State of research, feasibility, safety, acceptability, and outcomes examined on remotely delivered exercises using technology for older adult with cancer: a scoping review.

IF 3.1 2区医学 Q2 ONCOLOGY Journal of Cancer Survivorship Pub Date : 2024-12-01 Epub Date: 2023-07-07 DOI:10.1007/s11764-023-01427-9

S Sattar, E Papadopoulos, G V H Smith, K R Haase, F Kobekyaa, I Tejero, C Bradley, M B Nadler, K L Campbell, D Santa Mina, S M H Alibhai

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Abstract

Introduction: Technology-based exercise is gaining attention as a promising strategy for increasing physical activity (PA) in older adults with cancer (OACA). However, a comprehensive understanding of the interventions, their feasibility, outcomes, and safety is limited. This scoping review (1) assessed the prevalence and type of technology-based remotely delivered exercise interventions for OACA and (2) explored the feasibility, safety, acceptability, and outcomes in these interventions.

Methods: Studies with participant mean/median age ≥ 65 reporting at least one outcome measure were included. Databases searched included the following: PubMed, CINAHL, Embase, Cochrane Library Online, SPORTDiscus, and PsycINFO. Multiple independent reviewers completed screening and data abstractions of articles in English, French, and Spanish.

Results: The search yielded 2339 citations after removing duplicates. Following title and abstract screening, 96 full texts were review, and 15 were included. Study designs were heterogeneous, and sample sizes were diverse (range 14-478). The most common technologies used were website/web portal (n = 6), videos (n = 5), exergaming (n = 2), accelerometer/pedometer with video and/or website (n = 4), and live-videoconferencing (n = 2). Over half (9/15) of the studies examined feasibility using various definitions; feasibility outcomes were reached in all. Common outcomes examined include lower body function and quality of life. Adverse events were uncommon and minor were reported. Qualitative studies identified cost- and time-savings, healthcare professional support, and technology features that encourage engagement as facilitators.

Conclusion: Remote exercise interventions using technology appear to be feasible and acceptable in OACA.

Implications for cancer survivors: Some remote exercise interventions may be a viable way to increase PA for OACA.

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研究现状、可行性、安全性、可接受性以及利用技术为老年癌症患者远程提供锻炼的结果：范围综述。

导言：基于技术的锻炼作为增加老年癌症患者（OACA）体育锻炼（PA）的一种有前途的策略，正在受到越来越多的关注。然而，对这些干预措施及其可行性、结果和安全性的全面了解还很有限。本范围综述（1）评估了针对老年癌症患者的基于技术的远程运动干预措施的普遍性和类型；（2）探讨了这些干预措施的可行性、安全性、可接受性和结果：方法：纳入参与者平均/中位年龄≥ 65 岁且至少报告一项结果测量的研究。检索的数据库包括以下：PubMed、CINAHL、Embase、Cochrane Library Online、SPORTDiscus 和 PsycINFO。多名独立审稿人完成了英文、法文和西班牙文文章的筛选和数据摘要：在去除重复内容后，共检索到 2339 条引文。在对标题和摘要进行筛选后，共审阅了 96 篇全文，其中 15 篇被收录。研究设计各不相同，样本量也各不相同（范围为 14-478 个）。最常用的技术包括网站/门户网站（6 项）、视频（5 项）、外显子游戏（2 项）、带有视频和/或网站的加速度计/计步器（4 项）以及现场视频会议（2 项）。半数以上（9/15）的研究使用不同的定义对可行性进行了检查；所有研究都达到了可行性结果。常见的检查结果包括下半身功能和生活质量。不良事件并不常见，仅有轻微报告。定性研究发现，节约成本和时间、医疗保健专业人员的支持以及鼓励参与的技术特点是促进因素：结论：在 OACA 中，利用技术进行远程运动干预似乎是可行且可接受的：对癌症幸存者的启示：某些远程运动干预可能是增加 OACA 运动量的可行方法。

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来源期刊

Journal of Cancer Survivorship ONCOLOGY-

CiteScore

7.00

自引率

10.80%

发文量

149

审稿时长

>12 weeks

期刊介绍： Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.