In:
Child Health Nursing Research, Korean Academy of Child Health Nursing, Vol. 29, No. 2 ( 2023-04-30), p. 111-127
Abstract:
Purpose: This study investigated the effects of healthy lifestyle interventions (HLSIs) on health-related quality of life (HR-QoL) in childhood and adolescent cancer survivors (CACS).Methods: Major databases were searched for English-language original articles published between January 1, 2000 and May 2, 2021. Randomized controlled trials (RCTs) and non-RCTs were included. Quality was assessed using the revised Cochrane risk-of-bias tool, and a meta-analysis was conducted using RevMan 5.3 software.Results: Nineteen studies were included. Significant effects on HR-QoL were found for interventions using a multi-modal approach (exercise and education) (d=-0.46; 95% confidence interval [CI]=-0.84 to -0.07, 〈 i 〉 p 〈 /i 〉 =.02), lasting not less than 6 months (d=-0.72; 95% CI=-1.15 to -0.29, 〈 i 〉 p 〈 /i 〉 =.0010), and using a group approach (d=-0.46; 95% CI=-0.85 to -0.06, 〈 i 〉 p 〈 /i 〉 =.02). Self-efficacy showed significant effects when HLSIs provided health education only (d=-0.55; 95% CI=-0.92 to -0.18; 〈 i 〉 p 〈 /i 〉 =.003), lasted for less than 6 months (d=-0.40; 95% CI=-0.69 to -0.11, 〈 i 〉 p 〈 /i 〉 =.006), and were conducted individually (d=-0.55; 95% CI=-0.92 to -0.18, 〈 i 〉 p 〈 /i 〉 =.003). The physical outcomes (physical activity, fatigue, exercise capacity-VO2, exercise capacity-upper body, body mass index) revealed no statistical significance.Conclusion: Areas of HLSIs for CACS requiring further study were identified, and needs and directions of research for holistic health management were suggested.
Type of Medium:
Online Resource
ISSN:
2287-9110
,
2287-9129
DOI:
10.4094/chnr.2023.29.2.111
Language:
English
Publisher:
Korean Academy of Child Health Nursing
Publication Date:
2023
detail.hit.zdb_id:
3069930-7
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