Study Protocol of CBT-AP Trial: A Randomized Controlled Trial of Cognitive Behavioral Therapy Integrated with Activity Pacing for Fatigued Breast Cancer Patients Undergoing Chemotherapy

Getu, Mikiyas Amare; Chen, Changying; Wang, Panpan; Yohannes, Elleni; Seife, Edom; Cui, Panpan

doi:10.1177/15347354211032268

Cited by 4 publications

(12 citation statements)

References 68 publications

(125 reference statements)

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“…Strategies focusing on education, improving motivation, 38 pacing to help break activities up, build stamina and promote a balance between rest and activity-as a standalone or supplementary intervention-could be helpful. 39 In contrast, interventions aimed at the cognitive difficulties associated with PH, including rumination, thinking biases and worry, could be a focus when targeting anxiety. Indeed, unlike depression which may be more related to the severity of PH, the link between anxiety and PH may be better explained by factors influencing cognitions, such as coping skills to manage internal and external stressors and support from others.…”

Section: Discussionmentioning

confidence: 99%

Cognitive and behavioral processes predict anxiety and depression in patients with pulmonary hypertension

et al. 2022

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Emotional and psychological difficulties cannot fully be explained by disease‐related factors in people with pulmonary hypertension (PH). This study examined the relationship between anxiety, depression, demographic, objective and subjective PH factors, and self‐reported cognitive and behavioral processes, which have been associated with mood in clinical and nonclinical samples. This is a secondary analysis of baseline data from 77 adults with PH who took part in a randomized controlled trial of a self‐help intervention targeting anxiety in PH. Participants completed self‐report measures including: demographic (age, gender, ethnicity, education, employment) and clinical questionnaire (PH diagnosis, functional class, years since diagnosis), depression (PHQ‐9), anxiety (GAD‐7), health‐related quality of life (emPHAsis‐10), dyspnea (D12), and cognitive and behavioral processes (CBP‐Q) scale. Data were analyzed using correlational and regression analyses. Overall, 70% and 63% of participants scored above the clinical cut off for anxiety and depression, respectively. Demographics were not associated with anxiety or depression. PH‐related factors were correlated with depression but not anxiety. A multiple regression analysis suggested dyspnea and cognitive processes significantly predicted anxiety whereas behavioral processes were not a unique predictor. In contrast, dyspnea and behavioral processes predicted depression whereas cognitive processes did not. While a body of evidence exists demonstrating people with PH are more likely to experience anxiety and depression, less is known about factors that cause and maintain these disorders. Findings highlight the significance of subjective factors that could be a target for screening and psychological treatments for emotional difficulties, such as cognitive behavioral therapy.

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Section: Discussionmentioning

confidence: 99%

Cognitive and behavioral processes predict anxiety and depression in patients with pulmonary hypertension

et al. 2022

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“…This is a single-arm pilot study of the CBT-AP Trial ( 33 ) that was designed to assess the feasibility, acceptability, and potential efficacy of the intervention. The study was registered at the Pan-African Clinical Trial Registry on 24 August 2020 (PACTR202008881026130).…”

Section: Methodsmentioning

confidence: 99%

“…The earlier treatment of fatigue during chemotherapy is very important because it may assist women not only by decreasing fatigue during cancer treatment but also for treatment adherence. It provides women with evidence-based strategies during their earlier treatment trajectory that they can continue to use after cancer treatment and into survivorship ( 32 , 33 ). Therefore, it will be a pioneering study that will assess the feasibility and efficacy of CBT-AP among breast cancer patients receiving chemotherapy.…”

