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01-01-2021 | Fatigue | Review Article

Adventure therapy for child, adolescent, and young adult cancer patients: a systematic review

Authors: Ying Tung Chan, Hoi Yee Lau, Wai Yan Chan, Chi Wo Cheung, Winnie Lui, Yuk Sze Jacqueline Chane-Thu, Wen Lam Dai, Ka Ching To, Hui Lin Cheng

Published in: Supportive Care in Cancer | Issue 1/2021

Abstract

Purpose

This systematic review aimed to examine the evidence on adventure therapy (AT) intervention for child, adolescent, and young adult (AYA) cancer patients in order to inform the design of future research and clinical practice.

Methods

This review included studies that tested the AT intervention among child and AYA cancer patients. Nine electronic databases (CINAHL, Cochrane Central Register of Controlled Trials, EMBase, Medline via EbscoHost, OpenGrey, PsycInfo, Web of Science, Scopus, and PubMed) were searched for English-language published studies using a quasi-experimental design, one-group pre-test–post-test experimental study design, or randomized controlled trial (RCT) from 1981 to May 2020. The methodological quality of the included studies was evaluated using JBI Critical Appraisal Checklists for RCTs and for Quasi-Experimental Studies by two researchers independently. A narrative synthesis of intervention characteristics and related health-related outcomes was performed.

Results

Eight papers from seven studies were included in the review, namely four RCTs, two quasi-experimental study papers, and two one-group pre-test–post-test experimental study papers. Studies varied in the components and duration of AT. Medium to high methodological quality of included studies was noted in all study designs. Results showed the positive effects of AT on the physical activity, fatigue, psychological distress, and quality of life of child and AYA cancer patients.

Conclusion

AT is a promising intervention that may improve a number of health-related outcomes in child and AYA cancer patients. Evidence-based AT interventions should be developed and incorporated as part of supportive care for the target population.

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Title: Adventure therapy for child, adolescent, and young adult cancer patients: a systematic review
Authors: Ying Tung Chan
Hoi Yee Lau
Wai Yan Chan
Chi Wo Cheung
Winnie Lui
Yuk Sze Jacqueline Chane-Thu
Wen Lam Dai
Ka Ching To
Hui Lin Cheng
Publication date: 01-01-2021
Publisher: Springer Berlin Heidelberg
Keyword: Fatigue
Published in: Supportive Care in Cancer / Issue 1/2021
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-020-05642-3

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