POZIKIDS: Exercise and Comprehensive Care to Improve the Quality of Life of Children and Adolescents With Cancer
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 45
- 主要终点
- Quarterly recruitment rates assessed by comparing those who participate with those who do not.
研究概览
简要总结
Objective: To assess the feasibility of a supervised, controlled and personalised physical exercise programme and its potential efficacy in improving functional capacity and quality of life in children and adolescents with cancer.
Design: Hybrid quasi-experimental pilot trial, clinical and phase I implementation.
Methods: The learning collaborative approach based on the Institute for Healthcare Improvement Breakthrough Series Collaborative Model will be followed through quarterly Plan-Do-Study-Act (P-D-S-A) cycles. Participants: For feasibility, at least, 45 patients will be included in 3 successive PDSA cycles of at least 15 patients each, aged 4-18 years diagnosed with any type of cancer. Variables: clinical and socio-demographic, body composition, physical condition and mobility, quality of life, physical activity and implementation. Intervention: Everyone will receive a physical exercise intervention combining strength and aerobic capacity work. Initially it will be carried out in the hospital setting, and later in streaming supervised by a professional. The intervention will be modelled through a formative evaluation process with the collaboration of all the agents involved, experimenting in each cycle with an increasingly adapted version of the exercise programme.
Statistical analysis: Recruitment rates will be calculated, characteristics associated with project participation and adherence to the exercise programme will be identified. Outcome variables will be compared before and after the intervention, identifying those with the greatest validity, reliability and sensitivity to change, which will then be used in phase II and III trials.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 4 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients diagnosed with cancer and other neoplasms
- •Age between 4 and 18 years at the time of inclusion in the study
- •Patients diagnosed with cancer and other malignancies aged between 4 and 18 years who are experiencing relapse
- •Paediatric patients requiring chemotherapy, radiotherapy, or oncological surgery
- •Patients and parents or guardians who agree to participate in the study and sign the informed consent forms by current legislation depending on the patient's age.
排除标准
- •Patients with cognitive deficits that prevent participation in and performance of physical exercise interventions.
- •Patients with severe neurological pathology with a motor impairment that prevents or significantly hinders the performance of physical exercise
- •Patients and families or guardians with language comprehension difficulties that make it difficult or impossible to carry out the physical exercise intervention.
- •Patients < 16 years with a functional status score according to Lanskyi scale <60%
- •Patients > 16 years with Karnofsky scale <60%.
- •Any other criteria that the physician deems inappropriate for participation in the study
结局指标
主要结局
Quarterly recruitment rates assessed by comparing those who participate with those who do not.
时间窗: 2 years
To assess the feasibility of the exercise programme, quarterly recruitment rates will be calculated over the recruitment and follow-up period, and socio-demographic and morbidity variables associated with study participation will be identified, comparing those who participate with those who do not, using logistic regression analysis.
Adherence rates assessed by the proportion of sessions completed and adherence to the prescribed exercise protocol
时间窗: 2 years
Participants' adherence to the programme will be described in terms of the proportion of sessions completed and compliance with the exercise protocol prescribed for each patient, and variables associated with compliance will be identified.
Muscle mass
时间窗: 3 months
Muscle mass will be measured in kgs by a bioimpedance scale. Measured at baseline, and 3 months.
Fatigue assessed by the PedsQL Multidimensional Fatigue Scale Acute Version (PedsQL-MFS)
时间窗: 3 months
The PedsQL™ Multidimensional Fatigue Scale was designed as a generic symptom-specific instrument to measure fatigue in patients with acute and chronic health conditions as well as healthy school and community populations. The appropriate questionnaire will be used depending on the age of the patients (Toddlers (2-4 years of age), Young Child (5-7 years of age), Child (8-12 years of age), Adolescent (13-18 years of age)). This questionnaire has been validated in the Spanish population. It would be measured at 0 and 3 months.
Body composition assessed by the Body Mass Index
时间窗: 2 years
Body Mass Index (BMI): Diagnoses and classifies obesity. weight and height will be combined to report BMI in kg/m\^2). Measured at baseline, and 3 months.
Specific Quality of life assessed by the PedsQL cancer questionnaire
时间窗: 3 months
The Pediatric Quality of Life Inventory (PedsQL) Cancer Module is a standard tool designed to assess the HRQOL among pediatric oncology patients. Consists of an instruction section and 27 items, contained in 8 dimensions. This questionnaire has been validated in the Spanish population. It would be measured at 0 and 3 months.
Bone mineral density
时间窗: 3 months
Bone mineral density will be in g/cm2 measured by a bioimpedance scale. Measured at baseline, and 3 months.
Physical condition assessed by the 6 min walking test and manual grip test with a dynamometer
时间窗: 3 months
The 6 minutes walking Test applies to assess functional capacity, as well as a predictor of morbidity and mortality in people with different pathologies. Most of the daily activities that the patients with these pathologies are performed at submaximal exercise intensity, similar to this test is performed. It would be measured at 0 and 3 months.
Physical activity level assessed by accelerometers
时间窗: 3 months
Objectively registered with Actigraph wGT3X-BT accelerometer. Measured at 0 and 3 months
Muscular strength assessed by manual grip test with a dynamometer
时间窗: 3 months
The manual grip test with a dynamometer applies to assess muscular strength. Most of the daily activities that the patients with these pathologies are performed at submaximal exercise intensity, similar to this test is performed. It would be measured at 0 and 3 months.
General Quality of life assessed by the PedsQL 4.0 questionnaire
时间窗: 3 months
The PedsQL Measurement Model is a modular approach to measuring health-related quality of life (HRQOL) in healthy children and adolescents and those with acute and chronic health conditions. The PedsQL Measurement Model integrates seamlessly both generic core scales and disease-specific modules into one measurement system. The questionnaire is self-reported for children over 8 years old and self-reported by parents for children under 8 years old. This questionnaire has been validated in the Spanish population. It would be measured at 0 and 3 months.
次要结局
- Implementation barriers and facilitators(2 years)
- Security assessment(2 years)
- Costs associated estimation(3 years)
研究者
Nere Mendizabal
Nurse
Basque Health Service