Autistic children and adolescents often encounter social, sensory, and environmental barriers to participation in group-based physical activity. This study evaluated the feasibility, safety, and participation-related processes of a community-based inclusive physical activity program in Germany that used adapted rugby-derived drills rather than competitive match play. The program was delivered through a coach-occupational therapist tandem model designed to individualize task demands, regulate sensory load, and support participation in real time. From December 2022 to June 2025, 12 autistic participants were enrolled, with 10 contributing complete longitudinal participation data. Across the evaluation period, 116 weekly sessions were delivered. In a practice-based mixed-methods feasibility design, parent interviews, early thesis-based and practice documentation, informal participant feedback, team reflection, and a prospective incident log were synthesised. Descriptive synthesis suggested improvements in social initiative, cooperation, self-confidence, and in-session regulation within a sustained group setting. Qualitative findings indicated that predictable routines, graded physical contact, and trust-based team interaction were perceived as supportive for engagement, continued attendance, and meaningful participation. Parents also described perceived changes beyond the training setting, including greater openness to social interaction and improved self-regulation in everyday contexts. No adverse incidents were recorded. Because of the small sample, lack of a control group, non-validated practice-based documentation, absence of formal interobserver reliability assessment, and lack of standardized direct youth acceptability measures, findings should be interpreted cautiously. Nevertheless, the study provides practice-based evidence that a structured, community-based program may be a feasible and safe participation-supporting option for autistic youth.

Background:Mobile health (mHealth) technologies are increasingly used in paediatric oncology to promote physical activity, with growing evidence supporting their feasibility and effectiveness. Augmented reality (AR) is emerging as a promising addition, offering interactive features that may enhance participation in exercise for young people. As mHealth tools evolve, understanding user experiences and implementation challenges is essential to inform wider adoption in healthcare. The FORTEe clinical trial evaluates an individualised exercise programme designed for children, adolescents and young adults with cancer (CAYA). This sub-study explores the perspectives of CAYA and exercise and healthcare professionals involved in delivering the exercise intervention (exercise professionals) on the use of a novel AR application (app), designed to facilitate home-based exercise as part of the broader intervention. Key app features include personalised exercise programmes, AR demonstrations using a child-like avatar, and an integrated exercise diary. Methods:CAYA (9-21 years), and exercise professionals from the FORTEe trial's technology sub-study (six centres) were eligible. To explore experiences and perceptions of the AR app, half-structured interviews were conducted with CAYA and an anonymous online survey administered to exercise professionals. Interview data and open-ended text from survey was analysed using inductive qualitative content analysis. Survey data was analysed using descriptive statistics. Results:A total of 46 CAYA (mean age 13.6 ± 2.7 years, 39% female) provided feedback on the AR app via interviews, and 31 exercise professionals completed the survey. CAYA and exercise professionals reported generally positive experiences, finding the AR demonstrations novel and engaging. The personalised workouts were valued by both groups. However, both groups reported some technical difficulties that impacted reliability, and that some features, such as the exercise diary, lacked usability. Exercise professionals emphasised the app should complement rather than replace face-to-face sessions. To enhance the app further, both groups suggested incorporating gamification and avatar customisation. Conclusion:This study emphasises the potential of AR technology to increase engagement in exercise among CAYA and highlights ways to optimise the technology. While AR shows promise in paediatric oncology care, it should complement in-person exercise interventions. Future development should prioritise user-friendly design, personalised approaches, and equal access for young patients.

