Group versus individual stress management intervention in breast cancer patients for fatigue and emotional reactivity: A randomised intervention study

Rissanen, Ritva; Arving, Cecilia; Ahlgren, Johan; Nordin, Karin

doi:10.3109/0284186x.2014.923935

Cited by 18 publications

(27 citation statements)

References 23 publications

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“…Secondary analyses suggest that the improvement in fatigue outcomes in those receiving the MBSR intervention may have been greatest in those who had a fatigue‐related biomarker abnormality at study baseline . However, 3 RCTs and 3 single‐arm trials in patients with mixed solid tumors showed inconsistent effects on fatigue outcomes . To permit unequivocal conclusions about the effectiveness of CBT for stress and MBSR in reducing fatigue, further research is warranted.…”

Section: Evidence‐based Summary Of Nonpharmacologic Interventionsmentioning

confidence: 99%

See 1 more Smart Citation

Screening, evaluation, and management of cancer‐related fatigue: Ready for implementation to practice?

Berger

Mitchell

Jacobsen

et al. 2015

CA A Cancer J Clinicians

151

148

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Answer questions and earn CME/CNE Evidence regarding cancer-related fatigue (fatigue) has accumulated sufficiently such that recommendations for screening, evaluation, and/or management have been released recently by 4 leading cancer organizations. These evidence-based fatigue recommendations are available for clinicians, and some have patient versions; but barriers at the patient, clinician, and system levels hinder dissemination and implementation into practice. The underlying biologic mechanisms for this debilitating symptom have not been elucidated completely, hindering the development of mechanistically driven interventions. However, significant progress has been made toward methods for screening and comprehensively evaluating fatigue and other common symptoms using reliable and valid self-report measures. Limited data exist to support the use of any pharmacologic agent; however, several nonpharmacologic interventions have been shown to be effective in reducing fatigue in adults. Never before have evidence-based recommendations for fatigue management been disseminated by 4 premier cancer organizations (the National Comprehensive Cancer, the Oncology Nursing Society, the Canadian Partnership Against Cancer/Canadian Association of Psychosocial Oncology, and the American Society of Clinical Oncology). Clinicians may ask: Are we ready for implementation into practice? The reply: A variety of approaches to screening, evaluation, and management are ready for implementation. To reduce fatigue severity and distress and its impact on functioning, intensified collaborations and close partnerships between clinicians and researchers are needed, with an emphasis on system-wide efforts to disseminate and implement these evidence-based recommendations.

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Section: Evidence‐based Summary Of Nonpharmacologic Interventionsmentioning

confidence: 99%

“…178 However, 3 RCTs and 3 single-arm trials in patients with mixed solid tumors showed inconsistent effects on fatigue outcomes. [179][180][181][182][183][184] To permit unequivocal conclusions about the effectiveness of CBT for stress and MBSR in reducing fatigue, further research is warranted.…”

Section: Evidence-based Summary Of Nonpharmacologic Interventionsmentioning

confidence: 99%

Screening, evaluation, and management of cancer‐related fatigue: Ready for implementation to practice?

Berger

Mitchell

Jacobsen

et al. 2015

CA A Cancer J Clinicians

151

148

View full text Add to dashboard Cite

show abstract

“…Secondary analyses suggest that the improvement in fatigue outcomes in those receiving the MBSR intervention may be greatest in those with fatigue-related biomarker abnormalities at study baseline (Reich et al, 2014). However, two RCTs (Milbury et al, 2013;Rissanen, Arving, Ahlgren, & Nordin, 2014) and two single-arm trials in patients with mixed solid tumors (Carlson, Speca, Patel, & Goodey, 2003 Management of concurrent symptoms, including pain, shortness of breath, insomnia, and depression, improved fatigue outcomes in an RCT of an advanced practice nurse intervention that incorporated systematic symptom monitoring and management (de Raaf, de Klerk, Timman, et al, 2013). A palliative care clinic consultation to address concurrent symptoms also improved CRF outcomes in a single-arm cohort study (Yennurajalingam et al, 2010).…”

Section: Figure 2 Inclusion Criteriamentioning

confidence: 99%

Putting Evidence Into Practice: An Update of Evidence-Based Interventions for Cancer-Related Fatigue During and Following Treatment

