Limits...
Working toward a good life as a cancer survivor: a longitudinal study on positive health outcomes of a rehabilitation program for young adult cancer survivors.

Hauken MA, Holsen I, Fismen E, Larsen TM - Cancer Nurs (2015 Jan-Feb)

Bottom Line: Health-related quality of life was measured by EORTC QOL C-30 and the scores showed significant increases in overall HRQOL (P < .005-.001) and all functional dimensions (P < .001-.05) and a decrease in fatigue (P < .000-.05) and effect sizes between 0.72 and 1.30.Significant changes occurred within physical fitness (P < .005), lung capacity (P < .05), and left-hand strength (P < .001), but not right-hand strength and body mass index, with effect sizes between -0.04 and 0.48.A complex cancer rehabilitation program especially tailored for YACS seems to build positive health outcomes such as HRQOL and physical capacity in a long-term perspective.

View Article: PubMed Central - PubMed

Affiliation: Author Affiliations: Red Cross Haugland Rehabilitation Centre, Flekke (Ms Hauken and Mr Fismen); and Department of Health Promotion and Development, University of Bergen, Norway (Mss Hauken, Larsen and Holsen).

ABSTRACT

Background: Research on cancer rehabilitation targeting young adult cancer survivors (YACS) is limited, and little is known about the positive health outcomes of rehabilitation programs tailored specifically for this vulnerable group.

Objective: The aim of this study was to investigate whether a complex rehabilitation program improved the health-related quality of life (HRQOL) and physical capacities of YACS.

Methods: A longitudinal prospective study using Norwegian norm-based comparisons was conducted. Twenty YACS (24-35 years old) with different cancer diagnoses participated in a complex rehabilitation program lasting for 6 months, focusing on goal setting, exercise, psychoeducation, individual follow-up, and peer support.

Results: Health-related quality of life was measured by EORTC QOL C-30 and the scores showed significant increases in overall HRQOL (P < .005-.001) and all functional dimensions (P < .001-.05) and a decrease in fatigue (P < .000-.05) and effect sizes between 0.72 and 1.30. Significant changes occurred within physical fitness (P < .005), lung capacity (P < .05), and left-hand strength (P < .001), but not right-hand strength and body mass index, with effect sizes between -0.04 and 0.48. The values of HRQOL were stable after a 1-year follow-up.

Conclusions: A complex cancer rehabilitation program especially tailored for YACS seems to build positive health outcomes such as HRQOL and physical capacity in a long-term perspective. The content and structure of the program were feasible with high compliance. The results underline the importance of targeting rehabilitation interventions to YACS in need after cancer treatment, acknowledging rehabilitation as a process that requires adequate time and follow-up.

Implications for practice: Healthcare providers should be aware of YACS' symptom burden and monitor HRQOL and physical parameters to ascertain holistic cancer survivorship care.

No MeSH data available.


Related in: MedlinePlus

Design of the rehabilitation program.
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4262089&req=5

Figure 1: Design of the rehabilitation program.

Mentions: A longitudinal, prospective design with a pretest and 4 follow-up tests was used. A Norwegian norm-based population and a European Organization for Research and Treatment of Cancer (EORTC) cancer population were used as comparison groups.33–35 This design is recommended for clinical research when it is not possible to establish a control group.33 Figure 1 gives an overview of the entire design, intervention, and data collection of the study.


Working toward a good life as a cancer survivor: a longitudinal study on positive health outcomes of a rehabilitation program for young adult cancer survivors.

Hauken MA, Holsen I, Fismen E, Larsen TM - Cancer Nurs (2015 Jan-Feb)

Design of the rehabilitation program.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4262089&req=5

Figure 1: Design of the rehabilitation program.
Mentions: A longitudinal, prospective design with a pretest and 4 follow-up tests was used. A Norwegian norm-based population and a European Organization for Research and Treatment of Cancer (EORTC) cancer population were used as comparison groups.33–35 This design is recommended for clinical research when it is not possible to establish a control group.33 Figure 1 gives an overview of the entire design, intervention, and data collection of the study.

Bottom Line: Health-related quality of life was measured by EORTC QOL C-30 and the scores showed significant increases in overall HRQOL (P < .005-.001) and all functional dimensions (P < .001-.05) and a decrease in fatigue (P < .000-.05) and effect sizes between 0.72 and 1.30.Significant changes occurred within physical fitness (P < .005), lung capacity (P < .05), and left-hand strength (P < .001), but not right-hand strength and body mass index, with effect sizes between -0.04 and 0.48.A complex cancer rehabilitation program especially tailored for YACS seems to build positive health outcomes such as HRQOL and physical capacity in a long-term perspective.

View Article: PubMed Central - PubMed

Affiliation: Author Affiliations: Red Cross Haugland Rehabilitation Centre, Flekke (Ms Hauken and Mr Fismen); and Department of Health Promotion and Development, University of Bergen, Norway (Mss Hauken, Larsen and Holsen).

ABSTRACT

Background: Research on cancer rehabilitation targeting young adult cancer survivors (YACS) is limited, and little is known about the positive health outcomes of rehabilitation programs tailored specifically for this vulnerable group.

Objective: The aim of this study was to investigate whether a complex rehabilitation program improved the health-related quality of life (HRQOL) and physical capacities of YACS.

Methods: A longitudinal prospective study using Norwegian norm-based comparisons was conducted. Twenty YACS (24-35 years old) with different cancer diagnoses participated in a complex rehabilitation program lasting for 6 months, focusing on goal setting, exercise, psychoeducation, individual follow-up, and peer support.

Results: Health-related quality of life was measured by EORTC QOL C-30 and the scores showed significant increases in overall HRQOL (P < .005-.001) and all functional dimensions (P < .001-.05) and a decrease in fatigue (P < .000-.05) and effect sizes between 0.72 and 1.30. Significant changes occurred within physical fitness (P < .005), lung capacity (P < .05), and left-hand strength (P < .001), but not right-hand strength and body mass index, with effect sizes between -0.04 and 0.48. The values of HRQOL were stable after a 1-year follow-up.

Conclusions: A complex cancer rehabilitation program especially tailored for YACS seems to build positive health outcomes such as HRQOL and physical capacity in a long-term perspective. The content and structure of the program were feasible with high compliance. The results underline the importance of targeting rehabilitation interventions to YACS in need after cancer treatment, acknowledging rehabilitation as a process that requires adequate time and follow-up.

Implications for practice: Healthcare providers should be aware of YACS' symptom burden and monitor HRQOL and physical parameters to ascertain holistic cancer survivorship care.

No MeSH data available.


Related in: MedlinePlus