Background:Mobile health (mHealth), and specifically smartphone apps, have grown exponentially in both functionality and accessibility and are becoming an important component of health care. Research exploring the use of mHealth for managing or treating chronic diseases, such as cancer, has shown promising effects. Yet, comparatively little work has examined how such technologies can enhance exercise interventions for young people with cancer. To optimize the effectiveness of mHealth in these contexts, it is essential to build a stronger evidence base on user experience. Objective:This study aimed to investigate how healthy children and young people engaged with an augmented reality (AR) app developed specifically for children and young people undergoing cancer treatment, and to identify design features that may support engagement and behavior change in the intended clinical population. Methods:School and university students, aged 8-21 years, were eligible to participate in the study. Practical workshops allowed participants to engage with the AR exercise app before taking part in focus groups to explore user experiences. Data were analyzed using qualitative content analysis, which also involved a critical friend approach using 2 researchers (HM and KS). Suggested improvements were mapped against the motivational affordances' taxonomy. Results:A total of 39 participants aged 8-21 years took part in the focus group study. Participants found the demonstrations and varied exercises useful but expressed some concerns regarding data safety and functionality of the novel AR avatar. It was proposed that additional educational components, challenges, and rewards, as well as a customizable avatar, social support features, and audio instructions for a more inclusive design would be desirable and could enhance user experience. When mapped against the motivational affordances taxonomy, the suggested improvements aligned primarily with mechanisms of user education, challenges, feedback, cooperation, and comparison. Conclusions:This study provides an understanding of how apps that prescribe exercise can be optimized to enhance motivation and user experience. By assessing feedback and suggestions for improvements, the findings highlight key design features that may support engagement. While this initial work focused on healthy, age-matched participants, further evidence specifically in children and young people with a childhood cancer diagnosis is needed.

BackgroundExercise therapy is increasingly recognized as an integral component of supportive care in pediatric oncology. However, exercise programs are not yet widely implemented nor established as standard care across Europe. The aim of this consensus statement is to provide practical recommendations for the implementation of exercise as a therapy in pediatric oncology, based on consensus from multi-disciplinary experts within the FORTEe project, funded by the European Union’s Horizon 2020 research and innovation programme.MethodsThe FORTEe trial (NCT05289739) is a multicenter, randomized controlled trial aiming to investigate the effects of a structured exercise intervention in children and adolescents undergoing cancer treatment. Based on this collaborative experience, this expert-informed consensus statement, derived from a structured multinational trial preparation and implementation process, presents resource-adapted recommendations to support multidisciplinary teams in initiating, expanding and sustaining precision-based exercise programs in pediatric oncology.ResultsThe recommendations address key domains relevant to implementation, including human resources and interprofessional role distribution, staff training, medical clearance and reasons for adapting exercise, monitoring of exercise-related complications, practical delivery of exercise programs across diverse resource settings, as well as legal and regulatory requirements.ConclusionThese recommendations offer practical, context-specific guidance to support the stepwise implementation of exercise therapy in heterogeneous pediatric oncology settings. They are intended to facilitate the safe and sustainable integration of exercise as a therapy into routine childhood cancer care, regardless of local resource availability.

Driving is often the preferred mode of mobility for older adults in the United States, yet age-related functional declines increasingly compromise driver safety. Driver reaction time is one of the most critical factors related to accident avoidance and is particularly vulnerable to age-related decline. Maintaining a physically active, cognitively engaging lifestyle can help attenuate age-related declines in reaction time, and rhythm-based exercise programs represent one such avenue. This pilot study examined preliminary evidence on whether a 10-week Drums Alive program, a drumming-based aerobic workout program, shows sufficient promise to maintain or improve reaction time for community-dwelling older adults. Participants enrolled in the Drums Alive program were nonrandomly assigned to the intervention condition (mean age = 69.67 years, SD = 5.86). Twelve age- and sex-matched participants from a previously published study served as the stretching comparison condition (mean age = 69.35 years, SD = 5.07). Simple reaction time (releasing accelerator), movement time (moving foot to brake), and total reaction time were recorded during a simulated brake-onset task pre- and postintervention. There was a statistically significant intervention by time interaction for movement time, with Drums Alive participants showing a greater improvement (M = -0.054, SD = 0.061) compared to the stretching group (M = 0.006, SD = 0.044) and total reaction time, with Drums Alive participants showing a greater improvement (M = -0.080, SD = 0.089) compared to the stretching group (M = 0.059, SD = 0.165). No significant group differences were observed for simple reaction time. It is important to design music-based interventions for a specific purpose to support client needs, enhance engagement, and align with evidence-based practices. Our findings suggest that carefully designed music interventions that engage older adults in exercise may help maintain independence by improving driving-related reaction time.

