Factors influencing childhood cancer patients to participate in a combined physical and psychosocial intervention program: Quality of Life in Motion

Elisabeth M. Van Dijk-Lokkart; Katja I. Braam; Jaap Huisman; Gertjan Jl Kaspers; Tim Takken; Margreet A. Veening; MB Bierings; Hans Merks; Martha A. Grootenhuis; Marry Eibrink; Isabelle C. Streng; Eline Van Dulmen-Den Broeder

doi:10.1002/pon.3677

Factors influencing childhood cancer patients to participate in a combined physical and psychosocial intervention program: Quality of Life in Motion

Elisabeth M. Van Dijk-Lokkart^*
, Katja I. Braam
, Jaap Huisman
, Gertjan Jl Kaspers
, Tim Takken
, Margreet A. Veening
, MB Bierings
, Hans Merks
, Martha A. Grootenhuis
, Marry Eibrink
, Isabelle C. Streng
, Eline Van Dulmen-Den Broeder

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background

For a multi-center randomized trial investigating the effects of a 12-week physical and psychosocial intervention program for children with cancer, we invited 174 patients (8-18 years old) on treatment or within 1 year after treatment; about 40% participated. Reasons for non-participation were investigated.

Methods

Eligible patients received written and verbal information about the study. Those declining to participate were asked to complete questionnaires concerning: reasons for non-participation, daily physical activity, health-related quality of life (HrQoL), and behavioral problems. Participants completed the same questionnaires at baseline (excluding 'reasons for non-participation').

Results

Of 174 eligible patients, 106 did not participate; of these, 61 (57.5%) completed the one-time survey. The main reasons for non-participation as reported by the parents were 'too time consuming' and 'participation is too demanding for my child', while children most frequently reported 'too time consuming' and 'already frequently engaged in sports'. No differences between participants and non-participants were found for age, HrQoL, parental-reported behavior problems, sport participation, school type, BMI, and perceived health. A greater distance from home to hospital resulted in reduced participation (β: -0.02; p = 0.01). Non-participants rated their fitness level higher (p = 0.03). Participating children (11-18 years old) reported more behavioral problems (p = 0.02), in particular internalizing problems (p = 0.06).

Conclusions

Participation of childhood cancer patients in an intensive physical and psychosocial intervention program seems related to the burden of the intervention and the travel distance from home to hospital. In general, non-participants rated their fitness level higher compared with participants. Patients with more (internalizing) behavioral problems seem more likely to participate in the study.

Original language	English
Pages (from-to)	465-471
Number of pages	7
Journal	Psycho-Oncology
Volume	24
Issue number	4
DOIs	https://doi.org/10.1002/pon.3677
Publication status	Published - Apr 2015

Keywords

cancer
oncology
children
psychosocial intervention
physical exercise
ACUTE LYMPHOBLASTIC-LEUKEMIA
RANDOMIZED CONTROLLED-TRIAL
BONE-MINERAL DENSITY
LONG-TERM SURVIVORS
ENERGY-EXPENDITURE
PEDIATRIC CANCER
EXERCISE PROGRAM
BODY-COMPOSITION
CHILDREN
FITNESS

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10.1002/pon.3677

Cite this

Van Dijk-Lokkart, E. M., Braam, K. I., Huisman, J., Kaspers, G. J., Takken, T., Veening, M. A., Bierings, MB., Merks, H., Grootenhuis, M. A., Eibrink, M., Streng, I. C., & Van Dulmen-Den Broeder, E. (2015). Factors influencing childhood cancer patients to participate in a combined physical and psychosocial intervention program: Quality of Life in Motion. Psycho-Oncology, 24(4), 465-471. https://doi.org/10.1002/pon.3677

