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Implementing an online-delivered exercise program for childhood cancer survivors: A hybrid effectiveness-implementation protocol for the MERRIER study 为儿童癌症幸存者实施在线运动项目:MERRIER研究的混合效果-实施方案
Pub Date : 2025-06-01 Epub Date: 2025-03-12 DOI: 10.1016/j.jsampl.2025.100095
David Mizrahi , Alexandra Martiniuk , Laurence Hibbert , Dinisha Govender , Tora Sibbald , Richard Mitchell , Natalia Millard , Lauren Ha , Damian Ragusa , Kylie Brown , Ben Smith

Background

Physical activity levels are low in childhood cancer survivors. Structured physical activity programs are not routinely provided, despite being safe and beneficial for improving physical and psychological health. Innovative health promotion programs delivered online may allow families to receive equitable health support, which may foster survivors to improve their health.

Aims

To determine implementation factors of an online exercise program recruited through a community organization, and effectiveness on physical activity levels and self-efficacy for childhood cancer survivors.

Methods and analysis

The MERRIER study is a type-1 hybrid effectiveness-implementation. Sixty children (5–18 years old) who have completed treatment for any cancer type will be enrolled between March 2025 and June 2026. Participants will be randomised (stratified by age, cancer type and sex) 1:1 to 3-months multimodal exercise or control group. The intervention group will receive five online consultations with an Accredited Exercise Physiologist to provide behaviour counselling, and prescribe an individualised aerobic, resistance and balance exercise program at low-moderate intensity. The RE-AIM framework will assess reach (e.g. recruitment rate), effectiveness (e.g. physical activity levels), adoption (e.g. qualitative interviews), implementation (e.g. exercise adherence), and maintenance (e.g. self-efficacy at follow-up). Physical function and patient-reported outcomes will be assessed at baseline (T0), post-intervention (T1; week 12) and follow-up (T2, week 24). An Axivity AX3 accelerometer will measure physical activity over five-days at T0/T1.

Implications

If effective, we aim to collaborate with community organisations, who are well placed to implement similar programs to childhood cancer survivors.

Ethics

The study was approved by The University of Sydney Health Research Ethics Committee (2024/HE000391).

Trial registration

ACTRN12624000604505p.
儿童癌症幸存者的体育活动水平较低。尽管有组织的体育活动项目对改善身心健康是安全和有益的,但并没有常规提供。网上提供的创新健康促进计划可以让家庭获得公平的健康支持,这可能会促进幸存者改善他们的健康。目的确定通过社区组织招募的在线锻炼计划的实施因素,以及对儿童癌症幸存者的身体活动水平和自我效能的有效性。方法与分析MERRIER研究是一种1型混合有效性-实施。在2025年3月至2026年6月期间,60名完成任何癌症治疗的儿童(5-18岁)将被纳入研究。参与者将被随机分配(按年龄、癌症类型和性别分层)1:1至3个月多模式运动组或对照组。干预组将接受五次由认可运动生理学家提供的在线咨询,以提供行为咨询,并开出个体化的低-中等强度有氧、阻力和平衡运动计划。RE-AIM框架将评估覆盖面(如招聘率)、有效性(如身体活动水平)、采用(如定性访谈)、实施(如坚持锻炼)和维持(如随访时的自我效能)。身体功能和患者报告的结果将在基线(T0)、干预后(T1;第12周)和随访(T2,第24周)。Axivity AX3加速度计将在T0/T1时测量5天内的身体活动。如果有效,我们的目标是与社区组织合作,他们有能力为儿童癌症幸存者实施类似的计划。本研究已获得悉尼大学健康研究伦理委员会(2024/HE000391)的批准。registrationACTRN12624000604505p审判。
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引用次数: 0
Injuries in German national short-track speed skating athletes 德国国家短道速滑运动员的受伤情况
Pub Date : 2025-06-01 Epub Date: 2025-01-02 DOI: 10.1016/j.jsampl.2024.100080
Jan Ziegler , Heidrun Beck , Roland L. Bell , Dominik Matzner , Xinggui Tian , Stefan Zwingenberger

Objectives

Short-Track Speed Skating (STSS) is a high-intensity ice sport characterized by fast-paced races and proximity among athletes, which inherently poses a risk for falls and injuries. This paper presents a comprehensive analysis of orthopedic-traumatological injuries in German national STSS athletes with comparisons to previous studies.

