nach oben

Erschienen in:

27.07.2020 | Review Article

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

verfasst von: 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

Erschienen in: Supportive Care in Cancer | Ausgabe 1/2021

Einloggen, um Zugang zu erhalten

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.

Nur mit Berechtigung zugänglich

Keegan TH, Ries LA, Barr RD, Geiger AM, Dahlke DV, Pollock BH, Bleyer WA, National Cancer Institute Next Steps for Adolescent and Young Adult Oncology Epidemiology Working Group (2016) Comparison of cancer survival trends in the United States of adolescents and young adults with those in children and older adults. Cancer 122:1009–1016. https://doi.org/10.1002/cncr.29869CrossRefPubMed

National Cancer Institute (2018a) Adolescents and young adults with cancer. https://www.cancer.gov/types/aya. Accessed 02 Aug 2019

National Cancer Institute (2019) Childhood cancers. https://www.cancer.gov/types/childhood-cancers. Accessed 02 Aug 2019

World Health Organization (2014) World cancer report 2014. https://www.who.int/cancer/publications/WRC_2014/en/. Accessed 02 Aug 2019

Steliarova-Foucher E, Colombet M, Ries LA, Moreno F, Dolya A, Bray F, Hesseling P, Shin HY, Stiller CA, Bouzbid S, Hamdi-Cherif M (2017) International incidence of childhood cancer, 2001-10: a population-based registry study. Lancet Oncol 18:719–731. https://doi.org/10.1016/S1470-2045(17)30186-9CrossRefPubMedPubMedCentral

Gupta S, Howard SC, Hunger SP, Antillon FG, Metzger ML, Israels T et al (2015) Disease control priorities, 3rd edn. The World Bank, Washington

National Cancer Institute (2018b) SEER cancer statistics review (CSR) 1975-2015. https://seer.cancer.gov/csr/1975_2015/. Accessed 02 Aug 2019

Bellizzi KM, Smith A, Schmidt S, Keegan TH, Zebrack B, Lynch CF, Deapen D, Shnorhavorian M, Tompkins BJ, Simon M, Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) Study Collaborative Group (2012) Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult. Cancer 118:5155–5162. https://doi.org/10.1002/cncr.27512CrossRefPubMed

Barnett M, McDonnell G, DeRosa A, Schuler T, Philip E, Peterson L, Touza K, Jhanwar S, Atkinson TM, Ford JS (2016) Psychosocial outcomes and interventions among cancer survivors diagnosed during adolescence and young adulthood (AYA): a systematic review. J Cancer Surviv 10:814–831. https://doi.org/10.1007/s11764-016-0527-6CrossRefPubMedPubMedCentral

10.

Götte M, Kesting S, Winter C, Rosenbaum D, Boos J (2014) Comparison of self-reported physical activity in children and adolescents before and during cancer treatment. Pediatr Blood Cancer 61:1023–1028. https://doi.org/10.1002/pbc.24898CrossRefPubMed

11.

Ness KK, Armstrong GT, Kundu M, Wilson CL, Tchkonia T, Kirkland JL (2015) Frailty in childhood cancer survivors. Cancer 121:1540–1547. https://doi.org/10.1002/cncr.29211CrossRefPubMed

12.

Zebrack BJ (2011) Psychological, social, and behavioral issues for young adults with cancer. Cancer 117:2289–2294. https://doi.org/10.1002/cncr.26056CrossRefPubMed

13.

Zebrack BJ, Corbett V, Embry L, Aguilar C, Meeske KA, Hayes-Lattin B, Block R, Zeman DT, Cole S (2014) Psychological distress and unsatisfied need for psychosocial support in adolescent and young adult cancer patients during the first year following diagnosis. Psychooncology 23:1267–1275. https://doi.org/10.1002/pon.3533CrossRefPubMed

14.

Hoffman MC, Mulrooney DA, Steinberger J, Lee J, Baker KS, Ness KK (2013) Deficits in physical function among young childhood cancer survivors. J Clin Oncol 31:2799–2805. https://doi.org/10.1200/JCO.2012.47.8081CrossRefPubMedPubMedCentral

15.

Pierce L, Hocking MC, Schwartz LA, Alderfer MA, Kazak AE, Barakat LP (2017) Caregiver distress and patient health-related quality of life: psychosocial screening during pediatric cancer treatment. Psychooncology 26:1555–1561. https://doi.org/10.1002/pon.4171CrossRefPubMed

16.

Martiniuk A, Silva M, Amylon M, Barr R (2014) Camp programs for children with cancer and their families: review of research progress over the past decade. Pediatr Blood Cancer 61:778–787. https://doi.org/10.1002/pbc.24912CrossRefPubMed

17.

