A community-based physical activity program for adolescents with cancer (project TREK): program feasibility and preliminary findings

J Pediatr Hematol Oncol. 2008 Apr;30(4):272-80. doi: 10.1097/MPH.0b013e318162c476.

Abstract

Introduction: As the number of pediatric survivors continues to grow, a greater emphasis is being placed on identifying long-term health risk/protecting behaviors. The primary purpose of this pilot study was to examine the feasibility of a theoretically-based physical activity (PA) intervention in adolescents with cancer.

Methods: A group PA intervention was administered to participants over 16 weeks. Program attendance/adherence, total PA, physical fitness, and quality of life (QOL) were assessed at 5 different intervals over the 1-year study duration.

Results: Over a period of 6 weeks, 11 adolescents responded to recruitment efforts. Ten ultimately enrolled and completed the 1-year study. Overall, the program was well received with attendance over the 16-week intervention averaging 81.5%. Although improvements in total PA, physical fitness, and QOL were noted across the intervention, follow-up data revealed that participants failed to maintain their postintervention PA levels at both the 3 and 12-month follow-up assessments.

Conclusions: Adolescents with a history of cancer are undoubtedly susceptible to the same maladaptive health habits as are their healthy peers. Innovative interventions aimed at improving their adherence to positive behavioral interventions, such as PA are warranted. Although not without limitations, this study provides preliminary data in support of a university-sponsored PA intervention.

MeSH terms

  • Adolescent
  • Adolescent Behavior
  • Emotions
  • Exercise*
  • Fatigue
  • Female
  • Humans
  • Male
  • Neoplasms / physiopathology*
  • Neoplasms / psychology
  • Neoplasms / therapy*
  • Patient Selection
  • Physical Fitness*
  • Quality of Life*
  • Social Behavior