Pilot study of a telehealth perioperative physical activity intervention for older adults with cancer and their caregivers

Lafaro, Kelly J.; Raz, Dan J.; Kim, Jae Y.; Hite, Sherry; Ruel, Nora; Varatkar, Gouri; Erhunmwunsee, Loretta; Melstrom, Laleh G.; Lee, Byrne; Singh, Gagandeep; Fong, Yuman; Sun, Virginia

doi:10.1007/s00520-019-05230-0

Cited by 48 publications

(66 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…18% (n = 15) of the studies described interventions promoting physical fitness among older participants 26‐40 . The interventions were aimed at preventing falls or further decline among older people due to frailty, sarcopenia, multiple chronic conditions, or cancer by means of improving balance, strength, and physical capacity.…”

Section: Resultsmentioning

confidence: 99%

“…The interventions were aimed at preventing falls or further decline among older people due to frailty, sarcopenia, multiple chronic conditions, or cancer by means of improving balance, strength, and physical capacity. The interventions used gaming technology with motion capture cameras, 28,29,31‐38 virtual reality software 39 a web‐based platform, 30 telehealth and videoconference 26,40 an app on a tablet, 27 and robot‐mediated exercise 36 …”

Section: Resultsmentioning

confidence: 99%

“…Jorgensen 32 used insoles as a placebo treatment and Lauzé et al 34 compared intervention to the regular routine. All of the studies except McEwen et al 39 and Lafaro et al 40 showed improvements when assessing balance and strength, thereby potentially reducing the risk of falling. McEwen et al 39 included family members in interviews in order to include their views on changes regarding physical activity and daily life activities of their older relatives.…”

Section: Resultsmentioning

confidence: 99%

“…Only Lafaro et al 40 assessed health outcomes for informal carers, showing gradual improvement in distress levels.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Ambient assisted living technology‐mediated interventions for older people and their informal carers in the context of healthy ageing: A scoping review

Nilsson

Andersson

Magnusson

et al. 2020

Health Science Reports

View full text Add to dashboard Cite

Background and aims There is a growing demand for health and social care services to provide technology‐mediated interventions that promote the health and well‐being of older people with health or care needs and of their informal carers. The objectives of this study were to scope and review the nature and extent of prior intervention studies involving ambient assisted living technology‐mediated interventions for older people and their informal carers, and how and in what ways (if any) the goals and aims of these interventions reflected the domains of the World Health Organization framework for healthy ageing. Methods We conducted a scoping review. Data were collected between June and October 2018 with an updated search in October 2020. A total of 85 articles were eligible for inclusion. Results Nine categories described the aims and content of the included studies. The healthy ageing domain “Ability to meet basic needs” was mirrored in four categories, whereas “Ability to contribute to society” was not addressed at all. Conclusion The ways in which domains of healthy ageing are mirrored suggest that there is an emphasis on individual factors and individual responsibility, and a lack of attention given to broader, environmental factors affecting healthy ageing. Only a few of the studies used a dyadic approach when assessing health outcomes concerning older people and their informal carers.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Only Lafaro et al 40 assessed health outcomes for informal carers, showing gradual improvement in distress levels.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Ambient assisted living technology‐mediated interventions for older people and their informal carers in the context of healthy ageing: A scoping review

Nilsson

Andersson

Magnusson

et al. 2020

Health Science Reports

View full text Add to dashboard Cite

show abstract

“…Videoconferencing cannot replace essential hospital visits nevertheless can complement the delivery of health services and is largely accepted as an effective and non-inferior alternative to face-to-face therapy in the delivery of both postsurgical rehabilitation [14,15] and prehabilitation [17,[19][20][21]. It has further proven to be feasible and effective to deliver nutritional and psychological counseling [16,22].…”

mentioning

confidence: 99%

Teleprehabilitation during COVID-19 pandemic: the essentials of “what” and “how”

Lambert

Drummond

Ferreira

et al. 2020

Support Care Cancer

View full text Add to dashboard Cite

In view of the COVID-19 pandemic and recent global events, the healthcare system and its services have been negatively affected, contributing towards extensive surgical backlogs. Oncological surgical candidates have been the most impacted by these changes and recommended self-isolation practices, which could result in emotional distress, sedentary behavior, and poor lifestyle habits. Preoperative supportive intervention, prehabilitation, has been proven to improve patients' functional status and clinical trajectories. Presently, there is a critical need for prehabilitation to optimize patient health, as they experience extended wait times. However, in-hospital delivery may not be an ideal approach due to public health and safety measures. Telehealth is a field of research and practice, which has grown and evolved significantly in the last two decades, allowing for the remote delivery of health services. Therefore, the current commentary addresses the different modalities of telehealth delivery in perspective of their known feasibility and potential application in prehabilitation.

show abstract

Impact of an automated, remote monitoring and coaching intervention in reducing hospice cancer family caregiving burden: A multisite randomized controlled trial

Mooney,

Coombs,

Whisenant

et al. 2023

Cancer

View full text Add to dashboard Cite

BackgroundCare for those with life‐limiting cancer heavily involves family caregivers who may experience significant physical and emotional burden. The purpose of this study was to test the impact of Symptom Care at Home (SCH), an automated digital family caregiver coaching intervention, during home hospice, when compared to usual hospice care (UC) on the primary outcome of overall caregiver burden. Secondary outcomes included Caregiver Burden at weeks 1 and 8, Mood and Vitality subscales, overall moderate‐to‐severe caregiving symptoms, and sixth month spouse/partner bereavement outcomes.MethodsUsing a randomized, multisite, nonblinded controlled trial, 332 cancer family caregivers were enrolled and analyzed (159 SCH vs. 173 UC). Caregivers were primarily White (92%), female (69%), and spouse caregivers (53%). Caregivers provided daily reports on severity levels (0–10 scale) for their anxiety, depressed mood, fatigue, disturbed sleep, and caregiving interference with normal activities. These scores combined constituted the Caregiver Burden primary outcome. Based on reported symptoms, SCH caregivers received automated, tailored coaching about improving their well‐being. Reports of moderate‐to‐severe caregiving symptoms also triggered hospice nurse notification. Secondary outcomes of Mood and Vitality were subcomponents of the Caregiver Burden score. A combined bereavement adjustment tool captured sixth month bereavement.ResultsThe SCH intervention reduced overall Caregiver Burden compared to UC (p < .001), with a 38% reduction at 8 weeks and a medium‐to‐large effect size (d = .61). SCH caregivers experienced less (p < .001) disruption in both Mood and Vitality. There were higher levels of moderate‐to‐severe caregiving symptoms overtime in UC (OR, 2.722). All SCH caregivers benefited regardless of caregiver: sex, caregiver relationship, age, patient diagnosis and family income. SCH spouse/partner caregivers achieved better sixth month bereavement adjustment than UC (p < .007).ConclusionsThe SCH intervention significantly decreased caregiving burden over UC and supports the maintenance of family caregiver mood and vitality throughout caregiving with extended benefit into bereavement.

show abstract

Pilot study of a telehealth perioperative physical activity intervention for older adults with cancer and their caregivers

Cited by 48 publications

References 43 publications

Ambient assisted living technology‐mediated interventions for older people and their informal carers in the context of healthy ageing: A scoping review

Ambient assisted living technology‐mediated interventions for older people and their informal carers in the context of healthy ageing: A scoping review

Teleprehabilitation during COVID-19 pandemic: the essentials of “what” and “how”

Impact of an automated, remote monitoring and coaching intervention in reducing hospice cancer family caregiving burden: A multisite randomized controlled trial

Contact Info

Product

Resources

About