardized procedures in addition to regular physiotherapy and overall avoid physical inactivity in pediatric cancer patients. Methods This guideline addresses the multidisciplinary treatment team and informs physiotherapists and decision‐makers in tertiary care hospitals and health insurance companies. The requirements of the Association of the Scientific Medical Societies in Germany were followed. Contents were based on best practice experience of experts, patient advocates, as well as on scientific evidence. Results The guideline includes 11 recommendations. Recommendations 1–4 declare the relevance of implementing exercise interventions and address general framework conditions. Recommendations 5–11 focus on the design of exercise programs, prevention and safety issues, relative contraindications for specific training loads, and options to overcome barriers to exercise. Conclusion This guideline summarizes existing and established structures and evidence in the context of movement and exercise in pediatric oncology. It takes into consideration the rights, varying needs, and characteristics of children and adolescents as well as national and international experience in this field. In the future, relevant research gaps need to be addressed by high‐quality intervention studies to provide the scientific background for a stronger evidence‐based guideline.

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Section: Methodsmentioning

confidence: 99%

Section: Literature Searchmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Multidisciplinary Network ActiveOncoKids guidelines for providing movement and exercise in pediatric oncology: Consensus‐based recommendations

Götte

Gauß

Dirksen

et al. 2022

Pediatric Blood & Cancer

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“…To reach financial sustainability, collaboration with health insurance companies within the German social security system is sought. To date, few clinics and several health insurance companies have been cooperating to establish individual patient-centered care contracts based on the present social security laws (German Social Welfare Code) (33). This development will preferably expand and continue to establish greater financial sustainability for local initiatives and programs.…”

Section: Policy Changementioning

confidence: 99%

A National Implementation Approach for Exercise as Usual Care in Pediatric and Adolescent Oncology: Network ActiveOncoKids

Götte¹,

Söntgerath

Gauß³

et al. 2022

Pediatric Exercise Science

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The diagnosis of cancer as well as accompanying acute and late effects of treatment are influencing physical activity behavior of patients with childhood cancer and survivors. Research has shown that a pediatric cancer diagnosis is associated with impairments of physical performance, and function, as well as reduced physical, and psychosocial, health conditions. From an ethical perspective, lack of knowledge of health care providers, lack of physical activity promotion, and environmental, and structural barriers to physical activity restrict children’s right to move and actively engage in physical activities. Network ActiveOncoKids is a German-wide initiative with the main goal of enabling children, adolescents, and young adults with exercise opportunities during and after cancer treatment. Since the network’s foundation in 2012, Network ActiveOncoKids focuses on: (1) physical activity support for patients and families, (2) policy change to establish structures and guidelines, and (3) generating evidence through scientific projects. The purpose of this paper is to present an overview of Network ActiveOncoKids structure, aims, and projects. This topical review will highlight the network’s structural development, research work, and implementation progress of exercise programs for patients with pediatric cancer and survivors, link international collaborations, and discuss future directions.

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Sportunterricht mit Schüler*innen nach einer Krebserkrankung

Oberwetter,

Wiskemann,

Wimmer

et al. 2024

B&G Bewegungstherapie und Gesundheitssport

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ZusammenfassungDie Schule ist ein wichtiges Setting, um Kinder und Jugendliche an Sport und Bewegung heranzuführen und einen Grundstein für lebenslange körperliche Aktivität zu legen. Kinder, die wegen einer Krebserkrankung behandelt wurden, weisen oftmals eine geringere körperliche Fitness und motorische Belastbarkeit auf und nehmen deutlich seltener am organisierten Sport oder am Sportunterricht teil. Die möglichst uneingeschränkte Teilnahme am Sportunterricht ist ein wichtiger Schritt auf dem Weg zurück in die Normalität. Sportlehrkräfte sind dabei zentrale Persönlichkeiten, um Sport und Bewegung für Kinder mit positiven Erlebnissen und Gefühlen zu verknüpfen. Das Ziel der Studie bestand darin, wahrgenommene individuelle und infrastrukturelle Barrieren seitens der Lehrer*innen zu identifizieren, die eine Reintegration betroffener Schüler*innen erschweren. Hierzu wurde eine querschnittlich angelegte Online-Fragebogenerhebung mit N=61 Sportlehrer*innen durchgeführt. Es zeigt sich, dass dem Schulsport eine hohe Relevanz zugesprochen wird, sich allerdings nur 1/5 der befragten Lehrer*innen ausreichend informiert fühlt, spezifische Bewegungsempfehlungen für Schüler*innen nach einer Krebserkrankung auszusprechen. An nahezu der Hälfte der Schulen werden die Kinder vom Schulsport befreit. Um sich besser informiert zu fühlen und die Kinder sicher zu betreuen, wünschen sich die Pädagog*innen unter anderem medizinische Therapieempfehlungen mit Bewegungsempfehlungen (Leitlinie) (80%) und spezielles Beratungsmaterial für Sportlehrkräfte (72%).

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Bewegungsförderung in der Pädiatrischen Onkologie – Strukturelle Voraussetzungen und Finanzierungsmöglichkeiten anhand des Leipziger Bewegungskonzepts

Cited by 4 publications

References 28 publications

Multidisciplinary Network ActiveOncoKids guidelines for providing movement and exercise in pediatric oncology: Consensus‐based recommendations

Multidisciplinary Network ActiveOncoKids guidelines for providing movement and exercise in pediatric oncology: Consensus‐based recommendations

A National Implementation Approach for Exercise as Usual Care in Pediatric and Adolescent Oncology: Network ActiveOncoKids

Sportunterricht mit Schüler*innen nach einer Krebserkrankung

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