Searching for maintenance in exercise interventions for cancer survivors.
Searching for maintenance in exercise interventions for cancer survivors.
复制标题
DOI：
10.1007/s11764-014-0386-y
复制
发表时间：
2014-12
期刊：
影响因子：
--
通讯作者：
Risendal B
中科院分区：
文献类型：
--
作者：
Jankowski CM;Ory MG;Friedman DB;Dwyer A;Birken SA;Risendal B
将循证运动干预转化为实践对于扩大支持癌症幸存者的能力非常重要。使用范围，功效/有效性，采用，实施和维护（RE-AIM）框架和范围研究方法，我们解决了研究问题，“对于癌症幸存者的运动干预措施的维护，将告知从研究到实践和社区环境的翻译，我们知道什么？”在个人和设置水平上对维护进行了调查。在PubMed、护理和相关健康文献累积索引（CINAHL）和Sport Discus数据库中检索2009年1月至2012年6月发表的文献。使用先验标准对幸存者人群、运动干预和个人或环境水平的维护进行判断。我们纳入了已完成和计划中的随机对照试验（RCT）和其他研究设计。对符合标准的出版物进行了审查和编码。在211篇符合患者和运动标准的摘要中，24篇（19项RCT）符合维持标准。12项已完成的RCT中有9项在3至14个月随访后维持了干预结局。计划的RCT描述了持续2至4.5个月的干预措施和积极干预后持续3至12个月的维持间隔。一份出版物报告了维持在设定水平。在个人层面上，在大多数研究中，在各种环境和幸存者亚群中，干预结果都得到了维持。几乎没有提到对设定水平的维护。这项范围研究提出了一些策略，可供机构，临床医生和研究人员为癌症幸存者制定更有效和可持续的运动计划。在癌症幸存者完成对照研究后，运动训练的许多好处可以维持数月，但对于如何将研究转化为可持续的社区运动计划，人们知之甚少。为了支持越来越多的幸存者，需要更好地了解在短期研究或赠款资金之外，如何在实践中维持项目。
Translating evidence-based exercise interventions into practice is important for expanding the capacity to support cancer survivors. Using the reach, efficacy/effectiveness, adoption, implementation, and maintenance (RE-AIM) framework and scoping study methodology, we addressed the research question, “What is known about the maintenance of exercise interventions for cancer survivors that would inform translation from research to practice and community settings?” Maintenance was investigated at the individual and setting level. Literature searches were performed in the PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Sport Discus databases for articles published from January 2009 to June 2012. Abstracts were judged using a priori criteria for the survivor population, exercise intervention, and maintenance on the individual or setting level. We included completed and planned randomized controlled trials (RCTs) and other study designs. Publications meeting the criteria were reviewed and coded. Of the 211 abstracts meeting patient and exercise criteria, 24 (19 RCTs) met the maintenance criteria. Nine of the 12 completed RCTs demonstrated maintenance of intervention outcomes after 3 to 14 months of follow-up. The planned RCTs described interventions lasting 2 to 4.5 months and maintenance intervals lasting 3 to 12 months following the active intervention. Maintenance at the setting level was reported in one publication. On the individual level, intervention outcomes were maintained in most studies, in a variety of settings and survivor subpopulations. Maintenance on the setting level was scarcely addressed. This scoping study suggests several strategies that could be taken by agencies, clinicians, and researchers to develop more effective and sustainable exercise programs for cancer survivors. Many benefits of exercise training are maintained for months after cancer survivors complete controlled research studies but relatively little is known about how to translate research to sustainable community-based exercise programs. A better understanding of how programs can be sustained in practice beyond short-term research or grant funding is needed to support a growing number of survivors.