Management of cancer-related fatigue during chemotherapy through telephone motivational interviewing: modelling and randomised exploratory trial
Management of cancer-related fatigue during chemotherapy through telephone motivational interviewing: modelling and randomised exploratory trial
Objective: fatigue is a common cancer-related symptom and exacerbated by chemotherapy. Psychological interventions for fatigue show promise. One, Beating Fatigue, was adapted for delivery by telephone and evaluated in an exploratory trial.
Methods: eight patients and 12 professionals contributed to focus groups that guided adaptation of the intervention. The intervention, modified for delivery by telephone using motivational interviewing, was tested in an exploratory trial. Forty-four patients were recruited to the trial and randomized between the intervention (n = 23) and control (n = 21). Outcome data were collected on fatigue intensity, fatigue distress, fatigue self-efficacy, anxiety and depression at baseline and following completion of chemotherapy. These data were augmented by interviews conducted to inform understanding of the intervention's mechanism, feasibility and acceptability.
Results: the intervention was both feasible and acceptable to patients and most reduced fatigue distress (Effect Size ES = 0.62). It also reduced fatigue intensity (ES = 0.18), fatigue self-efficacy (ES = ?0.34), and anxiety (ES = 0.31). It did not reduce depression.
Conclusion: these preliminary data are encouraging and support the delivery of interventions for cancer-related fatigue by telephone. Motivational interviewing appeared key to the intervention's success. A larger definitive RCT is indicated.
Practice Implications: ppportunities should be sought to deliver psychologically-based interventions for fatigue by telephone
cancer, hemotherapy, fatigue, motivational interviewing, psychological intervention, telephone intervention
199-206
Ream, Emma
cac5aaf5-797c-4aff-b86f-ea717ac178fa
Gargaro, Gian
c6633021-ba43-4e2e-a0f8-4dcae9774a19
Barsevick, Andrea
1929dabf-a67a-408e-9da1-330ec2a58595
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
February 2015
Ream, Emma
cac5aaf5-797c-4aff-b86f-ea717ac178fa
Gargaro, Gian
c6633021-ba43-4e2e-a0f8-4dcae9774a19
Barsevick, Andrea
1929dabf-a67a-408e-9da1-330ec2a58595
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Ream, Emma, Gargaro, Gian, Barsevick, Andrea and Richardson, Alison
(2015)
Management of cancer-related fatigue during chemotherapy through telephone motivational interviewing: modelling and randomised exploratory trial.
Patient Education and Counseling, 98 (2), .
(doi:10.1016/j.pec.2014.10.012).
(PMID:25468398)
Abstract
Objective: fatigue is a common cancer-related symptom and exacerbated by chemotherapy. Psychological interventions for fatigue show promise. One, Beating Fatigue, was adapted for delivery by telephone and evaluated in an exploratory trial.
Methods: eight patients and 12 professionals contributed to focus groups that guided adaptation of the intervention. The intervention, modified for delivery by telephone using motivational interviewing, was tested in an exploratory trial. Forty-four patients were recruited to the trial and randomized between the intervention (n = 23) and control (n = 21). Outcome data were collected on fatigue intensity, fatigue distress, fatigue self-efficacy, anxiety and depression at baseline and following completion of chemotherapy. These data were augmented by interviews conducted to inform understanding of the intervention's mechanism, feasibility and acceptability.
Results: the intervention was both feasible and acceptable to patients and most reduced fatigue distress (Effect Size ES = 0.62). It also reduced fatigue intensity (ES = 0.18), fatigue self-efficacy (ES = ?0.34), and anxiety (ES = 0.31). It did not reduce depression.
Conclusion: these preliminary data are encouraging and support the delivery of interventions for cancer-related fatigue by telephone. Motivational interviewing appeared key to the intervention's success. A larger definitive RCT is indicated.
Practice Implications: ppportunities should be sought to deliver psychologically-based interventions for fatigue by telephone
Text
SUPAC paper PEC for PURE.docx
- Accepted Manuscript
More information
Accepted/In Press date: 18 October 2014
e-pub ahead of print date: 28 October 2014
Published date: February 2015
Keywords:
cancer, hemotherapy, fatigue, motivational interviewing, psychological intervention, telephone intervention
Organisations:
Faculty of Social, Human and Mathematical Sciences
Identifiers
Local EPrints ID: 371862
URI: http://eprints.soton.ac.uk/id/eprint/371862
ISSN: 0738-3991
PURE UUID: f519c2ed-f430-45c6-861d-b61cf111d579
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Date deposited: 21 Nov 2014 09:16
Last modified: 15 Mar 2024 03:34
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Contributors
Author:
Emma Ream
Author:
Gian Gargaro
Author:
Andrea Barsevick
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