Fatigue in Breast Cancer Survivors: The Impact of a Mind-Body Medicine Intervention

Appling, Susan; Scarvalone, Susan; MacDonald, Ryan; McBeth, Maureen; Helzlsouer, Kathy J.

doi:10.1188/12.onf.278-286

Cited by 15 publications

(9 citation statements)

References 36 publications

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“…This revision to the protocol was deemed necessary in response to participant suggestions from the previous three rounds who regarded the 8-week intervention timeline as too cumbersome. This compressed program was previously pilot-tested and found to be associated with a similar reduction in fatigue levels as noted in the 8-week program (Appling et al, 2012).…”

Section: Description Of Interventionsupporting

confidence: 66%

“…This qualitative study is part of a larger mixed-method investigation of an evidence-based multimodal group program for breast cancer survivors experiencing fatigue (Appling et al, 2012). We build from the previously reported quantitative findings by using qualitative data collection methods to capture the experience of adding a family component to the intervention.…”

Section: Methodsmentioning

confidence: 98%

“…The present study aimed to address this apparent gap by exploring the experience of adding a family-component to an established multimodal group intervention for persistent fatigue in breast cancer survivors (Appling et al, 2012). The theoretical basis for our intervention is the Resiliency Model of Family Stress, Adjustment, and Adaptation (McCubbin & McCubbin, 1989;McCubbin & Patterson, 1983).…”

Section: Introductionmentioning

confidence: 97%

“…Interventions that combine these approaches (e.g., multimodal) are also effective (Appling, Scarvalone, MacDonald, McBeth, & Helzlsouer, 2012;Rabin, Pinto, Dunsiger, Nash, & Trask, 2009;Stanton et al, 2005).…”

Section: Introductionmentioning

confidence: 98%

See 3 more Smart Citations

A Qualitative Description of a Family Intervention for Breast Cancer Survivors Experiencing Fatigue

Bellin

Oktay

Scarvalone

et al. 2015

Journal of Psychosocial Oncology

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Breast cancer survivors commonly experience fatigue, but family-focused interventions as a means to reduce fatigue are understudied. This qualitative study explored the experience of adding a family component to a multimodal group intervention for fatigue. Data were collected from group observations, in-depth interviews, and debriefing sessions with the program social worker. Fourteen survivors completed the family intervention (mean age 57 years) with a family member or close friend. Four themes associated with the family intervention were identified: (a) importance of family inclusion, (b) education of family members about fatigue,

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Section: Description Of Interventionsupporting

confidence: 66%

Section: Methodsmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 98%

See 2 more Smart Citations

A Qualitative Description of a Family Intervention for Breast Cancer Survivors Experiencing Fatigue

Bellin

Oktay

Scarvalone

et al. 2015

Journal of Psychosocial Oncology

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“…2,4 It has been reported that 48% to 83% of breast cancer patients or survivors turn to complementary therapies (eg, mind-body exercise and herbal therapy), which they believe can assist them in managing the side effects of conventional cancer treatments such as persistent fatigue and hence improve their quality of life. [5][6][7] Among these complementary therapies, qigong exercise is a rather popular self-help means of relieving the signs and symptoms related to conventional cancer treatments. Qigong is a mind-body integrative exercise originating from traditional Chinese medicine and is used to improve health and energy levels through regular training.…”

Section: Introductionmentioning

confidence: 99%

Effects of Qigong Exercise on Upper Limb Lymphedema and Blood Flow in Survivors of Breast Cancer

Fong

Luk³

et al. 2013

Integr Cancer Ther

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Hypothesis. Qigong exercise is a popular method for relieving the side effects of conventional cancer treatments in survivors of breast cancer, yet its effects are not empirically assessed. This study aimed to investigate the effects of qigong exercise on upper limb lymphedema, arterial resistance, and blood flow velocity in survivors with breast cancer and mastectomy. Study Design. This study was conducted as a prospective clinical trial. Methods. Eleven survivors of breast cancer with qigong experience (mean age = 58.3 ± 10.1 years) were assigned to the experimental group and 12 survivors of breast cancer without qigong experience (mean age = 53.8 ± 4.2 years) were assigned to the control group. They all had breast cancerrelated lymphedema. All procedures were completed within one session. After baseline measurements were taken, the experimental group performed 18 Forms Tai Chi Internal Qigong for approximately 6 minutes while the control group rested for similar duration in a sitting position. Both groups were then reassessed. All participants were measured on their affected upper limb circumference (by using tape measures), peripheral arterial resistance, and blood flow velocities (using a Doppler ultrasound machine). Results. The between-group differences were not significant for all outcome measures at baseline (P > .05). The circumferences of the affected upper arm, elbow, forearm and wrist decreased after qigong exercise (P < .05). However, no significant difference was found in the circumference measures between the 2 groups posttest (P > .0125). In terms of vascular outcomes, the resistance index decreased and the maximum systolic arterial blood flow velocity (SV) and minimum diastolic arterial blood flow velocity (DV) increased significantly after qigong exercise (P < .05). The between-group difference was close to significant for SV (P = .018) and was significant for DV (P < .001) posttest. Conclusion. Qigong exercise could reduce conventional cancer therapy side effects such as upper limb lymphedema and poor circulatory status in survivors of breast cancer. However, such effects may be temporary, and further studies must be conducted to explore longer term effects.

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Home-based multidimensional survivorship programmes for breast cancer survivors

Cheng

Lim

Koh

et al. 2017

Cochrane Database of Systematic Reviews

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The results of this systematic review and meta-analysis revealed that HBMS programmes in breast cancer survivors appear to have a short-term beneficial effect of improving breast cancer-specific quality of life and global quality of life as measured by FACT-B and EORTC-C30, respectively. In addition, HBMS programmes are associated with a reduction in anxiety, fatigue and insomnia immediately after the intervention. We assessed the quality of evidence across studies as moderate for some outcomes, meaning that we are fairly confident about the results, while we assessed other outcomes as being low-quality, meaning that we are uncertain about the result.

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Fatigue in Breast Cancer Survivors: The Impact of a Mind-Body Medicine Intervention

Abstract: Nurses and other healthcare team members can effectively impact persistent fatigue in breast cancer survivors through the use of a multipronged MBM program.

Cited by 15 publications

References 36 publications

A Qualitative Description of a Family Intervention for Breast Cancer Survivors Experiencing Fatigue

A Qualitative Description of a Family Intervention for Breast Cancer Survivors Experiencing Fatigue

Effects of Qigong Exercise on Upper Limb Lymphedema and Blood Flow in Survivors of Breast Cancer

Home-based multidimensional survivorship programmes for breast cancer survivors

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