scholarly journals Cooking for Vitality: Pilot Study of an Innovative Culinary Nutrition Intervention for Cancer-Related Fatigue in Cancer Survivors

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2760
Author(s):  
Cheryl Pritlove ◽  
Geremy Capone ◽  
Helena Kita ◽  
Stephanie Gladman ◽  
Manjula Maganti ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Controlled Trial ◽  
Qualitative Interviews ◽  
Energy Levels ◽  
Nutrition Intervention ◽  
Management Skills ◽  
Cooking Skills ◽  
Patients With Cancer ◽  
Cancer Related Fatigue ◽  
Poor Nutritional Status

(1) Background: Cancer-related fatigue (CRF) is one of the most prevalent and distressing side effects experienced by patients with cancer during and after treatment, and this negatively impacts all aspects of quality of life. An increasing body of evidence supports the role of poor nutritional status in the etiology of CRF and of specific diets in mitigating CRF. We designed a group-based two session culinary nutrition intervention for CRF, Cooking for Vitality (C4V), aimed at increasing understanding of how food choices can impact energy levels and establishing basic food preparation and cooking skills as well as the application of culinary techniques that minimize the effort/energy required to prepare meals. The purpose of this pilot mixed-method study was to evaluate: Feasibility of the experimental methods and intervention; acceptability and perceived helpfulness of intervention; and to obtain a preliminary estimate of the effectiveness of the intervention on fatigue (primary outcome), energy, overall disability, and confidence to manage fatigue (secondary outcomes). (2) Methods: Prospective, single arm, embedded mixed-methods feasibility study of cancer survivors with cancer-related fatigue was conducted. Participants completed measures at baseline (T0), immediately following the intervention (T1), and three months after the last session (T2). Qualitative interviews were conducted at T2. (3) Results: Recruitment (70%) and retention (72%) rates along with qualitative findings support the feasibility of the C4V intervention for cancer survivors living with CRF (program length and frequency, ease of implementation, and program flexibility). Acceptability was also high and participants provided useful feedback for program improvements. Fatigue (FACT-F) scores significantly improved from T0–T1 and T0–T2 (p < 0.001). There was also a significant decrease in disability scores (WHO-DAS 2.0) from T0–T2 (p = 0.006) and an increase in POMS-Vigor (Profile of Mood States) from T0–T1 (p = 0.018) and T0–T2 (p = 0.013). Confidence in managing fatigue improved significantly from T0–T1 and T0–T2 (p < 0.001). (4) Conclusions: The results suggest that the C4V program was acceptable and helpful to patients and may be effective in improving fatigue levels and self-management skills. A randomized controlled trial is required to confirm these findings.

scholarly journals Influence of Yoga on Cancer-Related Fatigue and on Mediational Relationships Between Changes in Sleep and Cancer-Related Fatigue: A Nationwide, Multicenter Randomized Controlled Trial of Yoga in Cancer Survivors

2019 ◽  
Vol 18 ◽  
pp. 153473541985513 ◽  
Author(s):  
Po-Ju Lin ◽  
Ian R. Kleckner ◽  
Kah Poh Loh ◽  
Julia E. Inglis ◽  
Luke J. Peppone ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Sleep Quality ◽  
Cancer Survivors ◽  
Controlled Trial ◽  
Phase Iii ◽  
Survivorship Care ◽  
Yoga Therapy ◽  
Randomized Controlled ◽  
Cancer Related Fatigue ◽  
Multicenter Phase

Background: Cancer-related fatigue (CRF) often co-occurs with sleep disturbance and is one of the most pervasive toxicities resulting from cancer and its treatment. We and other investigators have previously reported that yoga therapy can improve sleep quality in cancer patients and survivors. No nationwide multicenter phase III randomized controlled trial (RCT) has investigated whether yoga therapy improves CRF or whether improvements in sleep mediate the effect of yoga on CRF. We examined the effect of a standardized, 4-week, yoga therapy program (Yoga for Cancer Survivors [YOCAS©®]) on CRF and whether YOCAS©®-induced changes in sleep mediated changes in CRF among survivors. Study Design and Methods: Four hundred and ten cancer survivors were recruited to a nationwide multicenter phase III RCT comparing the effect of YOCAS©® to standard survivorship care on CRF and examining the mediating effects of changes in sleep, stemming from yoga, on changes in CRF. CRF was assessed by the Multidimensional Fatigue Symptom Inventory. Sleep was assessed via the Pittsburgh Sleep Quality Index. Between- and within-group intervention effects on CRF were assessed by analysis of covariance and 2-tailed t test, respectively. Path analysis was used to evaluate mediation. Results: YOCAS©® participants demonstrated significantly greater improvements in CRF compared with participants in standard survivorship care at post-intervention ( P < .01). Improvements in overall sleep quality and reductions in daytime dysfunction (eg, excessive napping) resulting from yoga significantly mediated the effect of yoga on CRF (22% and 37%, respectively, both P < .01). Conclusions: YOCAS©® is effective for treating CRF among cancer survivors; 22% to 37% of the improvements in CRF from yoga therapy result from improvements in sleep quality and daytime dysfunction. Oncologists should consider prescribing yoga to cancer survivors for treating CRF and sleep disturbance.

Integrated Mindfulness-Oriented Recovery Enhancement (MORE) and physical health intervention for cancer survivors with obesity: Preliminary results from a pilot randomized controlled trial.

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 237-237 ◽  
Author(s):  
Anna Catherine Beck ◽  
Eric L. Garland ◽  
Pamela A Hansen ◽  
Darren Walker ◽  
Celestial Reimers ◽  
...  
Keyword(s):  
Weight Loss ◽  
Cancer Survivors ◽  
Controlled Trial ◽  
Self Report ◽  
Nutrition Intervention ◽  
Interoceptive Awareness ◽  
Post Intervention ◽  
Compulsive Eating ◽  
Nutrition Training ◽  
Power Group

237 Background: Hypothetically, interventions that reduce excessive weight and promote nutrition and physical activity may protect against cancer recurrence. Yet, obesity is often fueled by compulsive eating behaviors. Integrative therapies that combine exercise and nutrition training with techniques to enhance interoceptive awareness and cognitive control over automatic, compulsive eating may be especially efficacious. This pilot study tested the preliminary efficacy of an integrated exercise, nutrition, and Mindfulness-Oriented Recovery Enhancement (MORE) intervention in a sample of obese cancer patient. Methods: Obese (Mean BMI = 35.8) female patients (Mean age 58.41) with breast (n = 15), colon (n = 1), and endometrial cancers (n = 1) were recruited and randomly assigned to receive exercise and nutrition intervention without (POWER, n = 10) or with an additional mindfulness component (MORE POWER, n = 7). Participants met twice weekly for 10 weeks for group exercise and nutrition sessions. MORE POWER participants also participated in 10 weekly group mindfulness sessions. Pre- and post-intervention, assessments included self-report measures, weight and BMI measurement, and a cue-elicited heart rate variability (HRV) assessment. Results: The MORE POWER group evidenced significantly greater reductions in BMI (p = .015) and weight (p = .034; 6.57 lbs. vs. 1.35 lbs.) than the POWER group. The MORE POWER group also reported significantly greater increases in interoceptive awareness (p = .019) and mindful observation than the POWER group (p = .040). Increases in mindful observation predicted residualized change in BMI, Beta = -.13, SE = .05, p = .03. Lastly, MORE POWER group exhibited significantly greater post-intervention HRV than the POWER group (p = .011). Conclusions: Integrating MORE with an exercise and nutrition training program appeared to enhance weight loss outcomes in this pilot sample of obese cancer patients. Findings suggest that mindfulness training may strengthen cognitive regulation of appetitive and motivational reactions crucial to weight loss, and thereby promote health in cancer survivors.

scholarly journals Impact of a combined multimodal-aerobic and multimodal intervention compared to standard aerobic treatment in breast cancer survivors with chronic cancer-related fatigue - results of a three-armed pragmatic trial in a comprehensive cohort design