Section: Introductionmentioning

confidence: 99%

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A pilot study of cognitive behavioural therapy integrated with activity pacing for fatigued breast cancer patients undergoing chemotherapy in Ethiopia

et al. 2022

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BackgroundFatigue is a common symptom in breast cancer patients, and it is one of the major factors that influence the quality of life (QoL). Cognitive behavioural therapy (CBT) has been recommended to manage cancer-related fatigue. In this study, CBT will be integrated with activity pacing (AP), which can help breast cancer patients achieve a balance between activity and rest. Therefore, this pilot study aimed to investigate the acceptability, feasibility, and efficacy of the CBT-AP intervention.MethodsA total of 10 fatigued breast cancer patients undergoing chemotherapy were included in the study. The acceptability and feasibility of the study were measured by the patient recruitment rate, attrition rate, intervention fidelity, intervention compliance, and therapist’s and participant’s evaluations of the intervention. The outcomes were measured at baseline and at 6 weeks of intervention.ResultsThe pre–post study suggested that CBT-AP was found to be acceptable and feasible for fatigued breast cancer patients undergoing chemotherapy. Among 27 eligible participants, 10 (37.03%) participants accepted our invitation to participate in the study. One participant dropped out from the intervention because of serious illness, and the dropout rate was 10%.Both the intervention fidelity and intervention compliance were found to be satisfactory.Fatigue severity [Brief Fatigue Inventory (BFI)] was reduced in 77.77% of participants from baseline to 6 weeks of intervention. The global health status/QoL scale and physical, emotional, and social functioning scales were improved from baseline to 6 weeks of intervention. All symptom scales, except constipation, diarrhea, and financial difficulties, were decreased after the intervention. Depression [Public Health Questionnaire (PHQ)-9] was reduced in 55.55% of participants.ConclusionThis study suggested that CBT-AP is an acceptable, feasible, and potentially efficacious intervention to reduce fatigue and improve the QoL of breast cancer patients. The efficacy of a CBT-AP programme is going to be investigated in subsequent larger randomized clinical trials.

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“…Studies have emphasized the importance of nonpharmacological pain management techniques such as CBT ( George & Kumar, 2013 ). Furthermore, another piece of evidence also emphasized that since CBT is effective in alleviating pain, depression, and anxiety, and improving quality of life, it should be practiced ( Castro et al, 2012 ; Elyasi et al, 2021 ; Getu et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Nurses’ Knowledge and Practicing Level of Cognitive Behavioral Pain Relief Methods in Public Hospitals of Eastern Ethiopia

et al. 2022

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Introduction Despite the fact that cognitive behavioral therapy is regarded as a superior pain relief method and an alternative to drug therapy, little is known about its scope of application and determinant factors. As a result, the study sought to assess nurses’ knowledge and practicing level of cognitive behavioral pain relief methods in public hospitals in eastern Ethiopia. Objective To assess the knowledge and practicing level of cognitive behavioral pain relief among nurses working in public hospitals of eastern Ethiopia. Methods A cross-sectional study was conducted among randomly selected 390 nurses. The data were collected using a self-administered questionnaire. The data were entered into Epi-data 3.1 and exported to SPSS 22 for analysis. Bivariate and multivariate logistic regression models were used to identify factors associated with cognitive behavioral therapy. Result In this study, more than half (54.1%) of the respondents had good cognitive behavioral methods practicing levels. Nearly two-thirds (58.8%) of the participants had adequate knowledge about pain relief methods. Having adequate knowledge (adjusted odds ratio [AOR] 2.664; 95% confidence interval [CI]: 1.75, 4.7), having training (AOR 1.7; 95% CI: 1.03, 3.01), and positive attitude (AOR 4.02; 95% CI: 4.5, 12.4) were significantly associated with cognitive behavioral therapy. Conclusion In this study, more than half of nurses had good cognitive behavioral methods practicing levels. Having a positive attitude, being knowledgeable, and having training were determinant factors in the practice of cognitive behavioral therapy. Continuing education and training should be considered for nurses to enhance their cognitive behavioral therapy practice.

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Study Protocol of CBT-AP Trial: A Randomized Controlled Trial of Cognitive Behavioral Therapy Integrated with Activity Pacing for Fatigued Breast Cancer Patients Undergoing Chemotherapy

Cited by 4 publications

References 68 publications

Cognitive and behavioral processes predict anxiety and depression in patients with pulmonary hypertension

Cognitive and behavioral processes predict anxiety and depression in patients with pulmonary hypertension

A pilot study of cognitive behavioural therapy integrated with activity pacing for fatigued breast cancer patients undergoing chemotherapy in Ethiopia

Nurses’ Knowledge and Practicing Level of Cognitive Behavioral Pain Relief Methods in Public Hospitals of Eastern Ethiopia

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