Design

Retrospective analysis.

Methods

Medical records of 69 athletes (30 females, 39 males) who were part of the German national team between 2009 and 2020 were analyzed retrospectively based on a new standardized injury surveillance system published by the International Olympic Committee in 2020.

Results

The average career duration of athletes on the German STSS national team was 10.9 ​± ​4.4 years, with each athlete accumulating 10,116 ​± ​4326 ​h of exposure to risk during training. A total of 371 orthopedic-traumatological injuries requiring medical consultation (IRMCs) were recorded, with an estimated incidence of 0.53 per 1000 ​h of exposure. 69.8 ​% of the observed injuries affected the lower extremities, primarily involving the knee and ankle. Joint injuries were the leading cause of IRMCs, accounting for 16.3 ​% of cases. The majority of IRMCs occurred during on-ice training (45.0 ​%), followed by off-ice training (30.0 ​%), and competitions (25.0 ​%).

Conclusion

This was the first implementation based on a standardized injury surveillance system in STSS. Important information about career-related injuries and injury patterns resulted from the analyses. However, further prospective research is needed to support the prevention of health issues in STSS.
目的短道速滑(STSS)是一项高强度的冰上运动,其特点是比赛节奏快,运动员之间的距离近,这本身就存在摔倒和受伤的风险。本文对德国国家STSS运动员的骨科创伤损伤进行了全面分析,并与以往的研究进行了比较。DesignRetrospective分析。方法基于国际奥委会2020年发布的新的标准化损伤监测系统,对2009 - 2020年德国国家队69名运动员(女30名,男39名)的医疗记录进行回顾性分析。结果德国STSS国家队运动员平均职业生涯时间为10.9±4.4年,每位运动员在训练过程中累积风险暴露时间为10,116±4326小时。总共记录了371例需要医疗咨询的骨科创伤损伤(irmc),估计每1000小时暴露的发生率为0.53。69.8%的损伤发生在下肢,主要是膝关节和踝关节。关节损伤是irmc的主要原因,占16.3%。大多数irmc发生在冰上训练(45.0%),其次是场外训练(30.0%)和比赛(25.0%)。结论这是第一次在STSS中实施标准化的损伤监测系统。从分析中得到了与职业相关的伤害和伤害模式的重要信息。然而,需要进一步的前瞻性研究来支持对STSS健康问题的预防。
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引用次数: 0
Exploring stakeholder perspectives on All Abilities Touch Football: Navigating the challenges, opportunities and feasibility of classification framework development 探究所有能力触身足球的利益相关者观点:导航分类框架发展的挑战、机遇和可行性
Pub Date : 2025-06-01 Epub Date: 2025-02-27 DOI: 10.1016/j.jsampl.2025.100093
Taylor M. Wileman, Marnee J. McKay, Daniel A. Hackett, Tania Gardner, Ché Fornusek

Background

All Abilities Touch Football provides individuals with intellectual and/or physical impairments the opportunity to participate in organised sport. However, the absence of a comprehensive framework to accommodate players with varying types and severities of impairments presents challenges for equitable participation and fairer competition. This study aimed to explore the broader challenges, opportunities and feasibility of implementing a classification framework for All Abilities Touch Football.

Methods

A mixed methods approach was employed, combining online surveys of players (n ​= ​23), parents/carers (n ​= ​23), coaches (n ​= ​20) with semi-structured interviews from national level coaches (n ​= ​4) involved with All Abilities Touch Football across Australia. Survey data were analysed using counts and percentages, while thematic analysis was applied to interview data.

Results

Survey and interview data revealed All Abilities Touch Football effectively promotes physical activity, social integration, and community engagement for individuals with disabilities. However, systemic challenges arise from managing the diverse abilities of players within the sport, with a lack of collaboration among stakeholders, inadequate educational initiatives, and limited resource allocation identified as major barriers to the sport's advancement.