Introduction:Technological advances provide new approaches to improving oncology care. Research indicates that supportive technological tools can benefit children with cancer, and integrating technology into exercise-based interventions may enhance physical activity and reduce fatigue. The FORTEe clinical trial incorporated a motion tracking device (Pixformance) within a broader, individualised exercise intervention for children and young adults (CAYA) with cancer. The device used an inbuilt camera, avatar-led demonstrations, and real-time feedback on exercise form. This FORTEe sub-study explored the perspectives of CAYA with cancer and exercise and healthcare professionals (EHCP) on using this motion tracking technology. Methods:CAYA aged 4-21 years and EHCP from five participating centres were eligible. Experiences and perceptions were explored through semi-structured interviews with CAYA and an anonymous online survey for EHCP. The CAYA interviews and open-ended text from the EHCP survey were analysed using an inductive content analysis approach. Results:Ninety CAYA (mean age 11.1 ± 3.7 years; 44.4% female) participated in interviews and 33 EHCP completed the survey. CAYA found the device a novel and useful addition to conventional training, appreciating its variety of exercises and real-time guidance. Some technical issues affected motion detection consistency. EHCP recognised benefits for supervised exercise but highlighted challenges with transport and offline use. CAYA also suggested adding gamification features such as rewards, avatar customisation, and competition. Conclusion:The motion tracking device was well received by both CAYA and EHCP. Findings suggest this technology could complement conventional exercise interventions and provide insights for optimising efficiency, motivation, and user experience in clinical settings. Clinical Trial Registration:ClinicalTrials.gov (NCT05289739).

This paper presents the challenges faced by Taylor (pseudonym), a young child, with a disability navigating everyday life. These challenges reflect issues that many people with disabilities face where Diversity, Inclusion and Equity are key to disability justice. Highlighting places and spaces of inclusion and exclusion in both formal and non-formal settings, we describe sites where Taylor is both constrained and enabled and consider what that might mean. Informed by the first author's carer position, eight vignettes provide both context and consideration, making these challenges visible and hence provocations for change. These accounts are considered in relation to key concepts of the social model of disability within a critical disability framework. This exploration highlights how society's perceptions are largely bound by a bio-medical view of disability that promotes deficit views. By way of contrast, and beyond an impoverished framing, a social model of disability sees Taylor as a vibrant, intelligent young person seeking to live a life rich with meaning and value. What the research reveals is that learning and change are possible in both formal and non-formal settings where an enhanced understanding of places and spaces for engagement and participation means that society becomes more equitable and just.

Prehabilitation interventions show positive outcomes for adults undergoing haematopoietic stem cell transplantation (HSCT). Their impact on paediatric populations is less clear. This scoping review describes current prehabilitation literature, intervention feasibility, and effectiveness in improving health outcomes for children following HSCT. Following the Joanna Briggs Institute methodology, a comprehensive search of databases (AHMED, CINAHL, Cochrane library, EMCARE, MEDLINE, PsycINFO, PubMed) and grey literature was conducted. Key search terms included “HSCT”, “prehabilitation” (physical functioning, nutritional status, health behaviours), “children/young people” and “health outcomes”. Data related to review aims was extracted. From 134 studies, nine met inclusion criteria (three (33

