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||Swartz, M. C., Lewis, Z. H., Lyons, E. J., Jennings, K., Middleton, A., Deer, R. R., . . . Goodwin, J. S. (2017). Effect of home- and community-based physical activity interventions on physical function among cancer survivors: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 98(8), 1652-1665.
||Cancer, community-based services, exercise, home based, intervention, literature reviews, measurements, outcomes, physical fitness
||Study reviewed randomized trials to determine the effect of home- and community-based physical activity interventions on physical functioning among cancer survivors based on the most prevalent physical function measures. Five electronic databases (Medline Ovid, PubMed, CINAHL, Web of Science, and PsycINFO) were searched from inception to March 2016 for relevant articles. Four reviewers evaluated eligibility and 2 reviewers evaluated methodological quality. Data were abstracted from studies that used the most prevalent physical function measurement tools: Medical Outcomes Study 36-Item Short-Form Health Survey, Late-Life Function and Disability Instrument, European Organization for the Research and Treatment of Cancer Quality-of-Life Questionnaire, and 6-Minute Walk Test. Random- or fixed-effects models were conducted to obtain overall effect size for each physical function measure. Fourteen studies met inclusion criteria and were used to compute standardized mean differences using the inverse variance statistical method. The median sample size was 83 participants. Half of the studies were conducted among breast cancer survivors. The interventions produced short-term positive effects on physical functioning, with overall effect sizes ranging from small (.17) to medium (.45). Community-based interventions that met in groups and used behavioral change strategies produced the largest effect sizes. The findings of this review and meta-analysis suggest that home and community-based physical activity interventions may be a potential tool to combat functional deterioration among aging cancer survivors.
|Full-Text Availability Options:||https://www.ncbi.nlm.nih.gov/pubmed/28427925|
|NIDILRR Affiliation:||Interdisciplinary Rehabilitation Research Training Program.|