Conclusion

These findings offer valuable insights into the complexities of disability sport programs, highlighting the need for targeted strategies to advance All Abilities Touch Football. They also lay the groundwork for future initiatives aimed at developing a more inclusive and structured approach to the sport's growth.
触身足球为智力和/或身体有缺陷的人提供了参加有组织的运动的机会。然而,缺乏一个全面的框架来适应不同类型和严重程度的损伤运动员,这对公平参与和更公平的竞争提出了挑战。本研究旨在探讨实施全能力触身足球分类框架的挑战、机遇和可行性。方法采用混合方法,结合对球员(n = 23)、家长/照顾者(n = 23)、教练(n = 20)的在线调查,以及对澳大利亚全能力接触式足球的国家级教练(n = 4)的半结构化访谈。调查数据采用计数和百分比进行分析,而访谈数据则采用专题分析。结果调查和访谈数据显示,All Abilities Touch Football有效地促进了残疾人的身体活动、社会融合和社区参与。然而,由于管理运动员在运动中的不同能力,利益相关者之间缺乏合作,教育计划不足,资源分配有限,这些都是阻碍这项运动发展的主要障碍,因此出现了系统性挑战。这些发现为残疾人体育项目的复杂性提供了有价值的见解,强调了有针对性的策略来推进全能力触式橄榄球的必要性。他们还为未来的举措奠定了基础,这些举措旨在为这项运动的发展制定一种更具包容性和结构性的方法。
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引用次数: 0
Outcomes of anterior cruciate ligament reconstruction surgery from private and public healthcare services in Australia 前交叉韧带重建手术的结果从私人和公共医疗服务在澳大利亚
Pub Date : 2025-06-01 Epub Date: 2025-02-05 DOI: 10.1016/j.jsampl.2025.100088
Thomas J. West , Andrea M. Bruder , Kay M. Crossley , Michael A. Girdwood , Laura K. To , Jamon L. Couch , Mark J. Scholes , Sebastian C.S. Evans , Melissa J. Haberfield , Christian J. Barton , Ewa M. Roos , Alysha De Livera , Adam G. Culvenor

Objective

To explore outcomes of anterior cruciate ligament (ACL) reconstructive surgery (ACLR) between individuals using private and public healthcare.

Methods

We conducted a cross-sectional study of participants, 9–36 months post-ACLR using public or private healthcare services. Multivariable linear regression assessed the association between healthcare service used (private versus public) with self-reported outcomes (Knee injury and Osteoarthritis Outcome Score (KOOS) subscales of pain, symptoms, sport/recreation, knee-related quality of life (QoL); 0–100 scale), adjusting for potential confounders.

Results

A total of 314 participants were included (median age 29 years, 35 ​% female). One hundred and thirty-nine (44 ​%) underwent ACLR using private healthcare. Individuals using private healthcare for ACLR reported better post-ACLR knee-related QoL (mean difference 5.1; 95%CI 0.6 to 9.7) than individuals using public healthcare, when adjusted for available confounders. No other KOOS subscale scores (pain, symptoms, sport/recreation) differed between healthcare groups in our adjusted analysis.

Conclusions

Australian young adults who underwent ACLR using private healthcare (compared to public healthcare) services reported better knee-related QoL post-operatively in this cross-sectional cohort. Sociodemographic and socioeconomic factors contributed little to the differences observed. Future research should consider potential disparities in outcomes between participants using differing healthcare services both clinically and when recruiting participants into research studies evaluating outcomes post-ACLR.
目的探讨私立和公立医院进行前交叉韧带重建手术(ACLR)的效果。方法我们对aclr术后9-36个月使用公共或私人医疗服务的参与者进行了横断面研究。多变量线性回归评估了所使用的医疗服务(私人与公共)与自我报告的结果(膝关节损伤和骨关节炎结局评分(kos)疼痛、症状、运动/娱乐、膝关节相关生活质量(QoL)亚量表)之间的关系;0-100分),根据潜在的混杂因素进行调整。结果共纳入314例受试者(中位年龄29岁,女性占35%)。139人(44%)在私人医疗机构接受了ACLR。使用私人医疗机构的ACLR患者报告ACLR后膝关节相关生活质量更好(平均差5.1;95%CI 0.6 - 9.7)比使用公共医疗保健的个体要好。在我们的调整分析中,医疗保健组之间没有其他oos子量表得分(疼痛、症状、运动/娱乐)差异。结论:在这个横断面队列中,接受ACLR的澳大利亚年轻人使用私人医疗服务(与公共医疗服务相比)报告了更好的术后膝关节相关生活质量。社会人口和社会经济因素对观察到的差异贡献不大。未来的研究应考虑使用不同医疗服务的参与者之间的潜在差异,包括临床和招募参与者参与评估aclr后结果的研究。
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引用次数: 0
Injury characteristics, mechanisms, and game circumstances in junior community-level Australian football 澳大利亚青少年社区足球的损伤特点、机制和比赛环境
Pub Date : 2025-06-01 Epub Date: 2025-02-05 DOI: 10.1016/j.jsampl.2025.100091
Indianna L. Franke , Andrea B. Mosler , Brooke E. Patterson , Kay M. Crossley , Patrick Clifton , Steven McPhail , Mark J. Scholes , Matthew G. King