Introduction:This study describes and evaluates Good Arts, Good Mental Health ® (GAGMH), a groundbreaking, population-level, arts-mental health promotion media campaign. The objectives of the campaign (Wave 1) were to increase brand awareness, comprehension, and agreement with the tagline Good Arts, Good Mental Health ® and empower the general population to form an intention to engage in the Arts for their mental wellbeing. Methods:The campaign ran from August to September 2024 (4 weeks), cost AUD$198,965 (23% creative and 77% media/advertising distribution), and targeted the Western Australian (WA) general population aged 18-65 years, all genders, in both metropolitan and regional areas. The campaign was distributed through a variety of platforms, channels, visual, audio, and static assets. To gauge the success of the campaign, a process evaluation and (short-term) outcome evaluation were conducted by sourcing online analytics and conducting an online survey of the campaign target group (n = 661). Results:Overall, campaign reach and frequency were optimal and met set targets. Campaign website engagement substantially increased from baseline (7,505 to 53,810 events 1 month after the campaign). Advertising cost-per-reach was effective and ranged from $0 for free/organic media to $0.10 for radio. For paid media channels, the highest reach (948,106 people) and best cost-per-reach ($0.02) were delivered by Meta (Facebook and Instagram).Measured as both (1) a proportion of total respondents and (2) a sub-set analysis of each preceding level in the cognitive impact hierarchy, post-campaign, one-in-four respondents were aware of Good Arts, Good Mental Health ®. This is comparatively high for a new tagline and health campaign without TV advertising. Overall, comprehension was satisfactory. Agreement and intention to act on the message were high and double that of comparison Western Australian health promotion campaigns. Discussion:Study findings indicate the GAGMH campaign was successful. If funded, future waves of the campaign could build on Wave 1 to reinforce message awareness, increase understanding of GAGMH concepts, focus more on the arts-mental health dose, and extend the outcome evaluation by measuring behavioral action. The information contained in this study is useful to Public Health, Mental Health, and Arts-Health professionals in the planning, implementation, and evaluation of future arts-mental health promotion strategies and campaigns.

Despite substantial advances in treatment, children and adolescents with cancer continue to face high morbidity and health issues, including cancer-related fatigue, treatment-related complications, and physical inactivity. Integrating exercise into pediatric oncology care has emerged as a promising approach to mitigate these burdens during cancer treatment. While preliminary data support its potential to reduce treatment-related side effects and enhance quality of life, robust evidence -especially from large, multicenter trials- remains limited. The FORTEe trial is a randomized, controlled, multicenter trial evaluating a personalized and standardized exercise intervention powered to include 450 children, adolescents, and young adults undergoing cancer treatment across ten centers in Europe. The trial aims to provide high-quality evidence for integrating precision exercise therapy as part of standard care. Participants are randomly assigned to either the exercise intervention group, receiving a tailored, supervised 8–10 weeks lasting exercise program, or the control group, receiving usual care. The exercise program includes endurance, strength, flexibility, and balance training, adapted to each patient’s age, fitness, and cancer treatment phase. Exercise sessions are intended to take place 3–5 times a week with moderate intensity, with both frequency and intensity adapted to the clinical condition of the individual. Digital tools and telehealth solutions support the intervention, allowing for both in-person and remote training. With a target enrolment of 450 patients, the FORTEe trial will be one of the largest interventional studies in pediatric exercise oncology. Given that childhood cancer is a rare disease, this sample size is only achievable through a multicenter approach. Enhancing statistical power, the large sample will enable more robust analyses of the intervention’s effects in a diverse population across multiple European centers. As a progress beyond the current state-of-the-art, FORTEe has the ambition to implement pediatric exercise oncology as an evidence-based treatment option for all childhood cancer patients, ultimately integrating it as a standard into clinical practice worldwide. The FORTEe trial was prospectively registered in the German Clinical Trials Register (DRKS00027978) on 28 January 2022 and on ClinicalTrials.gov (NCT05289739) on 21 March 2022.

Creative practice inspires exploration, personal expression, and learning, and can be understood from a variety of perspectives. Traditionally, these perspectives have been through the process of learning where doing is important, and through the product of learning where practice has outcomes serving a diversity of purposes. In recognising these critical links between practice and learning, we consider this entanglement of process and product through complexity theory as more than binary opposites where the key ideas of ‘knower and knowledge’ helps to untangle a multiplicity of understandings. Identifying complexity practice as developmental, transactional, and organisational, we outline how in Australia, this complexity produces tension in schools as teachers grapple with developing arts process skills as a significant achievement themselves, the production of arts works as important outcomes of arts learning, and broader social outcomes as elements of change. In helping to make these interactions clear it is possible to see complexity as both enabling and constraining change, providing direction and focus for future creative practice in both teaching and learning.

