One-year follow-up of the ‘Starting Again’ Group rehabilitation programme for cancer patients

Berglund, Gunilla; Bolund, Christina; Gustafsson, U.; Sjödén, Per‐Olow

doi:10.1016/0959-8049(94)00330-8

Cited by 132 publications

(121 citation statements)

References 20 publications

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“…Moreover, the participants maintained their physical activity levels once the program was completed. Three other studies [4,11,22] reported long-term results following an exercise intervention for cancer patients who had completed their cancer-related treatment. Similar to our findings in a mixed group of cancer survivors, Milne et al [22] showed that quality of life of breast cancer survivors was improved directly after and 3 months following a 12-week combined aerobic and resistance exercise intervention.…”

Section: Change (Points)mentioning

confidence: 99%

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Long-term effects on cancer survivors’ quality of life of physical training versus physical training combined with cognitive-behavioral therapy: results from a randomized trial

May

Korstjens

Weert

et al. 2008

Support Care Cancer

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Background We compared the effect of a 12-week groupbased multidisciplinary self-management rehabilitation program, combining physical training (twice weekly) and cognitive-behavioral therapy (once weekly) with the effect of 12-week group-based physical training (twice weekly) on cancer survivors' quality of life over a 1-year period. Materials and methods One hundred forty-seven survivors [48.8±10.9 years (mean±SD), all cancer types, medical treatment ≥3 months ago] were randomly assigned to either physical training (PT, n=71) or to physical training plus cognitive-behavioral therapy (PT+CBT, n=76). Quality of life and physical activity levels were measured before and immediately after the intervention and at 3-and 9-month post-intervention using the European Organization forResearch and Treatment of Cancer Quality of Life Questionnaire C30 questionnaire and the Physical Activity Scale for the Elderly, respectively. Results Multilevel linear mixed-effects models revealed no differential pattern in change of quality of life and physical activity between PT and PT+CBT. In both PT and PT+ CBT, quality of life and physical activity were significantly and clinically relevantly improved immediately following the intervention and also at 3-and 9-month post-intervention compared to pre-intervention (p<0.001). Conclusion Self-management physical training had substantial and durable positive effects on cancer survivors' quality of life. Participants maintained physical activity levels once the program was completed. Combining physical training with our cognitive-behavioral intervention Support Care Cancer (2009) did not add to these beneficial effects of physical training neither in the short-term nor in the long-term. Physical training should be implemented within the framework of standard care for cancer survivors.

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Section: Change (Points)mentioning

confidence: 99%

“…Results were not maintained at 4-month follow-up. To date, only one study included a 1-year follow-up [4]. Their 7-week group rehabilitation program, however, did not lead to improvements in quality of life on the short-and the long-term.…”

Section: Change (Points)mentioning

confidence: 99%

Long-term effects on cancer survivors’ quality of life of physical training versus physical training combined with cognitive-behavioral therapy: results from a randomized trial

May

Korstjens

Weert

et al. 2008

Support Care Cancer

View full text Add to dashboard Cite

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“…Reviews of separate physical interventions (Courneya & Friedenreich 1999;Irwin & Ainsworth 2004;Oldervoll et al 2004;Schwartz 2004) and psychosocial interventions (Fawzy et al 1995;Meyer & Mark 1995;Andersen 2002) for cancer patients show benefits on physical and psychosocial functioning, and other quality of life domains. Several combined cancer rehabilitation interventions (Berglund et al 1994;Mock et al 1994;Courneya et al 2003;Van Weert et al 2004, 2005Korstjens et al 2006) showed beneficial quantitative outcomes. To understand the working mechanisms in such a combined programme, qualitative data were collected from participants in a 12-week multi-modal cancer rehabilitation programme that showed significant improvements in quality of life (Korstjens et al 2006).…”

Section: Introductionmentioning

confidence: 99%

Cancer patients' view on rehabilitation and quality of life: a programme audit

Korstjens

Mesters

Gijsen³

et al. 2008

Eur J Cancer Care

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An existing 12-week cancer rehabilitation group programme, combining physical training and psychosocial sessions, was recently tested in a quantitative longitudinal cohort study (n = 658) among adult patients who have problems coping with cancer. Results showed improvements in all quality of life domains. The objective of the present study was to explore patients' perspectives on how and to what extent the rehabilitation programme had met their needs in order to optimize the programme. Patients who participated in the programme no longer than 5 years ago were interviewed in three focus groups (n = 23). Participants saw rehabilitation as provided by the programme as an important steppingstone in their ongoing recovery process and identified the integrated physical training, psychosocial sessions and patient-to-patient contacts as a powerful and supportive combination. Recommendations for improvements to the programme mainly concerned the psychosocial module. Information needs varied strongly among participants and, in this respect, it was hard to satisfy all of them. Participants suggested that the programme should focus more on developing skills to cope with cancer, its consequences and emerging problems after rehabilitation. In conclusion, participants valued the group-based multi-modal cancer rehabilitation programme and recommended to focus more on developing coping skills.

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“…Only four training studies in cancer patients reported data of long-term follow-up. Two of them involved a home-based training programme and one study used only questionnaires to follow up the patients (Berglund et al, 1994;Carlson et al, 2006;Demark-Wahnefried et al, 2006;Thorsen et al, 2007). The fourth study examined the effects of supervised training after allogeneic stem cell transplantation (Carlson et al, 2006).…”

mentioning

confidence: 99%

Long-term follow-up after cancer rehabilitation using high-intensity resistance training: persistent improvement of physical performance and quality of life

et al. 2008

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The short-term beneficial effects of physical rehabilitation programmes after cancer treatment have been described. However, little is known regarding the long-term effects. The purpose of this study was to investigate the long-term effects of high-intensity resistance training compared with traditional recovery. A total of 68 cancer survivors who completed an 18-week resistance training programme were followed for 1 year. During the 1-year follow-up, 19 patients dropped out (14 due to recurrence of cancer). The remaining 49 patients of the intervention group were compared with a group of 22 patients treated with chemotherapy in the same period but not participating in any rehabilitation programme. Outcome measures were muscle strength, cardiopulmonary function, fatigue, and health-related quality of life. One year after completion of the rehabilitation programme, the outcome measures in the intervention group were still at the same level as immediately after rehabilitation. Muscle strength at 1 year was significantly higher in patients who completed the resistance training programme than in the comparison group. High-intensity resistance training has persistent effects on muscle strength, cardiopulmonary function, quality of life, and fatigue. Rehabilitation programmes for patients treated with chemotherapy with a curative intention should include high-intensity resistance training in their programme.

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One-year follow-up of the ‘Starting Again’ Group rehabilitation programme for cancer patients

Cited by 132 publications

References 20 publications

Long-term effects on cancer survivors’ quality of life of physical training versus physical training combined with cognitive-behavioral therapy: results from a randomized trial

Long-term effects on cancer survivors’ quality of life of physical training versus physical training combined with cognitive-behavioral therapy: results from a randomized trial

Cancer patients' view on rehabilitation and quality of life: a programme audit

Long-term follow-up after cancer rehabilitation using high-intensity resistance training: persistent improvement of physical performance and quality of life

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