Objective

Describe the injury characteristics, game circumstances, and immediate action and management of injuries sustained by boys and girls participating in junior community Australian football.

Design

Cohort Study.

Methods

All community junior Australian football players from one Victorian-based league were eligible to participate if they were injured during a game and presented to the gameday first aid medics. Injured players were subsequently followed up with a phone call to undertake an injury surveillance survey. The injury surveillance survey gathered information relating to the injury characteristics, game circumstances and management undertaken. Additionally, all players who sustained a head impact were asked about the presence or absence of concussion-related symptoms.

Results

439 players sustained an injury in the 2022 season, with 354 (80.6 ​%) participating in the survey. The head was the most frequently reported injured body region (n ​= ​194, 54.8 ​%), with approximately half (n ​= ​101) being a diagnosed or suspected sports-related concussion. The next three most frequently reported body regions were the ankle (n ​= ​29, 8.2 ​%), knee (n ​= ​24, 6.8 ​%), and shoulder (n ​= ​20, 5.6 ​%). Almost all injuries were acute onset (n ​= ​340, 96.0 ​%) and resulted from a contact-based mechanism (94.9 ​%, n ​= ​222 direct contact, n ​= ​114 indirect contact). Tackling was the most frequently reported game circumstance resulting in an injury (n ​= ​160, 45.2 ​%).