Gass MA, Gillis L, Russell KC (2012) Adventure therapy theory, research, and practice, 1st edn. Routledge, New YorkCrossRef

18.

Adventure Therapy International Committee (2019) What is international adventure therapy?. https://internationaladventuretherapy.org/what-is-iat. Accessed 02 Aug 2019

19.

Schell L, Cotton S, Luxmoore M (2012) Outdoor adventure for young people with a mental illness. Early Interv Psychiatry 6:407–414. https://doi.org/10.1111/j.1751-7893.2011.00326.xCrossRefPubMed

20.

Woodford KM, Fenton L, Connors J (2017) A change of scenery: wilderness therapy treatment for inpatients in acute care. Ther Recreat J 51:258–273. https://doi.org/10.18666/TRJ-2017-V51-14-7374CrossRef

21.

Li HW, Chung OK, Ho KY, Chiu SY, Lopez V (2013) Effectiveness of an integrated adventure-based training and health education program in promoting regular physical activity among childhood cancer survivors. Psychooncology 22:2601–2610. https://doi.org/10.1002/pon.3326CrossRefPubMed

22.

Norton CL, Tucker A, Russell KC, Bettmann JE, Gass MA, Gillis HL, Behrens E (2014) Adventure therapy with youth. J Exp Educ 37:46–59. https://doi.org/10.1177/1053825913518895CrossRef

23.

Martiniuk A (2003) Camping programs for children with cancer and their families. Support Care Cancer 11:749–757. https://doi.org/10.1007/s00520-003-0540-yCrossRefPubMed

24.

Aromataris E, Pearson A (2014) The systematic review: an overview. Am J Nurs 114:53–58. https://doi.org/10.1097/01.NAJ.0000444496.24228.2cCrossRefPubMed

25.

Cochrane (2017) Cochrane handbook for systematic reviews of interventions: what is a systematic review? https://community.cochrane.org/handbook-sri/chapter-1-introduction/11-cochrane/12-systematic-reviews/122-what-systematic-review. Accessed 02 Aug 2019

26.

Paez A (2017) Gray literature: an important resource in systematic reviews. J Evid Based Med 10:233–240CrossRefPubMed

27.

Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151:264–269. https://doi.org/10.7326/0003-4819-151-4-200908180-00135CrossRefPubMed

28.

Higgins JP, Green S (2008) Cochrane handbook for systematic reviews of interventions. Wiley, ChichesterCrossRef

29.

Stich TF, Senior N (1984) Adventure therapy: an innovative treatment for psychiatric patients. New Dir Ment Health Serv 21:103–113. https://doi.org/10.1002/yd.23319842113CrossRef

30.

The Joanna Briggs Institute (2017) Critical appraisal tools. http://joannabriggs.org/research/critical-appraisal-tools.html. Accessed 02 Aug 2019

31.

Tufanaru C, Munn Z, Aromataris E, Campbell J, Hopp L (2017) Chapter 3: systematic reviews of effectiveness. In: Aromataris E, Munn Z (eds) Joanna Briggs Institute reviewer’s manual. The Joanna Briggs Institute, 2017. Available from https://reviewersmanual.joannabriggs.org/

32.

Oikarainen A, Mikkonen K, Kenny A, Tomietto M, Tuomikoski AM, Meriläinen M, Miettunen J, Kääriäinen M (2019) Educational interventions designed to develop nurses’ cultural competence: a systematic review. Int J Nurs Stud 98:75–86. https://doi.org/10.1016/j.ijnurstu.2019.06.005CrossRefPubMed

33.

Porritt K, Gomersall J, Lockwood C (2014) JBI’s systematic reviews: study selection and critical appraisal. Am J Nurs 114:47–52. https://doi.org/10.1097/01.NAJ.0000450430.97383.64CrossRefPubMed

34.

Chung OK, Li HC, Chiu SY, Ho KY, Lopez V (2015) 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 38:366–374. https://doi.org/10.1097/NCC.0000000000000211CrossRefPubMed

35.

Lam KK, Li WHC, Chung OK, Ho KY, Chiu SY, Lam HS, Chan GC (2018) An integrated experiential training programme with coaching to promote physical activity, and reduce fatigue among children with cancer: a randomised controlled trial. Patient Educ Couns 101:1947–1956. https://doi.org/10.1016/j.pec.2018.07.008CrossRefPubMed

36.

Li WH, Ho KY, Lam KK, Lam HS, Chui SY, Chan GC, Cheung AT, Ho LL, Chung OK (2018) Adventure-based training to promote physical activity and reduce fatigue among childhood cancer survivors: a randomized controlled trial. Int J Nurs Stud 83:65–74. https://doi.org/10.1016/j.ijnurstu.2018.04.007CrossRefPubMed

37.

