Quality of Life After Self-Management Cancer Rehabilitation: A Randomized Controlled Trial Comparing Physical and Cognitive-Behavioral Training Versus Physical Training

Korstjens, Irene; May, Anne M.; Weert, Ellen van; Mesters, Ilse; Tan, Frans E. S.; Ros, W.J.G.; Hoekstra-Weebers, Josette E. H. M.; Schans, Cees P. van der; Borne, Bart van den

doi:10.1097/psy.0b013e31816e038f

Cited by 79 publications

(124 citation statements)

References 32 publications

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“…Three articles were identified through hand searching, leading to a total of 22 articles included. Sixteen articles [32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47] on the effectiveness of multidimensional cancer survivor rehabilitation were included, the data from which originated from 11 trials. The data from one of those trials were presented in two complementary articles [46,47] and the data from another trial were used in four articles [42][43][44][45].…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of Multidimensional Cancer Survivor Rehabilitation and Cost-Effectiveness of Cancer Rehabilitation in General: A Systematic Review

et al. 2012

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Introduction. Many cancer survivors suffer from a combination of disease-and treatment-related morbidities and complaints after primary treatment. There is a growing evidence base for the effectiveness of monodimensional rehabilitation interventions; in practice, however, patients often participate in multidimensional programs. This study systematically reviews evidence regarding effectiveness of multidimensional rehabilitation programs for cancer survivors and cost-effectiveness of cancer rehabilitation in general.Methods. The published literature was systematically reviewed. Data were extracted using standardized forms and were summarized narratively.Results. Sixteen effectiveness and six cost-effectiveness studies were included. Multidimensional rehabilitation programs were found to be effective, but not more effective than monodimensional interventions, and not on all outcome measures. Effect sizes for quality of life were in the

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Section: Resultsmentioning

confidence: 99%

“…Sixteen articles met the selection criteria for multidimensional cancer rehabilitation effectiveness studies [32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47] (Table 2). Of these, the eight Dutch articles originate from four separate trials.…”

Section: Effectiveness Of Multidimensional Interventionsmentioning

confidence: 99%

Effectiveness of Multidimensional Cancer Survivor Rehabilitation and Cost-Effectiveness of Cancer Rehabilitation in General: A Systematic Review

et al. 2012

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“…A limitation of the study was the lack of a control group for the long-term effects. We included a waiting-list comparison group for the evaluation of the effects immediately after our intervention and showed significant improvements in quality of life in the intervention condition compared to control [16,17]. However, for feasibility reasons, due to the fact that cancer survivors were highly motivated to attend an exercise intervention [32] and that alternatives were available in The Netherlands, a control group could not be assessed at 3-and 9-month postintervention.…”

Section: Change (Points)mentioning

confidence: 99%

“…We recently showed significant and clinically relevant improvements in cancer survivors' quality of life directly following our rehabilitation program compared to waitinglist control [16,17]. Compared to no intervention, participants showed significant and clinically relevant improvements in global quality of life, role limitations due to physical problems, in physical functioning, vitality, and health change.…”

Section: Introductionmentioning

confidence: 97%

“…Compared to no intervention, participants showed significant and clinically relevant improvements in global quality of life, role limitations due to physical problems, in physical functioning, vitality, and health change. Our physical training program complemented with cognitive-behavioral therapy did not result in greater positive effects than physical training alone on quality of life and physical fitness at the short-term (i.e., from baseline to post-intervention) [16][17][18]. However, longterm effects may be different.…”

Section: Introductionmentioning

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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Psychosocial interventions for reducing fatigue during cancer treatment in adults

Goedendorp

Gielissen

Verhagen³

et al. 2009

Cochrane Database of Systematic Reviews

206

160

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There is limited evidence that psychosocial interventions during cancer treatment are effective in reducing fatigue. At present, psychosocial interventions specifically for fatigue are a promising type of intervention. However, there is no solid evidence for the effectiveness of interventions not specific for fatigue. Most aspects of the included studies were heterogeneous, and therefore it could not be established which other types of interventions, or elements were essential in reducing fatigue.

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Quality of Life After Self-Management Cancer Rehabilitation: A Randomized Controlled Trial Comparing Physical and Cognitive-Behavioral Training Versus Physical Training

Cited by 79 publications

References 32 publications

Effectiveness of Multidimensional Cancer Survivor Rehabilitation and Cost-Effectiveness of Cancer Rehabilitation in General: A Systematic Review

Effectiveness of Multidimensional Cancer Survivor Rehabilitation and Cost-Effectiveness of Cancer Rehabilitation in General: A Systematic Review

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

Psychosocial interventions for reducing fatigue during cancer treatment in adults

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