Conclusion

The head was the most frequently reported injured body region, with approximately one in every two reported head impacts resulting in a diagnosed/suspected sports-related concussion. Injury prevention strategies that promote safety when tackling and being tackled may reduce the frequency of injury, warranting further investigation.
目的描述参加澳大利亚青少年社区足球比赛的男孩和女孩受伤的特点、比赛环境、即时行动和管理。DesignCohort研究。方法:所有来自维多利亚州联赛的社区青少年足球运动员如果在比赛中受伤并被送到比赛日的急救人员那里,都有资格参加比赛。受伤球员随后通过电话跟进进行伤病监测调查。伤病监测调查收集了与伤病特征、比赛环境和管理有关的信息。此外,所有遭受头部撞击的球员都被问及是否存在脑震荡相关症状。结果2022赛季有439名球员受伤,其中354人(80.6%)参与了调查。头部是最常报告的受伤身体区域(n = 194, 54.8%),其中约一半(n = 101)被诊断或疑似与运动有关的脑震荡。接下来三个最常报告的身体部位是脚踝(n = 29, 8.2%)、膝盖(n = 24, 6.8%)和肩膀(n = 20, 5.6%)。几乎所有损伤均为急性损伤(n = 340, 96.0%),由接触机制引起(94.9%,n = 222, n = 114)。铲球是最常见的导致受伤的比赛情况(n = 160, 45.2%)。结论头部是最常报告的受伤身体区域,大约每两个报告的头部撞击中就有一个导致诊断或疑似运动相关脑震荡。伤害预防策略可以提高铲球和被铲球时的安全性,这可能会减少受伤的频率,值得进一步研究。
{"title":"Injury characteristics, mechanisms, and game circumstances in junior community-level Australian football","authors":"Indianna L. Franke ,&nbsp;Andrea B. Mosler ,&nbsp;Brooke E. Patterson ,&nbsp;Kay M. Crossley ,&nbsp;Patrick Clifton ,&nbsp;Steven McPhail ,&nbsp;Mark J. Scholes ,&nbsp;Matthew G. King","doi":"10.1016/j.jsampl.2025.100091","DOIUrl":"10.1016/j.jsampl.2025.100091","url":null,"abstract":"<div><h3>Objective</h3><div>Describe the injury characteristics, game circumstances, and immediate action and management of injuries sustained by boys and girls participating in junior community Australian football.</div></div><div><h3>Design</h3><div>Cohort Study.</div></div><div><h3>Methods</h3><div>All community junior Australian football players from one Victorian-based league were eligible to participate if they were injured during a game and presented to the gameday first aid medics. Injured players were subsequently followed up with a phone call to undertake an injury surveillance survey. The injury surveillance survey gathered information relating to the injury characteristics, game circumstances and management undertaken. Additionally, all players who sustained a head impact were asked about the presence or absence of concussion-related symptoms.</div></div><div><h3>Results</h3><div>439 players sustained an injury in the 2022 season, with 354 (80.6 ​%) participating in the survey. The head was the most frequently reported injured body region (n ​= ​194, 54.8 ​%), with approximately half (n ​= ​101) being a diagnosed or suspected sports-related concussion. The next three most frequently reported body regions were the ankle (n ​= ​29, 8.2 ​%), knee (n ​= ​24, 6.8 ​%), and shoulder (n ​= ​20, 5.6 ​%). Almost all injuries were acute onset (n ​= ​340, 96.0 ​%) and resulted from a contact-based mechanism (94.9 ​%, n ​= ​222 direct contact, n ​= ​114 indirect contact). Tackling was the most frequently reported game circumstance resulting in an injury (n ​= ​160, 45.2 ​%).</div></div><div><h3>Conclusion</h3><div>The head was the most frequently reported injured body region, with approximately one in every two reported head impacts resulting in a diagnosed/suspected sports-related concussion. Injury prevention strategies that promote safety when tackling and being tackled may reduce the frequency of injury, warranting further investigation.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100091"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining concussions in adult male, senior-grade semi-elite rugby league in Australia: A retrospective observational video review case series 检查成年男性脑震荡,高级别半精英橄榄球联赛在澳大利亚:回顾性观察视频回顾病例系列
Pub Date : 2025-06-01 Epub Date: 2025-01-02 DOI: 10.1016/j.jsampl.2024.100086
Martin A. Lang , Grant L. Iverson , Suzi Edwards , Ben Jones , Douglas P. Terry , Andrew J. Gardner

Background

The risk of concussion at the elite level of rugby league has been extensively evaluated. However, there has been very little concussion research conducted at the semi-elite level.

Purpose

To examine cases of medically diagnosed concussion from a single season of adult men's semi-elite rugby league.

Methods

A retrospective review of the 2019 Queensland Cup season head injury assessment surveillance program was completed. All Head Injury Assessment (HIA) cases, including cases of medically diagnosed concussion were retrospectively video reviewed and game play characteristic variables along with video signs of concussion were coded. This data was combined with the return to play data to form the research database.

Results

There were 132 players removed for HIAs in 170 games. There were 36 players medically diagnosed with concussions, which equates to an incidence rate was 6.11 concussions per 1000 player match hours, or one concussion every 4.7 matches. All concussions occurred in a tackle event, where the player was struck in the head/face. Possible balance disturbance was the most commonly observed video sign (97.2 ​%; 35/36), with slow to stand also commonly observed in concussed players (91.7 ​%; 33/36). Most concussed players (63.9 ​%; 23/36) did not miss a game following the concussion.

