Patient and Parent Experiences with Group Telerehabilitation for Child Survivors of Acute Lymphoblastic Leukemia

Genevieve Lambert, Nathalie Alos, Pascal Bernier, Caroline Laverdière, Kenneth Drummond, Noémi Dahan-Oliel, Martin Lemay, Louis-Nicolas Veilleux and Dahlia Kairy
Additional contact information
Genevieve Lambert: Department of Experiemental Surgery, McGill University, Montreal, QC H3G 1A4, Canada
Nathalie Alos: CHU Sainte-Justine Research Center, Montreal, QC H3T 1C5, Canada
Pascal Bernier: CHU Sainte-Justine Research Center, Montreal, QC H3T 1C5, Canada
Caroline Laverdière: CHU Sainte-Justine Research Center, Montreal, QC H3T 1C5, Canada
Kenneth Drummond: Department of Experiemental Surgery, McGill University, Montreal, QC H3G 1A4, Canada
Noémi Dahan-Oliel: Department of Experiemental Surgery, McGill University, Montreal, QC H3G 1A4, Canada
Martin Lemay: CHU Sainte-Justine Research Center, Montreal, QC H3T 1C5, Canada
Louis-Nicolas Veilleux: Department of Experiemental Surgery, McGill University, Montreal, QC H3G 1A4, Canada
Dahlia Kairy: Shriners Hospital for Children, Université de Montréal, Montreal, QC H2V 2S9, Canada

IJERPH, 2021, vol. 18, issue 7, 1-17

Abstract: Background: Acute Lymphoblastic Leukemia (ALL) is the most common pediatric cancer. ALL and its treatment cause altered bone-mineral homeostasis, which can contribute to musculoskeletal late adverse effects (LAEs). With the increasing number of childhood cancer survivors, LAEs are reported often, and are aggravated by inactive lifestyles. A telerehabilitation program is proposed to strengthen the muscle–bone complex and prevent future impairment. Objective: This study aimed to explore and better understand patient and parent experience of a telerehabilitation program after completion of ALL treatment. Methods: ALL survivors ( n = 12), 75% girls, 7.9 to 14.7 years old, within six months to five years of treatment, were recruited to participate in the proposed study, along with a parent. The 16-week group program included 40 potential home-based physical activities, with monthly progression, supervised by a kinesiologist, through an online telerehabilitation platform. Patients could be included in the study if they joined during the first month of intervention of their group (minimum 12 weeks of intervention). A semi-structured post-intervention interview was conducted with the patients and their parent during the final assessment, along with a review of the kinesiologist’s clinical notes, to obtain a portrait of the participants’ experience with the telerehabilitation program. Overarching themes were identified by one author and confirmed by two senior authors before extracting the various aspects of each theme. Results: Of the 12 patients recruited, three were excluded from the analysis because they did not complete the minimum 12 weeks of intervention (one = relapse, one = failure to meet technical requirements, and one = abandoned due to parent’s disinterest). The nine patients who completed the program (six girls; 10.93 ± 2.83 years) had a mean adherence of 89%. The overarching themes identified were the program modalities (group approach with patient–parent paired training, supervised by a kinesiologist), the telerehabilitation system, the participants’ perception of the benefits, and recommendations and suggestions from the families. Both patients and parents expressed very high satisfaction with the program and perceived benefits. Conclusion: Participants appreciated the program and reported they would all recommend it to other families in similar situations. The telerehabilitation method of service delivery was perceived by some as decisive in choosing to participate, while the supervision and intra- and inter-family interactions were the motivating factors that were key to program adherence.

Keywords: exercise therapy; rehabilitation; acute lymphoblastic leukemia; intervention study; telehealth; patient perspective (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/7/3610/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/7/3610/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:7:p:3610-:d:527192

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().