Journal article
A Behavioral Physical Activity Intervention to Manage Moderate and Severe Fatigue Among Head and Neck Cancer Patients-Pre-efficacy Study in the National Institutes of Health ORBIT Model
Cancer nursing, Vol.42(1), pp.E1-E14
01/01/2019
DOI: 10.1097/NCC.0000000000000568
PMID: 29461282
Abstract
Background Cancer-related fatigue (CRF) reduces head and neck cancer (HNC) survival rates and is the most common, severe, and distressing symptom negatively impacting activities of daily living (ADLs) dependence among HNC patients. These patients remain physically inactive after their cancer treatment, although there is consensus that physical activity mitigates CRF in cancer patients. Objective A home-based personalized behavioral physical activity intervention with fitness graded motion exergames (PAfitME) was evaluated for its intervention components, intervention delivery mode, and intervention contact time/duration with initial assessment of the feasibility, acceptability, safety, and outcomes. Methods This study (N = 8) was a single-group, pre-post design to evaluate a 6-week PAfitME at the end of HNC treatment. Health outcomes were CRF, ADL dependence, and fitness performance. Behavioral outcomes were exergame adherence. Results Positive health and behavioral outcomes support the PAfitME protocol including intervention components, intervention delivery mode, and intervention contact times/duration. The PAfitME intervention is feasible and acceptable with promising adherence rates. No adverse events were reported. There was marked improvement in CRF, ADL dependence, cardiorespiratory fitness, balance, muscle strength, and shoulder forward flexion, with large to moderate effect sizes as a result of the PAfitME intervention. Conclusion The PAfitME protocol is ready for additional testing in a randomized clinical trial. Implications for Practice The PAfitME intervention is a nurse-led nonpharmacological intervention. It can be integrated into home care or telehealth care for HNC patients at the end of their cancer treatment once effectiveness is established.
Details
- Title: Subtitle
- A Behavioral Physical Activity Intervention to Manage Moderate and Severe Fatigue Among Head and Neck Cancer Patients-Pre-efficacy Study in the National Institutes of Health ORBIT Model
- Creators
- Hsiao-Lan Wang - Florida CollegeSusan C. McMillan - Moffitt Cancer CenterNisha Vijayakumar - Univ S Florida, Coll Publ Hlth, Tampa, FL USASally McDonald - Univ S Florida, Coll Nursing, 12901 Bruce B Downs Blvd,MDC22, Tampa, FL 33612 USALi-Ting Huang - Univ S Florida, Coll Nursing, 12901 Bruce B Downs Blvd,MDC22, Tampa, FL 33612 USAClement Gwede - H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USATapan Padhya - University of South FloridaJeffery Russell - H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USAKaren Vondruska - H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USAHarleah G. Buck - Univ S Florida, Coll Nursing, 12901 Bruce B Downs Blvd,MDC22, Tampa, FL 33612 USAYangxin Huang - Univ S Florida, Coll Publ Hlth, Tampa, FL USAConnie Visovsky - Univ S Florida, Coll Nursing, 12901 Bruce B Downs Blvd,MDC22, Tampa, FL 33612 USA
- Resource Type
- Journal article
- Publication Details
- Cancer nursing, Vol.42(1), pp.E1-E14
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/NCC.0000000000000568
- PMID
- 29461282
- ISSN
- 0162-220X
- eISSN
- 1538-9804
- Number of pages
- 14
- Grant note
- Oncology Nursing Society Foundation (RE01) Center for Hospice, Palliative Care, and End of Life Studies at University of South Florida Sigma Theta Tau International Honor Society Beta Chapter-At-Large
- Language
- English
- Date published
- 01/01/2019
- Academic Unit
- Nursing
- Record Identifier
- 9984370658602771
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