QualFatigue study: which factors influence the use of specific interventions for breast cancer survivors with fatigue? A cross-sectional exploratory study

Meglio, Antonio Di; Arnedos, Mónica; Arvis, Johanna; Baciarello, Giulia; Blanchard, Pierre; Djehal, Nardjes; Dumas, Agnès; Hollbecque, Antoine; Martin, Élise; Matias, Margarida; Menvielle, Gwenn; Zingarello, Anna; Dauchy, Sarah; Vaz-Luís, Inês

doi:10.1007/s00520-021-06040-z

Cited by 3 publications

(2 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…First, patients and providers may be unaware of the rationale and efficacy of using psychosocial approaches to treat CRF because there is often limited attention to CRF correlates falling outside of strictly physical attributes and insufficient understanding of the applicability of approaches such as cognitive behavioral therapy outside of the context of mental or mood disorders. [57][58][59][60] Second, socioenvironmental pressure persists, building on negative stereotypes and prejudicial beliefs toward mental health services. 61 Patients could be hesitant to seek psychosocial support or may be inclined to underreport use.…”

Section: Discussionmentioning

confidence: 99%

Uptake of Recommendations for Posttreatment Cancer-Related Fatigue Among Breast Cancer Survivors

Meglio

Martin

Havas

et al. 2021

Journal of the National Comprehensive Cancer Network

Self Cite

View full text Add to dashboard Cite

Background: Physical activity (PA) and psychosocial interventions are recommended management strategies for cancer-related fatigue (CRF). Randomized trials support the use of mind–body techniques, whereas no data show benefit for homeopathy or naturopathy. Methods: We used data from CANTO (ClinicalTrials.gov identifier: NCT01993498), a multicenter, prospective study of stage I–III breast cancer (BC). CRF, evaluated after primary treatment completion using the EORTC QLQ-C30 (global CRF) and QLQ-FA12 (physical, emotional, and cognitive dimensions), served as the independent variable (severe [score of ≥40/100] vs nonsevere). Outcomes of interest were adherence to PA recommendations (≥10 metabolic equivalent of task [MET] h/week [GPAQ-16]) and participation in consultations with a psychologist, psychiatrist, acupuncturist, or other complementary and alternative medicine (CAM) practitioner (homeopath and/or naturopath) after CRF assessment. Multivariable logistic regression examined associations between CRF and outcomes, adjusting for sociodemographic, psychologic, tumor, and treatment characteristics. Results: Among 7,902 women diagnosed from 2012 through 2017, 36.4% reported severe global CRF, and 35.8%, 22.6%, and 14.1% reported severe physical, emotional, and cognitive CRF, respectively. Patients reporting severe global CRF were less likely to adhere to PA recommendations (60.4% vs 66.7%; adjusted odds ratio [aOR], 0.82; 95% CI, 0.71–0.94; P=.004), and slightly more likely to see a psychologist (13.8% vs 7.5%; aOR, 1.29; 95% CI, 1.05–1.58; P=.014), psychiatrist (10.4% vs 5.0%; aOR, 1.39; 95% CI, 1.10–1.76; P=.0064), acupuncturist (9.8% vs 6.5%; aOR, 1.46; 95% CI, 1.17–1.82; P=.0008), or CAM practitioner (12.5% vs 8.2%; aOR, 1.49; 95% CI, 1.23–1.82; P<.0001). There were differences in recommendation uptake by CRF dimension, including that severe physical CRF was associated with lower adherence to PA (aOR, 0.74; 95% CI, 0.63–0.86; P=.0001) and severe emotional CRF was associated with higher likelihood of psychologic consultations (aOR, 1.37; 95% CI, 1.06–1.79; P=.017). Conclusions: Uptake of recommendations to improve CRF, including adequate PA and use of psychosocial services, seemed suboptimal among patients with early-stage BC, whereas there was a nonnegligible interest in homeopathy and naturopathy. Findings of this large study indicate the need to implement recommendations for managing CRF in clinical practice.

