Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Effects of Energy Conservation Strategies on Cancer Related Fatigue and Health Promotion Lifestyle in Breast Cancer Survivors: a Randomized Control Trial

  • Sadeghi, Elham (Nursing and Midwifery Department, Urmia University of Medical Sciences) ;
  • Gozali, Nahid (Nursing and Midwifery Department, Urmia University of Medical Sciences) ;
  • Tabrizi, Fatemeh Moghaddam (Reproductive Health Research Center, Nursing and Midwifery Department, Urmia University of Medical Sciences)
  • Published : 2016.10.01
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Abstract

Purpose: Cancer-related fatigue is frequently experienced by patients during and after therapy. The present study was conducted to assess the impact of energy conservation strategies and health promotion in breast cancer survivors. Methods: A randomized controlled trial was carried out to compare the intervention effect (n=69.0) with controls (n=66.0) based on routine oncology ward care. The intervention was five weekly sessions for groups of 6-8 breast cancer survivors. Data on fatigue and health promotion lifestyle were obtained before and after completion the intervention and then 8 weeks later for analysis of variance (ANOVA) with repeated measures. Results: Our findings showed cancer-related fatigue to be reduced in the intervention group from pre- to post-intervention, and this persisted over the 8-weeks follow-up period (F = 69.8, p<0.001). All subscales of the cancer fatigue scale demonstrated statistically significant effects with partial eta-squared values ranging from 0.15 (the smallest effect in cognitive fatigue) to 0.21 (the largest for affective fatigue). Changes in the health promotion life style indicated a significant promotion from pre- to post-intervention, and this again continued after 8-weeks follow-up (F = 41.6, p < 0.001). All six domains of a health promoting life style featured significantly elevated values, the largest effect being seen in the interpersonal relations subscale (F=57.7, partial ${\eta}^2=0.21$, p<0.001) followed by physical activity (F=51.9, partial ${\eta}^2=0.18$, p<0.001). Conclusions: The program was effective in decreasing cancer related fatigue and promoting a healthy lifestyle.

