A randomised controlled trial testing the feasibility and efficacy of a physical activity behavioural change intervention in managing fatigue with gynaecological cancer survivors

Donnelly, Caroline; Blaney, Janine; Lowe-Strong, Andrea; Rankin, Jane; Campbell, Anna; McCrum-Gardner, Evie; Gracey, Jackie

doi:10.1016/j.ygyno.2011.05.029

Cited by 110 publications

(125 citation statements)

References 27 publications

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“…23 Although the difference in PA between Intervention and Control groups was not significant, it represents a moderate effect size. This effect size is larger than that found in the original SIM trial (d = 0.22, small effect) and a home-based, moderate-intensity PA intervention for gynecologic cancer survivors (small-to-moderate effect 46 ). The effect sizes for mood and fatigue outcomes were large (whereas a prior intervention found small-to-moderate effects for these outcomes 46 ).…”

Section: Discussioncontrasting

confidence: 68%

“…This effect size is larger than that found in the original SIM trial (d = 0.22, small effect) and a home-based, moderate-intensity PA intervention for gynecologic cancer survivors (small-to-moderate effect 46 ). The effect sizes for mood and fatigue outcomes were large (whereas a prior intervention found small-to-moderate effects for these outcomes 46 ). Findings suggest that a larger, adequately powered study of this intervention is likely to demonstrate efficacy in helping young survivors increase PA, with corresponding reductions in fatigue and improved mood also likely.…”

Section: Discussioncontrasting

confidence: 68%

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Internet-Based Physical Activity Intervention Targeting Young Adult Cancer Survivors

Rabin

Dunsiger

Ness

et al. 2011

Journal of Adolescent and Young Adult Oncology

147

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Young adults who have been treated for cancer face several health and psychosocial risks. To minimize these risks, is it imperative that they address any modifiable risk factors, such as sedentary lifestyle. Unfortunately, more than half of young adult cancer survivors remain sedentary. To facilitate the adoption of physical activity (PA) in this population-potentially reducing health and psychosocial risks-we developed and pilot tested an internet-based PA intervention for young survivors. Eighteen young adults, aged 18 to 39, who had been diagnosed with cancer in the past 10 years were recruited. Participants were randomized to receive access to the PA website for 12 weeks or information about other cancer-related websites. Intervention feasibility and acceptability was assessed only among those in the PA website group; PA and psychosocial outcomes (mood, fatigue) were assessed in both groups. Findings revealed that 86% of participants in the PA website group would recommend the intervention to others and most (71%) were "satisfied" or "very satisfied" with it. Further, 100% rated getting onto the website as "very easy" and 86% rated the information on the site as "very easy" to understand. The logging feature, followed by the goal-setting feature, were most often accessed by participants. Participants also rated the graphing and stage-matched manual features as helpful. Estimates of effect sizes for between-group differences at 12 weeks were medium for PA outcomes and large for psychosocial outcomes. This internet-based PA intervention targeting young adult cancer survivors is feasible and acceptable and may benefit this population.

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Section: Discussioncontrasting

confidence: 68%

Section: Discussioncontrasting

confidence: 68%

Internet-Based Physical Activity Intervention Targeting Young Adult Cancer Survivors

Rabin

Dunsiger

Ness

et al. 2011

Journal of Adolescent and Young Adult Oncology

147

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“…The identification and support of those EC survivors with unmet needs is a key challenge for health care professionals caring for this population [30]. Previous studies have indicated that levels of clinical depression in gynaecologic cancer survivors up to 5 years post-diagnosis are elevated, compared to healthy controls [8,15,31]. However, in the present study, depression was not observed.…”

Section: Discussioncontrasting

confidence: 65%

“…Treatment for EC is often quite morbid and may involve multiple modalities (surgery, radiation and chemotherapy). Postoperative adjuvant radiotherapy in EC is frequently associated with considerable normal tissue injury that may compromise patient QOL such as small and large bowel complications, urinary complications, and vaginal atrophy [8,9,10,11,12,13].…”

Section: Introductionmentioning

confidence: 99%

Quality of life in long-term survivors of early stage endometrial cancer

Dobrzycka¹,

Terlikowski²,

Kulesza-Brończyk³

et al. 2017

Ann Agric Environ Med.

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Introduction. Endometrial cancer (EC) is the most common gynaecological malignancy in developed countries. Effective treatment of the early stage of the disease is achieved by surgery alone. An increasing number of patients with EC become long-term survivors; therefore, the purpose of this study was to investigate the quality-of-life (QOL) of EC survivors. Materials and Method. A total of 328 survivors who had completed cancer treatment more than 3 years ago, and had previously completed questionnaires concerning QOL -European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and depression -Beck Depression Inventory-II (BDI-II). Patients were grouped into those with surgery alone or surgery with adjuvant radiotherapy. Responses were compared with 284 healthy women who were seen for standard gynaecologic screening examinations. Results. According to the presented results, the QOL of women with EC after surgical treatment was equal to that of healthy women in the control group. Treatment with adjuvant radiotherapy influenced the QOL, with the exception of emotional functioning (p=0.028). No statistically significant differences were found in scores on the BDI-II between groups for the cognitive-affective factor, the somatic factor, or the total sum score.Conclusions. The quality of life in EC survivors approximates that of healthy controls after 3 years post-surgical treatment. Patients treated for early stage EC should be informed about the anticipated good prognosis and the low risk of psychosocial and physical long-term effects. Cancer survivors who are treated by surgery and adjuvant radiotherapy may be especially at risk for emotional functioning problems.

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“…For the three-arm trials, aerobic and resistance arms were separated and evaluated as independent AET and RET interventions, for a total of 35 interventions evaluated. Seventeen studies (52%) were conducted during adjuvant treatment (ie, chemotherapy and/or radiation),10 12 18 19 21 23 24 28 29 31 33–35 37–39 42 9 studies (27%) were conducted after treatment completion11 17 22 25–27 30 32 40 and 7 studies (21%) were conducted across treatment and recovery 13–16 20 36 41. Interventions ranged from 2 to 30 weeks in duration.…”

Section: Resultsmentioning

confidence: 99%

Attention to principles of exercise training: a review of exercise studies for survivors of cancers other than breast

2013

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Application of the principles of training in exercise RCTs of non-breast cancer survivors was incomplete and inconsistent. Given these observations, interpretation of findings from the reviewed studies should consider potential shortcomings in intervention design. Though the prescribed exercise programme was often described, adherence to the entire prescription was rarely reported providing a less accurate picture of dose-response and challenges in translating programmes to community settings.

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A randomised controlled trial testing the feasibility and efficacy of a physical activity behavioural change intervention in managing fatigue with gynaecological cancer survivors

Cited by 110 publications

References 27 publications

Internet-Based Physical Activity Intervention Targeting Young Adult Cancer Survivors

Internet-Based Physical Activity Intervention Targeting Young Adult Cancer Survivors

Quality of life in long-term survivors of early stage endometrial cancer

Attention to principles of exercise training: a review of exercise studies for survivors of cancers other than breast

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