Evidence map›Paper›PMID 40864896›Full record

ArticleJMIR pediatrics and parenting2025

Feasibility, Barriers, and Facilitators of Long-Term Physical Activity Tracking During Treatment: Interview Study Among Childhood Cancer Patients.

Emma den Hartog, Wim J E Tissing, Sebastian B B Bon, Patrick van der Torre, Emma J Verwaaijen

Abstract read
In one paragraph

Article in JMIR pediatrics and parenting, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Emma den HartogDepartment of Suportive Care, Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, 3584CS, The Netherlands, 31 0889727272.ORCID http://orcid.org/0009-0005-6373-2625
Wim J E TissingDepartment of Suportive Care, Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, 3584CS, The Netherlands, 31 0889727272.ORCID http://orcid.org/0000-0001-9101-507X
Sebastian B B BonDepartment of Suportive Care, Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, 3584CS, The Netherlands, 31 0889727272.ORCID http://orcid.org/0000-0003-2798-6001
Patrick van der TorreDepartment of Suportive Care, Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, 3584CS, The Netherlands, 31 0889727272.ORCID http://orcid.org/0000-0001-9697-2418
Emma J VerwaaijenDepartment of Suportive Care, Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, 3584CS, The Netherlands, 31 0889727272.ORCID http://orcid.org/0000-0003-1350-3363

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Children with cancer are at risk of reduced physical activity. Gaining insight into physical activity using smartwatches could improve understanding of individual potential during treatment, support early recognition of aberrant physical activity, and enable tailored support. Objective: This study aimed to explore the feasibility, barriers, facilitators, and considerations of long-term physical activity tracking using a smartwatch during childhood cancer treatment. Methods: In this prospective study, 30 children (age 8-18 years) under active cancer treatment were included in 2 phases. During phase 1, 15 children wore a smartwatch daily for 12 consecutive weeks, and in-depth interviews were conducted to identify principal considerations used to optimize wearability and the methods for phase 2. In phase 2, another 15 children wore the smartwatch, and semistructured interviews were conducted at weeks 1, 3, 6, and 12. These interviews were thematically analyzed to identify barriers and facilitators. An iterative process of alternating data collection and analysis allowed for ongoing method refinement and deepening thematic analysis during the study period. Results: Key considerations for improvement identified in phase 1 led to refinements in phase 2, including enhanced engagement, regular prompts, customized plans, personalized setup, and improved aesthetics and comfort. The interviews conducted during phase 2 identified barriers and facilitators. The 4 most prominent themes were burden and resilience, motivational drivers and perception, insight and evaluation, and user experience and functionality. Feasibility was influenced by the child's physical state and perceived burden. Motivation, perceived value, and expectations played crucial roles in sustaining adherence, while also the balance between positive reinforcement and potential confrontation affected long-term use. User experience, including attractiveness, comfort, and usability, impacted acceptance. Conclusions: Real-time and long-term physical activity tracking using a smartwatch in children during cancer treatment was not feasible in our cohort. A personalized approach, incorporating individual preferences and physical condition, is essential to support adherence.

Indexed as

feasibilitypediatric oncologyphysical activitysmartwatchtracking

Identifiers

PMID40864896
PMCPMC12408935

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.