Background: Children and young people with cancer face barriers when engaging with exercise, such as treatment-related side effects, psychosocial burdens and lack of individualised provisions. Digital health tools, such as smartphone applications, have emerged as a promising driver to support healthcare provisions in exercise prescription among patients. It is vital to explore how such technologies can be developed more effectively in order to strengthen the evidence supporting their use and for more appropriate implementation within healthcare. This study aims to explore user experiences, preferences and suggested improvements from healthy children and young people aged 9-21 years. Methods: An augmented reality (AR) application was specifically developed for children and young people aged 9-21 years undergoing cancer treatment and a protocol for a pilot study was designed. The target sample of this pilot study is 90 healthy children and young people aged 9-21 years. Practical 30-min workshops will be conducted encouraging participants to engage with the smartphone app. Focus groups will explore participant experiences, preferences, and suggested improvements. Data will be analysed deductively with apriori themes derived from the semi-structured interviews. Discussion: Obtaining user experiences, preferences and suggested improvements is especially important for the development of novel apps, such as those prescribing exercise and using algorithms and augmented reality software. Results from this study will directly influence the development of an augmented reality application, which will also be applied within a long-term trial in paediatric oncology.

Lung cancer exemplifies a significant global health challenge, characterised by pronounced mortality rates. An escalating incidence of new cases worldwide, coupled with comparatively diminished survival rates, distinguishes it from other prevalent malignancies. Physical activity can alleviate symptoms of breathlessness, cough, and depression, while also enhancing well-being in individuals with lung cancer. However, resources to support self-management through physical activity and exercise are limited. Our team proposes an innovative solution: a digital self-management platform designed for individuals with lung cancer. This paper reports on a protocol for the co-development of an exercise focused digital self-management platform. The principal objective of this platform is to offer people living with lung cancer an alternative approach to accessing relevant support to manage their health more independently, thereby fostering a more self-reliant approach to physical health self-management. The platform offers users with a secure internet connection, an individually tailored exercise plan, with features that facilitate the ongoing monitoring of their progress. Furthermore, the platform offers relevant guidance to users by directing them toward pertinent resources as required. The protocol describes a procedural framework for the platform's development and sets out a comprehensive strategy for the iterative co-development of the app with key stakeholders; lung cancer patients/survivors and their carers, health care professionals and other key decision makers. The platform's development is rooted in a user-centred, coproduction approach, aimed at accommodating the intricate demands of the targeted patient demographic and enhancing their overall physical functioning and wellbeing outcomes. A mixed methods study design is employed to collect both qualitative and quantitative data throughout the study.

BACKGROUND Despite improvements in treatment and early diagnosis people with lung cancer are not living as long as people with other cancers. Therefore, good symptom management and improved quality of life is a priority in this patient group. The more common symptoms of lung cancer; breathlessness, fatigue and depression can be improved by improving patients’ physical functioning. However, current health care services have limited capacity to provide this support. One way to address this issue of health care resources is to empower patients to self-manage their condition using electronic health technologies. OBJECTIVE The purpose of this review was to locate and assess available research on technologies that support the person with lung cancer to improve or maintain their physical functioning and/or their quality of life. METHODS Six databases (PubMed, Web of Science, CINAHL, Medline, SPORTDiscus and PsychInfo) were searched from January 1990 to April 2023. Studies were suitable for inclusion if; study participants included people with lung cancer over the age of 18, participants were exposed to a physical activity, exercise or a training intervention that was delivered via an electronic or web-based application with or without a comparator. Furthermore, the study must have reported on the impact of the intervention on physical function and/or quality of life. Studies that focused on telemedicine without an online intervention were excluded. The GRADE system was used to assess the quality of included papers. Due to the heterogeneity of the studies a narrative synthesis was undertaken. RESULTS This review is reported in accordance with the PRISMA guidelines. Seven hundred and ninety-four papers were initially identified through our search; following screening eight papers were confirmed suitable for inclusion in the review. Two papers reported on different stages of the same study therefore only seven studies were included in our analysis. Studies were undertaken between 2010-2018 across multiple countries. Included studies aimed to develop a technology and /or test the technology’s feasibility or acceptance. Seven technologies identified included web-based apps, native apps, or gaming consoles. Studies demonstrated impact on walking distance, muscle strength, balance, symptoms of dyspnoea and cancer related fatigue. Quality of life scores also showed improvement. CONCLUSIONS The findings indicate that electronic health apps are generally acceptable to people with lung cancer and can positively impact their physical functioning and wellbeing. However, there are limited studies that demonstrate the impact of these digital interventions over longer periods. None of the studies report on the implementation or adoption of the mobile or electronic health intervention in routine clinical practice highlighting the need for further research in this area. CLINICALTRIAL Not a trial but has been registered on the PROSPERO data base. Registration number CRD42023414094

