Breast Cancer, Fatigue
Conditions
Keywords
Breast cancer, fatigue, Intervention
Brief summary
The purpose of this project is to determine the feasibility and effectiveness of a 6-week, internet-based, Energy Conservation and Activity Management intervention among women who report cancer-related fatigue following breast cancer treatment.
Interventions
The intervention will last approximately 45 minutes, and will be provided once/week for 6 weeks. The intervention is delivered live using web-cameras (e.g., Microsoft Zoom). Registered and licensed occupational therapists will deliver the intervention. At beginning of the intervention, the participant and interventionist prioritize the 5 most critical fatigue-related problems that they would like to solve during the intervention. Each week, the interventionist will guide the participant through a workbook to provide knowledge and examples on how to apply the knowledge to everyday fatigue-related problems. The workbook contains: (a) information regarding fatigue in breast cancer survivors, (b) knowledge regarding fatigue management strategies, and (c) worksheets to develop skills to recognize and solve fatigue-related problems. Participants will retain the workbook after study completion.
Sponsors
Study design
Eligibility
Inclusion criteria
* breast cancer diagnoses * not currently receiving active treatment in the form of chemotherapy or radiation therapy * at least 18 years of age * fatigue severe enough to limit daily activities (score ≥ 4 on 7-point Fatigue Severity Scale)(Krupp, LaRocca, Muir-Nash, & Steinberg, 1989); * functional English fluency and literacy; * Participant has a smart device that operates on the Android or Apple platform * Participant is able to use the Ecological Momentary Assessment application before going to bed every night
Exclusion criteria
* self-reported history of diagnosis of co-morbidities that have been associated with poor sleep and fatigue: chronic insomnia, chronic fatigue syndrome, unstable heart, lung, or neuromuscular disease, insulin-dependent diabetes, sleep apnea, chronic oral steroid therapy, and night-shift employment, * Disability due to a diagnosis other then breast cancer * Currently taking medication for depression, sleep issues, or fatigue.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Fatigue Scores (Revised Piper Fatigue Scale) | Baseline to 14 weeks | Measure of fatigue severity and impact |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Fatigue Impact (Patient Reported Outcomes Measurement Information System Fatigue Scale) | Baseline to 14 weeks | Measure of fatigue severity and impact |
| Change in Fatigue Impact (Modified Fatigue Impact Scale) | Baseline at 14 weeks | Measure of fatigue impact |
| Change in Severity of Fatigue Measured Via Ecological Momentary Assessments | Baseline to 14 weeks | Ecological Momentary Assessments via Smartphone App |
Countries
United States