Too Sick Not to Exercise: Using a 6-Week, Home-Based Exercise Intervention for Cancer-Related Fatigue Self-management for Postsurgical Non–Small Cell Lung Cancer Patients
Abstract
BACKGROUND: Two prevalent unmet supportive care needs reported by the non-small cell lung cancer (NSCLC) population include the need to manage fatigue and attain adequate exercise to meet the physical demands of daily living. Yet, there are no guidelines for routine rehabilitative support to address fatigue and exercise for persons with NSCLC during the critical transition from hospital to home after thoracotomy. OBJECTIVE: The objective of this study was to evaluate the feasibility, acceptability, safety, and changes in study end points of a home-based exercise intervention to enhance perceived self-efficacy for cancer-related fatigue (CRF) self-management for persons after thoracotomy for NSCLC transitioning from hospital to home. INTERVENTIONS/METHODS: Guided by the principles of the Transitional Care Model and the Theory of Symptom Self-management, a single-arm design composed of 7 participants with early-stage NSCLC performed light-intensity walking and balance exercises in a virtual reality environment with the Nintendo Wii Fit Plus. Exercise started the first week after hospitalization for thoracotomy and continued for 6 weeks. RESULTS: The intervention positively impacted end points such as CRF severity; perceived self-efficacy for fatigue self-management, walking, and balance; CRF self-management behaviors (walking and balance exercises); and functional performance (number of steps taken per day). CONCLUSIONS: A home-based, light-intensity exercise intervention for patients after thoracotomy for NSCLC is feasible, safe, well tolerated, and highly acceptable showing positive changes in CRF self-management. IMPLICATIONS FOR PRACTICE: Beginning evidence suggests that a light-intensity in-home walking and balance intervention after hospitalization for thoracotomy for NSCLC is a potentially effective rehabilitative CRF self-management intervention. Next steps include testing of this health-promoting self-management intervention in a larger-scale randomized controlled trial.
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Walking exercise, HIIT and weight lifting are considered safe and do not cause undesirable events such as lymphedema in patients undergoing treatment.
“Walking exercise [64, 65], HIIT and weight lifting [66, 67] is considered safe and does not cause undesirable events, such as lymphedema in patients who are undergoing treatment.”
From Empowerment in the treatment of fatigue in breast cancer patients (2021) · cites this paper as [64]
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- Authors
- Hoffman, A. J., Brintnall, R. A., Brown, J. K., von Eye, A., Jones, L. W., Alderink, G., Ritz-Holland, D., Enter, M., Patzelt, L. H., & VanOtteren, G. M.
- Affiliations
- Michigan State University (US)
- Grand Valley State University (US)
- University at Buffalo, State University of New York (US)
- Duke University (US)
- Spectrum Health (US)
- Corresponding author
- Hoffman, Amy J.
- Venue
- Cancer Nursing
- Published
- 2013-05
- Volume
- 36
- Issue
- 3
- Pages
- 175-188
- ISSN
- 0162-220X (ISSN-L)
- OpenAlex
- W1993732398
- Cited by
- 72
- References
- 50
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 7 · 2023: 6 · 2022: 1 · 2021: 3 · 2020: 7 · 2019: 3 · 2018: 8 · 2017: 8 · 2016: 7 · 2015: 4 · 2014: 9 · 2013: 2
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cancer Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Keywords
- non-small cell lung cancer, cancer-related fatigue, home-based exercise intervention, thoracotomy, fatigue self-management, self-efficacy, virtual reality exercise, walking, balance training, care transitions, early-stage lung cancer, functional performance, feasibility and acceptability
- MeSH terms
- Aged, Carcinoma, Non-Small-Cell Lung, Exercise Therapy, Fatigue, Feasibility Studies, Female, Humans, Lung Neoplasms, Male, Middle Aged, Postoperative Care, Quality of Life, Surveys and Questionnaires, Self Care, Thoracotomy, Time Factors, Walking, Treatment Outcome, Patient Selection
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