Translation research: 'Back on Track', A multi professional rehabilitation service for cancer related fatigue

Research output: Contribution to journalArticle

Abstract

Objectives To assess the effectiveness and acceptability of an individually tailored rehabilitation intervention for patients with cancer-related fatigue (CRF).Methods Eighteen individuals, (16 female, two male, aged 40–83 years), who self-reported CRF (above four on a 10-point Likert scale) took part in an 8 week physical activity intervention weekly review and optional gym-based support. Fifteen participants had a primary diagnosis of breast cancer and along with the other participants had multiple myeloma, colorectal or prostate cancer. All participants took part in a goal-orientedwalking and muscle strengthening programme with dietary advice and psychological support based on the Transtheoretical Model (TTM) of behaviour change. Effectiveness was assessed by physical and psychological outcomes. Focus groups with participants and individual interviews with the professionals delivering the intervention explored the feasibility and acceptability of the intervention.Results Statistically significant improvements were seen in the primary outcome of fatigue andon the secondary outcomes of physical function, depression and in triceps skin fold thicknessreduction. Participants endorsed the intervention as being highly acceptable, holistic and as important as medical treatments for cancer. The importance of team working was highlighted as key to service delivery and success.Conclusions A multidisciplinary home-based tailored intervention with optional weekly gymattendance is acceptable to people with CRF, improving physical and psychosocial outcomes. Study limitations and suggestions for further research are discussed.
LanguageEnglish
Pages1-3
JournalBMJ Supportive and Palliative Care
Volume0
DOIs
Publication statusPublished - 29 Nov 2014

Fingerprint

Fatigue
Rehabilitation
Research
Neoplasms
Psychology
Focus Groups
Multiple Myeloma
Colorectal Neoplasms
Prostatic Neoplasms
Interviews
Exercise
Breast Neoplasms
Muscles
Skin
Therapeutics

Keywords

  • rehabilitation
  • cancer related fatigue
  • physical activity

Cite this

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title = "Translation research: 'Back on Track', A multi professional rehabilitation service for cancer related fatigue",
abstract = "Objectives To assess the effectiveness and acceptability of an individually tailored rehabilitation intervention for patients with cancer-related fatigue (CRF).Methods Eighteen individuals, (16 female, two male, aged 40–83 years), who self-reported CRF (above four on a 10-point Likert scale) took part in an 8 week physical activity intervention weekly review and optional gym-based support. Fifteen participants had a primary diagnosis of breast cancer and along with the other participants had multiple myeloma, colorectal or prostate cancer. All participants took part in a goal-orientedwalking and muscle strengthening programme with dietary advice and psychological support based on the Transtheoretical Model (TTM) of behaviour change. Effectiveness was assessed by physical and psychological outcomes. Focus groups with participants and individual interviews with the professionals delivering the intervention explored the feasibility and acceptability of the intervention.Results Statistically significant improvements were seen in the primary outcome of fatigue andon the secondary outcomes of physical function, depression and in triceps skin fold thicknessreduction. Participants endorsed the intervention as being highly acceptable, holistic and as important as medical treatments for cancer. The importance of team working was highlighted as key to service delivery and success.Conclusions A multidisciplinary home-based tailored intervention with optional weekly gymattendance is acceptable to people with CRF, improving physical and psychosocial outcomes. Study limitations and suggestions for further research are discussed.",
keywords = "rehabilitation, cancer related fatigue, physical activity",
author = "Jackie Gracey and Lynn Dunwoody and Cathy Payne",
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N2 - Objectives To assess the effectiveness and acceptability of an individually tailored rehabilitation intervention for patients with cancer-related fatigue (CRF).Methods Eighteen individuals, (16 female, two male, aged 40–83 years), who self-reported CRF (above four on a 10-point Likert scale) took part in an 8 week physical activity intervention weekly review and optional gym-based support. Fifteen participants had a primary diagnosis of breast cancer and along with the other participants had multiple myeloma, colorectal or prostate cancer. All participants took part in a goal-orientedwalking and muscle strengthening programme with dietary advice and psychological support based on the Transtheoretical Model (TTM) of behaviour change. Effectiveness was assessed by physical and psychological outcomes. Focus groups with participants and individual interviews with the professionals delivering the intervention explored the feasibility and acceptability of the intervention.Results Statistically significant improvements were seen in the primary outcome of fatigue andon the secondary outcomes of physical function, depression and in triceps skin fold thicknessreduction. Participants endorsed the intervention as being highly acceptable, holistic and as important as medical treatments for cancer. The importance of team working was highlighted as key to service delivery and success.Conclusions A multidisciplinary home-based tailored intervention with optional weekly gymattendance is acceptable to people with CRF, improving physical and psychosocial outcomes. Study limitations and suggestions for further research are discussed.

AB - Objectives To assess the effectiveness and acceptability of an individually tailored rehabilitation intervention for patients with cancer-related fatigue (CRF).Methods Eighteen individuals, (16 female, two male, aged 40–83 years), who self-reported CRF (above four on a 10-point Likert scale) took part in an 8 week physical activity intervention weekly review and optional gym-based support. Fifteen participants had a primary diagnosis of breast cancer and along with the other participants had multiple myeloma, colorectal or prostate cancer. All participants took part in a goal-orientedwalking and muscle strengthening programme with dietary advice and psychological support based on the Transtheoretical Model (TTM) of behaviour change. Effectiveness was assessed by physical and psychological outcomes. Focus groups with participants and individual interviews with the professionals delivering the intervention explored the feasibility and acceptability of the intervention.Results Statistically significant improvements were seen in the primary outcome of fatigue andon the secondary outcomes of physical function, depression and in triceps skin fold thicknessreduction. Participants endorsed the intervention as being highly acceptable, holistic and as important as medical treatments for cancer. The importance of team working was highlighted as key to service delivery and success.Conclusions A multidisciplinary home-based tailored intervention with optional weekly gymattendance is acceptable to people with CRF, improving physical and psychosocial outcomes. Study limitations and suggestions for further research are discussed.

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