A scoping review to map the concept, content, and outcome of wilderness programs for childhood cancer survivors
Autor: | Heather Rose Otto, Miek C. Jong, E. Anne Lown, Michelle L. Mills, Leiv Einar Gabrielsen, Mats Jong, Winnie Schats |
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Rok vydání: | 2020 |
Předmět: |
Male
Adventure therapy Cancer Treatment Experiential learning Pediatrics Lung and Intrathoracic Tumors Database and Informatics Methods Cancer Survivors Thymic Tumors Breast Tumors Medicine and Health Sciences Public and Occupational Health Database Searching Child Endocrine Tumors media_common VDP::Medical disciplines: 700::Health sciences: 800::Other health science disciplines: 829 Multidisciplinary Publications Child Health Hälsovetenskaper Social engagement Terrestrial Environments Systematic review Mental Health Oncology Medicine Female Psychology Goals Research Article Adult medicine.medical_specialty Adolescent media_common.quotation_subject Science MEDLINE Wilderness Medicine Research and Analysis Methods Social support Young Adult Health Sciences Breast Cancer Mental Health and Psychiatry medicine Humans Wilderness Ecology and Environmental Sciences Carcinoma Thyroid Carcinoma Cancers and Neoplasms VDP::Medisinske Fag: 700::Helsefag: 800::Andre helsefag: 829 Family medicine Qualitative research |
Zdroj: | PLoS ONE PLoS ONE, Vol 16, Iss 1, p e0243908 (2021) |
ISSN: | 1932-6203 |
Popis: | Objectives Systematic mapping of the concept, content, and outcome of wilderness programs for childhood cancer survivors. Design Scoping review. Search strategy Searches were performed in 13 databases and the grey literature. Included studies describe participation of childhood cancer survivors in wilderness programs where the role of nature had a contextual and therapeutic premise. At least two authors independently performed screening, data extraction and analysis. Results Database searches yielded 1848 articles, of which 15 met the inclusion criteria. The majority of programs (73%) employed adventure therapy. Five activity categories were identified as components of wilderness programs: challenge/risk, free time/leisure, experiential learning, physical activity and psychotherapeutic activities. A majority of the participating childhood cancer survivors were female, white, aged 8–40 years, with a wide range of cancer diagnoses. Reported outcomes included increased social involvement, self-esteem, self-confidence, self-efficacy, social support, and physical activity. Key gaps identified included the absence of randomized controlled trials (RCTs), lack of studies on long-term effects, lack of information on the multicultural aspects of programs, and missing information on engagement in nature activities after the program ended. Conclusions This scoping review guides childhood cancer survivors, their families, practitioners, clinicians and researchers in the development and optimization of wilderness programs for childhood cancer survivors. In addition, it informs the utilization of these programs, and identifies gaps in the evidence base of wilderness programs. It is recommended that future study reporting on wilderness programs include more detail and explicitly address the role of nature in the program. Performing RCTs on wilderness programs is challenging, as they occur in real-life contexts in which participants cannot be blinded. Creative solutions in the design of pragmatic trials and mixed method studies are thus needed for further investigation of the effectiveness and safety of wilderness programs in childhood cancer survivors. |
Databáze: | OpenAIRE |
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