A coach in your pocket: on chronic cancer-related fatigue and physical behavior

Marije D.J. Wolvers

    Research output: ThesisPhD Thesis - Research UT, graduation UT

    207 Downloads (Pure)

    Abstract

    Fatigue is a common and distressing long-term consequence of cancer. Chronic cancer-related fatigue affects work ability, hampers in maintaining social relations, and impacts patients’ well-being. Most treatments for chronic cancer-related fatigue focus to some extend on changing physical behavior, but there is a large variability in the way they do this. This thesis focuses on an online intervention that targets physical behavior by using an ambulant activity coach. In this ambulant activity feedback therapy (AAF), a physiotherapist guides patients following a nine week intervention protocol. The ambulant activity coach, consisting of a hip worn accelerometer and a smartphone, provides feedback on a patient’s physical behavior during the day and reinforces a physical activity goal that the patient defines together with the physiotherapist. A three-armed randomized controlled trial was performed to test AAF and an online mindfulness-based cognitive therapy next to a control group that received weekly psycho-educational information. This trial has led to a number of studies, and provided insight in the heterogeneity of the physical behaviors of the study population, in the effectiveness of the intervention in terms of fatigue, mental health, and perceived work ability, and in its working mechanisms. As two thirds of the participants in the AAF group reduced fatigue clinically significantly, and effects remained up to a year after randomization, it was concluded that AAF is a promising intervention for reducing chronic cancer-related fatigue.
    Original languageEnglish
    Awarding Institution
    • University of Twente
    Supervisors/Advisors
    • Vollenbroek-Hutten, Miriam Marie Rosé, Supervisor
    • van der Lee, M.L., Co-Supervisor
    • van de Schoot, A.G.J., Co-Supervisor
    Award date3 Mar 2017
    Place of PublicationEnschede
    Publisher
    Print ISBNs978-90-365-4299-9
    DOIs
    Publication statusPublished - 3 Mar 2017

    Fingerprint

    Fatigue
    Neoplasms
    Aptitude
    Physical Therapists
    Mindfulness
    Second Primary Neoplasms
    Cognitive Therapy
    Group Psychotherapy
    Random Allocation
    Mentoring
    Hip
    Mental Health
    Therapeutics
    Randomized Controlled Trials
    Exercise
    Control Groups
    Population

    Keywords

    • METIS-321581
    • IR-103597
    • cancer-related fatigue
    • EWI-27872

    Cite this

    Wolvers, Marije D.J.. / A coach in your pocket : on chronic cancer-related fatigue and physical behavior. Enschede : University of Twente, 2017. 189 p.
    @phdthesis{9f36eb68aa194e26ba3470abbc853e88,
    title = "A coach in your pocket: on chronic cancer-related fatigue and physical behavior",
    abstract = "Fatigue is a common and distressing long-term consequence of cancer. Chronic cancer-related fatigue affects work ability, hampers in maintaining social relations, and impacts patients’ well-being. Most treatments for chronic cancer-related fatigue focus to some extend on changing physical behavior, but there is a large variability in the way they do this. This thesis focuses on an online intervention that targets physical behavior by using an ambulant activity coach. In this ambulant activity feedback therapy (AAF), a physiotherapist guides patients following a nine week intervention protocol. The ambulant activity coach, consisting of a hip worn accelerometer and a smartphone, provides feedback on a patient’s physical behavior during the day and reinforces a physical activity goal that the patient defines together with the physiotherapist. A three-armed randomized controlled trial was performed to test AAF and an online mindfulness-based cognitive therapy next to a control group that received weekly psycho-educational information. This trial has led to a number of studies, and provided insight in the heterogeneity of the physical behaviors of the study population, in the effectiveness of the intervention in terms of fatigue, mental health, and perceived work ability, and in its working mechanisms. As two thirds of the participants in the AAF group reduced fatigue clinically significantly, and effects remained up to a year after randomization, it was concluded that AAF is a promising intervention for reducing chronic cancer-related fatigue.",
    keywords = "METIS-321581, IR-103597, cancer-related fatigue, EWI-27872",
    author = "Wolvers, {Marije D.J.}",
    year = "2017",
    month = "3",
    day = "3",
    doi = "10.3990/1.9789036542999",
    language = "English",
    isbn = "978-90-365-4299-9",
    publisher = "University of Twente",
    address = "Netherlands",
    school = "University of Twente",

    }

    A coach in your pocket : on chronic cancer-related fatigue and physical behavior. / Wolvers, Marije D.J.

    Enschede : University of Twente, 2017. 189 p.

    Research output: ThesisPhD Thesis - Research UT, graduation UT

    TY - THES

    T1 - A coach in your pocket

    T2 - on chronic cancer-related fatigue and physical behavior

    AU - Wolvers, Marije D.J.

    PY - 2017/3/3

    Y1 - 2017/3/3

    N2 - Fatigue is a common and distressing long-term consequence of cancer. Chronic cancer-related fatigue affects work ability, hampers in maintaining social relations, and impacts patients’ well-being. Most treatments for chronic cancer-related fatigue focus to some extend on changing physical behavior, but there is a large variability in the way they do this. This thesis focuses on an online intervention that targets physical behavior by using an ambulant activity coach. In this ambulant activity feedback therapy (AAF), a physiotherapist guides patients following a nine week intervention protocol. The ambulant activity coach, consisting of a hip worn accelerometer and a smartphone, provides feedback on a patient’s physical behavior during the day and reinforces a physical activity goal that the patient defines together with the physiotherapist. A three-armed randomized controlled trial was performed to test AAF and an online mindfulness-based cognitive therapy next to a control group that received weekly psycho-educational information. This trial has led to a number of studies, and provided insight in the heterogeneity of the physical behaviors of the study population, in the effectiveness of the intervention in terms of fatigue, mental health, and perceived work ability, and in its working mechanisms. As two thirds of the participants in the AAF group reduced fatigue clinically significantly, and effects remained up to a year after randomization, it was concluded that AAF is a promising intervention for reducing chronic cancer-related fatigue.

    AB - Fatigue is a common and distressing long-term consequence of cancer. Chronic cancer-related fatigue affects work ability, hampers in maintaining social relations, and impacts patients’ well-being. Most treatments for chronic cancer-related fatigue focus to some extend on changing physical behavior, but there is a large variability in the way they do this. This thesis focuses on an online intervention that targets physical behavior by using an ambulant activity coach. In this ambulant activity feedback therapy (AAF), a physiotherapist guides patients following a nine week intervention protocol. The ambulant activity coach, consisting of a hip worn accelerometer and a smartphone, provides feedback on a patient’s physical behavior during the day and reinforces a physical activity goal that the patient defines together with the physiotherapist. A three-armed randomized controlled trial was performed to test AAF and an online mindfulness-based cognitive therapy next to a control group that received weekly psycho-educational information. This trial has led to a number of studies, and provided insight in the heterogeneity of the physical behaviors of the study population, in the effectiveness of the intervention in terms of fatigue, mental health, and perceived work ability, and in its working mechanisms. As two thirds of the participants in the AAF group reduced fatigue clinically significantly, and effects remained up to a year after randomization, it was concluded that AAF is a promising intervention for reducing chronic cancer-related fatigue.

    KW - METIS-321581

    KW - IR-103597

    KW - cancer-related fatigue

    KW - EWI-27872

    U2 - 10.3990/1.9789036542999

    DO - 10.3990/1.9789036542999

    M3 - PhD Thesis - Research UT, graduation UT

    SN - 978-90-365-4299-9

    PB - University of Twente

    CY - Enschede

    ER -