Adventure Therapy for Child, Adolescent, and Young Adult Cancer Patients: a Systematic Review

Overview

Journal Support Care Cancer

Specialties Critical Care
Oncology

Date 2020 Jul 29

PMID 32720007

Citations 5

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

Affiliations

Soon will be listed here.

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.

Citing Articles

Psychosocial Factors Affecting Wellbeing and Sources of Support of Young Adult Cancer Survivors: A Scoping Review.

Timko Olson E, Olson A, Driscoll M, Bliss D Nurs Rep. 2024; 14(4):4006-4021.

PMID: 39728654 PMC: 11677591. DOI: 10.3390/nursrep14040293.

Short- and Long-Term Outcomes of an Adventure Therapy Programme on Borderline Personality Disorder: A Pragmatic Controlled Clinical Trial.

Gabarda-Blasco A, Elias A, Mendo-Cullell M, Arenas-Pijoan L, Forne C, Fernandez-Onate D Brain Sci. 2024; 14(3).

PMID: 38539624 PMC: 10968253. DOI: 10.3390/brainsci14030236.

A randomized controlled pilot study assessing feasibility and safety of a wilderness program for childhood, adolescent, and young adult cancer survivors: the WAYA study.

Jong M, Dahlqvist H, Lown E, Schats W, Beckman L, Jong M BMC Public Health. 2023; 23(1):1504.

PMID: 37553637 PMC: 10410899. DOI: 10.1186/s12889-023-16408-x.

Bibliometric Analysis of Nature-Based Therapy Research.

Rodriguez-Redondo Y, Denche-Zamorano A, Munoz-Bermejo L, Rojo-Ramos J, Adsuar J, Castillo-Paredes A Healthcare (Basel). 2023; 11(9).

PMID: 37174792 PMC: 10178870. DOI: 10.3390/healthcare11091249.

The Development and Acceptability of a Wilderness Programme to Support the Health and Well-Being of Adolescent and Young Adult Cancer Survivors: The WAYA Programme.

Jong M, Stub T, Mulder E, Jong M Int J Environ Res Public Health. 2022; 19(19).

PMID: 36231313 PMC: 9566286. DOI: 10.3390/ijerph191912012.

References

Keegan T, Ries L, Barr R, Geiger A, Vollmer Dahlke D, Pollock B . Comparison of cancer survival trends in the United States of adolescents and young adults with those in children and older adults. Cancer. 2016; 122(7):1009-16. DOI: 10.1002/cncr.29869. View

Steliarova-Foucher E, Colombet M, Ries L, Moreno F, Dolya A, Bray F . International incidence of childhood cancer, 2001-10: a population-based registry study. Lancet Oncol. 2017; 18(6):719-731. PMC: 5461370. DOI: 10.1016/S1470-2045(17)30186-9. View

Bellizzi K, Smith A, Schmidt S, Keegan T, Zebrack B, Lynch C . Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult. Cancer. 2012; 118(20):5155-62. DOI: 10.1002/cncr.27512. View

Barnett M, McDonnell G, DeRosa A, Schuler T, Philip E, Peterson L . Psychosocial outcomes and interventions among cancer survivors diagnosed during adolescence and young adulthood (AYA): a systematic review. J Cancer Surviv. 2016; 10(5):814-31. PMC: 5001943. DOI: 10.1007/s11764-016-0527-6. View

Gotte M, Kesting S, Winter C, Rosenbaum D, Boos J . Comparison of self-reported physical activity in children and adolescents before and during cancer treatment. Pediatr Blood Cancer. 2013; 61(6):1023-8. DOI: 10.1002/pbc.24898. View

Ness K, Armstrong G, Kundu M, Wilson C, Tchkonia T, Kirkland J . Frailty in childhood cancer survivors. Cancer. 2014; 121(10):1540-7. PMC: 4424063. DOI: 10.1002/cncr.29211. View

Zebrack B . Psychological, social, and behavioral issues for young adults with cancer. Cancer. 2011; 117(10 Suppl):2289-94. DOI: 10.1002/cncr.26056. View

Zebrack B, Corbett V, Embry L, Aguilar C, Meeske K, Hayes-Lattin B . Psychological distress and unsatisfied need for psychosocial support in adolescent and young adult cancer patients during the first year following diagnosis. Psychooncology. 2014; 23(11):1267-75. DOI: 10.1002/pon.3533. View

Hoffman M, Mulrooney D, Steinberger J, Lee J, Baker K, Ness K . Deficits in physical function among young childhood cancer survivors. J Clin Oncol. 2013; 31(22):2799-805. PMC: 3718878. DOI: 10.1200/JCO.2012.47.8081. View

10.

Pierce L, Hocking M, Schwartz L, Alderfer M, Kazak A, Barakat L . Caregiver distress and patient health-related quality of life: psychosocial screening during pediatric cancer treatment. Psychooncology. 2016; 26(10):1555-1561. DOI: 10.1002/pon.4171. View

11.

Martiniuk A, Silva M, Amylon M, Barr R . Camp programs for children with cancer and their families: review of research progress over the past decade. Pediatr Blood Cancer. 2014; 61(5):778-87. DOI: 10.1002/pbc.24912. View

12.

Schell L, Cotton S, Luxmoore M . Outdoor adventure for young people with a mental illness. Early Interv Psychiatry. 2012; 6(4):407-14. DOI: 10.1111/j.1751-7893.2011.00326.x. View

13.

Li H, Chung O, Ho K, Chiu S, Lopez V . Effectiveness of an integrated adventure-based training and health education program in promoting regular physical activity among childhood cancer survivors. Psychooncology. 2013; 22(11):2601-10. DOI: 10.1002/pon.3326. View

14.

Martiniuk A . Camping programs for children with cancer and their families. Support Care Cancer. 2003; 11(12):749-57. DOI: 10.1007/s00520-003-0540-y. View

15.

Aromataris E, Pearson A . The systematic review: an overview. Am J Nurs. 2014; 114(3):53-8. DOI: 10.1097/01.NAJ.0000444496.24228.2c. View

16.

Paez A . Gray literature: An important resource in systematic reviews. J Evid Based Med. 2017; 10(3):233-240. DOI: 10.1111/jebm.12266. View

17.

Moher D, Liberati A, Tetzlaff J, Altman D . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009; 151(4):264-9, W64. DOI: 10.7326/0003-4819-151-4-200908180-00135. View

18.

Oikarainen A, Mikkonen K, Kenny A, Tomietto M, Tuomikoski A, Merilainen M . Educational interventions designed to develop nurses' cultural competence: A systematic review. Int J Nurs Stud. 2019; 98:75-86. DOI: 10.1016/j.ijnurstu.2019.06.005. View

19.

Porritt K, Gomersall J, Lockwood C . JBI's Systematic Reviews: Study selection and critical appraisal. Am J Nurs. 2014; 114(6):47-52. DOI: 10.1097/01.NAJ.0000450430.97383.64. View

20.

Chung O, Li H, Chiu S, Ho K, Lopez V . Sustainability of an Integrated Adventure-Based Training and Health Education Program to Enhance Quality of Life Among Chinese Childhood Cancer Survivors: A Randomized Controlled Trial. Cancer Nurs. 2014; 38(5):366-74. DOI: 10.1097/NCC.0000000000000211. View