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Web-Based Tailored Education Program for Disease-Free Cancer Survivors With Cancer-Related Fatigue: A Randomized Controlled Trial
- Source :
- Journal of Clinical Oncology. 30:1296-1303
- Publication Year :
- 2012
- Publisher :
- American Society of Clinical Oncology (ASCO), 2012.
-
Abstract
- Purpose To determine whether an Internet-based tailored education program is effective for disease-free cancer survivors with cancer-related fatigue (CRF). Patients and Methods We randomly assigned patients who had completed primary cancer treatment within the past 24 months in any of four Korean hospitals and had reported moderate to severe fatigue for at least 1 week to participate in a 12-week, Internet-based, individually tailored CRF education program or to receive routine care. We based the program on the CRF guidelines of the National Comprehensive Cancer Network (NCCN) and incorporated the transtheoretic model (TTM). At baseline and 12 weeks, we used the Brief Fatigue Inventory (BFI) and Fatigue Severity Scale (FSS) as primary outcomes and the Hospital Anxiety and Depression Scale (HADS) and European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC QLQ-C30) for secondary outcomes. Results We recruited 273 participants and randomly assigned 136 to the intervention group. Compared with the control group, the intervention group had an improvement in fatigue as shown by a significantly greater decrease in BFI global score (−0.66 points; 95% CI −1.04 to −0.27) and FSS total score (−0.49; 95% CI, −0.78 to −0.21). In secondary outcomes, the intervention group experienced a significantly greater decrease in HADS anxiety score (−0.90; 95% CI, −1.51 to −0.29) as well as global quality of life (5.22; 95% CI, 0.93 to 9.50) and several functioning scores of the EORTC QLQ-C30. Conclusion An Internet-based education program based on NCCN guidelines and TTM may help patients manage CRF.
- Subjects :
- Male
Cancer Research
medicine.medical_specialty
Hospital Anxiety and Depression Scale
Risk Assessment
Severity of Illness Index
Disease-Free Survival
law.invention
Sex Factors
Breast cancer
Patient Education as Topic
Randomized controlled trial
Quality of life
Predictive Value of Tests
Reference Values
law
Neoplasms
Severity of illness
Confidence Intervals
medicine
Humans
Survivors
Cancer-related fatigue
Fatigue
Depression (differential diagnoses)
Aged
Aged, 80 and over
Internet
Korea
business.industry
Age Factors
Cancer
Middle Aged
medicine.disease
Treatment Outcome
Oncology
Quality of Life
Physical therapy
Female
medicine.symptom
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 15277755 and 0732183X
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Oncology
- Accession number :
- edsair.doi.dedup.....24a6256ea045a1a33fa9e0372cd6c704