Conclusion

This is one of the first studies to review video footage of concussions in sub-elite rugby league. These findings build on the growing body of video analysis research in rugby league and suggest that the retrospective review of the video of incidents may offer insights into modifiable risk factors that may help reduce concussion in rugby league.
在橄榄球精英联赛中,脑震荡的风险已被广泛评估。然而,在半精英水平上进行的脑震荡研究很少。目的对成年男子半精英橄榄球联赛单赛季医学诊断的脑震荡病例进行研究。方法对2019年昆士兰杯赛季头部损伤评估监测方案进行回顾性分析。所有脑损伤评估(HIA)病例,包括医学诊断为脑震荡的病例,回顾性地进行视频回顾,并对游戏特征变量以及脑震荡的视频体征进行编码。该数据与回归数据相结合,形成研究数据库。结果在170场比赛中,有132名球员因HIAs被淘汰。有36名球员被医学诊断为脑震荡,相当于每1000名球员比赛小时发生6.11次脑震荡,或每4.7场比赛发生一次脑震荡。所有脑震荡都发生在铲球事件中,球员的头部或面部被击中。可能的平衡障碍是最常见的视频信号(97.2%;35/36),在脑震荡球员中站立缓慢也很常见(91.7%;33/36)。大多数脑震荡球员(63.9%;23/36)在脑震荡后没有错过任何一场比赛。结论本研究是首次对橄榄球亚精英联赛中脑震荡的录像资料进行回顾研究。这些发现建立在橄榄球联盟中越来越多的视频分析研究的基础上,并表明对事件视频的回顾性审查可能会对有助于减少橄榄球联盟脑震荡的可修改风险因素提供见解。
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引用次数: 0
A new urgency: addressing sudden cardiac death in young First Nations Australians through comprehensive screening 新的紧迫性:通过全面筛查解决年轻的澳大利亚第一民族的心源性猝死
Pub Date : 2025-06-01 Epub Date: 2025-04-21 DOI: 10.1016/j.jsampl.2025.100101
Jessica J. Orchard, Nathan Luies, Rajesh Puranik, John W. Orchard
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引用次数: 0
Evaluating the measurement properties and feasibility of physical activity and physical function assessments for children undergoing acute cancer treatment 评估对接受急性癌症治疗的儿童进行身体活动和身体功能评估的测量特性和可行性
Pub Date : 2024-12-01 Epub Date: 2024-06-28 DOI: 10.1016/j.jsampl.2024.100065
Sarah L. Grimshaw , Nicholas F. Taylor , Rachel Conyers , Nora Shields

Background

As physical function and physical activity are often compromised among children and adolescents undergoing acute cancer treatment, psychometrically robust and feasible assessment tools are needed. The aim of this study is to evaluate the construct validity, responsiveness and feasibility of one physical activity assessment tool (Fitbit Inspire); and six physical function assessment tools (Movement ABC-2, Timed Up and Go, 30-s Chair Stand, Timed Rise from the Floor, Timed Up and Down Stairs, 6-min Walk Test) for children undergoing acute cancer treatment.

Methods

A prospectively-registered, mixed methods, single-group study evaluated measurement properties against a priori hypothesis using Consensus-based Standards for the selection of health status Measurement Instruments (COSMIN) framework. Feasibility was assessed quantitively (a priori thresholds), and qualitatively (semi-structured interviews, focus-groups).

Results

Twenty children/adolescents (median age 13 ​± ​5 years, various cancer diagnoses), 20 parents and 16 clinicians participated. Fitbit was feasible to assess daily steps only, had evidence of construct validity, tendency to overestimate step count and adequate evidence of responsiveness (compared to Actigraph). The 30-s Chair stand, 6-min Walk Test and Timed Up and Go were feasible and showed evidence of construct validity and responsiveness. To maximise feasibility, consideration of timing and intent of assessment are crucial.

Conclusion

Fitbit has limitations as a physical activity assessment tool. The 30-s Chair Stand, 6-min Walk Test and Timed Up and Go were feasible to use and showed favourable measurement properties to assess physical function.

背景由于正在接受急性癌症治疗的儿童和青少年的身体功能和体力活动通常会受到影响,因此需要心理计量学上可靠可行的评估工具。本研究旨在评估一种体力活动评估工具(Fitbit Inspire)和六种体力功能评估工具(运动 ABC-2、定时起立、30 秒椅子站立、定时从地上爬起、定时上下楼梯、6 分钟步行测试)对接受急性癌症治疗的儿童的构建有效性、响应性和可行性。对可行性进行了定量(先验阈值)和定性(半结构式访谈、焦点小组)评估。结果20 名儿童/青少年(中位年龄 13 ± 5 岁,各种癌症诊断)、20 名家长和 16 名临床医生参与了研究。Fitbit仅适用于评估每日步数,具有结构效度、高估步数的倾向和充分的响应性证据(与Actigraph相比)。椅子站立 30 秒、6 分钟步行测试和定时起立行走都是可行的,并有证据显示其结构有效性和响应性。为了最大限度地提高可行性,考虑评估的时间和意图至关重要。30秒椅子站立、6分钟步行测试和定时起立行走的使用是可行的,并显示出评估身体功能的良好测量特性。
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引用次数: 0
Ballet after breast cancer: A qualitative evaluation of a novel 16-week ballet intervention for women after breast cancer 乳腺癌术后芭蕾对为乳腺癌术后妇女提供的为期 16 周的新型芭蕾舞干预进行定性评估
Pub Date : 2024-12-01 Epub Date: 2024-09-28 DOI: 10.1016/j.jsampl.2024.100076
Eliza R. Macdonald , Christina Signorelli , Briana K. Clifford , David Simar , Rachel E. Ward

