Health through activity: initial evaluation of an in-home intervention for older adults with cancer

• Kathleen Doyle Lyons ^[5] ; Martha L. Bruce ^[6] ; Jay G. Hull ^[1] ; Peter A. Kaufman ^[2] ; Zhongze Li ^[1] ; Diane M. Stearns ^[7] ; Frederick Lansigan ^[7] ; Mary Chamberlin ^[7] ; Alexander Fuld ^[7] ; Stephen J. Bartels ^[3] ; Jessica Whipple ^[8] ; Marie A. Bakitas ^[4] ; Mark T. Hegel ^[5]
  1. [1] Dartmouth College

     Dartmouth College

     Town of Hanover, Estados Unidos

     
  2. [2] University of Vermont Medical Center

     University of Vermont Medical Center

     City of Burlington, Estados Unidos

     
  3. [3] Massachusetts General Hospital

     Massachusetts General Hospital

     City of Boston, Estados Unidos

     
  4. [4] University of Alabama at Birmingham

     University of Alabama at Birmingham

     Estados Unidos

     
  5. [5] Department of Psychiatry and Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon
  6. [6] Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH, and The Dartmouth Institute of Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Hanover
  7. [7] Department of Medicine, Hematology/Oncology, Geisel School of Medicine, Dartmouth College, Hanover, NH, and Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon
  8. [8] Sunapee School District

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• Localización: American Journal of Occupational Therapy, ISSN 0272-9490, Vol. 73, Nº. 5, 2019
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • OBJECTIVE. The objective of this study was to assess the feasibility of conducting a future full-scale trial to test the efficacy of an in-home occupational therapy intervention designed to reduce disability in older adult cancer survivors.

    METHOD. Participants reporting activity limitations during or after cancer treatment were enrolled in a Phase 1 pilot randomized controlled trial comparing the 6-wk intervention (n = 30) to usual care (n = 29). Descriptive data on retention rates were collected to assess feasibility of intervention and study procedures. Potential efficacy was explored through participants’ self-reported disability, quality of life, activity level, and behavioral activation at 0, 8, and 16 wk after enrollment.

    RESULTS. Retention rates were high regarding completion of the intervention (90%) and outcome assessments (90% of usual-care participants and 80% of intervention participants). Outcomes consistently favored the intervention group, although group differences were small.

    CONCLUSION. The procedures were feasible to implement and acceptable to participants.