BMC Cancer ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Matthias Kröz ◽  
◽  
Marcus Reif ◽  
Augustina Glinz ◽  
Bettina Berger ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Standard Therapy ◽  
Breast Cancer Survivors ◽  
Behavioral Therapy ◽  
Controlled Trial ◽  
Pragmatic Trial ◽  
Testing Procedure ◽  
Cancer Related Fatigue

Abstract Background Cancer-related fatigue (CRF) and insomnia are major complaints in breast cancer survivors (BC). Aerobic training (AT), the standard therapy for CRF in BC, shows only minor to moderate treatment effects. Other evidence-based treatments include cognitive behavioral therapy, e.g., sleep education/restriction (SE) and mindfulness-based therapies. We investigated the effectiveness of a 10-week multimodal program (MT) consisting of SE, psycho-education, eurythmy- and painting-therapy, administered separately or in combination with AT (CT) and compared both arms to AT alone. Methods In a pragmatic comprehensive cohort study BC with chronic CRF were allocated randomly or by patient preference to (a) MT, (b) CT (MT + AT) or (c) AT alone. Primary endpoint was a composite score of the Pittsburgh Sleep Quality Index and the Cancer Fatigue Scale after 10 weeks of intervention (T1); a second endpoint was a follow-up assessment 6 months later (T2). The primary hypothesis stated superiority of CT and non-inferiority of MT vs. AT at T1. A closed testing procedure preserved the global α-level. The intention-to-treat analysis included propensity scores for the mode of allocation and for the preferred treatment, respectively. Results Altogether 126 BC were recruited: 65 were randomized and 61 allocated by preference; 105 started the intervention. Socio-demographic parameters were generally balanced at baseline. Non-inferiority of MT to AT at T1 was confirmed (p < 0.05), yet the confirmative analysis stopped as it was not possible to confirm superiority of CT vs. AT (p = 0.119). In consecutive exploratory analyses MT and CT were superior to AT at T1 and T2 (MT) or T2 alone (CT), respectively. Conclusions The multimodal CRF-therapy was found to be confirmatively non-inferior to standard therapy and even yielded exploratively sustained superiority. A randomized controlled trial including a larger sample size and a longer follow-up to evaluate multimodal CRF-therapy is highly warranted. Trial register DRKS-ID: DRKS00003736. Recruitment period June 2011 to March 2013. Date of registering 19 June 2012.

scholarly journals Randomized controlled trial of the Valencia model of waking hypnosis plus CBT for pain, fatigue, and sleep management in patients with cancer and cancer survivors

2016 ◽  
Vol 26 (11) ◽  
pp. 1832-1838 ◽  
Author(s):  
M.E. Mendoza ◽  
A. Capafons ◽  
J.R. Gralow ◽  
K.L. Syrjala ◽  
J.M. Suárez-Rodríguez ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Cancer Survivors ◽  
Controlled Trial ◽  
Patients With Cancer ◽  
Randomized Controlled ◽  
Sleep Management

scholarly journals Experiences of an Exercise Program: Perspectives from Breast Cancer Survivors

2021 ◽  
Author(s):  
Yvonne Anisimowicz ◽  
Lauren Rudy ◽  
Ryan Hamilton ◽  
Eric McGowan ◽  
Travis Saunders ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Qualitative Interviews ◽  
Energy Levels ◽  
Exercise Program ◽  
Supervised Exercise ◽  
Supervised Exercise Program ◽  
Insight Into ◽  
Improve Health

Few studies have examined how breast cancer survivors experience an individually tailored group exercise program designed to help mitigate physical and psychosocial challenges and improve health outcomes. This research used qualitative interviews to provide insight into what motivates breast cancer survivors to join an exercise program, what they hope to gain from exercise programs, the barriers they experience to participation, and their overall satisfaction with the program. Thirty-three breast cancer survivors from Atlantic Canada completed semi-structured, qualitative interviews following the completion of a twelve-week supervised exercise program, and thematic analysis was applied to transcripts of the interviews. Our findings suggest of the participants generally enrolled in the program, in hopes of increasing energy levels and muscular strength, most reported increases in both outcomes by the end of the program, and obstacles to participation included fatigue, poor physical health, and access challenges.

