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Protocol of a randomised controlled multicentre trial investigating the effectiveness and safety of a wilderness programme on the mental and physical well-being of adolescents and young adults affected by cancer: the WAYA-2 study
Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden; Department of Community Medicine, National Research Center in Complementary and Alternative Medicine (NAFKAM), UiT The Arctic University of Norway Faculty of Health Sciences, Tromso, Norway.
Department of Child and Adolescent Mental Health, Sorlandet Hospital Kristiansand, Kristiansand, Norway; Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway.
Umeå University, Faculty of Social Sciences, Department of Psychology. Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway.ORCID iD: 0000-0002-0834-1040
Department of Social & Behavioral Sciences, University of California, CA, San Francisco, United States.
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2024 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 14, no 5, article id e087626Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Adolescents and young adults (AYAs) affected by cancer are an understudied group. Effective interventions are needed to support coping with the late effects of cancer, its treatment and to promote quality of life. Nature-based interventions may be promising in support of the self-management and health of AYAs affected by cancer. However, randomised controlled studies (RCTs) on the effectiveness of such interventions are lacking. We performed a first pilot RCT (n=42) that showed that it is feasible and safe to conduct such a study. Here, we propose a full-scale RCT to investigate the effectiveness and safety of a wilderness programme on the mental and physical health of AYAs affected by cancer.

METHODS AND ANALYSIS: Participants are 150 AYAs affected by cancer, aged 16-39 years, who will be randomised to a wilderness (n=75) or a hotel stay (n=75). The wilderness programme is an 8-day intervention including a 6-day wilderness expedition. This is followed 3 months later by a 4-day intervention including a 2-day basecamp. Activities include hiking, backpacking, kayaking, rock climbing, mindfulness and bush-crafting. The comparison group is an 8-day hotel stay followed by a 4-day hotel stay (interventions include two travel days) at the same hotel after 3 months. Primary outcomes are psychological well-being and nature connectedness up to 1 year after the study start. Secondary outcomes are quality of life, physical activity and safety parameters.

ETHICS AND DISSEMINATION: The Swedish Ethical Review Authority approved the study protocol on 27 September 2023 (reference: 2023-05247-01). The recruitment started on 19 February 2024 and the first part is planned to end on 31 December 2027. Study results will be disseminated by means of scientific publications, presentations at conferences, popular articles, interviews, chronicles and books. News items will be spread via social media, websites and newsletters.

TRIAL REGISTRATION NUMBER: ISRCTN93856392.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2024. Vol. 14, no 5, article id e087626
Keywords [en]
oncology, psychosocial intervention, quality of life, safety, self-management
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-225326DOI: 10.1136/bmjopen-2024-087626PubMedID: 38772886Scopus ID: 2-s2.0-85194022331OAI: oai:DiVA.org:umu-225326DiVA, id: diva2:1865262
Funder
Ekhaga Foundation, 2023-29Sjöberg Foundation, 2024-01-04:10Available from: 2024-06-04 Created: 2024-06-04 Last updated: 2024-06-10Bibliographically approved

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Stenling, Andreas

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