Is education an effective management strategy for reducing cancer-related fatigue?

Purcell, Amanda, Fleming, Jennifer, Burmeister, Bryan, Bennett, Sally and Haines, Terry (2011) Is education an effective management strategy for reducing cancer-related fatigue?. Supportive Care in Cancer, 19 9: 1429-1439. doi:10.1007/s00520-010-0970-2


Author Purcell, Amanda
Fleming, Jennifer
Burmeister, Bryan
Bennett, Sally
Haines, Terry
Title Is education an effective management strategy for reducing cancer-related fatigue?
Journal name Supportive Care in Cancer   Check publisher's open access policy
ISSN 0941-4355
1433-7339
Publication date 2011-09-01
Year available 2010
Sub-type Article (original research)
DOI 10.1007/s00520-010-0970-2
Open Access Status Not yet assessed
Volume 19
Issue 9
Start page 1429
End page 1439
Total pages 11
Place of publication Heidelberg, Germany
Publisher Springer
Language eng
Abstract Purpose The use of education is recommended to teach patients self-care behaviours to reduce cancer-related fatigue, however, there is little evidence of its effectiveness or optimal timing. This educationally based cancer-related fatigue intervention trial, CAN-FIT, aimed to reduced severity of fatigue in radiotherapy patients.
Formatted abstract
Purpose:
The use of education is recommended to teach patients self-care behaviours to reduce cancer-related fatigue, however, there is little evidence of its effectiveness or optimal timing. This educationally based cancer-related fatigue intervention trial, CAN-FIT, aimed to reduced severity of fatigue in radiotherapy patients.

Methods:
One hundred and ten participants aged ≥18 years undergoing curative radiotherapy were randomly assigned to receive (1) pre- and post-radiotherapy fatigue education and support (RFES); (2) pre-RFES only; (3) post-RFES only; or (4) no RFES (standard care). Data collection occurred at pre- and post- radiotherapy and at 6-weeks follow-up.

Results:

The intervention was not associated with reduction in fatigue levels at any assessment point. Significant changes were seen with secondary activity-based outcomes: Physical activity participation: Pre-RFES was associated with significantly greater increase in vigorous [Assessment (Ax)1-Ax2: 1.05 (0.24, 1.86) p < 0.01: Ax2-Ax3: 1.24, (0.44, 2.03) p < 0.01] and moderate physical activity participation [Ax1-Ax2: 1.4 (0.53, 2.26) p < 0.01]. Post-RFES was associated with significant improvements in walking levels [Ax1-Ax3: 5.82 (0.07, 11.56) p < 0.05] compared with no pre-RFES. Paid and unpaid employment: Pre-RFES was associated with slower return to pre-treatment levels of paid work [Ax2-Ax3: -0.72 (-1.41, -0.04) p < 0.05] than no pre-RFES. Post-RFES was associated with decreased levels of unpaid work [Ax1-Ax3: 561.79 (51.21, 1,072.37) p < 0.05] compared with no post-RFES.

Conclusion:
The CAN-FIT programme did not significantly improve the primary outcome, level of fatigue, regardless of when it was delivered, however, significant changes were observed in activity-based outcomes. Further investigations into educationally based programmes should target activity participation rather than changes in underlying fatigue to improve overall patient health. © 2010 Springer-Verlag.
Keyword Cancer-related fatigue
Patient education
Radiotherapy
Symptom management
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 8 August 2010

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Health and Rehabilitation Sciences Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 19 times in Thomson Reuters Web of Science Article | Citations
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Created: Thu, 03 Mar 2011, 00:34:24 EST by Dr Jennifer Fleming on behalf of School of Health & Rehabilitation Sciences