In adventure therapy (AT), health professionals and adolescents with cancer come together to explore the wilderness of nature. One goal of this therapy is to encourage the adolescents to enhance their self-concept as part of an overall physical, cognitive, emotional or spiritual, social and psychological, or developmental rehabilitation that promotes health. The adolescents with cancer who participate in AT also learn about themselves through self-evaluation, self-exploration, self-reevaluation, self-acceptance, and self-realization. Mental health promotion (MHP) is considered a perspective and a strategy to promote health. An AT experience could be an example of an MHP initiative in which nurses can take a leadership role in participating, and further investigating, the health effects of AT on adolescents with cancer.
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References
1.
American Cancer Society. (1999). Cancer facts and figures. Atlanta, GA: Author.
2.
Autry, C. E. (2001). Adventure therapy with girls at-risk: Responses to outdoor experiential activities. Therapeutic Research Journal, 35, 289-306.
3.
Bacon, S. (1983). The conscious use of metaphor in Outward Bound. Denver: Colorado Outward Bound School.
4.
Bartley, N. L., & Williams, D. R. (1988). Gender issues in outdoor adventure programming: An outdoor leadership model exploring gender, personality, soft skills training and leadership style of outdoor leader. Bradford Papers Annual, 3, 1-9.
5.
Benson, P. J. (1987). The relationship between self-concept and a summer camping program for children and adolescents who have cancer. Journal of the Association of Pediatric Oncology Nurses, 4, 42-45.
6.
Bluebond-Langner, M., Perkel, D., Goertzel, T., Nelson, K., & McGeary, J. (1989). Children’s knowledge of cancer and its impact of an oncology camp experience. Journal of Pediatrics, 116, 207-213.
7.
Briery, B. G., & Rabian, B. (1999). Psychosocial changes associated with participation in a paediatric summer camp. Society of Paediatric Psychology, 24, 183-190.
8.
Carnevale, F. A. (1999). Toward a cultural conception of the self. Journal of Psychosocial Nursing, 37, 26-31.
9.
Cavusoglu, H. (2001). Depression in children with cancer. Journal of Pediatric Nursing, 16, 380-385.
10.
Conrad, D., & Hedin, D. (1981). National assessment of experiential education, Journal of Experiential Education, 4, 6-20.
Davies, B., Brenner, P., Orloff, S., Summer, L., & Worden, W. (2002). Addressing spirituality in pediatric hospice and palliative care. Forum, 18, 59-67.
13.
DeHart Richardson, E. (1998). Adventure based therapy and selfefficacy theory: Test of a treatment model for late adolescents with depressive symptomology. Unpublished doctoral dissertation, Virginia Polytechnic Institute and State University.
Eiser, C., Hill, J. J., & Blacklay, A. (2000). Surviving cancer: What does it mean for you? An evaluation of a clinic based intervention. Psych-Oncology, 9, 214-220.
16.
Eiser, C.Hill. J. J., & Vance, Y. H. (2000). Examining the psychological consequences of surviving childhood cancer: Systemic review as a research method in pediatric psychology. Journal of Pediatric Psychology, 25, 449-460.
17.
Eng, B., & Davies, B. (1991). Effects of a summer camp experience on self concept of children with cancer. Journal of Pediatric Oncology Nursing, 8, 88-91.
18.
Enskar, K., Carlsson, M., Golsater, M., & Hamrin, E. (1997). Symptoms distress and life situation in adolescents with cancer. Cancer Nursing, 20, 23-33.
19.
Ewert, A. (1983). Outdoor adventure and self-concept: A research analysis. Eugene, OR: Center for Leisure Studies, University of Oregon.
20.
Galbally, R. (1994). Toward a health promotion strategy. Victoria, Australia: Victorian Health Promotion Foundation.
21.
Galloway, S. (2002). Theoretical cognitive differences in expert and novice outdoor leader decision-making: Implication for training and development. Journal of Adventure Education and Outdoor Learning, 2, 19-28.
22.
Gass, M. A. (1993). Adventure therapy: Therapeutic application of adventure programming. Dubuque, IA: Kendall/Hunt.
23.
Gass, M. A. (1995). Adventure family therapy: An innovative approach answering the question of lasting change with adjudicated youth? Monograph on Youth in the 1990’s, 103-117.
24.
Gesler, W. M. (1992). Therapeutic landscapes: Medical issues in light of the new cultural geography. Social Science Medicine, 34, 735-746.
25.
Goodman, R. F. (2001). Children with chronic illness: The interface of medicine & mental health. Child Study Centre, 5, 1-9.
26.
Grootenhuis, M. A., & Last, B. (2001). Children with cancer with different survival perspectives: Defensiveness, control strategies, and psychological adjustment. Psycho-Oncology, 10, 305-314.
27.
