Does a multimodal prehabilitation program improve sleep quality and duration in patients undergoing colorectal resection for cancer? Pilot randomized control trial.
Sleep difficulties are a common symptom in cancer patients at different stages of treatment trajectory and may lead to numerous negative consequences for which management is required. This pilot Randomized Controlled Trial (RCT) aims to assess the potential effectiveness of home-based prehabilitatio...
| Publicado en: | Journal of Behavioral Medicine Vol. 47; no. 1; pp. 43 - 62 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Feb2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175456651&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175456651 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Feb2024 vid: 47 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 175456651 175456651 175456651 10.1007/s10865-023-00437-3 175456651 ppf: 43 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Does a multimodal prehabilitation program improve sleep quality and duration in patients undergoing colorectal resection for cancer? Pilot randomized control trial. aug: au: Atoui, Sarah Carli, Francesco Bernard, Paquito Lee, Lawrence Stein, Barry Charlebois, Patrick Liberman, A. Sender affil: https://ror.org/04cpxjv19 Division of Experimental Surgery, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada sug: subj: Colorectal Neoplasms Surgery Home Health Care Methods Cancer Patients Prehabilitation Sleep Quality Quality of Health Care Human Canada Randomized Controlled Trials Random Assignment Male Female Aged Descriptive Statistics Funding Source Odds Ratio Confidence Intervals Combined Modality Therapy Sleep Duration Anxiety Prevention and Control Aged: 65+ years Male Female ab: Sleep difficulties are a common symptom in cancer patients at different stages of treatment trajectory and may lead to numerous negative consequences for which management is required. This pilot Randomized Controlled Trial (RCT) aims to assess the potential effectiveness of home-based prehabilitation intervention (prehab) on sleep quality and parameters compared to standard care (SOC) in colorectal cancer patients during the preoperative period and up to 8 weeks after the surgery. One hundred two participants (48.3% female, mean age 65 years) scheduled for elective resection of colorectal cancer were randomized to the prehab (n = 50) or the SOC (n = 52) groups. Recruitment and retention rates were 54% and 72%, respectively. Measures were completed at the baseline and preoperative, 4- and 8-week after-surgery follow-ups. Our mixed models' analyses revealed no significant differences between groups observed over time for all subjective and objective sleep parameters. A small positive change was observed in the perceived sleep quality only at the preoperative time point for the prehabilitation group compared to the SOC group, with an effect size d = 0.11 and a confidence interval (CI) between − 2.1 and − 0.1, p =.048. Prehab group patients with high anxiety showed a significant improvement in the rate of change of sleep duration over time compared to the SOC group, with a difference of 110 min between baseline and 8 weeks after surgery (d = 0.51, 95% CI: 92.3 to 127.7, p =.02). Multimodal prehabilitation intervention is feasible in colorectal cancer patients and may improve sleep duration for patients with high anxiety symptoms. Future large-scale RCTs are needed to confirm our results. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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