Development of a Leg And Walking Self-exercise (LAWS) program for older adults during cancer treatment.

IF 2.8 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Supportive Care in Cancer Pub Date : 2024-11-05 DOI:10.1007/s00520-024-08965-7
Tomohiro F Nishijima, Mototsugu Shimokawa, Tomoko Hamabe, Masato Komoda, Yuta Okumura, Kohei Arimizu, Masaru Morita, Taito Esaki, Kirsten A Nyrop
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Abstract

Purpose: We developed a self-directed Leg And Walking Self-exercise (LAWS) program informed by the Exercise is Medicine initiative and evaluated the feasibility and acceptability of this program in older adults with cancer.

Methods: Over a 1-year period, we prospectively enrolled 40 older adults who received a comprehensive geriatric assessment (CGA) at a geriatric oncology service and initiated a new line of systemic therapy for advanced cancer as inpatients. LAWS is a tailored, self-directed exercise program consisting of leg resistance training and walking. Exercise adherence was recorded using an exercise diary to assess feasibility. Patient perspectives on this program were evaluated using the Feasibility of Intervention Measure (FIM) and Acceptability of Intervention Measure (AIM), with a score range of 1-5, higher being better.

Results: Overall, 28% of patients were fit, 53% pre-frail, and 20% frail based on the CGA. During hospitalization (average 12 days), 63% of the patients adhered to exercises at lowest intensity during more than 50% of their inpatient stay: on average, 2.8 leg exercises, 23 repetitions a day, 5.6 days/week, and 19 min of walking a day, 4.9 days/week. Patients rated their perceived exertion at 3.0 for leg exercise and 3.0 for walking on a 1-10 Likert scale. During the period between discharge and their first outpatient appointment (average 11 days), 71% of patients adhered to the LAWS program. Mean scores of FIM and AIM were 4.2 (SD = 0.5) and 4.2 (SD = 0.7), respectively.

Conclusions: For older adults undergoing cancer treatment, LAWS is a feasible and acceptable self-directed exercise program.

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为癌症治疗期间的老年人制定腿部和步行自我锻炼(LAWS)计划。
目的:我们借鉴 "运动即医学"(Exercise is Medicine)计划,开发了一项自我指导的腿部和步行自我锻炼(LAWS)计划,并评估了该计划在癌症老年人中的可行性和可接受性:在为期一年的时间里,我们前瞻性地招募了 40 名老年人,他们在老年肿瘤服务机构接受了全面的老年病学评估(CGA),并作为住院病人开始接受新的晚期癌症系统治疗。LAWS是一项量身定制的自主锻炼计划,包括腿部阻力训练和步行。通过运动日记记录运动坚持情况,以评估其可行性。采用干预可行性测量法(FIM)和干预可接受性测量法(AIM)评估患者对该计划的看法,评分范围为1-5分,越高越好:总体而言,根据 CGA,28% 的患者身体健康,53% 的患者前期体弱,20% 的患者体弱。在住院期间(平均 12 天),63% 的患者在 50%以上的住院时间里坚持进行最低强度的锻炼:平均每天进行 2.8 次腿部锻炼,重复 23 次,每周 5.6 天;平均每天步行 19 分钟,每周 4.9 天。在 1-10 分的李克特量表中,患者对腿部运动和步行的体力感觉评分分别为 3.0 分和 3.0 分。从出院到首次门诊就诊期间(平均 11 天),71% 的患者坚持了 LAWS 计划。FIM和AIM的平均得分分别为4.2(SD = 0.5)和4.2(SD = 0.7):结论:对于接受癌症治疗的老年人来说,LAWS 是一项可行且可接受的自我指导运动计划。
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来源期刊
Supportive Care in Cancer
Supportive Care in Cancer 医学-康复医学
CiteScore
5.70
自引率
9.70%
发文量
751
审稿时长
3 months
期刊介绍: Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
期刊最新文献
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