show abstract

Section: Discussionmentioning

confidence: 99%

Uptake of Recommendations for Posttreatment Cancer-Related Fatigue Among Breast Cancer Survivors

Meglio

Martin

Havas

et al. 2021

Journal of the National Comprehensive Cancer Network

Self Cite

View full text Add to dashboard Cite

show abstract

“…Furthermore, a comprehensive practice of screening and information for CRF should be provided to all cancer patients [ 1 , 5 ]. Despite these clear guideline recommendations, CRF is often disregarded and one of the most common unmet supportive care needs [ 2 , 7 , 8 ]. Indeed, several studies have already pointed to a knowledge-to-practice gap in various phases of CRF management including screening, information, counseling, and treatment [ 9 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

Psycho-oncologists’ knowledge of cancer-related fatigue and the targets for improving education and training: results from a cross-sectional survey study

Milzer

Wagner²,

Steindorf

et al. 2023

Support Care Cancer

View full text Add to dashboard Cite

Purpose To explore psycho-oncologists’ knowledge of cancer-related fatigue and their self-efficacy to intervene for fatigue. We further aimed to examine the role of fatigue in psycho-oncological training and derive specific suggestions for improvements. Methods For this cross-sectional survey study, psycho-oncologists working in Germany were systematically recruited via an address directory or invited by training institutes or colleagues. The online survey encompassed questions on knowledge of fatigue guidelines and interventions, self-efficacy, counseling, and fatigue in professional training. Data were analyzed descriptively and using Mann-Whitney U tests. A logistic regression analysis was performed to identify variables linked to fatigue guideline knowledge. Results Seventy two percent of the 144 surveyed psycho-oncologists stated not knowing any fatigue-specific guidelines. Those unaware of guidelines reported a lower self-efficacy to intervene for fatigue. However, despite low knowledge of the guidelines, more than 80% of the participants felt well informed about fatigue and reported high self-efficacy. Most participants were aware of the empirical evidence for psychotherapeutic interventions (95%); everyday physical activity, e.g., taking a walk (98%); yoga (82%); and mindfulness-based interventions (82%). Knowledge gaps existed concerning the evidence of resistance/endurance training for treating fatigue. Knowing that resistance/endurance training is an effective treatment was related to an increased frequency to recommend it to patients. Suggestions to improve training for psycho-oncologists included raising awareness earlier in the career path and offering multidisciplinary trainings for fatigue. Conclusion To improve fatigue-related guideline knowledge among psycho-oncologists and enhance implementation into clinical practice multidisciplinary trainings are needed. Psycho-oncologists should play an important role in fatigue management. Trial registration Clinicaltrials.gov, identifier: NCT04921644. Registered in June 2021.

show abstract

ESMO Expert Consensus Statements on Cancer Survivorship: promoting high-quality survivorship care and research in Europe

Vaz-Luís¹,

Masiero²,

Cavaletti³

et al. 2022

Annals of Oncology

View full text Add to dashboard Cite

QualFatigue study: which factors influence the use of specific interventions for breast cancer survivors with fatigue? A cross-sectional exploratory study

Abstract: Vaz-Luis, the Gustave Roussy Foundation to Ines Vaz Luis, and the Philanthropic Odyssea Gustave Roussy Program. We would like to thank Editage (www.editage.com) for English language editing.

Cited by 3 publications

References 38 publications

Uptake of Recommendations for Posttreatment Cancer-Related Fatigue Among Breast Cancer Survivors

Uptake of Recommendations for Posttreatment Cancer-Related Fatigue Among Breast Cancer Survivors

Psycho-oncologists’ knowledge of cancer-related fatigue and the targets for improving education and training: results from a cross-sectional survey study

ESMO Expert Consensus Statements on Cancer Survivorship: promoting high-quality survivorship care and research in Europe

Contact Info

Product

Resources

About