Educational interventions for the management of cancer-related fatigue in adults

Bennett, Sally; Pigott, Amanda; Beller, Elaine; Haines, Terry; Meredith, Pamela; Delaney, Christie E.

doi:10.1002/14651858.cd008144.pub2

Cited by 78 publications

(69 citation statements)

References 76 publications

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“…Yet there are no guidelines in patient education for restricting the targeted population to a standardised group: diversity is considered to allow a stronger and wider learning process. Among the other programs constructed to improve CRF and reported in a Cochrane review, 9 on 14 were dedicated to a broad cancer population (Bennett et al , 2016). …”

Section: Discussionmentioning

confidence: 99%

Cancer-related fatigue management: evaluation of a patient education program with a large-scale randomised controlled trial, the PEPs fatigue study

et al. 2017

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Background:To assess the efficacy of a patient educational program built according to guidelines that aims at reducing cancer-related fatigue (CRF).Methods:Randomised controlled trial, multicentre, comparing a patient education program, vs the standard of care. Patients were adult cancer outpatients with any tumour site. The primary outcome was fatigue severity assessed with a visual analogical scale (VAS), between the day of randomisation and week 7. Secondary outcomes were fatigue assessed with other scales, health-related quality of life, anxiety and depression. The time to fatigue severity deterioration was assessed. Analyses were performed in a modified intent-to-treat way, that is, including all patients with at least one baseline and 1 week 7 score.Results:A total of 212 patients were included. Fatigue severity assessment was made on 79 patients in the experimental group and 65 in the control group. Between randomisation and week 7, the fatigue (VAS) improved by 0.96 (2.85) points in the experimental group vs 1.63 (2.63) points in the control group (P=0.15). No differences with the secondary outcomes were highlighted between two groups. No other factors were found to be associated with fatigue severity deterioration.Conclusions:Despite rigorous methodology, this study failed to highlight the program efficacy in fatigue reduction for cancer patients. Other assessment tools should be developed to measure the effect of the program on CRF and behaviour. The implementation of the program should also be explored in order to identify its mechanisms and longer-term impact.

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Section: Discussionmentioning

confidence: 99%

Cancer-related fatigue management: evaluation of a patient education program with a large-scale randomised controlled trial, the PEPs fatigue study

et al. 2017

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“…Education may have effects on reducing the intensity of fatigue amongst patients with non-advanced cancer [15]. Patients benefit from intervention if it starts simultaneously with cancer-specific therapy, as shown with breast cancer patients who underwent radiation therapy and were subjected to combined multiple cognitive-behavioral components and hypnosis [16].…”

Section: Fatiguementioning

confidence: 99%

Rehabilitation of Cancer Survivors with Long-Term Toxicities

Schmielau¹,

Rick

Reuß‐Borst³

et al. 2017

Oncol Res Treat

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The prognosis of cancer patients is constantly improving, which increases the importance of securing long-term quality of life. While therapy of treatment-related disability mostly succeeds a cancer-specific treatment, physicians' awareness of simultaneous supportive therapy is rising. Early interventions such as physical exercise during chemotherapy are effective in reducing conditions such as fatigue. Specific sensorimotor training is able to improve or even prevent impairment of balance caused by neurotoxic agents. Although targeted therapies reduce the risk of side effects, combinations with established drugs have to be monitored with regard to cardiotoxicity, which is already a concern in children's cancer therapy and is now also focused on in long-term adult survivors. Improvement in diagnosis und surgical procedures have reduced impairments such as lymphedema. Furthermore, management and quality of life of breast cancer patients benefit from evidence showing that physical exercise and resistance training do not increase the risk of developing lymphedema.

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“…Research has indicated that individual treatments delivered by rehabilitation professionals can reduce impairments or functional limitations of cancer survivors . For example, meta‐analyses or systematic reviews support the use of exercise to reduce fatigue and to improve physical fitness, physical and emotional function, and quality of life; education to manage pain and fatigue; nonpharmacological interventions or neuropsychological interventions to improve cognitive functioning; group‐based self‐management programs to improve physical functioning; massage therapy to improve pain, fatigue, and anxiety; and manual lymphatic drainage to manage lymphedema …”

Section: Introductionmentioning

confidence: 99%

Follow the trail: Using insights from the growth of palliative care to propose a roadmap for cancer rehabilitation

Lyons

Padgett

Marshall

et al. 2018

CA A Cancer J Clinicians

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Despite research explicating the benefits of cancer rehabilitation interventions to optimize physical, social, emotional, and vocational functioning, many reports document low rates of referral to and uptake of rehabilitation in oncology. Cancer rehabilitation clinicians, researchers, and policy makers could learn from the multidisciplinary specialty of palliative care, which has benefited from a growth strategy and has garnered national recognition as an important and necessary aspect of oncology care. The purpose of this article is to explore the actions that have increased the uptake and integration of palliative care to yield insights and multimodal strategies for the development and growth of cancer rehabilitation. After examining the history of palliative care and its growth, the authors highlight 5 key strategies that may benefit the field of cancer rehabilitation: 1) stimulating the science in specific gap areas; 2) creating clinical practice guidelines; 3) building clinical capacity; 4) ascertaining and responding to public opinion; and 5) advocating for public policy change. Coordinated and simultaneous advances on these 5 strategies may catalyze the growth, utilization, and effectiveness of patient screening, timely referrals, and delivery of appropriate cancer rehabilitation care that reduces disability and improves quality of life for cancer survivors who need these services.

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Educational interventions for the management of cancer-related fatigue in adults

Cited by 78 publications

References 76 publications

Cancer-related fatigue management: evaluation of a patient education program with a large-scale randomised controlled trial, the PEPs fatigue study

Cancer-related fatigue management: evaluation of a patient education program with a large-scale randomised controlled trial, the PEPs fatigue study

Rehabilitation of Cancer Survivors with Long-Term Toxicities

Follow the trail: Using insights from the growth of palliative care to propose a roadmap for cancer rehabilitation

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