Title |
First Descents, an adventure program for young adults with cancer: who benefits?
|
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Published in |
Supportive Care in Cancer, June 2017
|
DOI | 10.1007/s00520-017-3792-7 |
Pubmed ID | |
Authors |
Brad Zebrack, Minyoung Kwak, Laura Sundstrom |
Abstract |
Participation in camps, adventure programs, retreats, and other social events offers experiences that can promote self-efficacy and quality of life. The purpose of the study was to examine whether participation in a 1-week outdoor adventure program resulted in improvements in psychological distress, self-efficacy, and/or social support for young adult cancer patients (AYAs) aged 18-40 years. The study examined the differential effect of participation for AYAs who indicated moderate to severe symptoms of psychological distress prior to their trip. Standardized measures of distress, self-efficacy, and social support were administered pre-trip, post-trip, and 1 month after program completion (follow-up). Univariate and multivariate models examined baseline scores for non-distressed participants compared to distressed participants, changes in outcomes from pre-trip to post-trip and follow-up for the entire sample, and the extent to which change rates for each outcome differed for distressed versus non-distressed participants. All participants demonstrated significant improvement in self-efficacy over time. Distressed participants reported a significantly greater decrease in distress symptoms and greater increase in self-efficacy and social support at post-trip and 1 month later when compared to non-distressed participants. Findings suggest that participation in an outdoor recreational activity designed specifically for AYAs with cancer contributes to significant reductions in distress and improvements in self-efficacy and social support, and particularly for AYAs reporting clinically significant distress symptoms prior to the initiation of their activity. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 55 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 8 | 15% |
Researcher | 7 | 13% |
Student > Doctoral Student | 6 | 11% |
Student > Ph. D. Student | 5 | 9% |
Student > Bachelor | 4 | 7% |
Other | 7 | 13% |
Unknown | 18 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 12 | 22% |
Nursing and Health Professions | 6 | 11% |
Medicine and Dentistry | 3 | 5% |
Agricultural and Biological Sciences | 2 | 4% |
Sports and Recreations | 2 | 4% |
Other | 9 | 16% |
Unknown | 21 | 38% |