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The Development and Acceptability of a Wilderness Programme to Support the Health and Well-Being of Adolescent and Young Adult Cancer Survivors: The WAYA Programme
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). The Arctic University of Norway.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).ORCID iD: 0000-0002-3907-2197
2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 19, article id 12012Article in journal (Refereed) Published
Abstract [en]

Detailed descriptions of theory, structure, and activities with causal links to specified outcomes of wilderness programs are lacking. Addressing this gap, the present qualitative study gives a thorough description of the development of the Wilderness programme for Adolescent and Young Adult (AYA) cancer survivors (WAYA). WAYA is adapted to the individual needs of AYA cancer survivors. It was conceived around Næss’s ecosophy and the Positive Health Model, and refined based on findings from a scoping review and patient/public involvement. Programme aims were to increase physical activity, self-confidence, personal growth, joy, safety within nature, meaningful relationships, and self-efficacy. The programme was an eight-day expedition followed three months later by a four-day base-camp. Activities included hiking, backpacking, kayaking, rock climbing, mindfulness and bushcrafting. Evaluation of the programme through focus group and individual interviews with 15 facilitators and 17 participants demonstrated that a diverse group of participants, challenging activities, and mindfulness-based practices were found to positively influence group bonding and the learning process. Furthermore, including an expedition and base-camp component was found to be beneficial in supporting the development of participants’ own personal outdoor practices. In conclusion, this study demonstrated that the WAYA programme is safe and well accepted by AYA cancer survivors. 

Place, publisher, year, edition, pages
2022. Vol. 19, no 19, article id 12012
Keywords [en]
ecosophy, expedition, health promotion, mindfulness, nature, qualitative study, self-realization
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:miun:diva-46338DOI: 10.3390/ijerph191912012ISI: 000867959500001PubMedID: 36231313Scopus ID: 2-s2.0-85139931738OAI: oai:DiVA.org:miun-46338DiVA, id: diva2:1706537
Available from: 2022-10-26 Created: 2022-10-26 Last updated: 2022-10-27Bibliographically approved

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Jong, Miek C.Mulder, EricJong, Mats

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