Patient and Parent Experiences with Group Telerehabilitation for Child Survivors of Acute Lymphoblastic Leukemia
| Autor: | Genevieve Lambert, Louis-Nicolas Veilleux, Pascal Bernier, Nathalie Alos, Caroline Laverdière, Dahlia Kairy, Martin Lemay, Noémi Dahan-Oliel, Kenneth Drummond |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent intervention study telehealth Service delivery framework Health Toxicology and Mutagenesis medicine.medical_treatment lcsh:Medicine acute lymphoblastic leukemia Telehealth Article rehabilitation 03 medical and health sciences 0302 clinical medicine Telerehabilitation Intervention (counseling) medicine Humans Family Survivors 030212 general & internal medicine Child Adverse effect Exercise exercise therapy Rehabilitation Modalities business.industry lcsh:R Public Health Environmental and Occupational Health Precursor Cell Lymphoblastic Leukemia-Lymphoma patient perspective Pediatric cancer 030220 oncology & carcinogenesis Physical therapy Female business |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 7 International Journal of Environmental Research and Public Health, Vol 18, Iss 3610, p 3610 (2021) |
| ISSN: | 1660-4601 |
| Popis: | Background: Acute Lymphoblastic Leukemia (ALL) is the most common pediatric cancer. ALL and its treatment cause altered bone-mineral homeostasis, which can contribute to musculoskeletal late adverse effects (LAEs). With the increasing number of childhood cancer survivors, LAEs are reported often, and are aggravated by inactive lifestyles. A telerehabilitation program is proposed to strengthen the muscle–bone complex and prevent future impairment. Objective: This study aimed to explore and better understand patient and parent experience of a telerehabilitation program after completion of ALL treatment. Methods: ALL survivors (n = 12), 75% girls, 7.9 to 14.7 years old, within six months to five years of treatment, were recruited to participate in the proposed study, along with a parent. The 16-week group program included 40 potential home-based physical activities, with monthly progression, supervised by a kinesiologist, through an online telerehabilitation platform. Patients could be included in the study if they joined during the first month of intervention of their group (minimum 12 weeks of intervention). A semi-structured post-intervention interview was conducted with the patients and their parent during the final assessment, along with a review of the kinesiologist’s clinical notes, to obtain a portrait of the participants’ experience with the telerehabilitation program. Overarching themes were identified by one author and confirmed by two senior authors before extracting the various aspects of each theme. Results: Of the 12 patients recruited, three were excluded from the analysis because they did not complete the minimum 12 weeks of intervention (one = relapse, one = failure to meet technical requirements, and one = abandoned due to parent’s disinterest). The nine patients who completed the program (six girls 10.93 ± 2.83 years) had a mean adherence of 89%. The overarching themes identified were the program modalities (group approach with patient–parent paired training, supervised by a kinesiologist), the telerehabilitation system, the participants’ perception of the benefits, and recommendations and suggestions from the families. Both patients and parents expressed very high satisfaction with the program and perceived benefits. Conclusion: Participants appreciated the program and reported they would all recommend it to other families in similar situations. The telerehabilitation method of service delivery was perceived by some as decisive in choosing to participate, while the supervision and intra- and inter-family interactions were the motivating factors that were key to program adherence. |
| Databáze: | OpenAIRE |
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