Effect and feasibility of wearable physical activity trackers and pedometers for increasing physical activity and improving health outcomes in cancer survivors: A systematic review and meta-analysis

Purpose:This systematic review and meta-analysis aimed to evaluate the effect of wearable devices for improving physical activity and healthrelated outcomes in cancer survivors.Methods:CINAHL,Cochrane,Ebscohost,MEDLINE,Pubmed,ProQuest Health and Medical Complete,ProQuest Nursing and Allied Health Source,ScienceDirect,and SPORTDiscus databases were searched for randomized controlled trials published before September 1,2020,that evaluated interventions involving wearable devices in cancer survivors.Standardized mean differences(SMDs)were calculated to assess effects on physical activity and health-related outcomes.Subgroup analyses were conducted to assess whether the effects differed by interventions and cancer characteristics.Risk of bias was assessed using the Cochrane risk of bias tool.Results:Thirty-five trials were included(breast cancer,n=15,43%).Intervention durations ranged between 4 weeks and 1 year.Most trials(n=25,71%)involved pedometer-based physical activity interventions.Seven(20%)involved Fitbit-based interventions,and 3(9%)involved other wearable physical activity trackers(e.g.,Polar,Garmin).Compared to usual care,wearable devices had moderate-to-large effects(SMD range 0.54-0.87,p<0.001)on moderate-intensity physical activity,moderate-to-vigorous-intensity physical activity,total physical activity,and daily steps.Compared to usual care,those in the intervention had higher quality of life,aerobic fitness,physical function,and reduced fatigue(SMD range=0.18-0.66,all p<0.05).Conclusion:Wearable physical activity trackers and pedometers are effective tools that increase physical activity and improve health-related outcomes in individuals with cancer.Identifying how these devices can be implemented for longer-term use with other intervention components remains an area for future research.     

Collaborative research in and with organizations 1

Collaborative research has been more advocated than practiced. Three rationales for collaborative research are discussed. A collaborative study currently under way is used to illustrate the difficulties likely to arise in such endeavours. Persistent problems around collaborative work include differences in purposes, methodological requirements, timeframes, commitments, and outcomes. Although meaningful collaborative work can be done, it is difficult and requires particular and unusual conditions to be successful.

     

Open admissions does not kill colleges

This article establishes an understanding of social cohesion in general and discusses organizations and activities that are known to promote social cohesion before introducing organizations that claim to work toward social cohesion as one of their main priorities. The Council of Europe's Directorate General of Social Cohesion represents a political organization seeking to promote social cohesion. The Jaboya Project and Field Band Foundation are social organizations with social cohesion as a priority. Although these organizations are likely to contribute to it, they cannot achieve social cohesion directly; rather, they work toward establishing conditions that are favorable to building social cohesion and anticipate the probable long-term effects of their work.     

Performing desires: The dilemma of aspirations and educational attainment

The authors critique the mechanistic notion of aspirations running through much research and policy‐making on educational and vocational outcomes. They present a performative model, with individuals drawing on limited social resources to express aspirations within constrained contexts. This argument is illustrated by discussion of the findings of large‐scale empirical investigation of the aspirations of 490 young people in three UK schools. Five themes from this analysis are presented and it is argued that these need to be explored in order to enrich and expand our understanding of young people's expression of aspirations.     

TEACHING PRAYER: CONSIDERATIONS

Teaching prayer is one of the great challenges facing the Jewish educator. Regular practice of prayer does not typify the Jewish community, and while each movement has a fairly clearly defined normative pattern of behavior, that norm is extremely far from the practice of the majority of those associating.