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dc.contributor.authorJong, Miek
dc.contributor.authorMulder, Eric
dc.contributor.authorKristoffersen, Agnete Egilsdatter
dc.contributor.authorStub, Trine
dc.contributor.authorDahlqvist, Heléne
dc.contributor.authorViitasara, Eija
dc.contributor.authorLown, E Anne
dc.contributor.authorSchats, Winnie
dc.contributor.authorJong, Mats
dc.description.abstractIntroduction - The majority of childhood, adolescent and young adult (AYA) cancer survivors suffer from long-term and late effects such as fatigue, psychological distress or comorbid diseases. Effective health promotion strategies are needed to support the health of this vulnerable group. This protocol provides a methodological description of a study that aims to examine the feasibility and safety of performing a randomised clinical trial (RCT) on a wilderness programme that is developed to support the health of AYA cancer survivors.<p> <p>Methods and analysis - The pilot RCT study has a mixed-method design, including quantitative and qualitative evaluations. Participants are AYAs, aged 16–39 years, that have been diagnosed with cancer during childhood, adolescence or young adulthood. A total of 40 participants will be randomly assigned to a wilderness programme (n=20) or a holiday programme (n=20). Both arms include participation in an 8-day summer programme, followed by a 4-day programme 3 months later. Primary outcomes are feasibility and safety parameters such as time to recruitment, willingness to be randomised, programme adherence and adverse effects. Secondary outcomes include self-reported health such as self-esteem, quality of life, self-efficacy and lived experiences. Descriptive statistics will be used to analyse outcomes and explore indications of differences between the programmes. Interviews are analysed by directed content analysis and hermeneutic phenomenology. A convergent parallel mixed-method analysis design will be applied to integrate quantitative and qualitative data. Results of this feasibility study will inform the preparation for a larger RCT with AYA cancer survivors.<p> <p>Ethics and dissemination - The study protocol is approved by the Swedish Ethical Review Authority (reference: 2020-00239). This study will be performed between January 2021 and December 2023. Results will be published in international peer-reviewed journals, presented at conferences and disseminated to participants, cancer societies, healthcare professionals and outdoor instructors.en_US
dc.identifier.citationJong, Mulder, Kristoffersen, Stub, Dahlqvist, Viitasara, Lown, Schats, Jong. Protocol of a mixed-method randomised controlled pilot study evaluating a wilderness programme for adolescent and young adult cancer survivors: the WAYA study. BMJ Open. 2022;12(5):e061502en_US
dc.identifier.cristinIDFRIDAID 2061879
dc.publisherBMJ Publishing Groupen_US
dc.relation.journalBMJ Open
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.rightsAttribution-NonCommercial 4.0 International (CC BY-NC 4.0)en_US
dc.titleProtocol of a mixed-method randomised controlled pilot study evaluating a wilderness programme for adolescent and young adult cancer survivors: the WAYA studyen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US

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Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
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