None listed
Conditions
Brief summary
The aim of this study is to determine the effectiveness of an online self-management program on cancer-related fatigue in cancer survivors. Who is it for? You may be eligible to join this study if you are aged 18 years or above, have been diagnosed with a haematological malignancy, completed cancer treatment, and experience cancer-related fatigue. Study details Participants in this study are randomly allocated (by chance) to one of two groups. Participants in one group will receive a 12-week web-based interactive self-management program, whilst participants in the other group will receive usual care. The self-management program provides comprehensive information and multimodal fatigue management strategies based on best evidence reflecting the recommendations of the recent American Society of Clinical Oncology guidelines for the non-pharmacological management of cancer-related fatigue. Participants will be followed-up at the end of the 12 week period to assess the impact of the program on fatigue. After waiting for a period of 12 weeks, the group who received usual care will be invited to participate in the online program for a total of 12 weeks.
Interventions
The 12-week web-based program was developed based on best evidence reflecting the recommendations of the recent American Society of Clinical Oncology guidelines for the non-pharmacological management of cancer-related fatigue. The intervention is delivered as an online program via the internet for individual participation. It is intended for use in the participants’ home, however can be accessed from any computer with internet capabilities.
The program consists of three components.
1.Education a
The 12-week web-based program was developed based on best evidence reflecting the recommendations of the recent American Society of Clinical Oncology guidelines for the non-pharmacological management of cancer-related fatigue. The intervention is delivered as an online program via the internet for individual participation. It is intended for use in the participants’ home, however can be accessed from any computer with internet capabilities. The program consists of three components. 1.Education about cancer-related fatigue 2.Toolkit Modules covering: sleep therapy, energy management, physical activity and mind-body interventions (cognitive-behavioural therapy and mindfulness-based interventions) 3.Online self-assessments, tracking and progress monitoring Materials and procedures: Each module includes educational content, interactive exercises, self-assessment and tracking. Educational content is provided by material written specifically for the program by recognised experts in the field. It includes a combination of text, images, audio and videos. The education sections will also be portals to existing curated high quality information. Interactive exercises check the participants’ understanding of information that is provided and ensures their ability to apply the information to their individual situation. Self-assessment and tracking capabilities of the program allow participants to monitor and track their individual progress over time in relation to level of cancer-related fatigue. Motivation and reinforcement is facilitated by these functions with direct visualisation of improvements using individualised tables and graphs for easy interpretation of progress. The online program is self-paced with unlimited access during the intervention period of 12 weeks. Weekly motivational emails are sent to participants with a progress summary and a reminder to complete modules and activities that are still incomplete. Participants will initially be directed to general information about cancer-related fatigue. They subsequently can choose the modules that they further participate in to allow for an individually tailored approach. They are provided with a suggested weekly schedule. Prompts and encouragement to ongoing participation are forwarded via email and the program is able to place reminders in an electronic calendar. The program includes an administrator interface for access to usage analytics by authorised members of the research team. Adherence to intervention will be assessed using: Number of website visits Number of log-ins Number of modules completed Length of time logged in Total length of intervention exposure
Sponsors
Sharon Avery
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Age greater than or equal to 18 years Fatigue score greater than or equal to 4 on a 0-10 numeric rating scale Diagnosis of haematological malignancy including acute leukaemia, lymphoma and multiple myeloma Completed cancer treatment delivered with intent to cure or induce long-term remission within 3 to 24 months Comprehensive, focused clinical and laboratory assessment by medical team has failed to identify a medically reversible cause for fatigue Life expectancy >6 months
Exclusion criteria
Non-English speaking or reading Planned radiotherapy or chemotherapy Physical activity contraindicated Physiological reason for fatigue Severe psychiatric disorder e.g. severe depression Do not use or have access to the internet
Outcome results
None listed