Objectives

Our evaluation of the pilot study- “Ballet after breast cancer”, demonstrated that a classical ballet program delivered online and/or face-to-face is feasible and acceptable, with promise for improving health and wellbeing following breast cancer. The present study aimed to explore participant experiences of the 16-week ballet intervention, and their perceptions of the future potential of ballet in the context of breast cancer.

Design

Qualitative analysis of focus group discussions.

Methods

Intervention participants were invited to take part in online focus groups to discuss: Perceived changes resulting from ballet participation, content of the ballet classes, delivery of the ballet program, suitability of ballet for future implementation during/after active cancer treatment. Themes were generated using an inductive approach, and feedback/recommendations for future implementation of “Ballet after breast cancer” were summarised.

Results

Seventeen women previously treated for breast cancer (54.4 ​± ​11.9 years; 54.2 ​± ​43.5 months post-diagnosis) took part in one of three focus groups. Themes generated through discussion included: Embracing normal; Connection to others; Acceptance without judgement; Engagement; Learning and progress. Participants described perceived improvements in physical, psychosocial, and cognitive wellbeing, and identified some limitations of online attendance compared to face-to-face. The personal attributes and experience of the ballet instructor were identifed as key determinants of program engagement and enjoyment. Participants reported a preference for classes specifically for people with lived experience of breast cancer. Recommendations to improve future ballet programs during/after breast cancer treatment included: Hybrid delivery model; Opportunities to socialise with classmates; Access to additional learning resources.

Conclusions

Participants offered novel and valuable insight into their experiences of the “Ballet after breast cancer” program, providing guidance for future delivery of ballet across the cancer continuum.
目标我们对 "乳腺癌后的芭蕾 "试点研究的评估表明,在线和/或面对面教授古典芭蕾课程是可行且可接受的,有望改善乳腺癌患者的健康和福祉。本研究旨在探讨参与者对为期 16 周的芭蕾舞干预的体验,以及他们对芭蕾舞在乳腺癌治疗中的未来潜力的看法:参加芭蕾舞后所感受到的变化、芭蕾舞课程的内容、芭蕾舞课程的实施、芭蕾舞是否适合在积极的癌症治疗期间/之后实施。通过归纳法得出主题,并总结了对未来实施 "乳腺癌术后芭蕾 "的反馈/建议。结果17 名曾接受过乳腺癌治疗的妇女(54.4 ± 11.9 岁;确诊后 54.2 ± 43.5 个月)参加了三个焦点小组中的一个。讨论产生的主题包括拥抱正常;与他人建立联系;接受而不评判;参与;学习和进步。参与者描述了他们在身体、社会心理和认知健康方面所感受到的改善,并指出了在线参与与面对面参与相比存在的一些局限性。芭蕾教练的个人特质和经验被认为是决定学员参与和享受课程的关键因素。参与者表示更喜欢专门为有乳腺癌生活经历的人开设的课程。对未来乳腺癌治疗期间/治疗后芭蕾舞课程的改进建议包括结论参与者对他们在 "乳腺癌后芭蕾 "课程中的经历提出了新颖而有价值的见解,为今后在癌症治疗过程中开展芭蕾课程提供了指导。
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引用次数: 0
The expanding role of exercise oncology in cancer care: An editorial highlighting emerging research 运动肿瘤学在癌症治疗中的作用不断扩大:一篇强调新兴研究的社论
Pub Date : 2024-12-01 Epub Date: 2024-10-30 DOI: 10.1016/j.jsampl.2024.100078
David Mizrahi, Erika Rees-Punia, Robert U. Newton, Carolina X. Sandler
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引用次数: 0
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