Mitchell¹,

Hoffman²,

Clark³

et al. 2014

Clinical Journal of Oncology Nursing

113

124

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Cancer-related fatigue (CRF) has deleterious effects on physical, social, cognitive, and vocational functioning, and causes emotional and spiritual distress for patients and their families; however, it remains under-recognized and undertreated. This article critically reviews and integrates the available empirical evidence supporting the efficacy of pharmacologic and nonpharmacologic treatment approaches to CRF, highlighting new evidence since 2007 and 2009 Putting Evidence Into Practice publications. Interventions that are recommended for practice or likely to be effective in improving fatigue outcomes include exercise; screening for treatable risk factors; management of concurrent symptoms; yoga; structured rehabilitation; Wisconsin ginseng; cognitive-behavioral therapies for insomnia, pain, and depression; mindfulness-based stress reduction; and psychoeducational interventions such as anticipatory guidance, psychosocial support, and energy conservation and activity management. This information can be applied to improve the management of CRF, inform health policy and program development, shape the design of clinical trials of new therapies for CRF, and drive basic and translational research.

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“…Self-management education can be used as a powerful tool in providing patients with information about caring skills along the cancer care chain [16,17]. Self-management is often taught in a group and is associated with increased empowerment and self-confidence, facilitating positive relationships and social support [18]. The use of information and communication technology and the Internet, such as online social networks, provides cheaper and more costeffective than in-person interventions due to lower costs of transportation, travel, equipment, and other overhead costs [19] and can reduce patient stress, improve treatment progress, empower individuals in self-management, increase individual's participation in the treatment process, increase access to information, and improve QoL and self-efficacy skills [20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Effect of lymphedema self-management group-based education compared with social network-based education on quality of life and fear of cancer recurrence in women with breast cancer: a randomized controlled clinical trial

et al. 2020

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Background Breast cancer-related lymphedema (BCRL) and its associated symptoms harm the quality of life (QoL) of cancer survivors and can stimulate fear of cancer recurrence (FCR). Self-management education for lymphedema has been introduced as an effective method in controlling FCR. This study investigates the effect of lymphedema group-based education compared to the social network-based and control group on QoL and FCR in breast cancer patients. Methods This three-arm clinical trial studied 105 patients with breast cancer-related lymphedema referred to Seyed_Khandan rehabilitation center. Sampling was done by random allocation method in blocks of 3 with 35 subjects in each group. All subjects received routine lymphedema treatments. The group-based education (GE) and social network-based education (SNE) groups received self-management education in the clinic and Telegram™ messenger channel, respectively. Impairment in QoL and mean score of FCR were assessed before, immediately after, and three months after the intervention by using the Persian version of Lymphedema Life Impact Scale (LLIS) and Fear of Progression Questionnaire-Short Form (FoPQ-SF), respectively. Mixed-model ANOVA was applied for statistical analysis. Results There was a significant time effect on total LLIS (P = 0.007), psychosocial (P = 0.038) and functional (P = 0.024) subscale changes in three groups of study. Interaction between the main effect of group and time on psychosocial subscale changes was statistically significant (P = 0.017). The multicomparison results illustrated that the main effect of time, the main effect of group, and interaction of them on the mean score of FCR were P = 0.084, P = 0.380, and P = 0.568, respectively. Conclusion Despite no significant reduction in the FCR score, results showed the improvement of most QoL aspects after three months of intervention. Although the social network-based education method was effective, the group-based education method was more beneficial. Applying these educational methods in lymphedema treatment protocols needs cost-effectiveness studies. Trial registration This study was registered at the Iranian Registry of Clinical Trials (IRCT2017052834176N1). KeywordsSelf-management · Lymphedema · Quality of life · Fear of cancer recurrence · Breast cancer Abbreviations BCRL Breast cancer-related lymphedema QoL Quality of life FCR Fear of cancer recurrence GE Group-based education SNE Social network-based education CO Control group CDT

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Group versus individual stress management intervention in breast cancer patients for fatigue and emotional reactivity: A randomised intervention study

Cited by 18 publications

References 23 publications

Screening, evaluation, and management of cancer‐related fatigue: Ready for implementation to practice?

Screening, evaluation, and management of cancer‐related fatigue: Ready for implementation to practice?

Putting Evidence Into Practice: An Update of Evidence-Based Interventions for Cancer-Related Fatigue During and Following Treatment

Effect of lymphedema self-management group-based education compared with social network-based education on quality of life and fear of cancer recurrence in women with breast cancer: a randomized controlled clinical trial

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