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Development and Evaluation of a Cancer-Related Fatigue Patient Education Program (FIBS)
This study is not yet open for participant recruitment.
Study NCT00552552   Information provided by University of Bremen
First Received: October 31, 2007   Last Updated: November 1, 2007   History of Changes

October 31, 2007
November 1, 2007
January 2008
 
Fatigue [ Time Frame: Baseline, after the intervention, 6 months later ]
Same as current
Complete list of historical versions of study NCT00552552 on ClinicalTrials.gov Archive Site
Quality of Life, Depression and anxiety, physical activity [ Time Frame: Baseline, after the intervention, 6 months later ]
Same as current
 
Development and Evaluation of a Cancer-Related Fatigue Patient Education Program
Development and Evaluation of a Cancer-Related Fatigue Patient Education Program

The objective of this study is to develop a structured and evidence-based self-management program to cope with cancer-related fatigue and to assess the efficacy of the intervention in cancer survivors.

Background

Cancer-related fatigue (CRF) and its impact on patients quality of life has been an increasing subject of research. However, in Germany exists a lack of evidence-based interventions consistent with the multidimensional character of fatigue. The objective of this study is to develop and evaluate a self-management program for disease-free cancer patients to cope with CRF.

Methods

Based on evidence extracted from a literature review a curriculum for the self-management program was elaborated. The curriculum is currently being reviewed and validated by an expert group of oncologists, psycho-oncologists, nurses, social workers, physical therapists, health scientists, and patients. The modules will be pretested with a small number of patients, discussed in terms of feasibility and acceptance.

To determine the efficacy of the program a randomised controlled trial will be conducted: 300 patients will be allocated to an intervention or a waiting control group. Data will be collected before randomisation, after intervention, and after a follow-up of 6 months.

Results

As essential subjects for the curriculum were identified:

  • medical background and causes of CRF
  • physical activity and moderate exercise
  • restructuring daily schedules
  • energy conservation
  • stress-management and relaxation strategies
  • coping with negative emotions
  • integrating the new knowledge into every day life.

The program aims at impacting on health-related self-efficacy by the training of problem solving, goal setting, and cognitive techniques as knowledge transfer hasn't proved sufficient to achieve changes in behaviour. According to this we developed a curriculum wherein detailed information for every module concerning objectives, background, didactic methods and materials are provided. Based on the curriculum train-the-trainer seminars are held in order to educate on moderation techniques, group dynamics, and clinical background of CRF. The program will be administered by qualified health professionals in groups of eight patients. It includes six weekly sessions 90 minutes each dealing with the topics listed above.

The results of the pre-test are currently being analysed.

Discussion

Due to the fact that there are no comparable self-management programs for cancer survivors with fatigue the development of the curriculum has been complex. Therefore the critical appraisal by the experts was an important step to validate the program: their contributions have been integrated into the curriculum. The experts appreciated the program as filling in a gap of outpatient cancer care.

 
Interventional
Supportive Care, Randomized, Single Blind (Investigator), Active Control, Parallel Assignment, Efficacy Study
Cancer-Related Fatigue
Behavioral: Fatigue Patient Education Program (FIBS)
Other: waiting control group
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Not yet recruiting
300
December 2009
 

Inclusion Criteria:

  • adult
  • malign neoplasms
  • ECOG performance status of 0-2
  • moderate or severe fatigue
  • stable condition after treatment
  • German speaking

Exclusion Criteria:

  • life expectancy < 1 year
  • patients with brain neoplasms
  • suicidal tendencies
  • severe psychiatric disorders
Both
18 Years and older
No
Contact: Karl Reif +49 421- 218 ext 9055 karlreif@uni-bremen.de
Contact: Nina Egger +49 421- 218 ext 3500 negger@uni-bremen.de
 
 
NCT00552552
 
41100133
University of Bremen
  • Institute of Public Health and Nursing Research (IPP)
  • German Federal Ministry of Education and Research
  • Bremer Krebsgesellschaft e.V.
Principal Investigator: Karl Reif IPP
University of Bremen
October 2007

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP