Weekly Telephone Call Impacts Outcomes of an Individualized Home Exercise Program in People Recovering From Cancer.

Background and Purpose: Home exercise programs (HEPs) improve quality of life (QoL), physical function, and fatigue in individuals recovering from cancer; however, they often lack supervision and individualization. Use of a weekly telephone call by a physical therapist (PT) may provide substantial g...

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Publicado en:Rehabilitation Oncology Vol. 41; no. 2; pp. 89 - 98
Autores principales: Mayer, Jill E., Plumeau, Kayleigh
Formato: clinical trial research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2023
      vid: 41
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/01.REO.0000000000000301
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        atl: Weekly Telephone Call Impacts Outcomes of an Individualized Home Exercise Program in People Recovering From Cancer.
      aug:
        au:
          Mayer, Jill E.
          Plumeau, Kayleigh
        affil: Board-Certified Neurologic Clinical Specialist (NCS), Clinical Assistant Professor, Department of Physical Therapy, Ithaca College, Ithaca, NY
      sug:
        subj:
          Telephone
          Outcome Assessment
          Home Health Care
          Therapeutic Exercise
          Recovery
          Cancer Patients
          Neoplasms Therapy
          Functional Assessment
          Quality of Life Evaluation
          Cancer Fatigue
          Patient Compliance Evaluation
          Human
          Prospective Studies
          Cancer Survivors
          Physical Therapists
          Pretest-Posttest Design
          Nonparametric Statistics
          Neoplasms Diagnosis
          Clinical Assessment Tools
          Questionnaires
          Practice Guidelines
          Male
          Female
          Adult
          Middle Age
          Aged
          Motivation
          Adverse Health Care Event
          Clinical Trials
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background and Purpose: Home exercise programs (HEPs) improve quality of life (QoL), physical function, and fatigue in individuals recovering from cancer; however, they often lack supervision and individualization. Use of a weekly telephone call by a physical therapist (PT) may provide substantial guidance to improve outcomes and adherence. The purpose of this study was to determine the effect of weekly calls in addition to an individualized HEP on physical function, QoL, fatigue, and adherence in people with cancer. Methods: A prospective 2-armed single-cohort design implemented with survivors of cancer in early recovery. Control and intervention groups received in-home instruction of a PT-prescribed, 8-week HEP. The intervention group received weekly phone calls while the control group had no formal follow-up or program monitoring. Outcome measures assessed pre-/postintervention: 6-minute walk test (6MWT), Fullerton Advanced Balance Scale, European Organization of Research and Treatment of Cancer QoL Questionnaire (EORTC QLQ-C30), and Functional Assessment of Chronic Illness Therapy Fatigue Scale (FACIT). Nonparametric statistics were used to analyze changes within and between groups. Results: Fifteen participants (n = 7 intervention and n = 8 control) completed the study. The intervention group improved significantly in all outcomes except the 6MWT (P <.05). The control group did not demonstrate any significant improvements. Between groups, there was a significant difference at program completion in the FACIT (P =.007) and EORTC QLQ-C30 physical function subscale (P =.042). Limitations: A small, heterogeneous sample. Conclusions: An individualized HEP with weekly calls may be a safe and effective way to improve outcomes of physical function, QoL, and fatigue in individuals with cancer during early recovery.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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