Evaluation Tools for Physical Activity Programs for Childhood Cancer: A Scoping Review

Shank, Jena; Chamorro-Viña, Carolina; Guilcher, Gregory M.T.; Langelier, David; Schulte, Fiona; Culos‐Reed, S. Nicole

doi:10.1177/1043454219891987

Cited by 12 publications

(13 citation statements)

References 77 publications

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“…Grimshaw et al 12 summarized subjective and objective tools to measure physical function and physical activity in the age group 0–18 years with a focus on the evaluation of measurement properties. Another group of researchers 13 listed evaluation tools used in childhood cancer physical activity/exercise studies or community-based programs that assess motor performance, physical literacy, well-being, quality of life (QoL), and health behavior, but assessments of physical performance and fitness were excluded. However, no review has predefined the categories of physical and functional performance relevant to health and exercise science 14 in order to systematically search and summarize them.…”

Section: Introductionmentioning

confidence: 99%

Physical and functional performance assessment in pediatric oncology: a systematic review

et al. 2021

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Background Research indicates reduced physical performance from diagnosis into survivorship of pediatric cancer patients. However, there is no systematic information or guideline available on the methods to assess physical performance and function in this population. The purpose was to systematically compile and describe assessments of physical performance and function in patients and survivors of pediatric cancer, including cardiorespiratory fitness, muscle strength, speed, balance, flexibility, functional mobility, gait and motor performance test batteries. Methods We searched the databases PubMed, SPORTDiscus, and Cochrane Database and performed abstract and full-text selection of 2619 articles according to the Cochrane Handbook of Systematic Reviews. Information on patients characteristics, assessments, information on validity and reliability, and relevant references was extracted. Results In summary, 63 different assessments were found in 149 studies including 11639 participants. Most studies evaluated cardiorespiratory fitness and muscle strength with the majority conducted off treatment. Some outcomes (e.g. speed) and diagnoses (e.g. neuroblastoma) were severely underrepresented. With the exception of gait, leukemia patients represented the largest group of individuals tested. Conclusions Insufficient data and patient heterogeneity complicate uniform recommendations for assessments. Our results support researchers and practitioners in selecting appropriate assessment to meet their specific research questions or individual daily practice needs. Impact This systematic review includes 149 studies and provides a comprehensive summary of 63 assessments to evaluate cardiorespiratory fitness, muscle strength, speed, balance, flexibility, functional mobility, gait or motor performance test batteries in patients and survivors of pediatric cancer. We present the most studied fields within the pediatric cancer population, which are cardiorespiratory fitness and muscle strength, off treatment phase, and leukemia patients. We propose research priorities by identification of subgroups in terms of cancer type, phase of treatment, and outcome of interest that are underrepresented in studies currently available.

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Section: Introductionmentioning

confidence: 99%

Physical and functional performance assessment in pediatric oncology: a systematic review

et al. 2021

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“…A scoping review compiled evaluation tools used to date in PA/exercise studies and programs in childhood cancer [9]. This review was used to guide interviews with key stakeholders to further understand the potential participant outcomes they want to see reported from the PEER program or value from PEER participation [9].…”

Section: Methodsmentioning

confidence: 99%

“…The purpose of this study was to (a) conduct interviews with HCPs, PEER families and users to gather feedback on the tools outlined in a previously described scoping review to see what stakeholders and users consider valuable and required components for evaluation [9] (b) based on the ndings of the interviews and with consideration of the practicalities/goals of program delivery, to develop a toolbox and algorithm for implementation.…”

Section: The Peer Programmentioning

confidence: 99%

Development of a functional and psychosocial evaluation toolkit using mixed methodology in a community-based physical activity program for childhood cancer survivors

Shank

Chamorro-Viña

Guilcher

et al. 2022

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The evidence demonstrating the bene ts of exercise and PA in patients and survivors of childhood cancer has been translated into a handful of community-based programs, such as the Pediatric cancer patients and survivors Engaging in Exercise for Recovery Program (PEER). In order to support the translation of research to practice, the next step in knowledge translation is to evaluate program effectiveness. An evaluation must consider the goals of the PEER program, feedback from key stakeholders and logistics of this program. Thus, the purpose of this study was to develop an evaluation toolkit with an algorithm for implementation for the PEER program. MethodsSemi-structured interviews were conducted with three different groups (stakeholders in pediatric oncology, PEER parents and PEER participants). The interviews were transcribed and coded by two independent reviewers. ResultsKey themes extracted from the interviews were split into physical and psychosocial themes. The most commonly reported psychosocial themes were QOL, fatigue/energy levels, fun and con dence levels; and physical themes included motor skills, physical literacy and physical activity levels. Tools were compiled into the evaluation based on key themes identi ed as well as logistics of PEER. An algorithm was developed to tailor the evaluation to participants based on age, cognitive ability and mobility. ConclusionTo date, this is the rst evaluation toolkit and algorithm developed for a speci c community-based PA program, the PEER program. The next step in knowledge-translation will be to implement the evaluation to assess feasibility, and share the evaluation for adoption within other developing programs.

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“…Our literature search identified only five studies. According to a previous study, researchers have focused on investigating motor function, fatigue, well-being, and quality of life 40 , in addition to recognizing the difficulties in developing research with this population, such as the period of treatment, social isolation, arduous medical-hospital routine, state of vulnerability and the overprotection of health teams and family member 41 .…”

Section: Study Limitationsmentioning

confidence: 99%

Barriers to physical activity among cancer pediatric cancer patients and survivors: a scoping review

Guimarães

Guerra

Ueno

et al. 2022

Motriz: rev. educ. fis.

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The present scoping review aims to provide an overview of barriers to PA reported by pediatric cancer patients undergoing treatment as well as after treatment. This study further aims to describe and discuss the instruments used for assessing barriers in this population. Methods: Article search was performed in common medical databases and yielded five original research articles. Results: The included articles reported barriers to PA that can be grouped into the following categories: individuals, physical, environmental, and treatment. Among the instruments used to assess barriers to PA, it was observed that questionnaires and interviews are commonly adopted. This review underscores a paucity of studies in this area. Conclusion: A comprehensive understanding of barriers to PA in the pediatric cancer population is paramount for the development of tailored strategies and interventions aiming to promote PA in this under-researched group. In addition, future studies must adopt a mixed-methods approach, longitudinal design with specific instruments in the pediatric cancer population.

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Evaluation Tools for Physical Activity Programs for Childhood Cancer: A Scoping Review

Cited by 12 publications

References 77 publications

Physical and functional performance assessment in pediatric oncology: a systematic review

Physical and functional performance assessment in pediatric oncology: a systematic review

Development of a functional and psychosocial evaluation toolkit using mixed methodology in a community-based physical activity program for childhood cancer survivors

Barriers to physical activity among cancer pediatric cancer patients and survivors: a scoping review

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