Disability awareness is an issue that can inform societal understanding of marginalised groups. Contemporary literature continues to show the importance of inclusion in society and the impact inclusion has on people with disabilities and society more broadly. The importance of disability awareness is important in the context of the daily challenges faced such as discriminatory practices, stigma, stereotyping and exclusion and manifested in areas such as access to buildings, educational opportunities, and visibility in the media. Given the importance of disability awareness and the significant influence of media, especially on children today, this research investigated the inclusion of disability as one element of 'awareness' in one 'made-for-children' (2-5 years old) television programme. Drawing on a social model of disability, three key concepts of Diversity, Inclusion, and Equity were used to explore the way that disability is portrayed for early learners. Analysis of 265 episodes (2015-2021) revealed that inclusion of disability appeared in fewer than 15% of episodes and was not representative of the community broadly speaking. This lack of representation exposed the limited potential that the media currently has as an educative function for preschool children in disability awareness and understanding of disability as part of contemporary society. Including more people with disabilities in made-for-preschool children's programmes is one way to both build awareness and progressively ameliorate this position.

BackgroundDespite advancements in treatment and early diagnosis, people with lung cancer are not living as long as those with other cancers. The more common symptoms of lung cancer, such as breathlessness, fatigue, and depression, can be alleviated by improving patients’ physical functioning. Therefore, good symptom management and improved health-related quality of life (HRQoL) are priorities in this patient group. However, current health care services have limited capacity to provide this support. One way to address this issue of health care resources is to empower patients to self-manage their condition using eHealth technologies. ObjectiveThe purpose of this review was to identify and assess available research on technologies that support persons with lung cancer to improve or maintain their physical functioning, HRQoL, or both. MethodsSix databases—PubMed, Web of Science, CINAHL, MEDLINE, SPORTDiscus, and PsycINFO—were searched from January 1, 1990, to April 30, 2023. Studies were suitable for inclusion if the participants included people with lung cancer aged >18 years who had been exposed to a physical activity, exercise, or training intervention that was delivered via an electronic or web-based application with or without a comparator. Furthermore, the study had to report on the impact of the intervention on physical functioning and HRQoL. Studies that focused on telemedicine without a digital intervention were excluded. The Grading of Recommendations Assessment, Development, and Evaluation system was used to assess the quality of the included papers. Due to the heterogeneity of the studies, a narrative synthesis was undertaken. ResultsThis review is reported in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A total of 794 papers were initially identified through our search, of which, after screening, 8 (1%) were confirmed suitable for inclusion in the review. As 2 (25%) of the 8 papers reported on different stages of the same study, we included only 7 studies in our analysis. The studies were undertaken between 2010 and 2018 across multiple countries and aimed to develop a technology and test its feasibility or acceptance. The 7 technologies identified included web-based applications, mobile apps, and gaming consoles. The studies demonstrated impact on walking distance, muscle strength, balance, dyspnea symptoms, and cancer-related fatigue. HRQoL scores also showed improvement. ConclusionsThe findings indicate that eHealth technologies can positively impact physical functioning and well-being for people with lung cancer, but there are limited studies that demonstrate the impact of these digital interventions over longer periods. None of the studies reported on the implementation or adoption of a mobile health or eHealth intervention in routine clinical practice, highlighting the need for further research in this area. Trial RegistrationPROSPERO CRD42023414094; https://tinyurl.com/39hhbwyx

