Quality of life after self-management cancer rehabilitation: a randomized controlled trial comparing physical and cognitive-behavioral training versus physical training
I Korstjens, AM May, E van Weert, I Mesters… - Psychosomatic …, 2008 - journals.lww.com
Psychosomatic Medicine, 2008•journals.lww.com
Objective: To conduct a randomized controlled trial and compare the effects on cancer
survivors' quality of life in a 12-week group-based multidisciplinary self-management
rehabilitation program, combining physical training (twice weekly) and cognitive-behavioral
training (once weekly) with those of a 12-week group-based physical training (twice weekly).
In addition, both interventions were compared with no intervention. Methods: Participants (all
cancer types, medical treatment completed≥ 3 months ago) were randomly assigned to …
survivors' quality of life in a 12-week group-based multidisciplinary self-management
rehabilitation program, combining physical training (twice weekly) and cognitive-behavioral
training (once weekly) with those of a 12-week group-based physical training (twice weekly).
In addition, both interventions were compared with no intervention. Methods: Participants (all
cancer types, medical treatment completed≥ 3 months ago) were randomly assigned to …
Abstract
Objective:
To conduct a randomized controlled trial and compare the effects on cancer survivors’ quality of life in a 12-week group-based multidisciplinary self-management rehabilitation program, combining physical training (twice weekly) and cognitive-behavioral training (once weekly) with those of a 12-week group-based physical training (twice weekly). In addition, both interventions were compared with no intervention.
Methods:
Participants (all cancer types, medical treatment completed≥ 3 months ago) were randomly assigned to multidisciplinary rehabilitation (n= 76) or physical training (n= 71). The nonintervention comparison group consisted of 62 patients on a waiting list. Quality of life was measured using the RAND-36. The rehabilitation groups were measured at baseline, after rehabilitation, and 3-month follow-up, and the nonintervention group was measured at baseline and 12 weeks later.
Results:
The effects of multidisciplinary rehabilitation did not outperform those of physical training in role limitations due to emotional problem (primary outcome) or any other domains of quality of life (all p>. 05). Compared with no intervention, participants in both rehabilitation groups showed significant and clinically relevant improvements in role limitations due to physical problem (primary outcome; effect size (ES)= 0.66), and in physical functioning (ES= 0.48), vitality (ES= 0.54), and health change (ES= 0.76)(all p<. 01).
Conclusions:
Adding a cognitive-behavioral training to group-based self-management physical training did not have additional beneficial effects on cancer survivors’ quality of life. Compared with the nonintervention group, the group-based self-management rehabilitation improved cancer survivors’ quality of life.
Lippincott Williams & Wilkins以上显示的是最相近的搜索结果。 查看全部搜索结果