Development and Validation of the EFT for Adolescents With Cancer

Study Overview
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Brief Summary
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There is increasing evidence of interventions shown to be effective to promote physical activity in adolescents with cancer. Nevertheless, adolescents with cancer become physically inactive after the end of the interventions. These interventions emphasized heavily on interventionists' role to assess adolescents' physical fitness and prescribe exercises. After the intervention, the adolescents were unable to follow the previous exercise prescriptions due to their changing medical conditions. To promote physical activity sustainably, it is vital to develop a patient-based assessment tool to allow adolescents with cancer to self-assess their own appropriate levels of physical activity that they could perform. However, a review of literature indicates a lack of such a tool.

Detailed Description
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A cross-sectional study design will be used. A convenience sample of 400 adolescents who (1) are aged 13-18; (2) are diagnosed with cancer; (3) can communicate in Cantonese and read Chinese will be recruited in Hong Kong Children's Hospital. The outcome measures will include demographic characteristics, pain scores, cardiopulmonary function measurements, EFT scores and ratings of the oncologist for the fitness of subjects for physical activity.

Official Title
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Development and Validation of the Exercise Fit Test (EFT) for Adolescents With Cancer

Conditions
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Cancer

Intervention / Treatment
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* Other: Testing of the EFT


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 13-18 are diagnosed with cancer are able to communicate in Cantonese and read Chinese Exclusion Criteria: with physical or cognitive impairment and learning problems as identified from the medical records

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Developing and testing of EFT<br>It aims to develop a patient-based assessment tool by our research members for adolescents with cancer in Hong Kong. | Other: Testing of the EFT<br>* A research committee which composes of a paediatric oncologist, a ward manager, an assistant professor and a research assistant will be set up. The committee will develop specific questions in EFT and design and implement the clinical Then, subject will be invited to fill in a set of questionnaires covering demographic characteristics, EFT items and a numerical rating scale for pain scores. The oncologist will rate the subject with the most appropriate level of physical activity on a 4-point scale.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The EFT scores | Subjects will be asked to mark their responses for the EFT items in the second draft just before their scheduled oncologist routine visit. The scale ranges from 1 to 4. Higher scores indicate that the subjects are fit for a higher level of physical activity. | Just before their scheduled oncologist routine visit | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numerical Rating Scale (NRS) for pain | Subjects will be asked to mark their pain level on the NRS according to their experience just before their scheduled oncologist routine visit. The scale ranges from 0 to 10. Higher scores represent a higher level of pain. | Just before their scheduled oncologist routine visit | 
| The oncologists' rating for physical activity | The oncologists will rate the subject with the most appropriate intensity level of physical activity on a 4-point scale. The scale ranges from 1 to 4. Higher scores indicate that the subjects are fit for a higher level of physical activity. | Just before their scheduled oncologist routine visit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adolescents, Physical Activity, Tool