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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >First Descents , an adventure program for young adults with cancer: who benefits?
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First Descents , an adventure program for young adults with cancer: who benefits?

机译:首先是患有癌症的年轻成年人的冒险计划:谁福利?

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Abstract Background Participation in camps, adventure programs, retreats, and other social events offers experiences that can promote self-efficacy and quality of life. Purpose 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. Methods 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. Results 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. Conclusions 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.
机译:摘要背景参与营地,冒险计划,撤退等社交活动提供了可以促进自我效能和生活质量的经验。目的是研究的目的是审查参加1周的户外探险计划,导致了18-40岁的年轻成年癌症患者(AYAS)的心理困扰,自我效能和/或社会支持的改善。该研究检测了参与Ayas的差异效果,他们在旅行前表现出中度至严重症状的严重症状。方法采取标准化遇险,自我效能和社会支持措施,进行旅行前,旅行后和1?计划完成后的一个月(随访)。与非痛苦的参与者相比,单变量和多变量模型检查了非痛苦参与者的基线分数,从旅行后与整个样本的后续行动的结果发生变化,以及每个结果的变化率的程度不同与非痛苦的参与者。结果所有参与者随着时间的推移表现出自我效能的显着改善。陷入困境的参与者报告的痛苦症状的减少明显更大,并且与非痛苦参与者相比,在旅行后的自我效力和社会支持增加了1?结论调查结果表明,参加专门为癌症设计的户外娱乐活动有助于显着减少遇险和自我效力和社会支持的改善,特别是在开始激发活动之前报告临床显着的痛苦症状的Ayas。

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