Keywords

References

  1. Bantum EO, Albright CL, White KK, et al (2013). Surviving and thriving with cancer using a web-based health behavior change intervention: randomized controlled trial. J Med Internet Res, 16, 54-60.
  2. Barsevick AM, Dudley W, Beck S, et al (2004). A randomized clinical trial of energy conservation for patients with cancerrelated fatigue. Cancer, 100, 1302-10. https://doi.org/10.1002/cncr.20111
  3. Blaney JM, Lowe-Strong A, Rankin-Watt J, Campbell A, Gracey JH (2013). Cancer survivors’ exercise barriers, facilitators and preferences in the context of fatigue, quality of life and physical activity participation: a questionnaire-survey. Psychooncology, 22, 186-94. https://doi.org/10.1002/pon.2072
  4. Blow AJ, Swiecicki P, Hann P, et al (2011). The emotional journey of women experiencing a breast abnormality. Qual Health Res, 21, 1316-34. https://doi.org/10.1177/1049732311405798
  5. Brink N, Sauriol A (1995). Managing fatigue: a six-week course for energy conservation, Therapy Skill Builders.
  6. Dolbeault S, Cayrou S, Bredart A, et al (2009). The effectiveness of a psycho-educational group after early-stage breast cancer treatment: results of a randomized French study. Psychooncology, 18, 647-56. https://doi.org/10.1002/pon.1440
  7. Donovan KA, Stein KD, Lee M, et al (2015). Systematic review of the multidimensional fatigue symptom inventory-short form.Support Care Cancer, 23, 191-212. https://doi.org/10.1007/s00520-014-2389-7
  8. Fors EA, Bertheussen GF, Thune I, et al (2011). Psychosocial interventions as part of breast cancer rehabilitation programs? Results from a systematic review. Psychooncology, 20, 909-18.
  9. Given B, Given CW, Mc-Corkle R, et al (2002). Pain and fatigue management: results of a nursing randomized clinical trial. Oncol Nurs Forum, 29, 949-56 https://doi.org/10.1188/02.ONF.949-956
  10. Goldberg LR (1992). The development of markers for the big-five factor structure. Psychol Assessment, 4, 26-9. https://doi.org/10.1037/1040-3590.4.1.26
  11. Harris SR, Schmitz KH, Campbell KL, McNeely ML (2012). Clinical practice guidelines for breast cancer rehabilitation. Cancer, 118, 2312-24. https://doi.org/10.1002/cncr.27461
  12. Holley S, Borger D (2001). Energy for living with cancer(R): preliminary findings of a cancer rehabilitation group intervention Study. Oncol Nurse Forum, 28, 1393-6.
  13. Husson O, Mols F, Van de Poll-Franse L, et al (2015). Variation in fatigue among 6011 (long-term) cancer survivors and a normative population: a study from the population-based PROFILES registry. Support Care Cancer, 23, 2165-74. https://doi.org/10.1007/s00520-014-2577-5
  14. Jones SM, Ludman EJ, Mc-Corkle R, et al. (2015). A differential item function analysis of somatic symptoms of depression in people with cancer. J Affect Disord, 170, 131-37. https://doi.org/10.1016/j.jad.2014.09.002
  15. Lawrence DP, Kupelnick B, Miller K, Devine D, Lau J (2004). Evidence report on the occurrence, assessment, and treatment of fatigue in cancer patients. J Natl Cancer Inst, 32, 40-50.
  16. Lisman SR, Dougherty K (2011). Chronic fatigue syndrome for dummies, John Wiley & Sons.
  17. Okuyama T, Akechi T, Kuqaya A, et al (2000). Development and validation of the cancer fatigue scale: a brief, three-dimensional, self-rating scale for assessment of fatigue in cancer patients. J Pain Symptom Manage, 19, 5-14. https://doi.org/10.1016/S0885-3924(99)00138-4
  18. Ozgoli G, Selselei EA, Mojab F, Majd HA (2009). A randomized, placebo-controlled trial of Ginkgo biloba L. in treatment of premenstrual syndrome. J Altern Complement Med, 15, 845-51. https://doi.org/10.1089/acm.2008.0493
  19. Peters ME, Goedendorp MM, Verhagen SA, Van-der Graff WT, Bleijenberg G (2014). Exploring the contribution of psychosocial factors to fatigue in patients with advanced incurable cancer. Psychooncology, 23, 773-9. https://doi.org/10.1002/pon.3481
  20. Ream E, Richardson A (2002). Faciliteating patients coping with fatigue during chemotherapy- pilot outcomes. Cancer Nurs, 25, 300-08. https://doi.org/10.1097/00002820-200208000-00006
  21. Reif KU, de Vries U, Petermann F, Gorres S (2013). A patient education program is effective in reducing cancer-related fatigue: a multi-centre randomised two-group waiting-list controlled intervention trial. Eur J Oncol Nurs, 17, 204-13. https://doi.org/10.1016/j.ejon.2012.07.002
  22. Rogers LQ, McAuley E, Courneya KS, Verhulst SJ (2008). Correlates of physical activity self-efficacy among breast cancer survivors. Am J Health Behav, 32, 594-603.
  23. Sandry J, Genova HM, Dobryakova E, Deluca J, Wylie G (2014). Subjective cognitive fatigue in multiple sclerosis depends on task length. Front Neurol,5, 214.
  24. Silver JK, Baima J, Newman R, Galantino ML, Shockney LD (2013). Cancer rehabilitation may improve function in survivors and decrease the economic burden of cancer to individuals and society. Work, 46, 455-72.
  25. Stuifbergen A, Becker H (2001). Health promotion practices in women with multiple sclerosis: increasing quality and years of healthy life. Phys Med Rehabil Clin N Am, 12, 9-22.
  26. Tabrizi F (2014). Health promoting behavior and influencing factors in Iranian breast cancer survivors. Asian Pac J Cancer prev, 16, 1729-36.
  27. Tabrizi FM, Radfar M (2015). Fatigue, sleep quality, and disability in relation to quality of life in multiple sclerosis. Int J MS Care, 17, 268-74. https://doi.org/10.7224/1537-2073.2014-046
  28. Tabrizi FM, Radfar M, Taei Z (2016). Effects of supportive-expressive discussion groups on loneliness, hope and quality of life in breast cancer survivors: a randomized control trial.Psychooncology, 25, 1057-63. https://doi.org/10.1002/pon.4169
  29. Takeuchi E, Keding EA, Awad N (2011). Impact of patient-reported outcomes in oncology: a longitudinal analysis of patient-physician communication. J Clin Oncol, 29, 2910-17. https://doi.org/10.1200/JCO.2010.32.2453
  30. Walker SN, Sechrist KR, Pender NJ(1987). The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res, 36, 76-81.
  31. Wang XS, Woodruff JF (2015). Cancer-related and treatment-related fatigue. Gynecol Oncol, 136, 446-52. https://doi.org/10.1016/j.ygyno.2014.10.013