Gill E, Goldenberg M, Starnes H, Phelan S (2016) Outdoor adventure therapy to increase physical activity in young adult cancer survivors. J Psychosoc Oncol 34:184–199. https://doi.org/10.1080/07347332.2016.1157718CrossRefPubMed

38.

Rosenberg RS, Lange W, Zebrack B, Moulton S, Kosslyn SM (2014) An outdoor adventure program for young adults with cancer: positive effects on body image and psychosocial functioning. J Psychosoc Oncol 32:622–636. https://doi.org/10.1080/07347332.2014.936652CrossRefPubMed

39.

Békési A, Török S, Kökönyei G, Bokrétás I, Szentes A, Telepóczki G (2011) Health-related quality of life changes of children and adolescents with chronic disease after participation in therapeutic recreation camping program. Health Qual Life Outcomes 9:43. https://doi.org/10.1186/1477-7525-9-43CrossRefPubMedPubMedCentral

40.

Zebrack B, Kwa M, Sundstrom L (2017) First Descents, an adventure program for young adults with cancer: who benefits. Support Care Cancer 25:3665–3673. https://doi.org/10.1007/s00520-017-3792-7CrossRefPubMed

41.

Bandura A (1997) Self-efficacy: the exercise of control. Macmillan, New York

42.

Finnegan L, Wilkie DJ, Wilbur J, Campbell RT, Zong S, Katula S (2007) Correlates of physical activity in young adult survivors of childhood cancers. Oncol Nurs Forum 34:E60–E69. https://doi.org/10.1188/07.ONF.E60-E69CrossRefPubMed

43.

Yelton L, Forbis S (2016) Influences and barriers on physical activity in pediatric oncology patients. Front Pediatr 4:131. https://doi.org/10.3389/fped.2016.00131CrossRefPubMedPubMedCentral

44.

Chang CW, Mu PF, Jou ST, Wong TT, Chen YC (2013) Systematic review and meta-analysis of nonpharmacological interventions for fatigue in children and adolescents with cancer. Evid Based Nurs 10:208–217. https://doi.org/10.1111/wvn.12007CrossRef

45.

Tomlinson D, Diorio C, Beyene J, Sung L (2014) Effect of exercise on cancer-related fatigue: a meta-analysis. Am J Phys Med Rehabil 93:675–686CrossRefPubMed

46.

Neville AR, Moothathamby N, Naganathan M, Huynh E, Moola FJ (2019) “A place to call our own”: the impact of camp experiences on the psychosocial wellbeing of children and youth affected by cancer - a narrative review. Complement Ther Clin Pract 36:18–28. https://doi.org/10.1016/j.ctcp.2019.04.007CrossRefPubMed

47.

Stevens B, Kagan S, Yamada J, Epstein I, Beamer M, Bilodeau M, Baruchel S (2004) Adventure therapy for adolescents with cancer. Pediatr Blood Cancer 43:278–284. https://doi.org/10.1002/pbc.20060CrossRefPubMed

48.

Kolb DA (1984) Experiential learning: experience as the source of learning and development. Prentice Hall, New Jersey

49.

Tucker AR, Rheingold A (2011) Enhancing fidelity in adventure education and adventure therapy. J Exp Educ 33:258–273. https://doi.org/10.1177/105382590113300305CrossRef

50.

Tucker AR, Norton CL (2013) The use of adventure therapy techniques by clinical social workers: implications for practice and training. Clin Soc Work J 41:333–343. https://doi.org/10.1007/s10615-012-0411-4CrossRef

51.

Association for Experiential Education (2019) Accreditation for: adventure & outdoor behavioral healthcare programs. https://www.aee.org/what-is-accreditation-

52.

Adventure Activities Licensing Authority (2019) Annual report for 2018/2019. https://www.hse.gov.uk/aala/annual-report-1819.pdf. Accessed 02 Aug 2019

53.

Kirkham JJ, Altman DG, Williamson PR (2010) Bias due to changes in specified outcomes during the systematic review process. PLoS One 5(3):e9810CrossRefPubMedPubMedCentral

54.

Rao G, Lopez-Jimenez F, Boyd J, D’Amico F, Durant NH, Hlatky MA et al (2017) Methodological standards for meta-analyses and qualitative systematic reviews of cardiac prevention and treatment studies: a scientific statement from the American Heart Association. Circulation 136(10):e172–e194CrossRefPubMed

Titel: Adventure therapy for child, adolescent, and young adult cancer patients: a systematic review
verfasst von: 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
Publikationsdatum: 27.07.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 1/2021
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-020-05642-3

Springer Medizin

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