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Screening Supportive Care Needs, Compliance to Exercise Program, Quality of Life, and Anxiety Level During the COVID-19 Pandemic in Individuals Treated with Hematopoietic Stem Cell Transplantation


 Purpose: Primary aim was to address supportive care needs, compliance to exercise program, quality of life level (QOL), and anxiety level during the COVID-19 pandemic in individuals treated with hematopoietic stem cell transplantation (HSCT). Secondary aim was to investigate differences in outcome measures in terms of gender and to determine associated factors with supportive care needs and compliance to exercise program during pandemic.Methods: The present study included individuals treated with HSCT and previously consulted to physical therapy. Data were collected by interviewing with participants on phone. Supportive care needs were assessed by using Supportive Care Needs Survey-Short Form 29TR. Compliance to the exercise program was recorded as percentage of walking duration to the recommended duration during the last week. The European Cancer Research and Treatment Organization Quality of Life Questionnaire-Cancer30 was used to assess QOL. The State-Trait Anxiety Inventory-I and Visual Analogue Scale were used to assess anxiety level. Results: Totally 106 individuals were included. The psychological and physical supportive care needs were predominant in participants. Compliance to exercise program was low during the pandemic. Anxiety level was low, yet anxiety about COVID-19 was moderate severity in participants. Supportive care needs were correlated with anxiety level, performance level, duration after HSCT, and QOL (p˂0.05). Compliance to exercise program was associated with performance level and QOL (p˂0.05). Conclusion: Our results offer supportive telehealth interventions should be considered during the COVID-19 pandemic for individuals treated with HSCT to decrease unmet supportive care needs and anxiety, to increase QOL, and to reduce isolation related physical inactivity.