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dc.contributor.authorJong, Mats
dc.contributor.authorLown, E. Anne
dc.contributor.authorSchats, Winnie
dc.contributor.authorMills, Michelle L.
dc.contributor.authorOtto, Heather Rose
dc.contributor.authorGabrielsen, Leiv Einar
dc.contributor.authorJong, Miek
dc.date.accessioned2021-07-06T12:39:24Z
dc.date.available2021-07-06T12:39:24Z
dc.date.issued2021-01-06
dc.description.abstractObjectives - Systematic mapping of the concept, content, and outcome of wilderness programs for childhood cancer survivors.<p> <p>Design - Scoping review.<p> <p>Search strategy - Searches were performed in 13 databases and the grey literature. Included studies describe participation of childhood cancer survivors in wilderness programs where the role of nature had a contextual and therapeutic premise. At least two authors independently performed screening, data extraction and analysis.<p> <p>Results - Database searches yielded 1848 articles, of which 15 met the inclusion criteria. The majority of programs (73%) employed adventure therapy. Five activity categories were identified as components of wilderness programs: challenge/risk, free time/leisure, experiential learning, physical activity and psychotherapeutic activities. A majority of the participating childhood cancer survivors were female, white, aged 8–40 years, with a wide range of cancer diagnoses. Reported outcomes included increased social involvement, self-esteem, self-confidence, self-efficacy, social support, and physical activity. Key gaps identified included the absence of randomized controlled trials (RCTs), lack of studies on long-term effects, lack of information on the multicultural aspects of programs, and missing information on engagement in nature activities after the program ended.<p> <p>Conclusions - This scoping review guides childhood cancer survivors, their families, practitioners, clinicians and researchers in the development and optimization of wilderness programs for childhood cancer survivors. In addition, it informs the utilization of these programs, and identifies gaps in the evidence base of wilderness programs. It is recommended that future study reporting on wilderness programs include more detail and explicitly address the role of nature in the program. Performing RCTs on wilderness programs is challenging, as they occur in real-life contexts in which participants cannot be blinded. Creative solutions in the design of pragmatic trials and mixed method studies are thus needed for further investigation of the effectiveness and safety of wilderness programs in childhood cancer survivors.en_US
dc.identifier.citationJong, Lown, Schats, Mills, Otto, Gabrielsen, Jong. A scoping review to map the concept, content, and outcome of wilderness programs for childhood cancer survivors. PLOS ONE. 2021;16(1):1-23en_US
dc.identifier.cristinIDFRIDAID 1903521
dc.identifier.doi10.1371/journal.pone.0243908
dc.identifier.issn1932-6203
dc.identifier.urihttps://hdl.handle.net/10037/21779
dc.language.isoengen_US
dc.publisherPublic Library of Scienceen_US
dc.relation.journalPLOS ONE
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Other health science disciplines: 829en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Andre helsefag: 829en_US
dc.titleA scoping review to map the concept, content, and outcome of wilderness programs for childhood cancer survivorsen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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