Background and purpose Breast cancer can be a significant challenge for those affected. Knowledge of physical function, social-emotional challenges, and perceived cognitive function based on the cancer treatment regimens may help to inform adequate support. Methods For this prospective observational pilot study, we collected data of seventy-nine women (mean age 54.6 ± 9.5 years) before (T0) and after (T1) initial breast cancer treatment. Functional Assessment of Cancer Therapy-Breast (FACT-B) and Functional Assessment of Cancer Therapy–Cognitive-Function (FACT-Cog) were used to collect data of four treatment subgroups: SCR = Surgery + Chemotherapy + Radiation Therapy; SC = Surgery + Chemotherapy; SR = Surgery + Radiation Therapy; S = Surgery. A mixed ANOVA and posthoc analysis (Tukey, Games-Howell) were used to detect interactions (group by time) and the main effect. A repeated-measures ANOVA displayed individual group differences (time). Results Significant interaction showed more deterioration was experienced with SC and SCR than SR and S for FACT-B ( p < 0.01) and FACT-Cog ( p < 0.001). The longitudinal comparison between T0 and T1 indicated a significant group main effect on all subscales ( p < 0.001) except for Emotional Well-Being. Significant reductions ( p < 0.05) in FACT-B, (− 19%); FACT-Cog, (− 21%) with most pronounced effect in Physical Well-Being (− 30%), Functional Well-Being (− 20%), Breast Cancer Subscale (− 20%), Perceived Cognitive Impairments (− 18%) and Impact of Cognitive Impairments on Quality of Life (− 39%) were detected for SCR. Conclusion Our study showed that the extent of change in health-related quality of life (HRQoL) and perceived cognitive function (PCF) depends on the treatment regimen. Multidisciplinary support initiated early in breast cancer therapy is needed, especially for women undergoing combined cancer treatment. Routine assessment of patient-reported outcomes (PROs) in oncology practice may increase the transparency of patients’ perceived circumstances, leading to personalized and optimized acute and survivorship care.

This study was conducted to compare the effects of two different interventions on the physiological, cognitive, and motivational parameters in seniors; and, how they would be accepted as alternative forms of exercise in the senior population. The facilitators recruited 26 randomly selected participants from two senior care facilities in Chemnitz, Germany who were required to complete two 45-minute exercise periods a week for 30 days. The first group completed the Drums Alive intervention which included a multi-dimensional approach using music, movement, drumming choreographies, games, and activities. The second intervention group completed a series of Hand-Foot Coordination exercises that used beat-keeping patterns on various parts of the body. Each intervention group had three divisions of participants, i.e. “healthy” to define those with no diagnosed malady, “dementia” for those with varying degrees of diagnosed dementia, and, “wheelchair” and those requiring a wheelchair for movement. The pre- and post-testing measurements consisted of age, heart rate, blood pressure, rate of perceived exertion (RPE), bar-drop test, chair-raise test, 6-minute walk test, memory, concentration, balance, reaction, coordination, and cognitive flexibility. In addition, to measure the level of motivation, i.e. fun, the participants used a tool that was developed by the Psychology Department of the Chemnitz University. The results demonstrated that both interventions were suitable alternates for senior-focused conventional sports offerings, however, the Drums Alive intervention outperformed the Hand-Foot Coordination intervention in a majority of the measured domains by an overall average of 9.45 percent. Of note, the data, vis a vis motivation, demonstrated a 38.4 percent increase for Drums Alive vice a 13.3 percent increase for Hand-Foot Coordination, suggesting the Drums Alive intervention offered more effective protocols that could inspire seniors to make this a part of an overall health and wellness plan to improve their quality of life.

The purpose of this study was to determine if the Drums Alive Kids Beats intervention could improve behavior in children with developmental delays (DD).The original pilot study that this study on behavior is linked to is titled, "The Effects of a Drums Alive Kids Beats Intervention on the Physical Performance and Motor Skills of Children with Developmental Delays," which was published in the December edition of the Open Journal of Pediatrics (OJPED, Vol.11 No.4 2021).During the facilitation of said intervention on physical and motor skills, the facilitators noticed unanticipated improvements in behavior, both individually and as a community through better awareness, self-control, self-efficacy, social interaction, and positive energy.Therefore, while maintaining the integrity of the MOT 4 -6 testing protocols and Drums Alive intervention, a parallel study was conducted to objectively measure six behavioral domains, namely, motivation, impulse control, coordination, concentration, implementation of tasks, and creativity using a self-designed measurement tool with three elements for each domain that was approved by Dr.