@article{5aefcd5145f74ec799bc4f2eafbaef0b,

title = "Factors influencing childhood cancer patients to participate in a combined physical and psychosocial intervention program: Quality of Life in Motion",

abstract = "Background For a multi-center randomized trial investigating the effects of a 12-week physical and psychosocial intervention program for children with cancer, we invited 174 patients (8-18 years old) on treatment or within 1 year after treatment; about 40\% participated. Reasons for non-participation were investigated. Methods Eligible patients received written and verbal information about the study. Those declining to participate were asked to complete questionnaires concerning: reasons for non-participation, daily physical activity, health-related quality of life (HrQoL), and behavioral problems. Participants completed the same questionnaires at baseline (excluding 'reasons for non-participation'). Results Of 174 eligible patients, 106 did not participate; of these, 61 (57.5\%) completed the one-time survey. The main reasons for non-participation as reported by the parents were 'too time consuming' and 'participation is too demanding for my child', while children most frequently reported 'too time consuming' and 'already frequently engaged in sports'. No differences between participants and non-participants were found for age, HrQoL, parental-reported behavior problems, sport participation, school type, BMI, and perceived health. A greater distance from home to hospital resulted in reduced participation (β: -0.02; p = 0.01). Non-participants rated their fitness level higher (p = 0.03). Participating children (11-18 years old) reported more behavioral problems (p = 0.02), in particular internalizing problems (p = 0.06). Conclusions Participation of childhood cancer patients in an intensive physical and psychosocial intervention program seems related to the burden of the intervention and the travel distance from home to hospital. In general, non-participants rated their fitness level higher compared with participants. Patients with more (internalizing) behavioral problems seem more likely to participate in the study.",

keywords = "cancer, oncology, children, psychosocial intervention, physical exercise, ACUTE LYMPHOBLASTIC-LEUKEMIA, RANDOMIZED CONTROLLED-TRIAL, BONE-MINERAL DENSITY, LONG-TERM SURVIVORS, ENERGY-EXPENDITURE, PEDIATRIC CANCER, EXERCISE PROGRAM, BODY-COMPOSITION, CHILDREN, FITNESS",

author = "\{Van Dijk-Lokkart\}, \{Elisabeth M.\} and Braam, \{Katja I.\} and Jaap Huisman and Kaspers, \{Gertjan Jl\} and Tim Takken and Veening, \{Margreet A.\} and MB Bierings and Hans Merks and Grootenhuis, \{Martha A.\} and Marry Eibrink and Streng, \{Isabelle C.\} and \{Van Dulmen-Den Broeder\}, Eline",

year = "2015",

month = apr,

doi = "10.1002/pon.3677",

language = "English",

volume = "24",

pages = "465--471",

journal = "Psycho-Oncology",

issn = "1057-9249",

publisher = "John Wiley \& Sons Inc.",

number = "4",

}

Van Dijk-Lokkart, EM, Braam, KI, Huisman, J, Kaspers, GJ, Takken, T, Veening, MA, Bierings, MB , Merks, H , Grootenhuis, MA , Eibrink, M, Streng, IC & Van Dulmen-Den Broeder, E 2015, 'Factors influencing childhood cancer patients to participate in a combined physical and psychosocial intervention program: Quality of Life in Motion', Psycho-Oncology, vol. 24, no. 4, pp. 465-471. https://doi.org/10.1002/pon.3677

TY - JOUR

T1 - Factors influencing childhood cancer patients to participate in a combined physical and psychosocial intervention program

T2 - Quality of Life in Motion

AU - Van Dijk-Lokkart, Elisabeth M.

AU - Braam, Katja I.

AU - Huisman, Jaap

AU - Kaspers, Gertjan Jl

AU - Takken, Tim

AU - Veening, Margreet A.

AU - Bierings, MB

AU - Merks, Hans

AU - Grootenhuis, Martha A.

AU - Eibrink, Marry

AU - Streng, Isabelle C.

