The present pilot study aimed to evaluate the efficacy of an online token economy to increase childhood cancer survivors' adherence with a 6-week exercise intervention. Secondary aims assessed intervention efficacy. Childhood cancer survivors aged 6-18 who were one year off treatment were enrolled in the intervention. Participants completed pre-post measures of endurance, strength, functional mobility, and quality of life. During weekly sessions, adherence was assessed by having the child perform progressively more complex physical skills. Home adherence was measured through web-based exercise logs. Participants earned “chips” for adherence with the exercise program. Twelve survivors completed the intervention. Compliance was variable across intervention behaviors. Intervention efficacy was demonstrated through significant changes in endurance, strength, and functional mobility. Findings support the use of an online token economy system to increase adherence with the exercise intervention in some settings. Future studies should consider the role of social support in survivors' engagement in physical activity.
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Gilliam et al. (2011) studied this question.
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