A patient education program is effective in reducing cancer-related fatigue: A multi-centre randomised two-group waiting-list controlled intervention trial
Abstract
Objective To evaluate a patient education program that aims at reducing perceived fatigue in cancer survivors.Methods In ten German centres, 261 patients with cancer-related fatigue were randomly assigned to a patient education program consisting of 6 sessions à 90 min or standard care. The primary outcome measure was cancer-related fatigue. Data were analysed using analysis of variance (ANOVA) with repeated measures.Results Patients in the intervention group showed statistically significant reduction in cancer-related fatigue (F = 76.510, p < 0.001, η(2) = 0.248). Secondary outcomes also showed significant improvements in all measures, including quality of life (F = 29.607, p < 0.001, η(2) = 0.113), general self-efficacy (F = 27.680, p < 0.001, η(2) = 0.107), exercise self-efficacy (F = 49.230, p < 0.001, η(2) = 0.175), physical activity (F = 8.036, p < 0.001, η(2) = 0.033), anxiety (F = 33.194, p < 0.001, η(2) = 0.125), depression (F = 24.604, p < 0.001, η(2) = 0.096), and fatigue knowledge (F = 55.157, p < 0.001, η(2) = 0.192).Conclusion The program was effective in reducing perceived fatigue as well as further outcomes.Practice implications This newly developed education program has the potential to fill a gap in the care of cancer survivors. The program needs further evaluation in other countries employing a control group of patients receiving equal time and attention as the intervention group.
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Psychoeducation has been proven to have positive effects on anxiety, depression, and fatigue.
“Psychoeducation has been proven to have positive effects on anxiety [27], depression [27], and fatigue [28].”
From Changes of Symptoms of Anxiety, Depression, and Fatigue in Cancer Patients 3 Months after a Video-Based Intervention (2023) · cites this paper as [28]
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- Authors
- Reif, K., de Vries, U., Petermann, F., & Görres, S.
- Affiliations
- University of Bremen (DE)
- ORCID
- Görres, Stefan
- Venue
- European Journal of Oncology Nursing
- Publisher
- Elsevier BV
- Published
- 2013-04
- Volume
- 17
- Issue
- 2
- Pages
- 204-213
- ISSN
- 1462-3889 (ISSN-L)
- OpenAlex
- W2041179225
- Cited by
- 83
- References
- 42
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 7 · 2023: 2 · 2022: 8 · 2021: 8 · 2020: 4 · 2019: 9 · 2018: 7 · 2017: 4 · 2016: 7 · 2015: 11 · 2014: 5 · 2013: 4
- FWCI
- 3.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Oncology Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bundesministerium für Bildung und Forschung
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- cancer-related fatigue, patient education, cancer survivors, quality of life, self-efficacy, exercise self-efficacy, physical activity, anxiety, depression, psycho-oncology
- MeSH terms
- Adult, Aged, Analysis of Variance, Fatigue, Female, Germany, Humans, Male, Middle Aged, Neoplasms, Patient Education as Topic, Quality of Life, Surveys and Questionnaires, Program Evaluation, Survivors, Self Efficacy
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