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Managing symptoms in patients with advanced lung cancer during radiotherapy: results of a psychoeducational randomized controlled trial

Managing symptoms in patients with advanced lung cancer during radiotherapy: results of a psychoeducational randomized controlled trial
Managing symptoms in patients with advanced lung cancer during radiotherapy: results of a psychoeducational randomized controlled trial
Context. Breathlessness, fatigue, and anxiety are distressing symptoms for patients with advanced lung cancer. Usually managed as isolated symptoms, they
often can occur simultaneously. Previous research often has addressed management of discrete symptoms rather than considering them as a cluster, which, in reality, is the situation faced by patients.

Objectives. This study aimed to examine the effectiveness of a psychoeducational intervention (PEI) on the symptom cluster of anxiety, breathlessness, and fatigue, compared with usual care.

Methods. A pretest/post-test, two-group, randomized, controlled trial was conducted. Education on symptom management and coaching in the use of progressive muscle relaxation were delivered to patients one week prior to
commencing radiotherapy (RT), and repeated three weeks after beginning RT. Symptom data were collected at four time points: prior to the intervention, three
weeks, six weeks, and 12 weeks postintervention.
Results. One hundred forty lung cancer patients receiving palliative RT were recruited from a publicly funded hospital in Hong Kong. Doubly multivariate analysis of variance revealed a significant difference (time ? group interaction effect, P ¼ 0.003) over time between the PEI and usual care control group on the pattern of change of the symptom cluster. Significant effects on the patterns of
changes in breathlessness (P ¼ 0.002), fatigue (P ¼ 0.011), anxiety (P ¼ 0.001), and functional ability (P ¼ 0.000) also were found.

Conclusion. PEI is a promising treatment for relieving the symptom cluster and each of the individually assessed symptoms. More effort needs to be directed at
symptom cluster, breathlessness, fatigue, anxiety, psychoeducational intervention, progressive muscle relaxation, advanced lung cancer
0885-3924
347-357
Chan, Carmen W.H.
a0d82de9-aa1b-4106-943d-2545f877f700
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Richardson, Janet
0c0f4157-c4b3-4099-8fcf-00b63c604873
Chan, Carmen W.H.
a0d82de9-aa1b-4106-943d-2545f877f700
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Richardson, Janet
0c0f4157-c4b3-4099-8fcf-00b63c604873

Chan, Carmen W.H., Richardson, Alison and Richardson, Janet (2011) Managing symptoms in patients with advanced lung cancer during radiotherapy: results of a psychoeducational randomized controlled trial. Journal of Pain and Symptom Management, 41 (2), 347-357. (doi:10.1016/j.jpainsymman.2010.04.024).

Record type: Article

Abstract

Context. Breathlessness, fatigue, and anxiety are distressing symptoms for patients with advanced lung cancer. Usually managed as isolated symptoms, they
often can occur simultaneously. Previous research often has addressed management of discrete symptoms rather than considering them as a cluster, which, in reality, is the situation faced by patients.

Objectives. This study aimed to examine the effectiveness of a psychoeducational intervention (PEI) on the symptom cluster of anxiety, breathlessness, and fatigue, compared with usual care.

Methods. A pretest/post-test, two-group, randomized, controlled trial was conducted. Education on symptom management and coaching in the use of progressive muscle relaxation were delivered to patients one week prior to
commencing radiotherapy (RT), and repeated three weeks after beginning RT. Symptom data were collected at four time points: prior to the intervention, three
weeks, six weeks, and 12 weeks postintervention.
Results. One hundred forty lung cancer patients receiving palliative RT were recruited from a publicly funded hospital in Hong Kong. Doubly multivariate analysis of variance revealed a significant difference (time ? group interaction effect, P ¼ 0.003) over time between the PEI and usual care control group on the pattern of change of the symptom cluster. Significant effects on the patterns of
changes in breathlessness (P ¼ 0.002), fatigue (P ¼ 0.011), anxiety (P ¼ 0.001), and functional ability (P ¼ 0.000) also were found.

Conclusion. PEI is a promising treatment for relieving the symptom cluster and each of the individually assessed symptoms. More effort needs to be directed at

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Published date: February 2011
Keywords: symptom cluster, breathlessness, fatigue, anxiety, psychoeducational intervention, progressive muscle relaxation, advanced lung cancer

Identifiers

Local EPrints ID: 175399
URI: https://eprints.soton.ac.uk/id/eprint/175399
ISSN: 0885-3924
PURE UUID: 8cfcd2d2-9c2d-4ea8-8550-7a4d885e8ec3
ORCID for Alison Richardson: ORCID iD orcid.org/0000-0003-3127-5755

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Date deposited: 23 Feb 2011 12:40
Last modified: 12 Nov 2019 01:42

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