to physical functioning and quality of life are sufficient for the recommendation that cancer survivors follow the 2008 Physical Activity Guidelines for Americans, with specific exercise programming adaptations based on disease and treatment-related adverse effects. The advice to ‘‘avoid inactivity,’’ even in cancer patients with existing disease or undergoing difficult treatments, is likely helpful.

/pdf/american-college-of-sports-medicine-roundtable-on-exercise-3udagm54jn.pdf

American College of Sports Medicine roundtable on exercise guidelines for cancer survivors.

American College of Sports Medicine Roundtable on Exercise Guidelines for Cancer Survivors: Corrigendum

Quality of life after allogeneic hematopoietic cell transplantation

Background
Exercise improves quality of life (QOL) in cancer survivors, although characteristics of efficacious exercise interventions for this population have not been identified.

Exercise Interventions for Cancer Survivors: A Meta-Analysis of Quality of Life Outcomes

Effects of a partly self-administered exercise program before, during, and after allogeneic stem cell transplantation

Chronic cancer-related fatigue in otherwise asymptomatic post-allogeneic hematopoietic stem cell transplant (HSCT) patients is common and debilitating. This pilot study investigated whether patients with no clinical or psychological abnormalities but severe fatigue would respond to an individually adapted aerobic exercise program. Participants were 12 patients (eight male, and four female patients), median age 47 years and 41 months post-HSCT with a variety of hematopoietic cancer diagnoses. All underwent a 12-week individualized mild aerobic exercise program, preceded by a 4-week introduction and baseline testing phase. Psychological measures included fatigue, mood and depression. Exercise-related physiological outcomes included power output at ventilatory threshold 2 (VT2) and associated changes in stroke volume, heart rate, blood lactate concentration and ratings of perceived exertion. Patients were assessed for fatigue before, immediately after and at 3, 6, 9 and 12 months post-program. Significant improvements were found on both measures of fatigue (both P<0.001), with a very large effect size of 1.82 on the The Functional Assessment of Cancer Therapy - Fatigue Module, which were maintained over the follow-up period. Exercise testing revealed a mean increase (P<0.001) of 28% in power output at VT2 with an increase (P<0.001) in stroke volume and a decrease (P<0.001) in heart rate, blood lactate and perceived exertion at pre-intervention VT2 power output.

Individualized exercise program for the treatment of severe fatigue in patients after allogeneic hematopoietic stem-cell transplant: a pilot study.

Purpose: To examine the attitudes, knowledge, and comfort levels of rehabilitation counselor educators towards sexuality and disability, and to determine if significant differences exist within variables. 

/pdf/sexuality-and-disability-in-rehabilitation-counseling-2wyvov4p.pdf

Sexuality and Disability in Rehabilitation Counseling Curricula: Rehabilitation Counselor Educators’ Attitudes, Comfort, and Knowledge

The experiences of Black counseling students at Predominantly White Institutions are well documented. Using a transcendental phenomenological environmental research design, we explored how 12 Black counselor education graduates experienced their respective institutions across three types of academic institutions—Predominantly White Institutions, Historically Black Colleges and Universities, and Hispanic Serving Institutions. Three salient themes emerged—(1) exposure, (2) real-life exposure, and (3) cultural oasis. The researchers also discussed implications for counselor education programs and future research. 

https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ceas.12279

Phenomenological understanding of Black counselor education students at Predominately White Institutions, Historically Black Colleges and Universities, and Hispanic Serving Institutions

T Whittaker

Papers

Individualized exercise program for the treatment of severe fatigue in patients after allogeneic hematopoietic stem-cell transplant: a pilot study.

Sexuality and Disability in Rehabilitation Counseling Curricula: Rehabilitation Counselor Educators’ Attitudes, Comfort, and Knowledge

Phenomenological understanding of Black counselor education students at Predominately White Institutions, Historically Black Colleges and Universities, and Hispanic Serving Institutions