Hattie, J., Marsh, H. W., Neill, J. T., & Richards, G. E. (1997). Adventure education and Outward Bound: Out of class experiences that make a lasting difference. Review of Educational Research, 67, 43-87.
28.
Hinds, P. S. (1990). Quality of life in children and adolescents with cancer. Seminars in Oncology Nursing, 6, 285-292.
29.
Hodgson, R., Abbasi, T., & Clarkson, J. (1996). Effective mental health promotion: A literature review. Health Education Quarterly, 55, 55-74.
30.
Jobert, N., & Raeburn, J. (1998). Mental health promotion: People, power and passion. International Journal of Mental Health Promotion, 1, 15-22.
31.
Kameny, R. R., & Bearison, D. J. (2002). Cancer narrative of adolescents and young adults: A quantitative and qualitative analysis. Children’s Health Care, 31, 143-173.
32.
Kane, J. R., & Primomo, M. (2001). Alleviating the suffering of seriously ill children. American Journal of Hospice & Palliative Care, 18, 161-169.
33.
Keats, M. R., Courneya, K. S., Danielsen, S., & Whitsett, S. F. (1999). Organized sport participation and psychosocial well-being in adolescents following cancer diagnosis. Journal of Pediatric Oncology Nursing, 16, 180-188.
34.
Koppitz, E. M. (1984). Psychological evaluation of human figure drawing by middle school pupils. New York: Grune & Stratton.
35.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.
36.
Lindsley, G. (2003). Seasonal affective disorder (SAD): About light, depression and melatonin. Onset, MA: New Technology. Retrieved March 23, 2003, from http://world.std.com/~halberst/contrib/sad.html
37.
Magyary, D. (2002). Positive mental health: A turn of the century perspective. Issues in Mental Health Nursing, 23, 331-349.
38.
Marsh, H. W. (1992). Self-Description Questionnaire II: Manual. Sydney, Australia: Faculty of Education, University of Western Sydney.
39.
McKenzie, M. D. (2000). How are adventure education program outcomes achieved? A review of the literature. Australian Journal of Outdoor Education, 5, 19-28.
40.
Mosher, R. B., & Moore, J. B. (1998). The relationship of selfconcept & self-care in children with cancer. Nursing Science Quarterly, 11, 116-122.
41.
Mzobanzi, M. M. (1999). Multiple dimension of adolescents’ self concept. Journal of Social Psychology, 125, 388-398.
42.
Neill, J. T., & Dias, K. L. (2001). Adventure education and resilience: The double edge sword. Journal of Adventure Education and Outdoor Learning, 1, 35-42.
43.
Piers, E. V. (1984). Piers-Harris Children’s Self Concept Scale: Revised manual. Los Angeles: Western Psychological Services.
44.
Riggins, R. D. (1986). Effective leadership in adventure-based education: Setting directions for future research. Journal of Environmental Education, 18, 1-6.
45.
Ritchie, M. A. (2001). Psychosocial nursing care for adolescents with cancer. Issues in Comprehensive Pediatric Nursing, 24, 165-175.
46.
Roy, C. (1976). Introduction to nursing: An adaptation model. Englewood Cliffs, NJ: Prentice Hall.
47.
Russell, K. C., & Phillips-Miller, D. (2002). Perspectives on the wilderness therapy process and its relation to outcomes. Child & Youth Care Forum, 3, 415-437.
48.
Skarstein, J., Aass, N., Fossa, S. D., Skovlund, E., & Dahl, A. A. (2000). Anxiety and depression in cancer patients: Relation between hospital anxiety and depression scale and the European Organization for research and treatment of cancer core quality of life questionnaire. Journal of Psychosomatic Research, 49, 27-34.
Stevens, B., Baruchel S., Yamada, J., et al. (in press). Adventure therapy with cancer. Pediatric Blood and Cancer Journal.
51.
Sunvisson, H., & Ekman, S. L. (2001). Environment influences of people with Parkinson’s disease. Nursing Inquiry, 8, 41-50.
52.
Walsh, V., & Golins, G. (1976). The exploration of the Outward Bound process. Denver: Colorado Outward Bound School.
53.
Walters, A. S., & Williamson, G. M. (1999). The role of activity restriction in association between pain and depression: A study of pediatric patients with chronic pain. Children’s Health Care, 28, 33-50.
54.
Welch-Ross, M. K. (2000). A feminist perspective of the development of self knowing. In P. H. Miller & E. K. Scholnick (Eds.), Toward a feminist developmental psychology (pp. 107-124). New York: Routledge.
55.
Willinsky, C., & Pape, B. (1997). Mental health promotion social action series. Toronto: Canadian Mental Health Association National Office.
56.
Witman, J. P. (1995). Characteristic of adventure programs valued by adolescents in treatment. Monograph on Youth in the 1990’s, 4, 127-135.
57.
Yeh, C. H. (2001). Adaptation in children with cancer. Nursing Science Quarterly, 14, 141-148.
