Feasibility and acceptability of a parent–child intervention to improve step count in childhood cancer survivors exposed to cardiotoxic therapy: The STEP UP for FAMILIES Study Journal Article
| Authors: | Friedman, D. N.; Lavery, J. A.; Moskowitz, C. S.; Gordon, I.; Gilliland, J.; Scott, J.; Diotallevi, D.; Pottenger, E.; Wilson, N.; Antal, Z.; Ramjan, S.; Sands, S. |
| Article Title: | Feasibility and acceptability of a parent–child intervention to improve step count in childhood cancer survivors exposed to cardiotoxic therapy: The STEP UP for FAMILIES Study |
| Abstract: | Background: Late morbidity after childhood cancer may be mitigated by healthy lifestyle behaviors. We piloted a game-based, parent–child digital intervention to increase activity in sedentary survivors. Methods: Survivors aged 10–16 treated with cardiotoxic therapy and not meeting US physical activity guidelines were enrolled in a single-arm study with a parent. Following a 14-day run-in, participants chose a prespecified step goal and wore an accelerometer daily for 24 weeks (12-week game-based intervention; 12-week follow-up). Participants completed the Acceptability of Intervention Measure (AIM) at 24 weeks; a subset of dyads completed qualitative interviews. Results: Among 129 eligible survivors, 27 enrolled (20.9% participation rate) with a parent. Four dyads were removed during the 14-day run-in period due to noncompliance. Among the 23 dyads who continued to the study, the tracker was worn for 95% of days during the 12-week intervention (95% confidence interval [CI]: 94–96) and 81% during the 12-week follow-up (95% CI: 79–82). Overall, the prespecified step goal was met for 64% (95% CI: 63–66) of days during the intervention and 37% (95% CI: 35–38) during the follow-up. At the end of study, 17/23 dyads responded to AIM; 82% of survivors and 94% of parents reported the intervention as acceptable. During qualitative interviews (n = 5), dyads noted that they liked the accountability of the “buddy system,” but would have liked more personalized goal-setting. Conclusions: Despite high ratings of acceptability among participants, difficulties with sustained adherence and retention were encountered in this parent–child gamification intervention. Alternate, tailored designs should be considered in the future. © 2024 Wiley Periodicals LLC. |
| Journal Title: | Pediatric Blood and Cancer |
| Volume: | 71 |
| Issue: | 12 |
| ISSN: | 1545-5009 |
| Publisher: | Wiley Periodicals, Inc |
| Date Published: | 2024-12-01 |
| Start Page: | e31320 |
| Language: | English |
| DOI: | 10.1002/pbc.31320 |
| PUBMED: | 39285785 |
| PROVIDER: | scopus |
| PMCID: | PMC12107250 |
| DOI/URL: | |
| Notes: | Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- MSK corresponding author is Danielle Novetsky Friedman -- Source: Scopus |
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
Related MSK Work