AU - Van Dulmen-Den Broeder, Eline

PY - 2015/4

Y1 - 2015/4

N2 - Background For a multi-center randomized trial investigating the effects of a 12-week physical and psychosocial intervention program for children with cancer, we invited 174 patients (8-18 years old) on treatment or within 1 year after treatment; about 40% participated. Reasons for non-participation were investigated. Methods Eligible patients received written and verbal information about the study. Those declining to participate were asked to complete questionnaires concerning: reasons for non-participation, daily physical activity, health-related quality of life (HrQoL), and behavioral problems. Participants completed the same questionnaires at baseline (excluding 'reasons for non-participation'). Results Of 174 eligible patients, 106 did not participate; of these, 61 (57.5%) completed the one-time survey. The main reasons for non-participation as reported by the parents were 'too time consuming' and 'participation is too demanding for my child', while children most frequently reported 'too time consuming' and 'already frequently engaged in sports'. No differences between participants and non-participants were found for age, HrQoL, parental-reported behavior problems, sport participation, school type, BMI, and perceived health. A greater distance from home to hospital resulted in reduced participation (β: -0.02; p = 0.01). Non-participants rated their fitness level higher (p = 0.03). Participating children (11-18 years old) reported more behavioral problems (p = 0.02), in particular internalizing problems (p = 0.06). Conclusions Participation of childhood cancer patients in an intensive physical and psychosocial intervention program seems related to the burden of the intervention and the travel distance from home to hospital. In general, non-participants rated their fitness level higher compared with participants. Patients with more (internalizing) behavioral problems seem more likely to participate in the study.

AB - Background For a multi-center randomized trial investigating the effects of a 12-week physical and psychosocial intervention program for children with cancer, we invited 174 patients (8-18 years old) on treatment or within 1 year after treatment; about 40% participated. Reasons for non-participation were investigated. Methods Eligible patients received written and verbal information about the study. Those declining to participate were asked to complete questionnaires concerning: reasons for non-participation, daily physical activity, health-related quality of life (HrQoL), and behavioral problems. Participants completed the same questionnaires at baseline (excluding 'reasons for non-participation'). Results Of 174 eligible patients, 106 did not participate; of these, 61 (57.5%) completed the one-time survey. The main reasons for non-participation as reported by the parents were 'too time consuming' and 'participation is too demanding for my child', while children most frequently reported 'too time consuming' and 'already frequently engaged in sports'. No differences between participants and non-participants were found for age, HrQoL, parental-reported behavior problems, sport participation, school type, BMI, and perceived health. A greater distance from home to hospital resulted in reduced participation (β: -0.02; p = 0.01). Non-participants rated their fitness level higher (p = 0.03). Participating children (11-18 years old) reported more behavioral problems (p = 0.02), in particular internalizing problems (p = 0.06). Conclusions Participation of childhood cancer patients in an intensive physical and psychosocial intervention program seems related to the burden of the intervention and the travel distance from home to hospital. In general, non-participants rated their fitness level higher compared with participants. Patients with more (internalizing) behavioral problems seem more likely to participate in the study.

KW - cancer

KW - oncology

KW - children

KW - psychosocial intervention

KW - physical exercise

KW - ACUTE LYMPHOBLASTIC-LEUKEMIA

KW - RANDOMIZED CONTROLLED-TRIAL

KW - BONE-MINERAL DENSITY

KW - LONG-TERM SURVIVORS

KW - ENERGY-EXPENDITURE

KW - PEDIATRIC CANCER

KW - EXERCISE PROGRAM

KW - BODY-COMPOSITION

KW - CHILDREN

KW - FITNESS

UR - https://www.scopus.com/pages/publications/84927128859

U2 - 10.1002/pon.3677

DO - 10.1002/pon.3677

M3 - Article

C2 - 25285989

SN - 1057-9249

VL - 24

SP - 465

EP - 471

JO - Psycho-Oncology

JF - Psycho-Oncology

IS - 4

ER -

Factors influencing childhood cancer patients to participate in a combined physical and psychosocial intervention program: Quality of Life in Motion

Abstract

Keywords

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