The LITE study: Rationale and protocol for a randomized controlled trial of light therapy for cancer-related fatigue in cancer survivors

2016 ◽  
Vol 49 ◽  
pp. 166-173 ◽  
Author(s):  
Jillian A. Johnson ◽  
Sheila N. Garland ◽  
Linda E. Carlson ◽  
Josée Savard ◽  
J. Steven A. Simpson ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Cancer Survivors ◽  
Controlled Trial ◽  
Light Therapy ◽  
Randomized Controlled ◽  
Cancer Related Fatigue

Development of a mobile application (app) for improving symptoms and adherence to oral chemotherapy in patients with cancer.

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 189-189 ◽  
Author(s):  
Lauren Nisotel ◽  
Nicole Amoyal ◽  
Joel Fishbein ◽  
James MacDonald ◽  
William F. Pirl ◽  
...  
Keyword(s):  
Symptom Management ◽  
Treatment Plan ◽  
Controlled Trial ◽  
Qualitative Interviews ◽  
Smart Phone ◽  
Mobile App ◽  
Oral Chemotherapy ◽  
Cancer Center ◽  
Study Approach ◽  
Patients With Cancer

189 Background: An advantage of oral chemotherapy is ease of administration, yet patients and family caregivers receive less support for adherence and monitoring of side effects. Effective interventions should support adherence to oral chemotherapy. We conducted qualitative interviews with patients, clinicians, and relevant stakeholders to inform the development of a proposed mobile app intervention to improve adherence and symptoms to oral chemotherapy. Methods: We conducted qualitative interviews and focus groups with multiple stakeholder groups (18 oncology physicians, 8 healthcare representatives, 8 cancer practice administrators, 18 patients and family members). Eligible patients had a diagnosis of cancer, a prescription for oral chemotherapy, cancer care at the MGH Cancer Center, and access to a smart phone. Stakeholders and clinicians evaluated the study approach, patient engagement, and intervention implementation. Patients reviewed wireframes of the mobile app to evaluate the components, usability, feasibility, and acceptability. Results: The app features include a treatment plan, medication reminders, symptom reporting, and cancer-specific resources. The themes from the qualitative interviews suggest that this mobile app would be helpful in improving adherence to oral chemotherapy and symptom management. Patients reported the wireframes to be acceptable and potentially user-friendly. Clinicians found that ongoing symptom reports would be helpful for proactively managing patients’ symptoms. Stakeholders recognized the importance of an app with functional tools to aid adherence and symptom management. All parties agreed that app features should remain simple, avoid undue burden, and thus enhance usability. Conclusions: Our findings suggest that a mobile app could be helpful for adherence and improving symptoms to oral chemotherapy in patients with cancer. Patients and clinicians rated the wireframe content favorably and commended the different features. We refined and finalized the mobile app based on feedback from the qualitative interviews. These findings support our plan to test the efficacy of this intervention in a randomized controlled trial. Clinical trial information: NCT02157519.

scholarly journals Randomized Controlled Trial of Qigong/Tai Chi Easy on Cancer-Related Fatigue in Breast Cancer Survivors

2014 ◽  
Vol 49 (2) ◽  
pp. 165-176 ◽  
Author(s):  
Linda K. Larkey ◽  
Denise J. Roe ◽  
Karen L. Weihs ◽  
Roger Jahnke ◽  
Ana Maria Lopez ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Randomized Controlled Trial ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Tai Chi ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Cancer Related Fatigue

The Effectiveness of a Deep Water Aquatic Exercise Program in Cancer-Related Fatigue in Breast Cancer Survivors: A Randomized Controlled Trial

2013 ◽  
Vol 94 (2) ◽  
pp. 221-230 ◽  
Author(s):  
Irene Cantarero-Villanueva ◽  
Carolina Fernández-Lao ◽  
Antonio I. Cuesta-Vargas ◽  
Rosario Del Moral-Avila ◽  
César Fernández-de-las-Peñas ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Randomized Controlled Trial ◽  
Cancer Survivors ◽  
Deep Water ◽  
Breast Cancer Survivors ◽  
Controlled Trial ◽  
Exercise Program ◽  
Aquatic Exercise ◽  
Randomized Controlled ◽  
Cancer Related Fatigue
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