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The effect of creative psychological interventions on psychological outcomes for adult cancer patients: a systematic review of randomised controlled trialsObjective This systematic review examined the effectiveness of creative psychological interventions (CPIs) for adult cancer patients. In particular, the findings of randomised controlled trials of art, drama, dance/movement and music therapies on psychological outcomes were examined. Methods The review yielded 10 original studies analysing data from a total of 488 patients. Data extraction and quality assessment were conducted by two independent reviewers. Results Four of the papers focused on the use of art therapy, three studies used music therapy, one paper utilised dance therapy, one study used dance/movement therapy and the remaining paper used creative arts therapies, which was a combination of different art-based therapy approaches. Eight papers focused solely on breast cancer patients, and the remaining studies included mixed cancer sites/stages. The studies reported improvements in anxiety and depression, quality of life, coping, stress, anger and mood. However, few physical benefits of CPIs were reported; there was no significant impact of a CPI on physical aspects of quality of life, vigour-activity or fatigue-inertia or physical functioning. One study was assessed as high quality, seven studies were assessed as satisfactory and two studies were assessed to be of poorer quality. Conclusions There is initial evidence that CPIs benefit adult cancer patients with respect to anxiety and depression, quality of life, coping, stress, anger and mood; there was no evidence to suggest that any one type of CPI was especially beneficial. However, more and better quality research needs to be conducted, particularly in the areas of drama and dance/movement therapies.
Forget cancer, let's MOVE: a behaviour change support model for physical activity for young people during and after cancerAbstract: This paper describes a model of behaviour change support for a referral physical activity cancer service for young people. The service is underpinned by the self-determination (Deci & Ryan, 2008) principles of autonomy, competence, and relatedness. A range of tailored physical activity programmes are provided in community, in-patient and online settings. Each young person receives behaviour change support from motivational interviewing, which incorporates mental contrasting and implementation intentions. This paper seeks to share practice on how health psychology theory and techniques have been applied in order to support young people to be more physically active, both during and after their cancer treatment. Additionally, we share our experiences of providing consultancy to shape service development and planning.