Protocol of a randomised controlled multicentre trial investigating the effectiveness and safety of a wilderness programme on the mental and physical well-being of adolescents and young adults affected by cancer: the WAYA-2 study.

Autor:	Jong MC; Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden miek.jong@uit.no.; Department of Community Medicine, National Research Center in Complementary and Alternative Medicine (NAFKAM), UiT The Arctic University of Norway Faculty of Health Sciences, Tromso, Norway., Fernee CR; Department of Child and Adolescent Mental Health, Sorlandet Hospital Kristiansand, Kristiansand, Norway.; Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway., Stenling A; Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway.; Department of Psychology, Umeå University, Umea, Sweden., Lown EA; Department of Social & Behavioral Sciences, University of California, San Francisco, California, USA., Berntsen S; Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway., Victorson DE; Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA., Jong M; Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 May 21; Vol. 14 (5), pp. e087626. Date of Electronic Publication: 2024 May 21.
DOI:	10.1136/bmjopen-2024-087626
Abstrakt:	Introduction: Adolescents and young adults (AYAs) affected by cancer are an understudied group. Effective interventions are needed to support coping with the late effects of cancer, its treatment and to promote quality of life. Nature-based interventions may be promising in support of the self-management and health of AYAs affected by cancer. However, randomised controlled studies (RCTs) on the effectiveness of such interventions are lacking. We performed a first pilot RCT (n=42) that showed that it is feasible and safe to conduct such a study. Here, we propose a full-scale RCT to investigate the effectiveness and safety of a wilderness programme on the mental and physical health of AYAs affected by cancer. Methods and Analysis: Participants are 150 AYAs affected by cancer, aged 16-39 years, who will be randomised to a wilderness (n=75) or a hotel stay (n=75). The wilderness programme is an 8-day intervention including a 6-day wilderness expedition. This is followed 3 months later by a 4-day intervention including a 2-day basecamp. Activities include hiking, backpacking, kayaking, rock climbing, mindfulness and bush-crafting. The comparison group is an 8-day hotel stay followed by a 4-day hotel stay (interventions include two travel days) at the same hotel after 3 months. Primary outcomes are psychological well-being and nature connectedness up to 1 year after the study start. Secondary outcomes are quality of life, physical activity and safety parameters. Ethics and Dissemination: The Swedish Ethical Review Authority approved the study protocol on 27 September 2023 (reference: 2023-05247-01). The recruitment started on 19 February 2024 and the first part is planned to end on 31 December 2027. Study results will be disseminated by means of scientific publications, presentations at conferences, popular articles, interviews, chronicles and books. News items will be spread via social media, websites and newsletters. Trial Registration Number: ISRCTN93856392. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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