Current Trends in Occupational Therapy for Adolescent and Young Adult Cancer Survivors: A Scoping Review.
Laura Stimler, Claudine Campbell, Leah Cover and 1 others
PMID 35697347WHAT IT FOUND
Occupational therapy evidence for cancer survivors diagnosed between 15 and 39 is thin: only eight articles were found.
Some small studies reported gains from self-management, exercise, ADL training, and app-based coaching, but this is not proof they work.
Key findings
01Eight articles were included, with an average sample size of 17 and participants aged 10 to 38 years.
02Reported occupational therapy approaches were self-management, ADL adaptation and training, therapeutic exercise and physical activity, and app-based coaching.
03The review found only loose associations to function and limited standardized measures for occupational participation.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Only eight articles were found, and the average sample size was 17, so the review is too small to show what works. All included studies had participants outside the 15 to 39 age range, and results were not separated, so it is unclear which findings apply to adolescent and young adult survivors. The included evidence was mostly low-level: one non-randomized pilot, one prospective investigation, four descriptive studies, and two case reports. Only English-language articles from 2002 to 2022 were included, and only six were published in the last ten years, so international and older evidence may be missing. One content expert screened titles and abstracts, which may have introduced bias. The review did not perform the optional consultation stage, and the chosen databases may not have captured all international results. Some studies did not distinguish between people diagnosed as adolescents or young adults and people diagnosed as children who survived into adolescence, so findings may be mixed.
The easy way to misread this
Do not conclude that self-management, exercise, ADL training, or app-based coaching works for adolescent and young adult cancer survivors. The review found only eight small studies, including case reports and non-randomized work, and some studies did not separate results for people diagnosed between 15 and 39. Improvements also came from programs that combined physical activity with self-management education, so the contribution of each part is unknown.