Exploring the Effect of Occupational Therapy and Horticulture for Cancer Survivors With Chronic Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 9
- 试验地点
- 2
- 主要终点
- Salivary Cortisol Test
研究概览
简要总结
The purpose of this quasi-experimental study is to explore the impact of a therapeutic horticulture program as an occupation-based intervention to address chronic pain symptoms for cancer survivors. The main objectives are to assess participants' perceptions of pain, physical and psychosocial wellness, stress management, and quality of life at pre-, post-, and 3-month follow-up. Quantitative and qualitative data will be synthesized and analyzed to explore this phenomenon.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 64 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 - 64 years of age
- •History of cancer diagnosis
- •Chronic pain longer than 3 months
- •Have interest in therapeutic horticulture and exercise
- •Able to participate in a moderate physical activity in sitting and/or standing for at least one hour twice a week
- •Able to provide own transportation to the horticulture site or the supervised exercise program
- •Able to comprehend, speak and write in English
排除标准
- •Uncontrolled seizure disorder
- •Pregnancy
结局指标
主要结局
Salivary Cortisol Test
时间窗: Change between baseline and three months
Participant stress level will be determined by salivary cortisol levels. Participant's salivary cortisol level will be measured at awakening, 30 minutes following awakening and bedtime. Typically, there is Cortisol Awakening Response (CAR), which is a steep rise in cortisol output during the first 30 minutes following awakening, followed by a steady decline across the morning, afternoon, and evening hours, with the daily nadir typically occurring around midnight. Flattened diurnal cortisol slope relates to increased emotional and psychosocial stress and related to worse health outcomes. The typical Cortisol Awakening Response (CAR) is defined as an increase of at least 2.5 nmol/l from the cortisol level taken at awakening. Although there are no agreed norms for the absolute concentrations of free cortisol in saliva it typically ranges between 4.7-18.5 nmol/l for post-awakening, between 8.6-21.9 nmol/l for 30 minutes post-awakening, and 0.3-15.2 nmol/l for bedtime.
次要结局
- Lower body flexibility(Change between baseline and three months)
- Upper body flexibility(Change between baseline and three months)
- Lower body strength(Change between baseline and three months)
- Endurance(Change between baseline and three months)
- Upper body strength(Change between baseline and three months)
研究者
Julie Kugel
Program director of Occupational Therapy Doctorate Program
Loma Linda University